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Gregory A. Timberlake, MD; M. Gage Ochsner, MD; Randall W. Powell, MD

Arch Surg. 1989;124(6):721-723.

Abstract
• Controversy continues among surgeons over the management of pediatric patients with unilateral groin hernias. Currently, advocated treatment modalities include repair of only the clinically apparent side, exploration of the contralateral side when the ipsilateral hernia is repaired, or performance of contrast herniography before surgery. Another technique for consideration—diagnostic intraoperative pneumoperitoneum—is a simple, quick, safe, and highly accurate means of detecting a clinically inapparent contralateral inguinal hernia during the initial surgery. This technique, the results of its use, and a review of the literature are included.

(Arch Surg 1989;124:721-723)

Author Affiliations
From the Departments of Surgery and Clinical Investigation, US Naval Hospital, San Diego. Dr Ochsner is now with the US Naval Hospital in the Republic of the Philippines, and Dr Powell is now with the University of South Alabama in Mobile.

Footnotes
Accepted for publication Nov 3, 1987.

The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the US government.

Reprint requests to Clinical Investigation Department, Naval Hospital, San Diego, CA 92134-5000 (Dr Timberlake).

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