The unilateral pediatric inguinal hernia: Should the contralateral side be explored?

Mcgregor, Donald; Halverson, K.; McVay, C.B.

doi:10.1016/s0022-3468(80)80145-x

Cited by 141 publications

(49 citation statements)

References 4 publications

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“…The estimated childhood risk of developing an inguinal hernia if there is a PPV is between 25% and 50%. 17,18 Even though the true prevalence of a PPV in the general pediatric population is likely lower than contralateral PPV reported at the time of hernia repair, it is clearly greatest at birth and declines with increasing age.…”

Section: Embryology and Natural History Of The Patent Processus Vaginmentioning

confidence: 99%

Assessment and Management of Inguinal Hernia in Infants

Wang¹,

Papile²,

Baley³

et al. 2012

Pediatrics

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Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to determine best practices for the management of inguinal hernias in infants.

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Section: Embryology and Natural History Of The Patent Processus Vaginmentioning

confidence: 99%

Assessment and Management of Inguinal Hernia in Infants

Wang¹,

Papile²,

Baley³

et al. 2012

Pediatrics

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“…6 Herniorrhaphy in humans has been shown to possibly result in testicular ischemia and infarction, 7 atrophy, and neuropathy. 8,9 In our patient, it is possible that the lobulation may have resulted from scarring related to the bilateral surgery.…”

Section: Replymentioning

confidence: 84%

Benign Testicular Lobulation

Mihmanlı

Kantarcı

2003

J of Ultrasound Medicine

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“…Incarceration, coexistence of a hydrocele and concomitant cryptorchidism, occurred with 10%, 12% and 7% of the cases respectively. 27 Venugopal S showed in his study that Incarceration occurred in 8.17% children, 14 of these were infants below 6 months of age. Incarceration was more common in males and on the right side.…”

Section: Associated Congenital Anomaliesmentioning

confidence: 94%

A study of clinical evaluation and management of inguinoscrotal swelling in paediatric age group

Koranga

Chandrasekaran

2018

Int Surg J

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Background: Inguino-scrotal swellings are one of the commonest problems in infancy and childhood throughout the world. They represent the conditions most frequently requiring surgical repair in the paediatric age group. In many of these cases, clinical examination may sufﬁce to obtain a deﬁnite diagnosis, but when the diagnosis is inconclusive, ultrasonography can play an important role. Post-operative complications are usually rare following elective operation whereas minor complications do occur after emergency operation. In this study we evaluated various presentations of inguino-scrotal swellings, their management and complications in paediatric age group.Methods: This is a hospital based prospective study, to have an overview of a spectrum of the paediatric cases admitted in the department of surgery with inguino-scrotal swelling that includes 40 patients with age below 13 years, irrespective of sex. Data regarding clinical features, birth history, immunization, family history various blood and radiological investigations was noted. Incidences of associated anomalies, complications and any form of treatment given to the patient were recorded and findings were analysed.Results: Out of 40 cases, all were males with maximum number of cases between the age group of 3-4 years.24 cases were right sided, 12 left sided and 4 bilateral. Hydrocele was associated with 10 of the cases, undescended testis with 2 cases and 1 had encysted hydrocele of the cord. There were no complicated cases like incarceration, obstruction or strangulation. Post-operative complications were noted in 4 cases, out of which 2 were wound haematoma and one case each of wound infection and stitch granuloma.Conclusions: Childhood inguinal hernias are more common on right side due to delay in descent of right testis and males are more commonly affected. Congenital hydrocele may involutes spontaneously, so we should observed at least upto 1 year of age before considering repair but not in the case of congenital inguinal hernia. Inguinal herniotomy in children is a safe and effective operation.

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The unilateral pediatric inguinal hernia: Should the contralateral side be explored?

Cited by 141 publications

References 4 publications

Assessment and Management of Inguinal Hernia in Infants

Assessment and Management of Inguinal Hernia in Infants

Benign Testicular Lobulation

A study of clinical evaluation and management of inguinoscrotal swelling in paediatric age group

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