Skip to main content
Erschienen in: Surgery Today 5/2016

07.06.2015 | Original Article

Effects of insistent screening for contralateral patent processus vaginalis in laparoscopic percutaneous extraperitoneal closure to prevent metachronous contralateral onset of pediatric inguinal hernia

verfasst von: Wataru Sumida, Yoshio Watanabe, Hidemi Takasu, Kazuo Oshima, Naoko Komatsuzaki

Erschienen in: Surgery Today | Ausgabe 5/2016

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Laparoscopic percutaneous extraperitoneal closure (LPEC) is known to reduce the incidence of metachronous contralateral hernia (MCH) compared to conventional hernia repair. We herein describe the effects of insistent screening for an irregular orifice of the contralateral patent processus vaginalis (CPPV).

Methods

All patients who underwent LPEC between 2003 and 2013 were reviewed. We started insistent screening for a CPPV in July 2010. The surgically treated cases before June 2010 were assigned to the former group, while those treated after July 2010 were in the latter group. The data were retrospectively collected from medical records. The statistical analysis was performed using the Mann–Whitney U test or Chi square test. A value of P < 0.05 was considered to be significant.

Result

A total of 1113 patients (514 males and 599 females) ranging in age from 3 months old to 15 years old (median 4.6 years old), were reviewed. Of the 626 patients in the former group, a CPPV was detected in 227 patients. Of the 487 patients in the latter group, a CPPV was detected in 271 patients. The incidence of a CPPV significantly increased over time (P < 0.001). We encountered five cases of MCH, all of which belonged to the former group (P = 0.048).

