We delineated the prevalence, recurrence rates and optimal treatment of inguinal hernia in the exstrophy population.
Of 181 children with exstrophy followed at our hospital inguinal hernias developed in 121 (66.8%). Results : In a 12-year period inguinal hernias developed in 81.8% of the boys and 10.5% of the girls.
In 18.2% of the cases the hernia was repaired via a preperitoneal approach at the same time as exstrophy closure.
The remaining patients underwent an inguinal operation.
Most patients had a wide defect at the internal ring in addition to a patent processus vaginalis.
The overall recurrence rate was 8.3%. The incidence of synchronous or asynchronous bilaterality was 81.8%. Conclusions : Children with bladder exstrophy should be carefully examined for inguinal hernias before bladder closure.
If a unilateral hernia is present, the contralateral side should be explored.
Careful preperitoneal repair should emphasize repair of the internal ring.
Mots-clés Pascal : Exstrophie vésicale, Hernie, Inguinal, Plastie, Prévalence, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Association morbide, Traitement, Physiopathologie, Enfant, Homme, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Maladie congénitale, Malformation, Abdomen pathologie, Chirurgie
Mots-clés Pascal anglais : Vesical exstrophy, Hernia, Inguinal, Plasty, Prevalence, Epidemiology, United States, North America, America, Concomitant disease, Treatment, Pathophysiology, Child, Human, Urinary system disease, Urinary tract disease, Bladder disease, Congenital disease, Malformation, Abdominal disease, Surgery
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0592952
Code Inist : 002B25G04. Création : 01/03/1996.