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February 1965

Routine Bilateral Inguinal Hernia Repair: An Evaluation of the Procedure in Infants and Children

Author Affiliations

From the Department of Surgery, Vanderbilt University School of Medicine. Assistant Clinical Professor of Surgery.

Am J Dis Child. 1965;109(2):114-120. doi:10.1001/archpedi.1965.02090020116004

ROTHENBERG and Barnett,16 in 1955, proposed bilateral exploration of infants and children undergoing unilateral herniorrhaphy. While the possibility of adopting such a routine policy has been endorsed enthusiastically by several surgeons1,6,8-10,12,19 and accepted with certain restrictions by others,2,11 some authors have voiced opposition to this recommendation.7,17,18,20

Mueller and Rader12 reported their experience with 90 infants and children in the first 7 years of life. In 75 patients with clinical unilateral hernia, 60% were observed to have bilateral hernias at operation. In 1958, Clausen et al1 reported that of 164 young patients undergoing bilateral exploration, 48% had a contralateral hernia, the rate being 73% for infants under 6 months of age. In 1959, Kiesewetter and Parenzan6 reported that of 237 patients who underwent repair of a hernia, 31% returned later with another hernia on the opposite side. These authors also reported the results of

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