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Original article World Journal of Pediatrics Incidence of pediatric metachronous contralateral inguinal hernia in children aged ≥1 year Jin-Hu Wang, Wei Zhang, Jin-Fa Tou, Shou-Jiang Huang, Wei-Guang Liu, Qi-Xing Xiong, Zheng-Yan Zhao Hangzhou, China Background: The management of the contralateral patients developed MCIH (2.9%), the difference asymptomatic side when a child with initial unilateral between these groups was highly significant (P=0.004). inguinal hernia undergoes herniorrhaphy continues In male patients, 30 right-sided MCIHs occurred after to be controversial. Age less than 6 months at initial 423 initial left-sided herniorrhaphies (7.1%) and 31 herniorrhaphy is considered as a high risk factor of left-sided MCIHs occurred after 723 initial right-sided the occurrence of metachronous contralateral inguinal herniorrhaphies (4.3%), difference between these two hernia (MCIH). We performed herniorraphy for groups was signifi cant (P=0.041). Seventy-seven percent patients ≥1 year with initial unilateral hernia at one- of the MCIHs occurred within 1 year, 94% occurred day-set outpatient-surgery department without any within 2 years after initial herniorraphy. intervention of contralateral groin. In this study, we Conclusions: As the overall incidence of MCIH in reviewed the characteristics of development of MCIH in patients aged ≥1 year was 5.2%, routine contralateral this condition and discuss the management
World Journal of Pediatrics – Springer Journals
Published: Aug 12, 2012
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