Diagnostic pneumoperitoneum for the detection of the clinically occult contralateral hernia in children

C. B. Harrison, G. W. Kaplan, H. C. Scherz, M. G. Packer

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Abstract

The detection and management of occult contralateral hernia in children who present with a clinically evident unilateral hernia have evoked controversy. Routine use of herniography, intra-operative probing of the contralateral inguinal area and routine or selective exploration of the contralateral groin all have their advocates and detractors. During the last 5 years we have used intraoperative pneumoperitoneum and we report our experience in 64 patients 3 months to 9 years old. A retrospective analysis of the data revealed that pneumoperitoneum was negative in demonstrating a contralateral inguinal hernia in 59 of 64 patients (92%). Contralateral exploration was not performed in patients in whom pneumoperitoneum was negative. All 5 patients who tested positive had an indirect inguinal hernia upon contralateral exploration and all 5 were less than 3 years old. Patients who had a negative pneumoperitoneum were followed for up to 5 years and only 1 (1.8%) false negative examination was discovered. Pneumoperitoneum is a safe, effective means to evaluate the contralateral groin for occult hernia at the time of unilateral hernia repair in children.

Original languageEnglish (US)
Pages (from-to)510-511
Number of pages2
JournalJournal of Urology
Volume144
Issue number2 II
StatePublished - 1990

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ASJC Scopus subject areas

  • Urology

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