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Article: Laparoscopic hernioplasties in children: The implication on contralateral groin exploration for unilateral inguinal hernias
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TitleLaparoscopic hernioplasties in children: The implication on contralateral groin exploration for unilateral inguinal hernias
 
AuthorsToufique Ehsan, Md2 1
Ng, ATL2
Chung, PHY2
Chan, KL2
Wong, KKY2
Tam, PKH2
 
KeywordsChildren
Contralateral exploration
Inguinal hernia
Laparoscopy
Metachronous hernia
 
Issue Date2009
 
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htm
 
CitationPediatric Surgery International, 2009, v. 25 n. 9, p. 759-762 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s00383-009-2429-4
 
AbstractBackground: Inguinal hernias are commonly seen in the paediatric population. Controversies still exist regarding the need for contralateral groin exploration when an unilateral inguinal hernia is presented, since the true incidence of contralateral patent processus vaginalis is not known. With the advent of laparoscopic hernioplasty, the status of the contralateral side can be evaluated at the same setting. Here, we describe our experience in this issue after the introduction of laparoscopic hernioplasty in our unit. Methods: A retrospective review was carried out between October 2002 and January 2008. All patients presented with unilateral inguinal hernias were included. The demographics of the patients and the operative findings at laparoscopy were recorded. Statistics were performed using Student t-test or χ 2 test as appropriate and p < 0.05 was taken as statistically significant. Results: During the study period, 363 children were included in our study, of which there were 292 males and 71 females. 212 patients presented with right-sided hernias and 151 were left-sided. The mean age of patients at presentation was 48.8 months. The incidence of contralateral PPV overall was 39.7%. There was no decrease in incidence of having a contralateral inguinal hernia in relation to age. Conclusion: Laparoscopy can accurately diagnose contralateral PPV in children who undergo unilateral inguinal hernia repair and thus holds an advantage over open herniotomy. Furthermore, there should not be an age criteria for contralateral exploration for surgeons who perform open herniotomy. © 2009 Springer-Verlag.
 
ISSN0179-0358
2013 Impact Factor: 1.061
 
DOIhttp://dx.doi.org/10.1007/s00383-009-2429-4
 
ISI Accession Number IDWOS:000269427600005
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorToufique Ehsan, Md
 
dc.contributor.authorNg, ATL
 
dc.contributor.authorChung, PHY
 
dc.contributor.authorChan, KL
 
dc.contributor.authorWong, KKY
 
dc.contributor.authorTam, PKH
 
dc.date.accessioned2010-09-06T08:47:42Z
 
dc.date.available2010-09-06T08:47:42Z
 
dc.date.issued2009
 
dc.description.abstractBackground: Inguinal hernias are commonly seen in the paediatric population. Controversies still exist regarding the need for contralateral groin exploration when an unilateral inguinal hernia is presented, since the true incidence of contralateral patent processus vaginalis is not known. With the advent of laparoscopic hernioplasty, the status of the contralateral side can be evaluated at the same setting. Here, we describe our experience in this issue after the introduction of laparoscopic hernioplasty in our unit. Methods: A retrospective review was carried out between October 2002 and January 2008. All patients presented with unilateral inguinal hernias were included. The demographics of the patients and the operative findings at laparoscopy were recorded. Statistics were performed using Student t-test or χ 2 test as appropriate and p < 0.05 was taken as statistically significant. Results: During the study period, 363 children were included in our study, of which there were 292 males and 71 females. 212 patients presented with right-sided hernias and 151 were left-sided. The mean age of patients at presentation was 48.8 months. The incidence of contralateral PPV overall was 39.7%. There was no decrease in incidence of having a contralateral inguinal hernia in relation to age. Conclusion: Laparoscopy can accurately diagnose contralateral PPV in children who undergo unilateral inguinal hernia repair and thus holds an advantage over open herniotomy. Furthermore, there should not be an age criteria for contralateral exploration for surgeons who perform open herniotomy. © 2009 Springer-Verlag.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationPediatric Surgery International, 2009, v. 25 n. 9, p. 759-762 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s00383-009-2429-4
 
dc.identifier.doihttp://dx.doi.org/10.1007/s00383-009-2429-4
 
dc.identifier.epage762
 
dc.identifier.hkuros164454
 
dc.identifier.isiWOS:000269427600005
 
dc.identifier.issn0179-0358
2013 Impact Factor: 1.061
 
dc.identifier.issue9
 
dc.identifier.openurl
 
dc.identifier.pmid19652984
 
dc.identifier.scopuseid_2-s2.0-69549112748
 
dc.identifier.spage759
 
dc.identifier.urihttp://hdl.handle.net/10722/83996
 
dc.identifier.volume25
 
dc.languageeng
 
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htm
 
dc.publisher.placeGermany
 
dc.relation.ispartofPediatric Surgery International
 
dc.relation.referencesReferences in Scopus
 
dc.subjectChildren
 
dc.subjectContralateral exploration
 
dc.subjectInguinal hernia
 
dc.subjectLaparoscopy
 
dc.subjectMetachronous hernia
 
dc.titleLaparoscopic hernioplasties in children: The implication on contralateral groin exploration for unilateral inguinal hernias
 
dc.typeArticle
 
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<description.abstract>Background: Inguinal hernias are commonly seen in the paediatric population. Controversies still exist regarding the need for contralateral groin exploration when an unilateral inguinal hernia is presented, since the true incidence of contralateral patent processus vaginalis is not known. With the advent of laparoscopic hernioplasty, the status of the contralateral side can be evaluated at the same setting. Here, we describe our experience in this issue after the introduction of laparoscopic hernioplasty in our unit. Methods: A retrospective review was carried out between October 2002 and January 2008. All patients presented with unilateral inguinal hernias were included. The demographics of the patients and the operative findings at laparoscopy were recorded. Statistics were performed using Student t-test or &#967; 2 test as appropriate and p &lt; 0.05 was taken as statistically significant. Results: During the study period, 363 children were included in our study, of which there were 292 males and 71 females. 212 patients presented with right-sided hernias and 151 were left-sided. The mean age of patients at presentation was 48.8 months. The incidence of contralateral PPV overall was 39.7%. There was no decrease in incidence of having a contralateral inguinal hernia in relation to age. Conclusion: Laparoscopy can accurately diagnose contralateral PPV in children who undergo unilateral inguinal hernia repair and thus holds an advantage over open herniotomy. Furthermore, there should not be an age criteria for contralateral exploration for surgeons who perform open herniotomy. &#169; 2009 Springer-Verlag.</description.abstract>
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Author Affiliations
  1. Dhaka Medical College and Hospital
  2. The University of Hong Kong