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Bilateral Inguinal Herniorrhaphies on Infants and Children

Bilateral Inguinal Herniorrhaphies on Infants and Children Abstract Indirect inguinal hernias and hydroceles of the cord or tunica vaginalis together comprise the most common pediatric surgical problems in infancy and childhood. It has been well shown by many surgeons active in the pediatric field, that the morbidity and occasional mortality of an incarcerated hernia can be prevented by a simple, elective herniorrhaphy, done as soon as the diagnosis of inguinal hernia is established.2,5 Yet, the high frequency of an unsuspected contralateral hernia has proved to be embarrassing to the surgeon, distressing to the child, and costly to the parents. Kiesewetter6 found that 34% of the children who had unilateral herniorrhaphies returned to the hospital for a similar procedure on the opposite side. There has been a slow but definite trend toward bilateral herniorrhaphies in infants and children.1,6-8,10 Most authors report an unsuspected hernia or patent processus vaginalis (potential hernia) in over half of the patients References 1. Clatworthy, H. W., Jr.; Gilbert, M. G., and Clement, A.: The Inguinal Hernia, Hydrocele, and Undescended Testicle Problem in Infants and Children , Postgrad. Med. J. 22:122, 1957. 2. Clatworthy, H. W., Jr., and Thompson, A. G.: Incarcerated and Strangulated Inguinal Hernia in Infants: A Preventable Risk , J.A.M.A. 154:123, 1954.Crossref 3. Clausen, E. G.; Jake, R. G., and Binkley, F. M.: Contralateral Inguinal Exploration of Unilateral Hernia in Infants and Children , Surgery 44: 735, 1958. 4. Gilbert, M. G., and Clatworthy, H. W., Jr.: Bilateral Operations for Inguinal Hernia and Hydrocele in Infancy and Childhood , Amer. J. Surg. 97:255, 1959.Crossref 5. Gross, R. E.: The Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1953. 6. Kiesewetter, W. B., and Parenzan, L.: When Should Hernia in the Infant Be Treated Bilaterally? J.A.M.A. 171:287, 1959.Crossref 7. McLaughlin, C. W., and Kleager, C.: The Management of Inguinal Hernia in Infancy and Early Childhood , A.M.A. J. Dis. Child. 92:266, 1956. 8. Mueller, C. B., and Rader, G.: Inguinal Hernia in Children , A.M.A. Arch. Surg. 73:595, 1956.Crossref 9. Potts, W. J.; Riker, W. L., and Lewis, J. E.: Treatment of Inguinal Hernia in Infants and Children , Ann. Surg. 132:566, 1950.Crossref 10. Rothenberg, R. E., and Barnett, T.: Bilateral Herniotomy in Infants and Children . Surgery 37:947, 1955. 11. Shidler, F. P.: The Surgical Treatment of Inguinal Hernia in Infants and Small Children . Stanford Med. Bull. 15:83, 1957. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Bilateral Inguinal Herniorrhaphies on Infants and Children

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1961.02080010006002
Publisher site
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Abstract

Abstract Indirect inguinal hernias and hydroceles of the cord or tunica vaginalis together comprise the most common pediatric surgical problems in infancy and childhood. It has been well shown by many surgeons active in the pediatric field, that the morbidity and occasional mortality of an incarcerated hernia can be prevented by a simple, elective herniorrhaphy, done as soon as the diagnosis of inguinal hernia is established.2,5 Yet, the high frequency of an unsuspected contralateral hernia has proved to be embarrassing to the surgeon, distressing to the child, and costly to the parents. Kiesewetter6 found that 34% of the children who had unilateral herniorrhaphies returned to the hospital for a similar procedure on the opposite side. There has been a slow but definite trend toward bilateral herniorrhaphies in infants and children.1,6-8,10 Most authors report an unsuspected hernia or patent processus vaginalis (potential hernia) in over half of the patients References 1. Clatworthy, H. W., Jr.; Gilbert, M. G., and Clement, A.: The Inguinal Hernia, Hydrocele, and Undescended Testicle Problem in Infants and Children , Postgrad. Med. J. 22:122, 1957. 2. Clatworthy, H. W., Jr., and Thompson, A. G.: Incarcerated and Strangulated Inguinal Hernia in Infants: A Preventable Risk , J.A.M.A. 154:123, 1954.Crossref 3. Clausen, E. G.; Jake, R. G., and Binkley, F. M.: Contralateral Inguinal Exploration of Unilateral Hernia in Infants and Children , Surgery 44: 735, 1958. 4. Gilbert, M. G., and Clatworthy, H. W., Jr.: Bilateral Operations for Inguinal Hernia and Hydrocele in Infancy and Childhood , Amer. J. Surg. 97:255, 1959.Crossref 5. Gross, R. E.: The Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1953. 6. Kiesewetter, W. B., and Parenzan, L.: When Should Hernia in the Infant Be Treated Bilaterally? J.A.M.A. 171:287, 1959.Crossref 7. McLaughlin, C. W., and Kleager, C.: The Management of Inguinal Hernia in Infancy and Early Childhood , A.M.A. J. Dis. Child. 92:266, 1956. 8. Mueller, C. B., and Rader, G.: Inguinal Hernia in Children , A.M.A. Arch. Surg. 73:595, 1956.Crossref 9. Potts, W. J.; Riker, W. L., and Lewis, J. E.: Treatment of Inguinal Hernia in Infants and Children , Ann. Surg. 132:566, 1950.Crossref 10. Rothenberg, R. E., and Barnett, T.: Bilateral Herniotomy in Infants and Children . Surgery 37:947, 1955. 11. Shidler, F. P.: The Surgical Treatment of Inguinal Hernia in Infants and Small Children . Stanford Med. Bull. 15:83, 1957.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jul 1, 1961

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