This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
Surgical repair of inguinal hernia in children under 2 years of age is rarely indicated except in emergencies. The mother is averse to surgery and the surgeon hesitates to operate because some hernias, especially in very young infants, disappear spontaneously. As long as the child has not been trained the danger of a postoperative infection, while not great with proper precautions, nevertheless exists and adds to the hazard of surgical repair. To prevent incarceration and to aid nature in the spontaneous closure of the peritoneal pouch, a proper truss must be adjusted. The requirements of a truss for infants are specific. It must remain in place and must retain the hernia even when the child is coughing or crying. It must be comfortable, nonirritating, sanitary and simple to apply correctly. The cost should be minimal in a large charity outpatient department where a large number is required.
A truss meeting
Potts WJ. A TRUSS FOR INGUINAL HERNIA IN INFANTS. JAMA. 1941;117(17):1440-1441. doi:10.1001/jama.1941.72820430002009a