Incidence and Concurrent Laparoscopic Repair of ypertrophic Pyloric Stenosis and Patent Processus Vaginalis  

作　　者：Xue-Qiang Yan Nan-Nan Zheng Fu-Zhong Xing Lei YU Wei Lu Xu-Fei Duan Jun Yang Hong-Qiang Bian 

机构地区：[1]Department of General Surgery, Wuhan Medical and Health Center for Women and Children, Wuhan, Hubei 430016, China [2]Department of Radiology, Wuhan Medical and Health Center for Women and Children, Wuhan, Hubei 430016, China [3]Department of Neonatal Surgery, Wuhan Medical and Health Center for Women and Children, Wuhan, Hubei 430016, China

出　　处：《Chinese Medical Journal》2015年第7期982-984,共3页中华医学杂志（英文版）

摘　　要：INTRODUCTIONAlthough laparoscopic herniorrhaphy is the most common procedure performed by pediatric surgeons at present, herniorrhaphy with an asymptomatic patent processus vaginalis （PPV） remains controversial. The incidence of contralateral PPV on laparoscopy in previous studies was reported as 20%-50%, but it is believed to approach 100% in premature infants. It has been reported that 4%-34% patients have the risk of developing subsequent metachronous contralateral hernia after a repair of an ipsilateral hernia.Iu If this is true, then the identification and closure of a PPV at the time of ipsilateral hernia repair will obviate the need for a second operation in thousands of children every year. With recent advances in minimally invasive surgery, transinguinal diagnostic laparoscopy has emerged as a safe and effective method for evaluating a pediatric patient with PPV. Meanwhile, the laparoscopy has been widely used to manage the infantile hypertrophic pyloric stenosis （IHPS）, due to equally high success rate, minimal complications, and a shorter hospital stay.INTRODUCTIONAlthough laparoscopic herniorrhaphy is the most common procedure performed by pediatric surgeons at present, herniorrhaphy with an asymptomatic patent processus vaginalis （PPV） remains controversial. The incidence of contralateral PPV on laparoscopy in previous studies was reported as 20%-50%, but it is believed to approach 100% in premature infants. It has been reported that 4%-34% patients have the risk of developing subsequent metachronous contralateral hernia after a repair of an ipsilateral hernia.Iu If this is true, then the identification and closure of a PPV at the time of ipsilateral hernia repair will obviate the need for a second operation in thousands of children every year. With recent advances in minimally invasive surgery, transinguinal diagnostic laparoscopy has emerged as a safe and effective method for evaluating a pediatric patient with PPV. Meanwhile, the laparoscopy has been widely used to manage the infantile hypertrophic pyloric stenosis （IHPS）, due to equally high success rate, minimal complications, and a shorter hospital stay.

关 键 词：HERNIORRHAPHY Hypertrophic Pyloric Stenosis Inguinal Hernia Internal Ring Laparoscopy： Patent Processus Vaginalis：Pediatric 

分 类 号：TH776.1[机械工程—仪器科学与技术] TU552[机械工程—精密仪器及机械]