Diagnostic pneumoperitoneum accurately predicts the presence of patent processus vaginalis

Ninety-four infants with unilateral indirect inguinal hernia underwent repair and diagnostic pneumoperitoneum (DPP). Contralateral groin exploration was performed in all patients including those with a negative DPP result. Thirty-seven (39%) of the 94 patients had a positive DPP result, and 36 of 37...

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Bibliographic Details
Published in:Journal of pediatric surgery 1995-09, Vol.30 (9), p.1271-1272
Main Authors: Downey, E.C, Maher, D.P, Thompson, W.R
Format: Article
Language:English
Subjects:
Child, Preschool
Diverticulum - diagnosis
False Negative Reactions
False Positive Reactions
Female
Hernia, Inguinal - diagnosis
Humans
Infant
Male
Peritoneal Diseases - diagnosis
Pneumoperitoneum, Artificial
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Summary:Ninety-four infants with unilateral indirect inguinal hernia underwent repair and diagnostic pneumoperitoneum (DPP). Contralateral groin exploration was performed in all patients including those with a negative DPP result. Thirty-seven (39%) of the 94 patients had a positive DPP result, and 36 of 37 (97%) had a patent processus vaginalis (PPV) on the side contralateral to the clinical hernia. Fifty-seven (61%) of the 94 patients had a negative DPP result, and 54 (95%) of these had no PPV. Female patients had a 1:1 correlation between DPP and PPV. DPP can predict the presence of PPV in the contralateral groin of patients with unilateral hernia with precision and minimizes the need for diagnostic groin exploration.
ISSN:0022-3468
1531-5037
DOI:10.1016/0022-3468(95)90483-2