Preoperative ultrasonographic evaluation of the contralateral patent processus vaginalis at the level of the internal inguinal ring is useful for predicting contralateral inguinal hernias in children: a prospective analysis

Kaneda, H.; Furuya, Takeshi; Sugito, Kiminobu; Goto, Sawako; Kawashima, Hiroshi; Inoue, Masatoshi; Hosoda, Toshifumi; Masuko, Takayuki; Ohashi, Keiji; Ikeda, Taro; Koshinaga, Tugumichi; Hoshino, Michihiko; Gotô, Hiroshi

doi:10.1007/s10029-014-1317-6

Cited by 17 publications

(29 citation statements)

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“…Two studies were excluded because clinical follow-up was used as reference standard in all children, irrespective of the index test results. Their diagnostic accuracy test results were therefore related to the occurrence of MCIH in children during clinical follow-up and could not be used to evaluate the diagnostic accuracy of preoperative ultrasonography to detect CPPV [13, 21]. …”

Section: Resultsmentioning

confidence: 99%

“…The follow-up period ranged from 12 to 48 months. The diagnostic sensitivity ranged from 75% (at a specificity of 97%) to 100% (at a specificity of almost 99%) [13, 18–20]. The pooled sensitivity was 86% (95% CI 78–92%; χ 2 = 17.07, p < 0.01; Ι 2 = 88.3%) and the pooled specificity was 98% (95% CI 96–99%; χ 2 = 1.15, p < 0.01; Ι 2 = 0.0%) (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…False negative rates of ultrasonography-based detection of CPPV are difficult to determine since most studies do not evaluate the contralateral inguinal canal intra- or postoperatively [13]. …”

Section: Introductionmentioning

confidence: 99%

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Diagnostic accuracy of preoperative ultrasonography in predicting contralateral inguinal hernia in children: a systematic review and meta-analysis

et al. 2018

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• Diagnostic accuracy of preoperative ultrasonography for detection of CPPV in children with unilateral inguinal hernia is high. • Preoperative ultrasonographic evaluation of the contralateral groin assumedly results in an overestimation of MCIH prevalence. • Unequivocal ultrasonographic criteria are mandatory for proper diagnosis of CPPV and risk factor identification is needed to predict whether CPPV develops into clinically apparent MCIH.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Diagnostic accuracy of preoperative ultrasonography in predicting contralateral inguinal hernia in children: a systematic review and meta-analysis

et al. 2018

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“…8 A positive finding on USG strongly correlates with positive operative findings. 9,10 Nonetheless as the accuracy of USG is largely operator-dependent, we feel that while a positive USG finding is strongly suggestive of a clinical hernia, a negative finding should be interpreted with care. Diagnosis of inguinal hernia will very much depend on clinical examination.…”

Section: Investigationsmentioning

confidence: 91%

Common urological problems in children: inguinoscrotal pathologies

Chan

Wong

2017

Hong Kong Med J

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“…To znači da će 20% dece starije od 2 godine razviti ingvinalne hernije tokom zivota, ali preostalih 20% će živeti sa neobliteriranim procesusom vaginalisom a da nece nikada dobitiklinicki manufestnu kilu Grej i Skandalakis su utvrdili da je na autopsiji, samo 5% odraslih imalo potentni processus vaginalis, koji nikada nije bio klinički očigledna. Smatra se da većina (78,2%) dece dobiju nakon prvih šest meseci i kilu na kontralatralnoj strani 11 .…”

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The incidence of inguinal hernia in children

Hajrović¹,

Hajrović²,

Hajrovic³

et al. 2017

Materia medica

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In this manuscript we report one pediatric surgeon's experience in childhood inguinal hernia repair. From 2005 to 2008, 402 children with inguinal hernias were operated on by one surgeon. A retrospective survey of their charts was carried out to evaluate the demographics and clinical aspects of these patients. The ages ranged from 20 days to 16 years with a maleto-female ratio of 2.5:1. 64.9% right, 27.1% left, and 7.9% bilateral hernias. Hydroceles were present in 6.2% assosiated hernias. Incarceration occurred in 8.7% of children. An opposite-side hernia developed in 5.7%. 5.3 percent of patients with a hernia repair on the right side later developed a hernia on the left side, and 8.2% of patients with a hernia repair on the left side later developed one on the right side. 4.5 percent of all male patients in this series and 8.6% of female patients developed an opposite-side hernia. While overall recurrence rate was 1.2%, our recurrence rate was 0.25%. There was a 0.24% wound infection rate, and 1 (0.24%) testicle was atrophic at followup. In this study, in the recurrence of childhood hernia, the general surgeon's intervention was the prominent cause. It is suggested by the study that inguinal hernias on the contralateral side becomes symptomatic within the first six months following initial operation.Therefor, close observation is needed in that time. U period od 2010. do 2014. godine, na odeljenu dečije hirurgije Z Novi Pazar operisano je 401 dece od preponske kile od strane tri dečija hirurga. Retrospektiva analiza njihovih grafikona i tabela je sprovedena radi procene kliničkih aspekta operisanih pacijenata. U starosti se kretale od 20 dana do 15 godina sa muško-to-ženska odnosu 2,5: 1. 64,9% u pravu, 27.1% levo, a 7,9% bilateralni kile. Hidroceles bili prisutni u 6.2% assosiated kile. Zatvaranje desilo u 8,7% dece.Suprotnoj strani hernija razvijen u 5,7%. 5.3 odsto pacijenata sa kile na desnoj strani kasnije razvio kilu na levoj strani, a 8,2% pacijenata sa kile na levoj strani kasnije razvio jedan na desnoj strani. 4.5 odsto svih muškaraca obolelih u ovoj seriji i 8,6% od pacijentkinja razvio naprotiv-side kilu. Dok ukupna stopa recidiva je 1,2%, naša stopa recidiva je 0,25%. Bilo je infekcija stopa 0,24%, a 1 (0.24%) testis je atrofični na praćenje. U ovoj studiji, smo pokazali da u odnosu na druge studije jako je važno da pedijatrijske pacijente operisu iskljucivo pedijatrijski hirurzi jer je broj postoperativnih komplikacija i recidiva kile jako mali. Obzirom da se recidivi i pojave kile na kontralateralnoj strain javljaju najviše u prvih 6 meseci nakon operacije, bitno je češće decu kontrolisati u tom periodu.Ključne reči: Dečja ingvinalna kila, recidiv, procesus vaginalis, operacija UvodPreponski kila je najčešća indikacija za operaciju u pedijatrijskoj starosnoj grupi i učestalost preponske kile u tim mlađi od 18 godina varira od 0,8 do 4,4% 1 . Svi pedijatrijski ingvinalni kile zahtevaju operativno lečenje da bi se sprečio razvoj komplikacija, kao što su inkarceracijia , ili strangulacija 2...

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Preoperative ultrasonographic evaluation of the contralateral patent processus vaginalis at the level of the internal inguinal ring is useful for predicting contralateral inguinal hernias in children: a prospective analysis

Abstract: We used US and confirmed the usefulness of a preoperative evaluation of the major diameter of the contralateral PPV at the level of the internal inguinal ring in pediatric patients with unilateral inguinal hernias.

Cited by 17 publications

References 21 publications

Diagnostic accuracy of preoperative ultrasonography in predicting contralateral inguinal hernia in children: a systematic review and meta-analysis

Diagnostic accuracy of preoperative ultrasonography in predicting contralateral inguinal hernia in children: a systematic review and meta-analysis

Common urological problems in children: inguinoscrotal pathologies

The incidence of inguinal hernia in children

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