TITLE:
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
AUTHORS:
Nandiolo K. Rose, Menin Messou, Kpangni Jean Bertrand, Yenan John Patrick, Lohourou Grah Franck
KEYWORDS:
Ovarian Hernia, Children, Processus Vaginalis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.13,
November
26,
2018
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.