Routine bilateral exploration for inguinal hernia in infancy and childhood

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
Z Hrabovszky, A B Pintér

Abstract

Whether to explore the contralateral side is a real question regarding the management of unilateral inguinal hernias in infants and children. The surgeon can easier make a decision if he knows the true incidence and prevalence of the bilateral involvement in different ages. During the years 1982 to 1991 the authors could find 138 contralateral hernias developed after unilateral herniorrhaphy in 2554 children (5.4%). Fifty-five percent of these children (76 patients) were younger than 1 year of age, 74% of them (102 patients) were younger than 3 years of age at the time of the initial repair. The interval between the operations was less than 1 year in 54% of the cases. To get more precise data, we explored 148 children younger than 3 years of age bilaterally during 1992. The result was positive in 104 cases (70.3%). The bilateral involvement was most frequent under the first 6 months of life (83.5%), then it dropped gradually. We found a patent processus vaginalis on the asymptomatic side in 74.3% of girls and in 61.1% of boys. The overall contralateral involvement of unilateral hernias was 64.8%, independently of which side the hernia had appeared on. The patent processus vaginalis can be regarded as a precursor of indirect her...Continue Reading

Citations

Dec 31, 1997·American Journal of Surgery·D M MiltenburgM L Brandt
May 23, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N ZampieriF S Camoglio
Jul 3, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G SteinauV Schumpelick
Jul 19, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M KalantariA E Soltani
May 24, 2011·Pediatric Surgery International·Ramesh M Nataraja, Anies A Mahomed
Dec 13, 2006·Journal of Pediatric Surgery·Mohan MarulaiahUdaya Samarakkody
Nov 5, 1998·Journal of Pediatric Surgery·F Schier
Jul 11, 1998·Journal of Pediatric Surgery·D M MiltenburgM L Brandt
Jul 22, 2005·Journal of Pediatric Surgery·Sengamalai ManoharanStuart Brown
May 15, 2001·The British Journal of Surgery·A BallantyneF D Munro
Jan 23, 1999·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·D BirkH G Beger
May 23, 2003·Irish Journal of Medical Science·J ShabbirP A Grace

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