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Incidental inguinal hernias on laparoscopy.

Rakesh Handa1, Ravi Kale, Manmohan Harjai

  • 1Department of Paediatric Surgery, Army Hospital (Research and Referral), A-49 New Friends Colony, New Delhi-110065, India. drrakeshhanda@gmail.com

Asian Journal of Surgery
|January 24, 2006
PubMed
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Laparoscopic examination can identify asymptomatic patent processus vaginalis in children. A 1-cm diameter and 2-cm depth of the open internal ring indicate a need for laparoscopic herniotomy.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery

Background:

  • Contralateral inguinal hernias are common in children.
  • Laparoscopic examination of the contralateral inguinal ring is used to detect hernias.

Purpose of the Study:

  • To evaluate the size of the open internal ring and depth of the patent processus vaginalis.
  • To determine indications for laparoscopic herniotomy.

Main Methods:

  • Retrospective analysis of laparoscopic procedures in children over 2.5 years.
  • Evaluation of 346 laparoscopic procedures.

Main Results:

  • 47 incidental asymptomatic patent processus vaginalis found in 346 children.
  • 38 contralateral hernias identified in 171 inguinal hernia cases.

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Conclusions:

  • A 1-cm diameter and 2-cm depth open internal ring suggests herniotomy.
  • High incidence of contralateral patent processus vaginalis supports routine laparoscopic herniotomy.