Complications after Surgical Treatment of the Peritoneal Vaginal Process in Children

Abstract

Actuality: Despite the modern developments in surgery, postoperative complications and relapses in children with the pathology of peritoneal vaginal process (processus vaginalis peritonei) continue to occur in the practice of a pediatric surgeon. 

Purpose: To define causes of complications and relapses after surgical treatment of children with obliteration of the peritoneal vaginal process.  Material and methods: The authors present surgical treatment outcomes of 1 818 children with the pathology of peritoneal vaginal process; 32 of these had postoperative complications and relapses. Two clinical observations of children aged 10 and 14 years who underwent surgery for the recurrence of inguinal hernia and hydrocele are described.  Results: The rate of relapses or complications following surgical treatment of children with inguinal hernia, hydrocele and cryptorchidism at the Clinical and Research Institute of Emergency Pediatric Surgery and Trauma ranges from 1.5 % to 2.3%.  Conclusion: The main reason for complications and relapses in the pathology discussed is the violation of surgical protocol.