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Clinical Trial
. 1997 Jul-Sep;1(3):225-6.

Intraoperative laparoscopy by a flexible scope: is it reliable in contralateral childhood hernias?

M H Gursoy  1 , M Gurel, U Koltuksuz, S Uguralp, M Aydinc
Affiliations
Clinical Trial

Intraoperative laparoscopy by a flexible scope: is it reliable in contralateral childhood hernias?

M H Gursoy et al. JSLS. 1997 Jul-Sep.

Abstract

Background and objectives: Negative contralateral groin exploration for childhood hernias raises the question of whether contralateral groin exploration is necessary or not. To find out whether a contralateral processus vaginalis was patent, we performed laparoscopy with a flexible scope.

Methods: After carbon dioxide insufflation, a flexible laparoscope was inserted through the opened hernia sac and the contralateral processus vaginalis orifice was examined. We considered a patent processus vaginalis as a potential hernia. The study involved 20 children: 16 boys and 4 girls. The symptomatic side was explored in a conventional manner and laparoscopy was performed through the opened hernia sac.

Results: A contralateral processus vaginalis was found in 6 children: 4 boys and 2 girls. These results were confirmed by exploring the opposite groin. We did not explore if the laparoscopic examination was within normal limits. There was one false-positive result in a female patient.

Conclusions: Intraoperative non-puncture laparoscopy utilizing a flexible laparoscope through the hernia opening is an uncomplicated, reliable and precise method for identifying a patent contralateral processus vaginalis. It may represent a satisfactory alternative to routine bilateral inguinal exploration. Also, use of the flexible laparoscope may be more beneficial than use of a rigid laparoscope passed through the umbilicus or hernia sac.

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