Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

17.2K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
17.2K
Hiatal Hernia01:25

Hiatal Hernia

60
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or...
60

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Epidemiology and Outcomes of Pediatric Neurosurgical Procedures in France 2022 to 2024: A Population-Based Analysis.

Journal of neurosurgical anesthesiology·2026
Same author

ASO Author Reflections: The Role of Neoadjuvant Chemotherapy in the Management of Primary Retroperitoneal Germ Cell Tumors in Children.

Annals of surgical oncology·2026
Same author

Challenges in Managing Primary Retroperitoneal Germ Cell Tumors in Children: The Role of Neoadjuvant Chemotherapy.

Annals of surgical oncology·2026
Same author

A one‑year snapshot of pediatric regional anesthesia at a French Tertiary University Hospital.

Anaesthesia, critical care & pain medicine·2026
Same author

A novel method for across-chromosome phasing without relative data.

Bioinformatics (Oxford, England)·2026
Same author

Two-Year Outcomes in Children Born With a Congenital Pulmonary Malformation.

Pediatrics·2026

Related Experiment Video

Updated: Apr 25, 2026

Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs
08:58

Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs

Published on: October 31, 2025

862

Inguinal hernia in premature boys: should we systematically explore the contralateral side?

Olivier Pierre Maillet1, Sarah Garnier1, Christophe Dadure2

  • 1Unité de Chirurgie Viscérale et Urologique Pédiatrique, Département de Chirurgie Pédiatrique CHU Lapeyronie, Montpellier Université Montpellier I, Montpellier, France.

Journal of Pediatric Surgery
|August 24, 2014
PubMed
Summary

Bilateral surgery for unilateral inguinal hernia in premature boys is often unnecessary, with only 11% developing a contralateral hernia. Treating only the symptomatic side reduces surgical morbidity and the risk of secondary cryptorchidism.

Keywords:
Inguinal/groin herniaMetachronous herniaNeonatal anesthesiologyPremature boyTesticular hypotrophy

More Related Videos

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
07:41

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

Published on: April 17, 2019

9.4K
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

8.4K

Related Experiment Videos

Last Updated: Apr 25, 2026

Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs
08:58

Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs

Published on: October 31, 2025

862
Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
07:41

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

Published on: April 17, 2019

9.4K
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

8.4K

Area of Science:

  • Pediatric Surgery
  • Neonatal Urology
  • Surgical Outcomes Research

Background:

  • Unilateral inguinal hernia in premature boys traditionally leads to bilateral surgery due to high rates of contralateral patent processus vaginalis.
  • Recent advancements in pediatric anesthesia and concerns about morbidity in low birth-weight infants necessitate re-evaluation of this surgical approach.

Purpose of the Study:

  • To determine the incidence of contralateral metachronous hernia in premature boys after unilateral inguinal hernia repair.
  • To compare the postoperative morbidity between preventive bilateral surgery and elective unilateral surgery for inguinal hernias in premature infants.

Main Methods:

  • A retrospective multicenter analysis was conducted on 964 premature boys who underwent surgery for unilateral inguinal hernia between 1998 and 2012.
  • The study compared outcomes for 557 infants who had unilateral herniotomy versus 407 who had bilateral herniotomy, with a median follow-up of 12 months.

Main Results:

  • Contralateral metachronous hernias occurred in 11% of infants following unilateral surgery, with no significant difference based on the initial side.
  • Preventive bilateral surgery was associated with higher contralateral postoperative morbidity (2.45%) compared to elective surgery for metachronous hernias (0.9%), particularly secondary cryptorchidism (1% vs 0%).
  • Elective surgery did not increase the risk of testicular hypotrophy (0.7%) despite the risk of metachronous incarcerated hernias.

Conclusions:

  • Systematic bilateral herniotomy is not indicated in most premature boys with unilateral inguinal hernias, as it carries significant morbidity.
  • Secondary surgery for metachronous hernias is safe, does not elevate the risk of testicular lesions, and may reduce the incidence of secondary cryptorchidism.
  • These findings, coupled with potential risks of hypofertility after bilateral procedures, support treating only the symptomatic side in this patient population.