Role of ultrasonography in diagnosis of contralateral patent processus vaginalis in clinically diagnosed unilateral inguinal hernia in pediatrics

Background: In children with unilateral inguinal hernia, there is a debate about exploration of the contralateral side. Herniogrhaphy, diagnostic pneumoperitoneum, and intra-operative laparoscopy are procedures that have been proposed to reduce number negative side explorations in presenting congenital hernia. However, most them invasive methods. our study we suggest using ultrasonography detection hernia confirmation by laparoscope. Aim work: aimed assess Sensitivity specificity US diagnosis occult after laparoscopy. Patient methods: Our considered an interventional prospective was done on 100 all patients underwent both groins. Ultrasound positive if length patent processus vaginalis more than 20 mm or internal ring diameter 4mm. After ultrasound, were prepared for laparoscopic confirm diagnosis, treat clinical Results: By comparing results symptomatic sides, found cases diagnosed be confirmed asymptomatic from 9 who as hernia; laparoscope them. 91 negative, one positive. The sensitivity 100% side; sensitivity, 90%, respectively. Conclusion: good tool early pediatric hernias