{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:58:21Z","timestamp":1777921101705,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T00:00:00Z","timestamp":1391212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2014,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To conduct a meta-analysis of contralateral metachronous inguinal hernia (CMIH) that originated from negative laparoscopic evaluation for contralateral patent processus vaginalis (CPPV) in children who presented with a unilateral inguinal hernia and to determine the incidence of and factors associated with such a CMIH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A PubMed search was performed for all studies concerning laparoscopic repair or evaluation of inguinal hernia in children. The search strategy was as follows: (laparoscop* OR coelioscop* OR peritoneoscop* OR laparoendoscop* OR minilaparoscop*) AND (\u201cinguinal hernia\u201d OR \u201cmetachronous hernia\u201d) AND child*. Inclusion criteria included unilateral inguinal hernia in children, negative laparoscopic evaluation of CPPV, without history of contralateral inguinal surgery previously, and clearly reporting CMIH development or not. Editorials, letters, review articles, case reports, animal studies, and duplicate patient series were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twenty-three studies comprising 6091 children with negative CPPV fulfilled the inclusion criteria and were included in the final analysis, of whom 80 (1.31%) subsequently presented with a CMIH. Subgroup analysis showed that CMIH incidence was lower through an umbilical approach than via an inguinal one (0.85% versus 1.78%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =.009). As for the transinguinal approach, there was a CMIH incidence of 0.78% and 2.05%, respectively, for laparoscopy with a small angle (30\u00b0 and 70\u00b0), whereas there was no CMIH development for that with a large angle (110\u00b0, 120\u00b0, and flexible). A high pneumoperitoneum pressure (&gt;10\u2009mm Hg, &gt;12\u2009mm Hg, and &gt;14\u2009mm Hg) was usually associated with a slightly higher CMIH incidence than a low one (\u226410\u2009mm Hg, \u226412\u2009mm Hg, and \u226414\u2009mm Hg), all without significant difference. CMIH incidence was slightly lower for using a broad CPPV definition than for using a narrow one (0.64% versus 1.35%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =.183).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>CMIH following negative laparoscopic evaluation for CPPV was a rare but possible phenomenon. Choosing the transumbilical approach, transinguinal laparoscopy with a large angle, low-pressure pneumoperitoneum, and broad CPPV definition would probably reduce the occurrence of such CMIHs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2013.0429","type":"journal-article","created":{"date-parts":[[2013,11,1]],"date-time":"2013-11-01T09:49:26Z","timestamp":1383299366000},"page":"111-116","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":29,"title":["Contralateral Metachronous Hernia Following Negative Laparoscopic Evaluation for Contralateral Patent Processus Vaginalis: A Meta-analysis"],"prefix":"10.1177","volume":"24","author":[{"given":"Hongji","family":"Zhong","sequence":"first","affiliation":[{"name":"Ningbo Women and Children's Hospital","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Furan","family":"Wang","sequence":"additional","affiliation":[{"name":"Ningbo Women and Children's Hospital","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,2,1]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.3109\/01485017908987332"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.08.026"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)63747-9"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90664-9"},{"key":"e_1_3_1_6_2","unstructured":"Howick J Chalmers I Glasziou P Greenhalgh T Heneghan C Liberati A Moschetti I Phillips B Thornton H Goddard O Hodgkinson M. 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