CAPS Original PaperSix thousand three hundred sixty-one pediatric inguinal hernias: a 35-year review
Section snippets
Materials and methods
From July 1969 to January 2004 (35 years), 6361 infants and children (average, 182 per year) with inguinal hernias were seen, examined, and operated on by the senior author. The hernias in this series did not include the ones usually found with undescended testes, although some boys did require an orchidopexy with their hernia repair (usually incarcerated).
All the patients who had surgery were operated on by the same pediatric surgeon with his residents. The operative repair (all under general
Results
The ages of the infants and children at the time of operation ranged from premature (<36 weeks) to 18 years (mean, 3.3 years). There were 5343 (84%) males and 1018 (16%) females (ratio, 5:1) with 59% right, 29% left, and 12% bilateral inguinal hernias. Eighty-nine (1.4%) patients were from a set of twins. Premies (<36 weeks) with hernias totaled 191 (3%); 179 were males and 12 were females; 39% had hernias on the right side, 26% on the left, and 35% had bilateral hernias. Most premie hernias
Discussion
Although larger series of pediatric inguinal hernias have been reported (meta-analysis, 15,000 Miltenburg et al [2]; 1 service, 8000 Gross [3]), this is the largest and longest series to date by 1 pediatric surgeon who scrubbed on all of the repairs with his residents. These 6361 inguinal hernia operations (average, 182 per year) comprised 26% of the senior author's more than 23,000 pediatric surgical procedures for more than 35 years from July 1969 to January 2004. No patient with hernia was
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Presented at the 37th Annual Meeting of the Canadian Association of Paediatric Surgeons, Quebec, Canada, September 22-25, 2005.