Risk factors for contralateral patent processus vaginalis determined by transinguinal laparoscopic examination

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Risk factors for contralateral patent processus vaginalis determined by transinguinal laparoscopic examination

Concurrent contralateral inguinal exploration in children with unilateral hernia or hydrocele is a subject of debate. The aim of the present study was to investigate the incidence of contralateral patent processus vaginalis (CPPV) using transinguinal laparoscopy (inguinoscopy). In addition, the risk factors of CPPV were evaluated in order to facilitate the selection of appropriate candidates fo...

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Transinguinal laparoscopic examination: an end to the controversy on repair of inguinal hernia in children.

BACKGROUND Contralateral exploration of the groin has been common practice among pediatric surgeons for nearly 50 years, based on the high incidence of patent processus vaginalis on the contralateral side with the potential for the subsequent development of a hernia. OBJECTIVES To evaluate transinguinal laparoscopic examination of the contralateral side during repair of inguinal hernia in chi...

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Intraoperative Laparoscopy by a Flexible Scope: Is it Reliable in Contralateral Childhood Hernias?

BACKGROUND AND OBJECTIVES Negative contralateral groin exploration for childhood hernias raises the question of whether contralateral groin exploration is necessary or not. To find out whether a contralateral processus vaginalis was patent, we performed laparoscopy with a flexible scope. METHODS After carbon dioxide insufflation, a flexible laparoscope was inserted through the opened hernia s...

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Relevance of herniography for accurate diagnosis of patent processus vaginalis in cryptorchidism.

OBJECTIVE To clarify the role of peritoneography in assessing the patency of processus vaginalis (PV) in pediatric patients diagnosed with cryptorchidism. MATERIALS AND METHODS We designed a prospective clinical trial to evaluate the patency of PV in boys presenting cryptorchidism. Herniography was performed in 310 prepubertal boys. Data about the morphology of PV was compared with operative ...

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Scrotal incision orchiopexy for undescended testes with or without a patent processus vaginalis.

PURPOSE Bianchi and Squire first described scrotal incision orchiopexy as an alternative to the traditional inguinal approach in the 1980s. The goal of this study was to review our series of scrotal orchiopexies to evaluate operative times, success rates and complications in patients with and without a patent processus vaginalis. MATERIALS AND METHODS A total of 121 scrotal incision orchiopex...

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ژورنال

عنوان ژورنال: Experimental and Therapeutic Medicine

سال: 2014

ISSN: 1792-0981,1792-1015

DOI: 10.3892/etm.2014.2098