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July 1972

Herniograms: An Aid to the Diagnosis and Treatment of Groin Hernias in Infants and Children

Author Affiliations

Loma Linda, Calif
From the Department of Surgery, Loma Linda (Calif) University (Drs. Thompson, Longerbeam, and Reeves) and Riverside (Calif) General Hospital (Dr. Longerbeam).

Arch Surg. 1972;105(1):71-73. doi:10.1001/archsurg.1972.04180070069014

A retrospective study of herniograms in 36 infants and children between the ages of 4 weeks and 12 years was undertaken. Herniography accurately predicted the surgical findings in 32 of 36 patients, a diagnostic accuracy of 88%, which compares favorably with the usual clinical diagnostic accuracy of only 50% to 60%. In 26 patients herniography added significantly to the clinical findings and resulted in improved patient care. Herniography has been demonstrated to be a relatively simple and safe procedure and is recommended in all children with unilateral hernia and those with a history of a bulge, unconfirmed by physical findings. Other indications for contrast peritoneography are suggested.

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