Metachronous contralateral pediatric inguinal hernia
RM Nataraja, AA Mahomed
Department of Pediatric Surgery and Urology, Royal Alexandra Children’s Hospital, Brighton, UK
Date of preparation: April 20, 2010.
Conflict of interest: None declared
Clinical question: Should routine contralateral inguinal region exploration be done to prevent a metachronous contralateral pediatric inguinal hernia?
Results: The incidence of a metachronous contralateral pediatric inguinal hernia is 6.4% in both genders. Sixteen contralateral groin explorations need to be done to prevent one metachronous contralateral pediatric inguinal hernia.
• Routine exploration of the asymptomatic contralateral groin is not recommended.
• Infants less than one month old with an inguinal hernia should receive immediate specialist referral.
• Older infants and children with a reducible hernia should be referred to the pediatric surgical outpatient department.
• Pediatric patients with an original left-sided hernia or who were less than six months old at the time of the first hernia repair should receive regular follow-up in the primary health care setting.
Keywords: metachronous contralateral pediatric inguinal hernia, exploration
This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php
Readers of this article also read:
Mo Al-Qaisi, David M Nott, David H King, Sam Kaddoura, Mo Hamady
Published Date: 27 March 2009
Morgellons disease: Analysis of a population with clinically confirmed microscopic subcutaneous fibers of unknown etiology
Virginia R Savely, Raphael B Stricker
Published Date: 13 May 2010
Antonio Coppola, Mirko Di Capua, Matteo Nicola Dario, et al.
Published Date: 30 August 2010
Cumulative clinical experience from over a decade of use of levofloxacin in community-acquired pneumonia: critical appraisal and role in therapy
Noreddin AM, Elkhatib WF, Cunnion KM, Zhanel GG
Published Date: 7 October 2011
Chauhan A, Zubair S, Tufail S, Sherwani A, Sajid M, Raman SC, Azam A, Owais M
Published Date: 12 October 2011
Bellucci R, Bellucci F
Published Date: 2 February 2012
Lee CJ, Keldahl ML, Morasch MD
Published Date: 27 February 2012
Wawra N, Buia A, Hanisch E
Published Date: 7 November 2012
Onuora VC, Irekpita E, Alili U, Ajekweneh A, Amaechi IN
Published Date: 21 February 2013
Raghavan D, Howington JA, Broughton D, Henderson CE, Clymer JW
Published Date: 21 March 2013