Chertin Boris, De Caluwé Diane, Gajaharan Mahendran, Piaseczna-Piotrowska Anna, Puri Prem
Children's Research Centre of Our Lady's Hospital for Sick Children, University College Dublin, Dublin, Ireland.
J Pediatr Surg. 2003 May;38(5):756-7. doi: 10.1016/jpsu.2003.50160.
BACKGROUND/PURPOSE: Routine contralateral groin exploration in girls with unilateral inguinal hernia (UIH) continues to be controversial. The aim of this study was to determine the incidence of contralateral hernia development in girls after UIH repair.
Between 1972 and 2000, 391 girls underwent repair of UIH. Ninety-one (23%) of the 391 girls underwent routine contralateral exploration during UIH repair and were excluded from the study. The median age at operation in the remaining 300 girls was 3.3 years (range, 1 month to 14 years). Two hundred ten (70%) girls had right-sided and 90 (30%) had left-sided UIH. Familial history of hernia was identified in 8 (3%) patients. The follow-up ranged from 1.5 to 14 years. Mann-Whitney U test was used for intergroup comparison.
A contralateral hernia developed in 24 (8%) of the 300 patients who had unilateral repair of inguinal hernia. Median time from operation to occurrence of the contralateral hernia was 3 years (range, 1 to 4 years). Age at operation, side of hernia, and familial history did not influence the development of contralateral hernia.
These data suggest that the low incidence of contralateral hernia development in girls undergoing UIH repair does not justify routine contralateral groin exploration.
背景/目的：对于单侧腹股沟疝（UIH）女孩进行常规对侧腹股沟探查仍存在争议。本研究的目的是确定UIH修补术后女孩对侧疝形成的发生率。
1972年至2000年间，391名女孩接受了UIH修补术。391名女孩中有91名（23%）在UIH修补术中接受了常规对侧探查，被排除在本研究之外。其余300名女孩的手术中位年龄为3.3岁（范围1个月至14岁）。210名（70%）女孩为右侧UIH，90名（30%）为左侧UIH。8名（3%）患者有疝家族史。随访时间为1.5至14年。采用Mann-Whitney U检验进行组间比较。
300名单侧腹股沟疝修补术患者中有24名（8%）发生了对侧疝。从手术到对侧疝发生的中位时间为3年（范围1至4年）。手术年龄、疝的侧别和家族史均不影响对侧疝的发生。
这些数据表明，UIH修补术女孩对侧疝形成的发生率较低，因此常规对侧腹股沟探查并无必要。
