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CONTRALATERAL HERNIA IN CHILDREN

JAMA. 1965;192(7):632-633. doi:10.1001/jama.1965.03080200050016.
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Currently, there is controversy over the indications for routine bilateral inguinal hernia repair in infants and children. Sparkman1 in 1962 reviewed the cases of 918 children who had undergone routine contralateral exploration when a unilateral hernia was evident preoperatively. A contralateral hernia was found in 57.2% of this group. In a recent issue of American Journal of Diseases of Children, Holcomb2 analyzes a similar group of 433 infants and children. A contralateral hernia sac which extended at least 1.5 cm down the inguinal canal was demonstrated in 56% of the boys and 60% of the girls. When a comparison of age groups was made, the positive contralateral yield dropped to 35% for the 5- to 11-year-old children. The study also revealed that the expected yield of positive contralateral exploration is essentially the same on both sides. This is contrary to the popular notion that in children there is

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