Document Detail


Contralateral groin exploration is not justified in infants with a unilateral inguinal hernia.
MedLine Citation:
PMID:  12760457     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Contralateral groin exploration in children with unilateral inguinal hernia is still controversial, particularly in infants. The patency rate of processus vaginalis is highest in infants but there are few data on the subsequent risk of contralateral hernia development in infants. In this retrospective study, we aimed to find out the incidence of contralateral inguinal hernia following unilateral inguinal herniotomy in infants aged less than one year. METHODS: All infants who underwent a unilateral Inguinal herniotomy between January 1990 and December 1998 were studied retrospectively. Infants with bilateral hernia (n = 7) were excluded from the study. RESULTS: One hundred and one infants (93 boys and 8 girls) were studied. Median age at operation was 23 (range 2-52) weeks. The herniotomy was right-sided in 75% of the infants. Follow-up ranged from three and a half years to 11 years. A contralateral hernia developed in nine infants (9.0%). One of the initial hernias was incarcerated. Median time from operation to occurrence of contralateral hernia was 18 (range 2-60) months. None of the contralateral hernia was incarcerated. Age, sex, incarceration and side of initial hernia did not influence the development of contralateral hernia. CONCLUSION: The low incidence and benign nature of contralateral hernia development in infants undergoing a unilateral inguinal herniotomy does not justify routine contralateral groin exploration.
Authors:
J Shabbir; A Moore; J B O'Sullivan; P V Delaney; J Drumm; H Flood; P A Grace
Related Documents :
25314157 - Perinatal mortality in the united states: 1985-91.
15772487 - Omentum herniation at a 2-mm trocar site.
6763147 - Infant botulism--the first five years.
7955867 - Ultrasound assessment of the contralateral groin in infants with unilateral inguinal he...
16339767 - Use of a dummy (pacifier) during sleep and risk of sudden infant death syndrome (sids):...
12682677 - Hypoxic ischemic encephalopathy. incidence and risk factors in north western saudi arabia.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Irish journal of medical science     Volume:  172     ISSN:  0021-1265     ISO Abbreviation:  Ir J Med Sci     Publication Date:    2003 Jan-Mar
Date Detail:
Created Date:  2003-05-22     Completed Date:  2003-06-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  18-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Mid-Western Regional Hospital, Limerick, Ireland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Female
Follow-Up Studies
Hernia, Inguinal / epidemiology,  surgery*
Humans
Incidence
Infant
Male
Retrospective Studies
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Bronchopleural fistula after pneumonectomy.
Next Document:  Endoscopic SIS injection into the lower oesophageal sphincter in dogs.