International Journal of Medical Research & Health Sciences
  • Year: 2019
  • Volume: 8
  • Issue: 3

Incidence of metachronous inguinal hernia among children under one year of age in pediatric surgery

  • Author:
  • Hussain Gadelkarim Ahmed1,, Muhannad Saud A. Alshammari1, Jamal Ahmed Abdullah Al Marshadi1, Mohammed Salem Jaber Wadani2, Muteb Nasser Alawd1, Abdul Rahman Ali, Abdul Rahman Al Sogair1, Abdullah Fahad Abdullah Al-Gharbi1
  • Total Page Count: 7
  • Page Number: 126 to 132

1College of Medicine, University of Hail, Hai’l, Saudi Arabia

2College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia

*Corresponding e-mail: hussaingad5@gmail.com

Online published on 1 October, 2020.

Abstract

Pediatric inguinal hernia is one of the frequent causes of childhood morbidity. Therefore, the aim of the present study was to determine the incidence of metachronous contralateral inguinal hernia in pediatric patients aged ≤ 12 months, in Northern Saudi Arabia.

In the present study, records of a series of 90 pediatric patients (aged ≤ 12 months) were presented with inguinal hernia and have subsequently undergone inguinal hernia repair.

About 2/30 (6.6%) with left side hernia were found with subsequent right side metachronous contralateral inguinal hernia (MCIH) occurrence. One out of the two 1/2 (50%) was found at the age of 2 months, the other one 1/2 (50%) was at the age of 6 months. The 3/54 (5.5%) with right inguinal hernia developed a contralateral hernia, of whom 2/3 (66.6%) were found at the age of 12 months, and one 1/3 (33.3%) was at the age of 2 months.

The findings of the present study suggest that there is a relatively higher incidence of contralateral inguinal hernia if the initial presentation was on the left side, which necessitates a close follow up for those patients; however, there is not enough evidence to support routine exploration of the contralateral groin surgically.

Keywords

Inguinal hernia, Pediatric, Contralateral hernia, Saudi Arabia