Herniography in Perspective FREE

JERALD P. KUHN, MD

Am J Dis Child. 1977;131(11):1206-1208. doi:10.1001/archpedi.1977.02120240024004.

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ABSTRACT

ABSTRACT | REFERENCES

Whether to perform unilateral or bilateral groin surgery on a child who has a unilateral hernia has been a surgical controversy since the 1955 report of Rothenberg and Barnett¹ that stated that at operation 74% of infants and children thought to have a unilateral inguinal hernia actually had "bilateral hernias" in the form of a contralaterally patent processus vaginalis. The processus vaginalis is an outpouching of the peritoneum that accompanies the testes in its descent into the scrotum. Usually the proximal segment of the processus vaginalis obliterates around the time of birth. Failure of obliteration leaves an open peritoneal sac, the patent processus vaginalis, which is the site of a potential indirect inguinal hernia.

Rowe and Clatworthy² studied the natural history of the patent processus vaginalis in a series of 1,965 infants and children who had a unilateral inguinal hernia and who were subjected to bilateral groin exploration.

REFERENCES

ABSTRACT | REFERENCES

Rothenberg RE, Barnett T: Bilateral herniotomy in infants and children . Surgery 37:947:950, 1955;.

Rowe MI, Clatworthy HW Jr: The other side of the pediatric inguinal hernia . Surg Clin North Am 51:1371-1376, 1971;.

Sparkman RS: Bilateral exploration in inguinal hernia in juvenile patients: Review and appraisal . Pediatr Surg 51:393-406, 1962;.

Fischer R, Mumenthaler A: Ist bilaterale Herniotomie bei Sauglingen und Kleinkindern mit einseitiger Leisten-hernie angezeigt? Helvet Chir Acta 24:346, 1957;.

Ducharme JC, Bertrand R, Chacar R: Is it possible to diagnose inguinal hernia by x-ray? A preliminary report on herniography . J Can Assoc Radiol 18:448-451, 1967;.

White JJ, Haller JA Jr, Dorst JP: Congenital inguinal hernia and inguinal herniography . Surg Clin North Am 50:823-837, 1970;.

Swischuk LE, Stacy TM: Herniography: Radiologic investigation of inguinal hernia . Radiology 101:139-146, 1971;.

Shackelford GD, McAlister WH: Inguinal herniography . Am J Roentgenol Rad Ther Nucl Med 115:399-407, 1972;.
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Dwoskin JY, Kuhn JP: Herniograms in undescended testes and hydroceles . J Urol 109:520-523, 1973;.

Dwoskin KY, Kuhn JP: Herniograms and hypospadias . Urology 111:458-460, 1974;.
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Guttman FM, Bertrand R, Ducharme JC: Herniography and the pediatric contralateral inguinal hernia . Surg Gynecol Obstet 135:551-555, 1972;.

Jewett TC Jr, Kuhn JP, Allen JE: Herniography in children . J Pediatr Surg 11:451-454, 1976;.
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Oh KS, Dorst JP, White JJ, et al: Positive-contrast peritoneography and herniography . Radiology 108:647-654, 1973;.

Shaw A: Mark A. Ravitch on pediatric hernias . Hosp Physician 18-28, 1975;.

McAlister WH, Shackelford GD, Kissane J: The histologic effects of some iodine-containing contrast media on the rat peritoneal cavity . Radiology 105:581-582, 1972;.

Giacobine JW, Siler VE: Evaluation of diagnostic abdominal paracentesis with experimental and clinical studies . Surg Gynecol Obstet 110:676, 1960;.

Weathers WT, Wenzl JE: Suprapubic aspiration of the bladder: Perforation of a viscus other than the bladder . Am J Dis Child 117:590-592, 1969;.

Butsch J, Kuhn JP: Intramural hematome of the small bowel: A possible lethal complication of herniography . Surgery , to be published.

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