Marjan Joudi - Department of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran AND Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Mehdi Fathi - Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran AND Department of anesthesia, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohammad Mehdi Zarif Soltani - Department of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
Hormoz Hosseinpoor - Department of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohammad Aref Emami - Department of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
Ali Azadmand - Department of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: Inguinal hernia repair is one of the most common operations in surgical practice. Herniotomy is the most common choice and standard treatment for inguinal hernia. The purpose of this study was to describe and analyze the data of pediatric patients who had undergone open surgery for inguinal hernia repair. Methods: A retrospective review of ۴۰,۰۰۰ pediatric patients with inguinal hernia was conducted between ۲۰۰۹ and ۲۰۱۹. The collected data included age, sex, type of hernia, side of hernia, predisposing factors and type of hospitalization. The patients' postoperative follow-up was performed until recovery. Results: Inguinal hernia was observed in ۲۲۱۲۵ males (۵۵.۳۱%) and ۱۷۸۴۷ females (۴۴.۶۱%). We also had ۲۸ cases (۰.۰۷%) with testicular feminization. The age of all cases ranged from premature newborn to ۱۶ years old. There were ۵۲.۲% right sided hernia, ۳۴.۹۹% left sided hernia and ۱۲.۸% bilateral. ۵۹.۷۴% (۲۳۸۹۸) of the patients had predisposing factors. Most patients were managed as outpatients and about a third of them (۹۰۳۷ cases) needed hospitalization. Conclusion: In conclusion, although inguinal hernias are usually believed to be much more common in boys, girls also showed a high incidence in this study. Their occurrences among boys are in younger ages as compared to girls. In inguinal hernia repair, we should be careful about family history and predisposing factors, especially chronic constipation.

Achievement goals, Cheating Behavior