2017
DOI: 10.1055/s-0037-1608802
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Timing and Management of Inguinal Hernia in the Premature Baby

Abstract: Inguinal hernias in children occur with a prevalence ranging from 3 to 5%. The likelihood of a symptomatic patent processus vaginalis is significantly higher in preterms, as reported by most series. As a consequence, inguinal hernia represents the most common condition requiring surgical repair in the neonate and preterm baby. Surgery aims at avoiding and preventing intestinal and gonadal lesions related to incarceration. Nonetheless, hernia repair is technically demanding, with a relatively high risk of compl… Show more

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Cited by 10 publications
(1 citation statement)
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“…According to literature, the likelihood of a patent processus vaginalis in the opposite side ranges from 20 to 70% [36,41,[49][50][51]. However, the overall presentation of a metachronous hernia in an initially asymptomatic contralateral processus vaginalis does not exceed 11.6% [41,47,48,[51][52][53][54]. Although the fact that such a percentage increases if the patient is preterm or less than 1 year of age, female, with a left-sided initial hernia, it must be underlined that the routine repair of a contralateral explored, asymptomatic patent processus vaginalis during laparoscopy or the choice to proceed to the opposite side during open surgery may result in overtreatment [42,50,53].…”
Section: Contralateral Explorationmentioning
confidence: 99%
“…According to literature, the likelihood of a patent processus vaginalis in the opposite side ranges from 20 to 70% [36,41,[49][50][51]. However, the overall presentation of a metachronous hernia in an initially asymptomatic contralateral processus vaginalis does not exceed 11.6% [41,47,48,[51][52][53][54]. Although the fact that such a percentage increases if the patient is preterm or less than 1 year of age, female, with a left-sided initial hernia, it must be underlined that the routine repair of a contralateral explored, asymptomatic patent processus vaginalis during laparoscopy or the choice to proceed to the opposite side during open surgery may result in overtreatment [42,50,53].…”
Section: Contralateral Explorationmentioning
confidence: 99%