What are the treatment approaches for children with bilateral abdominal inguinal hernias?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

All children with a bilateral presentation should undergo bilateral inguinal hernia repair under a single anesthesia. However, there remains some controversy regarding the correct approach to exploration of the contralateral side in pediatric inguinal hernias. [40] The potential damage to the spermatic cord structures in boys and the low incidence of contralateral hernia development in infants (41</ref> [42]

The previous practice of routinely exploring the opposite side in all boys younger than 2 years and all girls younger than 4-5 years is no longer popular. Most surgeons do not routinely perform open exploration of the contralateral groin, except in cases of high anesthetic risk, significant risk for developing contralateral hernia secondary to increased intra-abdominal pressure, or limited access of the child to appropriate medical care should an incarceration occur on the opposite side.


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