Management of Ovarian Hernia in Children, in Teaching Hospital of Bouaké, Côte d’Ivoire Prise en Charge des Hernies de l’ovaire de l’enfant au CHU de Bouaké, Côte d’Ivoire

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DOI: 10.4236/ojog.2018.813145    1,106 Downloads   2,976 Views  Citations

ABSTRACT

Objective: To analyze our experience in the management of ovarian hernia in children. Methods: It was a retrospective study about 11 cases treated in pediatric surgery unit of the Teaching Hospital of Bouaké, in 2 years period. Results: Ovarian hernia represented 7.69% of the hernias and 73.33% of the hernia cases in girls. The mean age was 4 years and the median 36 months. The main reason for consultation was inguinal swelling (45.45%) following by swelling of the labia majora (36.36%), and a round mass of labia majora palpated by parents while bathing the child (18.18%). Nine (9) patients had been operated on; we realize the closure of peritoneo-vaginal canal, associated in 66.66% cases with a routine surgical exploration of the contralateral side. Average age of these children with contralateral hernia was 20 months. The mean follow up was 6 months (15 days - 15 months). We noticed an appearance of contralateral ovarian hernia in a girl operated on at 3 years old without routine surgical exploration. Conclusion: We recommend early management with a systematic surgical exploration of the contralateral side in young female child. A preoperative ultrasonography could be a routine in case of strangulated hernia, if available.

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Rose, N. , Messou, M. , Bertrand, K. , Patrick, Y. and Franck, L. (2018) Management of Ovarian Hernia in Children, in Teaching Hospital of Bouaké, Côte d’Ivoire Prise en Charge des Hernies de l’ovaire de l’enfant au CHU de Bouaké, Côte d’Ivoire. Open Journal of Obstetrics and Gynecology, 8, 1438-1444. doi: 10.4236/ojog.2018.813145.

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