TITLE:
Peritoneovaginal Duct and Nück’s Duct Persistence in Children at Campus Teaching Hospital in Lomé (Togo)
AUTHORS:
Missoki Azanlédji Boume, Kwami Edem Edoh Bikor, Oswaldo Enatonta Ayidedji Wandote, Yawa Sesime Sanni, Dédé Virginie Teko, Telly Bailo Kante, Yvon Arnold Ngassam, Gamédzi Komlatsè Akakpo-Numado
KEYWORDS:
Peritoneovaginal Duct, Nück Duct, Hernia, Hydrocele, Cord Cyst, Pediatric Surgery
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.1,
March
2,
2022
ABSTRACT: 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.