2012
DOI: 10.1542/peds.2012-2008
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Assessment and Management of Inguinal Hernia in Infants

Abstract: Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to determine best practices for the management of inguinal hernias in infants.

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Cited by 88 publications
(75 citation statements)
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“…[11] It was 22.2% in our series. According to Wang KS, [12] the prevalence of PVCP would be nearly 80% in newborns and the risk of symptomatic manifestations decrease with age, the peritoneo-vaginal canal may still close spontaneously after birth. Sarr A et al [8] in Dakar had counted 163 cases in five years.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…[11] It was 22.2% in our series. According to Wang KS, [12] the prevalence of PVCP would be nearly 80% in newborns and the risk of symptomatic manifestations decrease with age, the peritoneo-vaginal canal may still close spontaneously after birth. Sarr A et al [8] in Dakar had counted 163 cases in five years.…”
Section: Discussionmentioning
confidence: 99%
“…The frequency of PVCP in adults could be explained by the modesty that generally affects the external genital diseases in Africa, but also by the low level of incomes of the popuPublished by Sciedu Press lation which does not allow them to consult in specialized hospitals. [10][11][12] Inguinal hernia in children may progress to strangulation, which in addition to intestinal lesions may result in ischemic testicular sequelae. [3,14] Thus, Uemura et al as well as Galinier et al recommended that any inguinal hernia diagnosed in an infant should be operated earlier in order to avoid strangulation.…”
Section: Discussionmentioning
confidence: 99%
“…The repair of inguinal hernia requires an understanding of the embryology of descent of the testes and the formation of the processes vaginalis. The peritoneal layer which enveloping testis and named tunica vaginalis [14]. This peritoneum descends to groin and inguinal regions and two vents [deep inguinal foramens] are made in it, as two canalicullus named process vaginalis which descends from the vents in each side almost to the testis and opens there, then each is closed again forming a sac around each testis as Tunica vaginalis (Z).…”
Section: Discussionmentioning
confidence: 99%
“…1,2 Incidence is higher in premature infants. 4 All inguinal hernias are repaired to avoid the risk of incarceration of bowel and gonadal infarction and atrophy. However, these risks must be balanced against the risk of potential operative and anesthetic complications.…”
Section: Discussionmentioning
confidence: 99%