IPSILATERAL INGUINAL HERNIA IN TODDLERS: IS IT NECESSARY TO EXPLORE OTHER SIDE?
Abstract
Introduction: Inguinal hernia is one of the most common disease in pediatric surgery. Operation is the only definite treatment for it, yet. Bilateral inguinal exploration is recommended by some authors due to high incidence of bilateral inguinal hernia in children.
Methods: In a cross sectional study 336 children (99 female and 237 male) with inguinal hernia were investigated. Contralateral exploration was done in all patients after repair of involved side. Data was categorized and analyzed according to sex and age.
Results: Positive exploration in females and males was 76 and 62 percent, respectively. 44.3 percent of patients younger than one year old and 55.7 percent of patients between 1 to 3 years old had hernia in both sides. Sex and age correlated to coexisting of inguinal hernia in both sides (P < 0.03).
Discussion: Contralateral exploration is more positive in lower age group. Contralateral exploration is recommended in ipsilateral inguinal hernia, specialy in girls with left sided hernia.
Methods: In a cross sectional study 336 children (99 female and 237 male) with inguinal hernia were investigated. Contralateral exploration was done in all patients after repair of involved side. Data was categorized and analyzed according to sex and age.
Results: Positive exploration in females and males was 76 and 62 percent, respectively. 44.3 percent of patients younger than one year old and 55.7 percent of patients between 1 to 3 years old had hernia in both sides. Sex and age correlated to coexisting of inguinal hernia in both sides (P < 0.03).
Discussion: Contralateral exploration is more positive in lower age group. Contralateral exploration is recommended in ipsilateral inguinal hernia, specialy in girls with left sided hernia.
Keywords
Hernia -Inguinal, Surgery -Pediatric, Isfahan