Keskin E, Yeker D, Danismend N, Büyükünal C
Service de Chirurgie Infantile, CHU, Cerrahpasa, Istanbul.
Chir Pediatr. 1990;31(2):103-5.
Fifty-six pediatric patients (2.5 months-13 years old) presenting with unilateral inguinal hernia underwent intraoperative diagnostic pneumoperitoneum (Goldstein test) to evaluate the controlateral groin. Fourteen patients (25%) had positive results and underwent controlateral hernia repair. The positivity is found more frequent in females (37.5%) and in the left sided hernias (50%). The percentage of positive tests has found to be inversely proportional to the age of the patient which is 33% for children under 6 months of age and 18% over 24 months. It is also observed that none of the children with negative test admitted with the complaint of hernia within two years following the operation. Intraoperative diagnostic pneumoperitoneum is a rapid, safe and accurate means to evaluate the contralateral groin in children presenting with a unilateral inguinal hernia. The test eliminates the high negative exploration rate and possible injury to cord structures with routine bilateral exploration.
56例患有单侧腹股沟疝的儿科患者（年龄在2.5个月至13岁之间）接受了术中诊断性气腹（戈尔茨坦试验）以评估对侧腹股沟。14例患者（25%）结果为阳性，并接受了对侧疝修补术。阳性结果在女性（37.5%）和左侧疝（50%）中更为常见。已发现阳性试验的百分比与患者年龄成反比，6个月以下儿童为33%，24个月以上为18%。还观察到，试验结果为阴性的儿童在术后两年内均未因疝的主诉而入院。术中诊断性气腹是评估单侧腹股沟疝患儿对侧腹股沟的一种快速、安全且准确的方法。该试验消除了常规双侧探查时高阴性探查率以及对精索结构可能造成的损伤。
