Document Type
Original Article
Abstract
Background: In children with unilateral inguinal hernia, there is a debate about exploration of the contralateral side. Herniogrhaphy, diagnostic pneumoperitoneum, and intra-operative laparoscopy are the procedures that have been proposed to reduce the number of negative contralateral side explorations in children presenting with a unilateral congenital inguinal hernia. However, most of them are invasive methods. In our study we suggest using the ultrasonography in detection of the inguinal hernia with confirmation by laparoscope. Aim of the work: we aimed to assess the Sensitivity and specificity of US in the diagnosis of occult hernia after confirmation by laparoscopy. Patient and methods: Our study is considered an interventional prospective study that was done on 100 children with unilateral inguinal hernia. all patients underwent ultrasonography on both groins. Ultrasound was considered positive if the length of patent processus vaginalis was more than 20 mm or the internal ring diameter was more than 4mm. After the ultrasound, all patients were prepared for laparoscopic exploration to confirm the hernia diagnosis, and to treat the clinical hernia. Results: By comparing the US and laparoscopic results of symptomatic sides, we found that all cases that were diagnosed by the US to be positive were confirmed by laparoscopy. In asymptomatic sides, from 9 cases who were diagnosed by the US as positive hernia; the laparoscope confirmed them. However, from 91 cases that were diagnosed by the US to be negative, the laparoscope diagnosed one of them to be positive. The sensitivity and specificity of the US were found to be 100% in the symptomatic side. However, in the asymptomatic side; sensitivity, and specificity were 90%, 100% respectively. Conclusion: US is a good tool for the diagnosis and early detection of pediatric hernias
Keywords
Inguinal hernia, ultrasonography, patent processus vaginalis, laparoscopy.
Subject Area
Pediatrics & its Subspecialty.
How to Cite This Article
Elmekdam, Mohammed Ayman Elsayed; Ellithy, Mohammad Mohammad Mohammad; Mohammad, Mohammad Fathy Labib; Ibrahim, Mohamed Elsayed Hussien; and Amin, Mohammad Abol wafa Ahmad
(2023)
"Role of ultrasonography in diagnosis of contralateral patent processus vaginalis in clinically diagnosed unilateral inguinal hernia in pediatrics,"
Al-Azhar International Medical Journal: Vol. 4:
Iss.
6, Article 26.
DOI: https://doi.org/10.58675/2682-339X.1860
