Skip to main content
Log in

Elective sonographic evaluation of inguinal hernia in children — an effective alternative to routine contralateral exploration

  • Original Articles
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Four hundred sonographic examinations were performed on 200 children admitted for elective inguinal hernia operations. The sonographic evaluation proved to be accurate in 92% of confirmable diagnoses and is a simple, non-invasive mode of investigating inguinal hernia and patent processus vaginalis. Our data support a policy of contralateral groin exploration during unilateral hernia repair based on preoperative ultrasonographic information.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Archer A, Choyke PL, O'Brien W, et al. (1988) Scrotal enlargement following inguinal herniorrhaphy: ultrasound evaluation. Urol Radiol 9: 249–252

    Google Scholar 

  2. Bock JE, Sobey JV (1970) Frequency of contralateral inguinal hernia in children. Acta Chir Scand 136: 707

    Google Scholar 

  3. Brown RK (1964) Hernia diagnosis by transperitoneal probing of contralateral groin. Surg Gynecol Obstet 118: 123

    Google Scholar 

  4. Bulow S (1974) Artificial pneumoperitoneum during inguinal herniotomy in children. Acta Chir Scand 140: 127

    Google Scholar 

  5. Clausen EG, Jake RJ, Binkley FM (1958) Contralateral inguinal exploration of unilateral hernia in infants and children. Surgery 44: 735

    Google Scholar 

  6. Deitch EA, Soncrant MC (1981) Ultrasonic diagnosis of surgical disease of the inguinal-femoral region. Surg Gynecol Obstet 152: 319–322

    Google Scholar 

  7. Ducharme JC, Bertrand R, Chacar R (1967) Is it possible to diagnose inguinal hernia by x-ray? J Can Radiol Assoc 18: 488–490

    Google Scholar 

  8. Gilbert M, Clatworthy HW (1959) Bilateral operations for inguinal hernia and hydrocele in infancy and childhood. Am J Surg 97: 255

    Google Scholar 

  9. Holder TM, Ashcraft KW (1980) Groin hernias and hydroceles. In: Textbook of Pediatric Surgery. Saunders, Philadelphia, p 594

    Google Scholar 

  10. Jewett TC Jr, Kuhn JP, Allen JE (1976) Herniography in children. J Pediatr Surg 11: 451

    Google Scholar 

  11. Kiesewetter WB, Parenzan L (1959) When should hernia in infant be treated bilaterally? JAMA 171: 287

    Google Scholar 

  12. Kramer SG, Davis SE (1967) Transperitoneal detection of occult inguinal hernias. Milit Med 132: 512–514

    Google Scholar 

  13. Krone K, Carroll B (1985) Scrotal ultrasound. Radiol Clin North Am 23: 121–139

    Google Scholar 

  14. Lineaweaver W, Vlasak M, Muyshondt E (1983) Ultrasonic examination of abdominal wall and groin masses. Southern Med J 76 (5): 590–592

    Google Scholar 

  15. McGregor DB, Halverson K, McVay CB (1980) The unilateral pediatric inguinal hernia: should the contralateral side be explored? J Pediatr Surg 15: 313

    Google Scholar 

  16. McLaughlin CW Jr, Kleager C (1956) The management of inguinal hernia in infancy and early childhood. Am J Dis Child 92: 266

    Google Scholar 

  17. Mueller CB, Rader G (1956) Inguinal hernia in children. Arch Surg 73: 595

    Google Scholar 

  18. Pintauro W, Klein F, Vick CW, et al. (1985) The use of ultrasound for evaluating subacute unilateral scrotal swelling. J Urol 133: 779–802

    Google Scholar 

  19. Powell RW (1985) Intraoperative diagnostic pneumoperitoneum in pediatric patients with unilateral inguinal hernias: the Goldstein test. J Pediatr Surg 20: 418–421

    Google Scholar 

  20. Rothenberg RE, Barnett T (1955) Bilateral herniotomy in infants and children. Surgery 37: 949

    Google Scholar 

  21. Rowe MI, Clatworthy HW (1971) The other side of the pediatric inguinal hernia. Surg Clin North Am 51: 1371

    Google Scholar 

  22. Rowe MI, Marchildon MB (1981) Inguinal hernia and hydrocele in infants and children. Surg Clin North Am 61: 1137

    Google Scholar 

  23. Sheie E, Kongresreferat, Nordisk kirurgisk forchings 35. Kongres Reykjavik, 1971

  24. Sparkman RS (1962) Bilateral exploration in inguinal hernia in juvenile patients. Surgery 51: 393

    Google Scholar 

  25. Subramayam BR, Balthazar EJ, Raghavendra BN, et al. (1982) Sonographic diagnosis of scrotal hernia. Am J Radiol 139: 535–538

    Google Scholar 

  26. Vick CW, Bird K, Rosenfield A et al. (1986) Extratesticular hemorrhage associated with torsion of the spermatic cord: Sonographic demonstration. Radiology 158: 401–404

    Google Scholar 

  27. White JJ, Haller JA Jr, Dorst JP (1970) Congenital inguinal hernia and inguinal herniography. Surg Clin North Am 50: 823

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Correspondence to: I. Erez

Rights and permissions

Reprints and permissions

About this article

Cite this article

Erez, I., Kovalivker, M., Schneider, N. et al. Elective sonographic evaluation of inguinal hernia in children — an effective alternative to routine contralateral exploration. Pediatr Surg Int 8, 415–418 (1993). https://doi.org/10.1007/BF00176732

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00176732

Key words

Navigation