scholarly journals TP7.2.6 Frequency of Obstructed Inguinal Hernia in Infants

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Farooq Abdullah ◽  
Nadia Gulnaz ◽  
Khawar Saeed
Keyword(s):  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Processus Vaginalis ◽  
Incarcerated Inguinal Hernia ◽  
Younger Age ◽  
Gender And Age ◽  
Female Children ◽  
Preterm Babies ◽  
The Mean ◽  
Inguinal Hernia In Children

Abstract Inguinal hernia in children is the result of the failure of obliteration of processus vaginalis or weakness of the abdominal wall. The incidence of inguinal hernia ranges from 0.8-5%. It is more common in preterm babies with an incidence of up to 30%.There is disagreement concerning the management of inguinal hernia in infants worldwide with few in favor of early repair of the hernia due to fear of incarceration while some are against it. This study was conducted to determine the frequency of intestinal obstruction in infants with an inguinal hernia for the development of a proper protocol for the management of inguinal hernias. Methods A total of 112 patients were included in the study. The patient’s gender and age were recorded. The presence of hernia was confirmed clinically and by performing an ultrasound. All the relevant data was recorded in a pre-designed printed proforma. Results In this study, 112 children were included. 73% of children were in the age between 1-6 months and 27% children were in age between 7-12 months. The mean age was 5 months ±5.87. Male children were 86% and female children were 14%. An obstructed inguinal hernia was observed in 11% of children while 89% of children didn’t have obstructed inguinal hernia. Conclusion Our study concludes that the frequency of incarcerated inguinal hernia was 11% in infants mostly occurring at a younger age and in male children.

The risk of developing a symptomatic inguinal hernia in children with an asymptomatic patent processus vaginalis

2017 ◽  
Vol 52 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Katrina L. Weaver ◽  
Ashwini S. Poola ◽  
Joanna L. Gould ◽  
Susan W. Sharp ◽  
Shawn D. St. Peter ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Processus Vaginalis ◽  
Patent Processus Vaginalis ◽  
Inguinal Hernia In Children

scholarly journals Manual Reduction of Incarcerated Inguinal Hernia in Children

2013 ◽  
Vol 32 (3) ◽  
pp. 229-232
Author(s):  
Bijay Thapa ◽  
Madhusudan Pun
Keyword(s):  
Inguinal Hernia ◽  
Indirect Inguinal Hernia ◽  
Female Ratio ◽  
Incarcerated Inguinal Hernia ◽  
Manual Reduction ◽  
Undergo Emergency Surgery ◽  
Hands On ◽  
Resection And Anastomosis ◽  
Male To Female ◽  
Inguinal Hernia In Children

Introduction: Incarceration of an indirect inguinal hernia in children is an acute emergency and one of the common complications that may occur before herniotomy. Inguinal hernias rarely go away, and therefore, virtually all should be repaired at any age of presentation. Incarcerated inguinal hernia can be reduced successfully by manual reduction if performed by experienced hands on time. The objective of this study was to assess the safety and efficacy of manual reduction of incarcerated indirect inguinal hernia. Materials and Methods: Thirty six patients who attended Emergency Department of Kanti Children’s Hospital over 30 months period from January 2009 to July 2011 were studied prospectively. All patients were diagnosed case of inguinal hernia and waiting for elective herniotomy. Results: There were 30(83.33%) males and 6(16.66%) females, with male-to-female ratio of 5:1. Right sided inguinal hernia was 20(55.5%) and left 16(44.44%). The ages ranged from 1.5 months to 28 months with mean age of 15 months. Time of incarceration ranged from 3 hours to 30 hours. Manual reduction was successful in 30(83.33%). Remaining six had to undergo emergency surgery. Four patients with edematous but viable hernial contents had successful surgical reduction. Two patients with gangrenous small bowel loops had bowel resection and anastomosis. Conclusion: Manual reduction is safe and effective when performed timely. Herniotomy should be done without delay once diagnosed to avoid unnecessary complications. DOI: http://dx.doi.org/10.3126/jnps.v32i3.6146 J. Nepal Paediatr. SocVol.32(3) 2012 229-232

scholarly journals Incarcerated Inguinal Hernia in Children

2010 ◽  
Vol 17 (3) ◽  
pp. 244-249 ◽  
Author(s):  
Z Turkyilmaz ◽  
K Sonmez ◽  
R Karabulut ◽  
B Demirogullari ◽  
IO Ozen ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Inguinal Hernia In Children

scholarly journals Laparoscopic treatment of inguinal hernia in female children – national experience

2021 ◽  
Vol 20 (1) ◽  
pp. 20-26
Author(s):  
Toni Risteski
Keyword(s):  
Inguinal Hernia ◽  
Open Repair ◽  
Average Length ◽  
Prospective Clinical Study ◽  
Indirect Inguinal Hernia ◽  
Group 4 ◽  
Repair Materials ◽  
Female Children ◽  
The Mean

Background. Although, laparoscopic inguinal hernia repair in children is gaining ground as a safe, feasible, and popular method, still many pediatric surgeons continue to debate its safety, efficacy, and cosmesis in comparison with conventional open repair. Materials and methods. This was a prospective clinical study, that elaborated 98 female children aged 1–14 with clinically diagnosed indirect inguinal hernia. Equal proportions of 49 children were treated via laparoscopic (PIRS) either conventional open repair (OR). Outpatient clinic follow up was performed regardless of the type of the intervention, on the 7th day and 6 weeks after discharge. Results. The mean age of children in PIRS vs. OR group was 5.3±2.7 vs. 5.9±3.3 years. There was no significant differences between the groups related to age (p = 0.4221), weight (p = 0.5482), family history (p = 0.5377), and residency rural/urban (p = 0.3161). The average length of unilateral vs. bilateral PIRS repair (29.5±6.8 vs. 43.6±7.2 min) was significantly shorter than OR (44±4.2 vs. 97±8.1 min) for consequently p = 0.0023 vs. p = 0.00001. The post-operative hospitalization after PIRS repair was 14.1±3.1 hours and was significantly shorter compared to OR – 44±4.2 hours (p = 0.00001). In OR group, 4 (8.2%) children had postoperative nausea compared to none in PIRS group. Significantly bigger cosmetic satisfaction was found in PIRS compared to OM group (p = 0.0001). Conclusion. With due respect to OR as a gold standard, the proven advantages of PIRS are motivation for further improvement of this technique for the purpose of treatment of inguinal hernia of female children.

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