Long-term outcome of children with patent processus vaginalis incidentally diagnosed by laparoscopy.

Details

Serval ID
serval:BIB_1685835287F0
Type
Article: article from journal or magazin.
Collection
Publications
Title
Long-term outcome of children with patent processus vaginalis incidentally diagnosed by laparoscopy.
Journal
Journal of pediatric surgery
Author(s)
Centeno-Wolf N., Mircea L., Sanchez O., Genin B., Lironi A., Chardot C., Birraux J., Wildhaber B.E.
ISSN
1531-5037 (Electronic)
ISSN-L
0022-3468
Publication state
Published
Issued date
11/2015
Peer-reviewed
Oui
Volume
50
Number
11
Pages
1898-1902
Language
english
Abstract
Patent processus vaginalis (PPV) might be incidentally diagnosed during laparoscopy. The aims of this study were to determine the prevalence and the natural history of PPV, i.e. its possible development into symptomatic inguinal hernia.
children <16years undergoing laparoscopy for pathologies other than processus vaginalis (PV) related, from 10/2000-10/2005.
past or present history of PV-related pathologies. The internal inguinal rings were documented during laparoscopy. Follow-up was provided by phone inquiry and clinical examination if needed. Median follow-up was 10.5years (range 7.1-12.8).
416 patients were included. Median age at laparoscopy was 12.4years (range 3days-18.1years). Forty-three PPV (33 unilateral, 5 bilateral) were found in 38 patients (9.1%). Four children with PPV presented later with an ipsilateral inguinal hernia (10.5%, 95%CI [3%; 25%]), at a median age of 16.0years (range 11.8-17.3), at a median of 22.5months (range 12-50) after initial laparoscopy, as compared to no patient in the population with obliterated PV (0%, 95%CI [0%; 1%]).
9.1% of the observed pediatric population showed an asymptomatic PPV, and 10.5% of these children later developed an inguinal hernia. None of the children with obliterated PV developed a hernia.

Keywords
Adolescent, Child, Child, Preschool, Female, Follow-Up Studies, Hernia, Inguinal/etiology, Humans, Incidental Findings, Infant, Infant, Newborn, Inguinal Canal, Laparoscopy, Male, Peritoneum/embryology, Prevalence, Time Factors, Treatment Outcome
Pubmed
Create date
16/12/2015 12:12
Last modification date
20/08/2019 12:46
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