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Metachronous inguinal hernias in children

Authors:

Malik Samarasinghe ,

University of Colombo, LK
About Malik
Lecturer
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Ranjan Dias

University of Colombo, LK
About Ranjan

Senior Lecturer, University Surgical Unit, Faculty of Medicine

 

Lady Ridgeioay Hospital for Children, Colombo 8

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Abstract

Introduction: Hernia developing in the contralateral groin in children presenting with unilateral inguinal hernia is a recognized problem. There is no consensus regarding the need for exploration of the contralateral groin in children presenting with a unilateral hernia.

 

Objectives: To study the incidence of metachronous inguinal hernia and to assess the justifiability of not exploring the contralateral groin.

 

Methods: All children operated for unilateral inguinal hernia in our unit between April 1995 and April 1998 were asked to present themselves for review in April 2000.

 

Results: Hundred and forty six of the 247 children operated turned up for review. There were 96 (66%) boys and 50 (34%) girls. The ages ranged from 54 days to 11 years. Eight of the 50 girls (16%) and 14 of the 96 boys (15%) developed metachronous inguinal hernias. Metachronous hernias developed in 5 of the 42 children (12%) who had their first operation at the age of 2 years or earlier.

 

Conclusion: Routine exploration of the contralateral groin of all children cannot be justified as only 15% developed metachronous hernias. Some surgeons are selective and explore the contralateral groins of all girls and in boys under 2 years. This policy also could not be justified as the incidence of metachronous hernia was equal in both sexes and was not higher in children of 2 years or younger. We recommend exploring the symptomatic groin only.

How to Cite: Samarasinghe, M. & Dias, R., (2002). Metachronous inguinal hernias in children. Ceylon Journal of Medical Science. 45(1), pp.35–37. DOI: http://doi.org/10.4038/cjms.v45i1.4860
Published on 23 Jun 2002.
Peer Reviewed

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