Wataru Sumida1, Yoshio Watanabe2, Hidemi Takasu2, Kazuo Oshima2, Naoko Komatsuzaki2. 1. Department of Pediatric Surgery, Aichi Children's Health and Medical Center, 7-426, Morioka-cho, Obu, Aichi, 474-8710, Japan. wsumida288gto@yahoo.co.jp. 2. Department of Pediatric Surgery, Aichi Children's Health and Medical Center, 7-426, Morioka-cho, Obu, Aichi, 474-8710, Japan.
Abstract
INTRODUCTION: Laparoscopic percutaneous extraperitoneal closure (LPEC) allows the surgeon to look for contralateral patent processus vaginalis (CPPV) directly. We investigated the incidence of CPPV in relation to age at LPEC. METHODS: Following Institutional Review Board approval, 1232 patients ranging in age from 2 months old to 15 years old (median 4.7 years), who underwent LPEC, were investigated retrospectively. Patients were divided into five groups based on their age at surgery: younger than 1, 1-2, 2-4, 4-6 years, and older than 6 years. The incidence of CPPV being detected by preoperative ultrasonography or laparoscopy was compared among these groups. Statistical analyses were performed using the Chi-square test or Cochran-Armitage trend test, and p < 0.05 was considered significant. RESULTS: The incidence of CPPV detected by ultrasonography decreased as the age increased (p < 0.0001), whereas the incidence of CPPV newly revealed by laparoscopy increased as age increased (p = 0.0001). There were no significant differences in the incidence of CPPV in patients with unilateral hernia among the five age groups (p = 0.74). CONCLUSIONS: These results showed that the incidence of CPPV in patients with unilateral inguinal hernia did not change in relation to their age.
INTRODUCTION: Laparoscopic percutaneous extraperitoneal closure (LPEC) allows the surgeon to look for contralateral patent processus vaginalis (CPPV) directly. We investigated the incidence of CPPV in relation to age at LPEC. METHODS: Following Institutional Review Board approval, 1232 patients ranging in age from 2 months old to 15 years old (median 4.7 years), who underwent LPEC, were investigated retrospectively. Patients were divided into five groups based on their age at surgery: younger than 1, 1-2, 2-4, 4-6 years, and older than 6 years. The incidence of CPPV being detected by preoperative ultrasonography or laparoscopy was compared among these groups. Statistical analyses were performed using the Chi-square test or Cochran-Armitage trend test, and p < 0.05 was considered significant. RESULTS: The incidence of CPPV detected by ultrasonography decreased as the age increased (p < 0.0001), whereas the incidence of CPPV newly revealed by laparoscopy increased as age increased (p = 0.0001). There were no significant differences in the incidence of CPPV in patients with unilateral hernia among the five age groups (p = 0.74). CONCLUSIONS: These results showed that the incidence of CPPV in patients with unilateral inguinal hernia did not change in relation to their age.
Authors: David A Lazar; Timothy C Lee; Saad I Almulhim; Jay R Pinsky; Megan Fitch; Mary L Brandt Journal: J Pediatr Surg Date: 2011-12 Impact factor: 2.545