A Prospective Observational Study of Incidence and Predictors of Contralateral Patent Processus Vaginalis in Children Presenting with Unilateral Inguinal Hernia.
DOI:
https://doi.org/10.51168/sjhrafrica.v7i2.2697Cuvinte cheie:
Second surgery, metachronous contralateral hernia, vaginalis, predictors, unilateral inguinal herniaRezumat
Background:
Pediatric inguinal hernia is among the most common surgical conditions in children and is associated with persistence of the processus vaginalis. Contralateral patent processus vaginalis (CPPV) may progress to metachronous contralateral inguinal hernia requiring additional surgical intervention. Identifying predictors of CPPV may help reduce unnecessary contralateral exploration.
Aim:
To determine the incidence and predictors of contralateral patent processus vaginalis in children presenting with unilateral inguinal hernia.
Methods:
A prospective observational study was conducted in the Department of Pediatric Surgery, Rajendra Institute of Medical Sciences (RIMS), Ranchi, from January 2022 to December 2023. One hundred children aged below 14 years with unilateral inguinal hernia were included. Patients with bilateral, recurrent, or complicated hernias were excluded. Diagnostic laparoscopy was performed intraoperatively to assess the contralateral internal ring. Variables studied included age, sex, hernia side, prematurity, family history, and demographic characteristics. Data were analyzed using the Chi-square test, with p<0.05 considered statistically significant.
Results:
Among the 100 participants, male children were the majority, and most were aged 2–5 years. CPPV was identified in 32% of cases. A significantly higher incidence was observed in children younger than 2 years, those with left-sided hernia, and premature infants (p<0.05).
Conclusion:
CPPV showed a considerable incidence among children with unilateral inguinal hernia.
Recommendation:
Younger age, prematurity, and left-sided hernia were significant predictors. Selective laparoscopic assessment of high-risk children is recommended to reduce future metachronous hernia and avoid repeated surgery.
Referințe
Valusek PA, Spilde TL, Ostlie DJ, Peter SDST, Iii WMM, Iii JWB. Laparoscopic Evaluation for Contralateral Patent Processus Vaginalis in Children with Unilateral Inguinal Hernia. J Laparoendosc Adv Surg Tech. 2006;16(6):650-3. https://doi.org/10.1089/lap.2006.16.650
Godosis D, Mouravas V, Theotokis P, Gargani S, Sfoungaris D. Current Perspectives on the Contralateral Patent Processus Vaginalis : What About the Other Side ? Cureus. 2026;18(2):1-8. https://doi.org/10.7759/cureus.103451
Rachman SP, Gunawan K, Hariastawa IGBA. Profile of Contralateral Patent Processus Vaginalis in Pediatric Patients with Unilateral Inguinal Hernia. Indian J Forensic Med Toxicol. 2021;15(1):1527-31.
Kittle H, Geng AL. Spontaneous Closure of a Patent Processus Vaginalis : A Case Report. Let us know how access to this document benefits you. J Pediatr Surg Case Reports. 2025;121:1-4. https://doi.org/10.1016/j.epsc.2025.103084
Yang B, Guo N, Wang X, Wang S. Analysis of Contralateral Patent Processus Vaginalis in Laparoscopic High Ligation of the Vaginal Process and Clinical Long-term Effect of Individualized Treatment. Iran J Pediatr. 2023;33(1):1-6. https://doi.org/10.5812/ijpediatr-123152 https://doi.org/10.5812/ijp-123152
Jinxiang L, Qingwei C, Shenghua Q, Yunqiang X, Haiyang L. Contralateral patent processus vaginalis repair in boys : a single-center retrospective study. Sci Rep [Internet]. 2022;12(12073):1-6. https://doi.org/10.1038/s41598-022-15435-9
Aboalazayem A, Seif H, Kaddah S, Elbarbary M, Wishahy AMK. Accuracy of ultrasonography in predicting contralateral patent processus vaginalis compared with laparoscopic findings in children. Egypt Pediatr Assoc Gaz [Internet]. 2024;72(22):1-5. https://doi.org/10.1186/s43054-024-00258-2
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Copyright (c) 2026 Kavita Tirkey, Jitendra Kumar Chaudhary, Kriti Lata Paramba, Shital Malua
TAceastă lucrare este licențiată în temeiul Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
