الفهرس 
Inguinal Canal in Infants and ChildrenOnly 14 pages are availabe for public view
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Abstract
Pediatric Inguinal hernia (PIH) is the most common surgical
procedure in infants and children with a rate of 1-5 % in full term
infants. The male to female ratio is 5:1. Right PIH has an
incidence of 59%, left PIH accounts for 29% and bilateral PIH
occurs in about 12%.
Some children who have a one side PIH, a contralateral one appears later. This presents about 5.8-11.6 % of all cases of PIH. In the current study the risk factor of developing MCIH is about
12 %. Incidence of negative contralateral exploration can be
identified through a relationship between CPPV and MIH where twenty-one CPPVs must be treated to prevent one MIH. In children having open unilateral inguinal hernia surgery, data do
not support the regular exploration and closure of the contralateral side to avoid future MIH. The Aim of the work was to determine the incidence and
risk factors of MCIH development in infants and children after unilateral hernia repair and the necessity of routine contralateral side exploration. The current study was a prospective study that was carried on two hundred and seventeen Infants and children presented with a unilateral inguinal hernia attended to the pediatric surgery unit, general surgery department at Tanta university hospital during the
period from January 2022 to February 2023