Document Detail

A prospective study of neonatal inguinal herniotomy: the problem of the postoperative hydrocele.
MedLine Citation:
PMID:  12721728     Owner:  NLM     Status:  MEDLINE    
Previous studies have reported an increased incidence of complications following neonatal inguinal herniotomy (IH) in boys. The incidence and natural history of postoperative hydrocele in such cases has not been described. A prospective follow-up study of a consecutive series of male infants weighing less than 3 kg at the time of IH was undertaken. Regular follow-up examinations were scheduled for at least 1 year. Thirty-eight boys weighing less than 3 kg underwent IH during an 18-month period. One subsequently died from complications of prematurity. Complete follow-up data were available for 29/37 (78%) patients, yielding a total of 46 IHs. There were 2 recurrent hernias (4%), 2 unequivocally atrophic testes (4%), and 1 iatrogenic testicular ascent (2%). Five ipsilateral hydroceles complicated the postoperative course of 4 boys (14% of patients, 11% of herniotomies). Two of these were explored, but in neither case was a recurrent/residual patent processus vaginalis found. One hydrocele was aspirated without recurrence, and the remaining 2 resolved spontaneously. The complication rate in small infants undergoing neonatal IH is significantly higher than in older boys. The presence of a hydrocele after neonatal IH may simply reflect the accumulation of fluid in the distal hernia sac and, provided there is no evidence of a recurrent inguinal hernia, an expectant approach is recommended.
Brian W Davies; Nia Fraser; Azad S Najmaldin; B Roly Squire; David C G Crabbe; Mark D Stringer
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Publication Detail:
Type:  Journal Article     Date:  2003-02-15
Journal Detail:
Title:  Pediatric surgery international     Volume:  19     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-30     Completed Date:  2003-10-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  68-70     Citation Subset:  IM    
Department of Paediatric Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
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MeSH Terms
Follow-Up Studies
Hernia, Inguinal / congenital,  surgery*
Infant, Newborn
Postoperative Complications / epidemiology*
Prospective Studies
Testicular Hydrocele / epidemiology*
Treatment Outcome

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