Surgical Management of Peritoneovaginal Canal Pathology

FP KAYA-MOUKOUENGO (1), SP MISSENGUE (1), RG BOUKAKA KALA (1), FM IKAMA MALELA (1), C MBOUTOL-MANDAVO (2)

[1] Pediatric Surgery Department, Blanche Gomes Mother and Child Specialized Hospital (BGMCSH), Brazzaville - Republic of Congo.

[2] Faculty of Health Sciences Marien Ngouabi University

THE BLANCHE GOMES MOTHER AND CHILD SPECIALIZED HOSPITAL (BGMCSH)

Abstract

Objective: To describe the epidemiological, clinical and therapeutic aspects of patients with malformations of processus vaginalis, treated  at the Blanche Gomes Mother-Child Specialized Hospital.

Patients and method : This is a descriptive study with retrospective and prospective data collection on children aged 0 to 15 years, operated for patent processus vaginalis (PPV) in the pediatric surgery department of the HSMEBG from February 1st ,2019  to February 28th , 2023. The following parameters were studied: age, presenting symptoms, side, anatomical type, associated conditions, additional findings, surgical approach, procedures performed, possible cure of an associated condition and postoperative outcomes.

Results: Files of 115 children with PPV were collected. Mean age was 38.5 months (1154 days) with extremes of 30 days to 15 years. The PPV was on right in 54 (46.96%), bilateral in 22 (19.13%) and 39 (33.9%0 had left PPV. Anatomical type was Indirect inguinal hernia (84.35%) (number?). Umbilical hernia  was present in 15.65%. (number)

Treatment was surgical in all. It consisted of division of sac, followed by ligation in cases of hernias (84.35%). and hydroceles (12.26%) or excision in cases of spermatic cord cyst (3.48%).

The average length of hospitalization was 48 hours. The postoperative course was marked by three (3) deaths respectively for peritonitis secondary to intestinal perforation (1), pneumothorax (1) and postoperative anaphylactic shock.(1) After an average postoperative follow-up of two years with a minimum of 6 months and a maximum of 3 years, we noted one case of recurrence.

Conclusion: Pathologies of the PPV canal represent the majority of congenital malformations treated in our department. Its surgical management gives excellent results.