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Article: Laparoscopic hernioplasties in children: The implication on contralateral groin exploration for unilateral inguinal hernias

TitleLaparoscopic hernioplasties in children: The implication on contralateral groin exploration for unilateral inguinal hernias
Authors
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
Citation
Pediatric Surgery International, 2009, v. 25 n. 9, p. 759-762 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/83996
ISSN
2014 Impact Factor: 0.995
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorToufique Ehsan, Mden_HK
dc.contributor.authorNg, ATLen_HK
dc.contributor.authorChung, HYen_HK
dc.contributor.authorChan, KLen_HK
dc.contributor.authorWong, KKYen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:47:42Z-
dc.date.available2010-09-06T08:47:42Z-
dc.date.issued2009en_HK
dc.identifier.citationPediatric Surgery International, 2009, v. 25 n. 9, p. 759-762en_HK
dc.identifier.issn0179-0358en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83996-
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.en_HK
dc.languageengen_HK
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htmen_HK
dc.relation.ispartofPediatric Surgery Internationalen_HK
dc.subjectChildrenen_HK
dc.subjectContralateral explorationen_HK
dc.subjectInguinal herniaen_HK
dc.subjectLaparoscopyen_HK
dc.subjectMetachronous herniaen_HK
dc.titleLaparoscopic hernioplasties in children: The implication on contralateral groin exploration for unilateral inguinal herniasen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0179-0358&volume=25&issue=9&spage=759&epage=762&date=2009&atitle=Laparoscopic+hernioplasties+in+children:+the+implication+on+contralateral+groin+exploration+for+unilateral+inguinal+herniasen_HK
dc.identifier.emailWong, KKY: kkywong@hkucc.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityWong, KKY=rp01392en_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s00383-009-2429-4en_HK
dc.identifier.pmid19652984en_HK
dc.identifier.scopuseid_2-s2.0-69549112748en_HK
dc.identifier.hkuros164454en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-69549112748&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume25en_HK
dc.identifier.issue9en_HK
dc.identifier.spage759en_HK
dc.identifier.epage762en_HK
dc.identifier.isiWOS:000269427600005-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridToufique Ehsan, Md=40262651100en_HK
dc.identifier.scopusauthoridNg, ATL=7202763088en_HK
dc.identifier.scopusauthoridChung, PHY=34568741300en_HK
dc.identifier.scopusauthoridChan, KL=37004089600en_HK
dc.identifier.scopusauthoridWong, KKY=24438686400en_HK
dc.identifier.scopusauthoridTam, PKH=7202539421en_HK

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