Conclusions

The increased detection of a CPPV by insistent screening seemed to cause a decrease in the incidence of MCH.
Literatur
1.
Zurück zum Zitat Takehara H, Yakabe S, Kameoka K. Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. J Pediatr Surg. 2006;41(12):1999–2003.CrossRefPubMed Takehara H, Yakabe S, Kameoka K. Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. J Pediatr Surg. 2006;41(12):1999–2003.CrossRefPubMed
2.
Zurück zum Zitat Hayashi Y, Miyata K, Yuasa N, Takeuchi E, Goto Y, Miyake H, et al. Short- and long-term outcomes of open inguinal hernia repair: comparison of the Prolene Hernia System and the Mesh Plug method. Surg Today. 2014;44(12):2255–62.CrossRefPubMed Hayashi Y, Miyata K, Yuasa N, Takeuchi E, Goto Y, Miyake H, et al. Short- and long-term outcomes of open inguinal hernia repair: comparison of the Prolene Hernia System and the Mesh Plug method. Surg Today. 2014;44(12):2255–62.CrossRefPubMed
3.
Zurück zum Zitat Okus A. Is Tachosil mesh better than polypropylene mesh for inguinal hernia repair? Surg Today. 2014;44(6):1188.CrossRefPubMed Okus A. Is Tachosil mesh better than polypropylene mesh for inguinal hernia repair? Surg Today. 2014;44(6):1188.CrossRefPubMed
4.
Zurück zum Zitat Tam YH, Wong YS, Pang KK, Tsui SY, Mou JW, Houben CH, et al. Unexpected metachronous hernia development in children following laparoscopic unilateral hernia repair with negative evaluation for contralateral patent processus vaginalis. J Laparoendosc Adv Surg Tech A. 2013;23(3):287–90.CrossRefPubMed Tam YH, Wong YS, Pang KK, Tsui SY, Mou JW, Houben CH, et al. Unexpected metachronous hernia development in children following laparoscopic unilateral hernia repair with negative evaluation for contralateral patent processus vaginalis. J Laparoendosc Adv Surg Tech A. 2013;23(3):287–90.CrossRefPubMed
5.
Zurück zum Zitat Watanabe T, Nakano M, Endo M. An investigation on the mechanism of contralateral manifestations after unilateral herniorrhaphy in children based on laparoscopic evaluation. J Pediatr Surg. 2008;43(8):1543–7.CrossRefPubMed Watanabe T, Nakano M, Endo M. An investigation on the mechanism of contralateral manifestations after unilateral herniorrhaphy in children based on laparoscopic evaluation. J Pediatr Surg. 2008;43(8):1543–7.CrossRefPubMed
6.
Zurück zum Zitat Sparkman RS. Bilateral exploration in inguinal hernia in juvenile patients. Review and appraisal. Surgery. 1962;51:393–406.PubMed Sparkman RS. Bilateral exploration in inguinal hernia in juvenile patients. Review and appraisal. Surgery. 1962;51:393–406.PubMed
7.
Zurück zum Zitat Kiesewetter WB, Oh KS. Unilateral inguinal hernias in children: what about the opposite side? Arch Surg. 1980;115(12):1443–5.CrossRefPubMed Kiesewetter WB, Oh KS. Unilateral inguinal hernias in children: what about the opposite side? Arch Surg. 1980;115(12):1443–5.CrossRefPubMed
8.
Zurück zum Zitat Timberlake GA, Ochsner MG, Powell RW. Diagnostic pneumoperitoneum in the pediatric patient with a unilateral inguinal hernia. Arch Surg. 1989;124(6):721–3.CrossRefPubMed Timberlake GA, Ochsner MG, Powell RW. Diagnostic pneumoperitoneum in the pediatric patient with a unilateral inguinal hernia. Arch Surg. 1989;124(6):721–3.CrossRefPubMed
9.
Zurück zum Zitat Kokorowski PJ, Wang HH, Routh JC, Hubert KC, Nelson CP. Evaluation of the contralateral inguinal ring in clinically unilateral inguinal hernia: a systematic review and meta-analysis. Hernia. 2014;18(3):311–24.CrossRefPubMedPubMedCentral Kokorowski PJ, Wang HH, Routh JC, Hubert KC, Nelson CP. Evaluation of the contralateral inguinal ring in clinically unilateral inguinal hernia: a systematic review and meta-analysis. Hernia. 2014;18(3):311–24.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Zhong H, Wang F. Contralateral metachronous hernia following negative laparoscopic evaluation for contralateral patent processus vaginalis: a meta-analysis. J Laparoendosc Adv Surg Tech A. 2014;24(2):111–6.CrossRefPubMed Zhong H, Wang F. Contralateral metachronous hernia following negative laparoscopic evaluation for contralateral patent processus vaginalis: a meta-analysis. J Laparoendosc Adv Surg Tech A. 2014;24(2):111–6.CrossRefPubMed
11.
Zurück zum Zitat Hall NJ, Choi W, Pierro A, Eaton S. Age-related probability of contralateral processus vaginalis patency in children with unilateral inguinal hernia. Pediatr Surg Int. 2012;28(11):1085–8.CrossRefPubMed Hall NJ, Choi W, Pierro A, Eaton S. Age-related probability of contralateral processus vaginalis patency in children with unilateral inguinal hernia. Pediatr Surg Int. 2012;28(11):1085–8.CrossRefPubMed
12.
Zurück zum Zitat Maddox MM, Smith DP. A long-term prospective analysis of pediatric unilateral inguinal hernias: should laparoscopy or anything else influence the management of the contralateral side? J Pediatr Urol. 2008;4(2):141–5.CrossRefPubMed Maddox MM, Smith DP. A long-term prospective analysis of pediatric unilateral inguinal hernias: should laparoscopy or anything else influence the management of the contralateral side? J Pediatr Urol. 2008;4(2):141–5.CrossRefPubMed
13.
Zurück zum Zitat Ron O, Eaton S, Pierro A. Systematic review of the risk of developing a metachronous contralateral inguinal hernia in children. Br J Surg. 2007;94(7):804–11.CrossRefPubMed Ron O, Eaton S, Pierro A. Systematic review of the risk of developing a metachronous contralateral inguinal hernia in children. Br J Surg. 2007;94(7):804–11.CrossRefPubMed
14.
Zurück zum Zitat Niyogi A, Tahim AS, Sherwood WJ, De Caluwe D, Madden NP, Abel RM, et al. A comparative study examining open inguinal herniotomy with and without hernioscopy to laparoscopic inguinal hernia repair in a pediatric population. Pediatr Surg Int. 2010;26(4):387–92.CrossRefPubMed Niyogi A, Tahim AS, Sherwood WJ, De Caluwe D, Madden NP, Abel RM, et al. A comparative study examining open inguinal herniotomy with and without hernioscopy to laparoscopic inguinal hernia repair in a pediatric population. Pediatr Surg Int. 2010;26(4):387–92.CrossRefPubMed
15.
Zurück zum Zitat Saka R, Okuyama H, Sasaki T, Nose S, Yoneyama C. Safety and efficacy of laparoscopic percutaneous extraperitoneal closure for inguinal hernias and hydroceles in children: a comparison with traditional open repair. J Laparoendosc Adv Surg Tech A. 2014;24(1):55–8.CrossRefPubMed Saka R, Okuyama H, Sasaki T, Nose S, Yoneyama C. Safety and efficacy of laparoscopic percutaneous extraperitoneal closure for inguinal hernias and hydroceles in children: a comparison with traditional open repair. J Laparoendosc Adv Surg Tech A. 2014;24(1):55–8.CrossRefPubMed
16.
Zurück zum Zitat Yoshizawa J, Ashizuka S, Kuwashima N, Kurobe M, Tanaka K, Ohashi S, et al. Laparoscopic percutaneous extraperitoneal closure for inguinal hernia: learning curve for attending surgeons and residents. Pediatr Surg Int. 2013;29(12):1281–5.CrossRefPubMed Yoshizawa J, Ashizuka S, Kuwashima N, Kurobe M, Tanaka K, Ohashi S, et al. Laparoscopic percutaneous extraperitoneal closure for inguinal hernia: learning curve for attending surgeons and residents. Pediatr Surg Int. 2013;29(12):1281–5.CrossRefPubMed
17.
Zurück zum Zitat Zamakhshardy M, Ein A, Ein SH, Wales PW. Predictors of metachronous inguinal hernias in children. Pediatr Surg Int. 2009;25(1):69–71.CrossRefPubMed Zamakhshardy M, Ein A, Ein SH, Wales PW. Predictors of metachronous inguinal hernias in children. Pediatr Surg Int. 2009;25(1):69–71.CrossRefPubMed
Metadaten
Titel
Effects of insistent screening for contralateral patent processus vaginalis in laparoscopic percutaneous extraperitoneal closure to prevent metachronous contralateral onset of pediatric inguinal hernia
verfasst von
Wataru Sumida
Yoshio Watanabe
Hidemi Takasu
Kazuo Oshima
Naoko Komatsuzaki
Publikationsdatum
07.06.2015
Verlag
Springer Japan
Erschienen in
Surgery Today / Ausgabe 5/2016
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-015-1199-y

Weitere Artikel der Ausgabe 5/2016

Surgery Today 5/2016 Zur Ausgabe

Leitlinien kompakt für die Allgemeinmedizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Facharzt-Training Allgemeinmedizin

Die ideale Vorbereitung zur anstehenden Prüfung mit den ersten 24 von 100 klinischen Fallbeispielen verschiedener Themenfelder

Mehr erfahren

Neu im Fachgebiet Allgemeinmedizin

Update Allgemeinmedizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.