Page 10 - herina surgery and possible lawsuits

The incidence is much higher in premature infants, inguinal hernia develop in 13% of infants
bom before 32 weeks gestation and in 30% of infants weighing less than 1000 g.[30, 31]
In adults incidence is around 10% women and 90% men patients.[32]
Table 4: Incidence of hernia in relation to side of presentation in children. [31-33]

Study Right Left Bilateral Recurrent
Carvajal 55% 45% 11% 5%
Diasamidze 46% 36% 8% 7%

Ein 59% 29% 12% -
The incidence of developmg a metachronous contralateral inguinal hernia (MCIH) following
open repair of a unilateral inguinal hernia in children was 7.2 % and was not sex or age

specific. Children with a left sided inguinal henna had a significantly higher nsk of
developing a MCIH than those with a nght sided hernia (10.2 versus 6.3 per cent
respectively). Most MCIHs occur m the first 5 years after unilateral inguinal hernia repair.

The study concluded routine contralateral groin exploration is not indicated in any
situation. [34]
The incidence of inguinal hernia surgery performed in emergency is 5.1% as compared to

36.5% in cases of femoral hemia.[35]
In our institute average 300 surgeries are performed per year.

16