Document Detail


Laparoscopic diagnosis of contralateral patent processus vaginalis in children under 1 year of age with unilateral inguinal hernia: comparison with herniography.
MedLine Citation:
PMID:  10466598     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The effectiveness of laparoscopic diagnosis of contralateral patent processus vaginalis (CPPV) in children with unilateral inguinal hernia was evaluated. METHODS: Ninety-three consecutive children under the age of 1 year were operated on for a unilateral inguinal hernia. A contralateral CPPV was diagnosed by laparoscopy via the inguinal hernia sac before ligation. The laparoscopy results of this technique were correlated with those of herniography or inguinal exploration. RESULTS: Laparoscopy was performed on 88 patients; sensitivity was 71% and specificity 89%. The only complication arising from the procedure was wound infection in two patients. CONCLUSION: This method is a simple, safe, and accurate procedure for selecting children for contralateral surgical exploration.
Authors:
E Van Glabeke; A Khairouni; O Gall; H D Le Pointe; O Jaby; M Larroquet; H Kotobi; J B Chevet; G Audry; M Gruner
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  34     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-10-07     Completed Date:  1999-10-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1213-5     Citation Subset:  IM    
Affiliation:
Service de Chirurgie Viscérale Infantile et Néonatale, Hôpital d'Enfants Armand-Trousseau, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Female
Hernia, Inguinal / diagnosis*,  radiography,  surgery
Humans
Infant
Laparoscopy
Male
Predictive Value of Tests
Sensitivity and Specificity

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