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

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dc.authorscopusid7003985640
dc.authorscopusid21634749700
dc.authorscopusid6701569132
dc.authorscopusid6602665931
dc.authorscopusid6506849357
dc.contributor.authorGursoy M.H.
dc.contributor.authorGurel M.
dc.contributor.authorKoltuksuz U.
dc.contributor.authorUguralp S.
dc.contributor.authorAydinc M.
dc.date.accessioned2024-08-04T20:00:46Z
dc.date.available2024-08-04T20:00:46Z
dc.date.issued1997
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND 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.en_US
dc.identifier.endpage226en_US
dc.identifier.issn1086-8089
dc.identifier.issue3en_US
dc.identifier.pmid9876675en_US
dc.identifier.scopus2-s2.0-0031173373en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage225en_US
dc.identifier.urihttps://hdl.handle.net/11616/90996
dc.identifier.volume1en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeonsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectarticleen_US
dc.subjectclinical trialen_US
dc.subjectfemaleen_US
dc.subjectfiber opticsen_US
dc.subjectfollow upen_US
dc.subjecthumanen_US
dc.subjectinfanten_US
dc.subjectinguinal herniaen_US
dc.subjectinstrumentationen_US
dc.subjectlaparoscopeen_US
dc.subjectlaparoscopyen_US
dc.subjectmaleen_US
dc.subjectmethodologyen_US
dc.subjectpatient monitoringen_US
dc.subjectpreschool childen_US
dc.subjectreproducibilityen_US
dc.subjectsensitivity and specificityen_US
dc.subjecttreatment outcomeen_US
dc.subjectChild, Preschoolen_US
dc.subjectFemaleen_US
dc.subjectFiber Opticsen_US
dc.subjectFollow-Up Studiesen_US
dc.subjectHernia, Inguinalen_US
dc.subjectHumansen_US
dc.subjectInfanten_US
dc.subjectLaparoscopesen_US
dc.subjectLaparoscopyen_US
dc.subjectMaleen_US
dc.subjectMonitoring, Intraoperativeen_US
dc.subjectReproducibility of Resultsen_US
dc.subjectSensitivity and Specificityen_US
dc.subjectTreatment Outcomeen_US
dc.titleIntraoperative laparoscopy by a flexible scope: is it reliable in contralateral childhood hernias?en_US
dc.typeArticleen_US

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