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The Management of Inguinal Hernia in Infancy and Early Childhood

The Management of Inguinal Hernia in Infancy and Early Childhood Abstract Inguinal hernia is the commonest congenital lesion for which infants and children have been admitted to the Children's Memorial Hospital since its opening, in 1948. Its incidence exceeds three to one the next commonest abdominal lesion, which is congenital hypertrophic pyloric stenosis. Among 24,000 admissions to the hospital from March, 1948, to July 1, 1955, 521 admissions have been for inguinal hernia, in contrast to 176 for congenital hypertrophic pyloric stenosis. It is our purpose to summarize some of the pertinent clinical aspects of this common lesion and our experience in its management. The material consists of a consecutive series of 298 inguinal hernias seen in 240 infants and small children on the surgical service of one of us (C. W. McL.) and which have been critically reviewed. Embryology The processus vaginalis appears as a saclike pocket of peritoneum on each side of the ventral abdominal wall during the third References 1. Herzfeld, G.: Hernia in Infancy , Am. J. Surg. 39:422, 1938.Crossref 2. Larsen, R.: Inguinal Hernia in Infancy and Early Childhood , Surgery 25:307, 1949. 3. Gross, R. E.: The Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1953, p. 449. 4. Watson, L. F.: Hernia , Ed. 3, St. Louis, C. V. Mosby Company, 1948. 5. Dillon, J. R.: Repair of Inguinal Hernia Based on Etiological Relationship to Undescended Testicle , J. Urol. 57:1194, 1947. 6. Thorndike, A., Jr., and Ferguson, C. F.: Incarcerated Inguinal Hernia in Infancy and Childhood , Am. J. Surg. 39:429, 1938.Crossref 7. MacLennan, A.: The Radical Cure of Inguinal Hernia in Children , Brit. J. Surg. 9:445, 1922.Crossref 8. Potts, W. J.; Riker, W. L., and Lewis, J. E.: The Treatment of Inguinal Hernia in Infants and Children , Ann. Surg. 132:566, 1950.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A M A Journal of Diseases of Children American Medical Association

The Management of Inguinal Hernia in Infancy and Early Childhood

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1956.02060030260003
Publisher site
See Article on Publisher Site

Abstract

Abstract Inguinal hernia is the commonest congenital lesion for which infants and children have been admitted to the Children's Memorial Hospital since its opening, in 1948. Its incidence exceeds three to one the next commonest abdominal lesion, which is congenital hypertrophic pyloric stenosis. Among 24,000 admissions to the hospital from March, 1948, to July 1, 1955, 521 admissions have been for inguinal hernia, in contrast to 176 for congenital hypertrophic pyloric stenosis. It is our purpose to summarize some of the pertinent clinical aspects of this common lesion and our experience in its management. The material consists of a consecutive series of 298 inguinal hernias seen in 240 infants and small children on the surgical service of one of us (C. W. McL.) and which have been critically reviewed. Embryology The processus vaginalis appears as a saclike pocket of peritoneum on each side of the ventral abdominal wall during the third References 1. Herzfeld, G.: Hernia in Infancy , Am. J. Surg. 39:422, 1938.Crossref 2. Larsen, R.: Inguinal Hernia in Infancy and Early Childhood , Surgery 25:307, 1949. 3. Gross, R. E.: The Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1953, p. 449. 4. Watson, L. F.: Hernia , Ed. 3, St. Louis, C. V. Mosby Company, 1948. 5. Dillon, J. R.: Repair of Inguinal Hernia Based on Etiological Relationship to Undescended Testicle , J. Urol. 57:1194, 1947. 6. Thorndike, A., Jr., and Ferguson, C. F.: Incarcerated Inguinal Hernia in Infancy and Childhood , Am. J. Surg. 39:429, 1938.Crossref 7. MacLennan, A.: The Radical Cure of Inguinal Hernia in Children , Brit. J. Surg. 9:445, 1922.Crossref 8. Potts, W. J.; Riker, W. L., and Lewis, J. E.: The Treatment of Inguinal Hernia in Infants and Children , Ann. Surg. 132:566, 1950.Crossref

Journal

A M A Journal of Diseases of ChildrenAmerican Medical Association

Published: Sep 1, 1956

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