Laparoscopic treatment of the peritoneo-vaginal duct persistences in children at Sylvanus Olympio Teaching Hospital of Lomé (Togo)
| Autor: | Adabra Komlan, Mihluedo-Agbolan Komlan Anani, Boume Missoki Azanledji, Akakpo-Numado Gamedzi Komlatsè, Tekou Hubert |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Adolescent lcsh:Surgery Physical examination Hernia Inguinal laparoscopic treatment Spermatic cord Hematoma medicine Humans Hernia Prospective Studies Laparoscopy Prospective cohort study Child Hospitals Teaching Children Herniorrhaphy medicine.diagnostic_test business.industry lcsh:RJ1-570 lcsh:Pediatrics lcsh:RD1-811 medicine.disease Children inguinal hernia laparoscopic treatment persistent processus vaginalis Surgery Inguinal hernia medicine.anatomical_structure Treatment Outcome persistent processus vaginalis Child Preschool Togo inguinal hernia Pediatrics Perinatology and Child Health Peritoneum business Laparoscopic treatment Follow-Up Studies |
| Zdroj: | African Journal of Paediatric Surgery; Vol 11, No 1 (2014); 12-14 African Journal of Paediatric Surgery, Vol 11, Iss 1, Pp 12-14 (2014) |
| ISSN: | 0189-6725 |
| Popis: | Background: The treatment of the persistent peritoneo-vaginal duct (PPVD) or persistent processus vaginalis (PPV) in children by inguinal access carries a real testicular risk that can be avoided using the laparoscopic treatment, mostly in the case of recurrence. We hereby present the results of our first series treated by laparoscopy at Sylvanus Olympio Teaching Hospital.Patients and Methods: This is a descriptive and prospective study on a 6 months period. It concerned 21 boys with mean age of 4 years and 3 months, weighing 15.70 Kg. They clinically presented 12 unilateral inguinal hernias and 9 hydroceles among which one recurrence. We used the Montupet and Esposito technique. The results were considered good in absence of recurrence and bad if recurrence occurred.Results: With 4 over the 21 patients (19.04%), the diagnosis of a controlateral PPV was done per operatory. In those cases, the bilateral closure was systematic in the same operative time. The mean duration of the unilateral treatment was 57.6 minutes (extremes: 45 and 70 min). The mean pneumo-peritoneum pressure was 7.62 mm Hg (extremes: 5 and 8 mm Hg). Seventeen boys (80.95%) got out on the same day. There was neither infection nor parietal hematoma. With a mean follow-up of 9.3 months, there was no recurrence.Conclusion: The laparoscopic treatment of the PVDP in children is an effi cient procedure. It permits to diagnose and treat at the same time, a controlateral PVDP that had not been found during the clinical examination; it also helps to avoid the traumatisms of the spermatic cord.Key words: Children, inguinal hernia, laparoscopic treatment, persistent processus vaginalis |
| Databáze: | OpenAIRE |
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