Historical overview of the bilateral approach to pediatric inguinal hernias.

An historical overview of the treatment of pediatric inguinal hernias has been presented, including changing methods of repair, discussion of the bilateral approach, and a condensation of requested responses from 80 recognized authorities in various centers. Prospective analysis of 440 personal cases is presented. The patent processus and its relationship to clinical hernia have been discussed. Contralateral exploration is favored under controlled circumstances. The decreased danger of incarceration in these instances has been evaluated and separate second procedures can be avoided. Basic requirements of training for treating pediatric hernias, particularly those in the very young patient, are suggested in accordance with my philosophy which is shared with the majority of pediatric surgeons as a group.