Effects of individualized treatment of contralateral patent processus vaginalis during laparoscopic high ligation of processus vaginalis
10.3969/j.issn.1009-8291.2023.07.015
- VernacularTitle:腹腔镜鞘状突高位结扎术中对侧鞘状突未闭的个体化处理效果
- Author:
Bin YANG
1
;
Haitao CHEN
1
;
Linlin FAN
1
;
Chuang LIU
1
;
Liwei LI
1
;
Shilei GUO
1
;
Weiping ZHANG
2
Author Information
1. Department of Urology, Baoding Children’s Hospital, Baoding 071000
2. Department of Urology, Children’s Hospital Affiliated to Capital Medical University, Beijing 100045, China
- Publication Type:Journal Article
- Keywords:
oblique inguinal hernia;
hydrocele of tunica vaginalis;
patent processus vaginalis;
detection rate;
recurrence rate
- From:
Journal of Modern Urology
2023;28(7):619-622
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the rational management of contralateral patent processus vaginalis (CPPV) in laparoscopic high ligation of processus vaginalis. 【Methods】 A total of 300 children with unilateral oblique inguinal hernia/hydrocele who received laparoscopic high ligation of processus vaginalis in Baoding Children’s Hospital during Jun.2018 and Jun.2022 were selected and divided into two groups by random number table method, with 150 in either group. In the control group, 53 cases of CPPV were found intraoperatively, which were treated simultaneously. In the study group, 58 cases of CPPV were detected, among which 11 met the indications of high ligation and received simultaneous surgical treatment. The incidence of recurrence was compared between the two groups. 【Results】 After 1 year of follow-up, the recurrence rate was 8.62% in the study group and 1.88% in the control group (P>0.05). The detection rate of CPPV was 23.02% in children with unilateral inguinal hernia, significantly lower than that in children with unilateral hydrocele (49.07%, P<0.001). The detection rate of CPPV was 42.71% in children with left patent processus vaginalis and 32.95% in children with right patent processus vaginalis (P=0.19). The detection rate of CPPV was 62.93% in the age group of 1-2 years, significantly higher than that in other age groups (P<0.001). 【Conclusion】 The incidence of CPPV conversion into oblique inguinal hernia or hydrocele is low. Only children who meet the indications can be treated at the same time during surgery.
