الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Congenital inguinal hernia (CIH) is a common diagnosis among the pediatric population, with over 99% being indirect. Treatment for CIH is surgery and inguinal hernia repair is one of most common procedures performed by a pediatric surgeon. Metachronous hernia is common and ultrasound serves as a reliable tool in detecting contralateral inapparent hernias, especially due to the fact that it is real time imaging – adding value by allowing dynamic examination by patient movement and probe pressure.
The purpose of this study was to assess the role of pre-operative ultrasound in pediatric patients with CIH, emphasizing the contents of the hernial sac, complications associated, any associated findings, status of testes and the accuracy of ultrasound in picking the presence of a contralateral PPV.
The study was conducted in Shatby University Hospital and recruited a total of 30 patients. The mean age of the patients was 4.6 years with a male to female ratio of 2.75:1 and more than 77% being more than two years of age. All patients underwent pre-operative ultrasound examination and a comparison with operative data was obtained. Twenty seven percent of the patients had a PPV intraoperatively. The ultrasound on the contralateral side showed a sensitivity of 75% and specificity of 86.4% with an accuracy of 83.3 %
Conclusively, ultrasound is a safe, simple, reliable and non-invasive pre-operative diagnostic tool in pediatric patients with Congenital Inguinal Hernia and can be used for assessment of contralateral PPV.