Simple maneuvers to reduce the incidence of false-negative findings for contralateral patent processus vaginalis during laparoscopic hernia repair in children: a comparative study between 2 cohorts
| Autor: | Kristine Kit Yi Pang, Kin Wai Chan, Kim Hung Lee, Yuen Shan Wong, Yuk Him Tam, Jennifer Wai Cheung Mou, Siu Yan Tsui, Jennifer Dart Yin Sihoe |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Hernia Inguinal medicine Humans Hernia Laparoscopy False Negative Reactions Herniorrhaphy Retrospective Studies Chi-Square Distribution medicine.diagnostic_test business.industry Incidence Retrospective cohort study General Medicine medicine.disease Hernia repair Surgery Inguinal hernia Treatment Outcome Child Preschool Pediatrics Perinatology and Child Health Cohort Female business Chi-squared distribution Historical Cohort |
| Zdroj: | Journal of Pediatric Surgery. 48:826-829 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2012.07.043 |
| Popis: | Transumbilical or transinguinal laparoscopic evaluation for contralateral patent processus vaginalis (CPPV) is commonly performed during laparoscopic or open hernia repair in children but may occasionally give false-negative findings.A retrospective study was conducted to compare 2 cohorts of children who underwent laparoscopic repair for clinically demonstrated unilateral inguinal hernia and evaluation for CPPV by transumbilical laparoscopy during the study periods of 2004 to 2007 (cohort 1) and 2008 to 2011 (cohort 2). Cohort 1 was a known historical cohort with CPPV being evaluated by laparoscopic inspection alone, whereas additional maneuvers were adopted in cohort 2.There were 395 and 564 patients in cohorts 1 and 2, respectively. There was no difference between the 2 cohorts in age of patients, sex distribution, laterality of clinically demonstrated inguinal hernia, and follow-up period at the time of data collection. More CPPV were diagnosed in cohort 2 than cohort 1(36.2% vs 25.8%; P.01). 4 children (1.4%) developed metachronous inguinal hernia following negative laparoscopic evaluation for CPPV in cohort 1 compared with none from cohort 2 at a similar median follow-up period (P.05).The additional maneuvers appear to be superior to laparoscopic inspection alone to evaluate CPPV during laparoscopic hernia repair in children. |
| Databáze: | OpenAIRE |
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