The past 50 years, surgeons have wrestled with the question regarding contralateral inguinal region in an infant or child a known unilateral guinalhernia. Repair one side both. Laparoscopic hernia repair is effective and increasingly popular alternative to open herniotomy.

As in the first series,1 the term "intra-abdominal operation" is used in order that such operations as herniotomy, vaginal hysterectomy, &c. (which rarely require intra-abdominal manipulation of the kind here meant), may be excluded.

The hernias need to be addressed at an earlier stage to prevent the development of complications mainly strangulation. The risk of complications is more in children <6 months of age. About 90% of complications can be prevented if a hernia repair is performed within a month of diagnosis [1,2]. Almost all hernias in children are indirect type, where the gut or the omentum enters the preformed sac...

In a qualitative systematic review, we have evaluated randomized controlled trials (RCT) of incisional local anaesthesia compared with placebo or no treatment in the control of postoperative pain after open abdominal operations. Twenty-six studies with data from 1211 patients were considered appropriate for analysis. Five RCT considered inguinal herniotomy, four hysterectomy, eight cholecystect...

INTRODUCTION Laparoscopic herniotomy is the preferred technique for some ventral hernias. Several factors may influence the surgical conditions, one being the depth of neuromuscular blockade (NMB) applied. We hypothesised that deep neuromuscular blockade defined as a post-tetanic count below eight would provide a better surgical workspace. METHODS This was an investigator-initiated, assessor-...

background: considering that complications and outcome of each method of pediatric inguinal hernia repair are one of the determinants for pediatric surgeons for selection of the appropriate surgical technique, we compared the early and late complications of two inguinal repair techniques, with and without opening the external oblique muscle fascia. materials and methods: in this double-blind cl...

In Amyand's hernia, the hernia sac contains the appendix. This can be normal and accidentally found during herniotomy or inflamed and present as acute scrotum, although the latter is less frequent. We present a case of a male infant with scrotal abscess resulting from Amyand's hernia, with appendicitis and periappendicular abscess.