摘要
Introduction: Peritoneovaginal duct (PVD) and Nück duct (ND) include several abnormalities with many clinical entities that are at the cause of a variety of symptoms. These are frequent in pediatric surgeon practice and could lead to serious complications. The aim of our work was to describe the epidemiological, diagnostic and therapeutic aspects of pathologies of PVD or ND in our conditions after the first five years of surgical activities of our pediatric department. Material and Methods: This was a retrospective and descriptive study, carried out on the files of children, aged zero to 15 years, presenting PVD or ND pathology, operated in the service, over a period of 4 years (2016 to 2019). Results were classified good, medium or bad. Results: During the study period, among the 865 children operated in pediatric surgery, 164 children were found for PVD and ND pathologies (18.95%). The average age was 5.3 years old. There were 152 boys (92.68%) and 12 girls (7.32%). The reason for consultation was inguinal or inguino-scrotal swelling in 99.3% of the children. The right side was affected in 58.5% of cases. In boys, there were inguinal hernias (27.5%), inguinoscrotal hernias (30.3%), hydroceles (36.9%) and cysts (5.3%). In girls, there were inguinal hernias (91.7%) and 1 ovarian hernia (8.3%). The umbilical hernia was associated with these pathologies in 39 cases. Treatment was conventional closure of the PVD or ND. With an average follow-up of 2.5 years (range 3 months and 3.5 years), the results were good in all cases. Conclusion: Pathologies of PVD or ND took an important place in the activities of the pediatric surgery department. Management by conventional surgery has given good results in all cases. Early treatment of these pathologies helps prevent complications.
Introduction: Peritoneovaginal duct (PVD) and Nück duct (ND) include several abnormalities with many clinical entities that are at the cause of a variety of symptoms. These are frequent in pediatric surgeon practice and could lead to serious complications. The aim of our work was to describe the epidemiological, diagnostic and therapeutic aspects of pathologies of PVD or ND in our conditions after the first five years of surgical activities of our pediatric department. Material and Methods: This was a retrospective and descriptive study, carried out on the files of children, aged zero to 15 years, presenting PVD or ND pathology, operated in the service, over a period of 4 years (2016 to 2019). Results were classified good, medium or bad. Results: During the study period, among the 865 children operated in pediatric surgery, 164 children were found for PVD and ND pathologies (18.95%). The average age was 5.3 years old. There were 152 boys (92.68%) and 12 girls (7.32%). The reason for consultation was inguinal or inguino-scrotal swelling in 99.3% of the children. The right side was affected in 58.5% of cases. In boys, there were inguinal hernias (27.5%), inguinoscrotal hernias (30.3%), hydroceles (36.9%) and cysts (5.3%). In girls, there were inguinal hernias (91.7%) and 1 ovarian hernia (8.3%). The umbilical hernia was associated with these pathologies in 39 cases. Treatment was conventional closure of the PVD or ND. With an average follow-up of 2.5 years (range 3 months and 3.5 years), the results were good in all cases. Conclusion: Pathologies of PVD or ND took an important place in the activities of the pediatric surgery department. Management by conventional surgery has given good results in all cases. Early treatment of these pathologies helps prevent complications.
