Incidence of contralateral inguinal hernia: A prospective analysis

As the overall rate of metachronous inguinal hernias in children is low (5.2%) and the risk of incarceration is 0.7%, we do not advocate routine contralateral exploration. A primary left-sided hernia is associated with twofold increased odds of developing a contra-lateral hernia, within a median time of 1 year; therefore, this higher risk subpopulation should receive closer follow-up over this time period.

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“…Surprisingly, no other study in the past has [6][7][8][9]. MHs presented incarcerated in only 2/267 (0.7%) of the cases.…”

Section: Discussionmentioning

confidence: 99%

Predictors of metachronous inguinal hernias in children

Zamakhshardy

Ein

et al. 2008

Pediatr Surg Int

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“…11 In paediatric population, the incidence of bilateral hernia is higher with routine contra lateral exploration. 12 Before the advent of laparoscopic surgery routine contra lateral exploration for bilateral hernias was not practiced in adults and no further discussion was needed. TAPP has led to an increase in the detection of incipient contra lateral hernias.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

2017

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Background: The two common procedures which are nowadays commonly performed for laparoscopic repair of inguinal hernia are transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) mesh repair. This retrospective study was aimed to compare these two, TAPP and TEP laparoscopic approaches for inguinal hernia repair in terms of various outcomes.Methods: In this retrospective study, we included 50 cases of inguinal hernia who underwent laparoscopic approach of inguinal hernia repair at Saveetha medical college and hospital between 2014 and 2016 for a duration of 3 years. Various parameters including the age, sex of patient, type of hernia, preoperative and post-operative complications, duration of hospital stay was analysed.Results: Of the 50 patients who underwent laparoscopic repair, 26 patients underwent TEP and 24 patients under went TAPP procedure. 31 cases were indirect inguinal hernias and 30 cases were direct inguinal hernias, totalling 61 hernia repairs, as 11 patients had bilateral hernia. One female inguinal hernia and 4 cases of recurrent hernia were operated by TAPP method. Postoperative complications like seroma formation; subcutaneous emphysema was seen in TEP group. Two cases of TEP were converted to TAPP and open lichenstein procedure. Postoperative pain was less in both the group. Patients who underwent TEP procedure spent less time in the hospital compared to those who underwent TAPP procedure.Conclusions: There is no major difference in the outcome after TEP and TAPP surgeries except for some minor complications and the results are comparable in both techniques TAPP and TEP. Both the procedures can be practiced according to surgeon’s familiarity of the procedure.

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“…The incidence of a PPV on the other hand, is reported as 80% in the first 2 months of life, steadily decreasing over the next 2 years (18,19) . Nakayama and Rowe stating that in about 60% of infants, a contralateral PPV may accompany a clinically presenting unilateral inguinal hernia report a similar rough estimation.…”

Section: The Search For Contralateral Patent Processus Vaginalismentioning

confidence: 99%

“…Published reports concerning impact of childhood hernia repair on fertility have always been a popular issue; it has forced proponents to restrict bilateral exploration according to the age and sex of the child and the presenting side (6)(7)(8)(9)(10)(11)(12)(13)(14)(15) . Antonoff et al has pointed out to the higher risk of an inadvertent injury to vas deferens in the absence of a true hernia (68) .…”

Section: Solving Complications and Contradictionsmentioning

confidence: 99%

Laparoscopic Approach as an Alternative Option in Treatment of Pediatric Inguinal Hernia

Güvenç¹

2012

Advances in Laparoscopic Surgery

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Incidence of contralateral inguinal hernia: A prospective analysis

Cited by 125 publications

References 22 publications

Predictors of metachronous inguinal hernias in children

Predictors of metachronous inguinal hernias in children

A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

Laparoscopic Approach as an Alternative Option in Treatment of Pediatric Inguinal Hernia

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