{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T06:04:45Z","timestamp":1780639485294,"version":"3.54.1"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the novel technique of a laparoscopic percutaneous guide wire for extraperitoneal closure (LPEC) of a patent processus vaginalis (PPV) of hydrocele in the pediatric age population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study was conducted on consecutive patients with a pediatric hydrocele between January 2018 and October 2019 to examine our novel laparoscopic percutaneous extraperitoneal closure technique using a guide wire. Data on occult contralateral hydrocele occurrence, operative time, and postoperative complications were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 387 patients were included in this study, and their ages ranged from 2.33 to 9.50 years. A total of 65.6% of patients had a unilateral hydrocele and 34.4% had a bilateral hydrocele. The rate of occult contralateral hydrocele was 30.6%. The median operative time for the unilateral hydrocele was 18.6\u2005min and for the bilateral one, it was 27.3\u2005min. The median follow-up period was 24 months, and no complications were reported, except for early postoperative pain in the umbilical port site (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095) and scrotal edema (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>LPEC using a guide wire was found to be safe and efficacious with less hospital costs for the management of hydrocele in children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1866395","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T05:40:32Z","timestamp":1780638032000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A novel technique of a laparoscopic percutaneous guide wire for extraperitoneal internal ring closure in the management of a pediatric communicating hydrocele"],"prefix":"10.3389","volume":"14","author":[{"given":"Guojian","family":"Ding","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Binzhou Medical University Hospital","place":["Binzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Binzhou Medical University Hospital","place":["Binzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuming","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Binzhou Medical University Hospital","place":["Binzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Xiaofeng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Affiliated Dongnan Hospital of Xiamen University","place":["Zhangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinxing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Binzhou Medical University Hospital","place":["Binzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaojiao","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Binzhou Medical University Hospital","place":["Binzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geng","family":"Lei","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Binzhou Medical University Hospital","place":["Binzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingliang","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Binzhou Medical University Hospital","place":["Binzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoliang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Binzhou Medical University Hospital","place":["Binzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"4888","DOI":"10.1007\/s00464-017-5491-3","article-title":"A systematic review and meta-analysis concerning single-site laparoscopic percutaneous extraperitoneal closure for pediatric inguinal hernia and hydrocele","volume":"31","author":"Chen","year":"2017","journal-title":"Surg Endosc"},{"key":"B2","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1016\/0022-3468(69)90189-4","article-title":"The patent processus vaginalis and the inguinal hernia","volume":"4","author":"Rowe","year":"1969","journal-title":"J Pediatr 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