ArticleFrontiers in pediatrics2026
A novel technique of a laparoscopic percutaneous guide wire for extraperitoneal internal ring closure in the management of a pediatric communicating hydrocele.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate the novel technique of a laparoscopic percutaneous guide wire for extraperitoneal closure (LPEC) of a patent processus vaginalis (PPV) of hydrocele in the pediatric age population. Methods: A retrospective study was conducted on consecutive patients with a pediatric hydrocele between January 2018 and October 2019 to examine our novel laparoscopic percutaneous extraperitoneal closure technique using a guide wire. Data on occult contralateral hydrocele occurrence, operative time, and postoperative complications were collected and analyzed. Results: A total of 387 patients were included in this study, and their ages ranged from 2.33 to 9.50 years. A total of 65.6% of patients had a unilateral hydrocele and 34.4% had a bilateral hydrocele. The rate of occult contralateral hydrocele was 30.6%. The median operative time for the unilateral hydrocele was 18.6 min and for the bilateral one, it was 27.3 min. The median follow-up period was 24 months, and no complications were reported, except for early postoperative pain in the umbilical port site ( Conclusions: LPEC using a guide wire was found to be safe and efficacious with less hospital costs for the management of hydrocele in children.
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