Metachronous contralateral pediatric inguinal hernia
RM Nataraja, AA MahomedDepartment of Pediatric Surgery and Urology, Royal Alexandra Children’s Hospital, Brighton, UKDate of preparation: April 20, 2010. Conflict of interest: None declaredClinical question: Should routine contralateral inguinal region exploration be done to prevent a...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2010-08-01
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| Series: | Open Access Surgery |
| Online Access: | http://www.dovepress.com/metachronous-contralateral-pediatric-inguinal-hernia-a5135 |
| Summary: | RM Nataraja, AA MahomedDepartment of Pediatric Surgery and Urology, Royal Alexandra Children’s Hospital, Brighton, UKDate of preparation: April 20, 2010. Conflict of interest: None declaredClinical 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.Implementation:• 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 |
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| ISSN: | 1178-7082 |