scholarly journals A study of clinical analysis and management of lnguinoscrotal swelling in paediatric age group

2021 ◽  
Vol 8 (11) ◽  
pp. 3335
Author(s):  
Mukesh Suvera ◽  
Pranay Chaudhari ◽  
Shreyakumari Patel
Keyword(s):  
Inguinal Hernia ◽  
Emergency Operation ◽  
Clinical Analysis ◽  
Age Group ◽  
Distribution Management ◽  
Delay In Diagnosis ◽  
Infancy And Childhood ◽  
Paediatric Age ◽  
The Right ◽  
Irreducible Hernia

Background: Inguinoscrotal swellings are one of the commonest congenital problems in infancy and childhood. Delay in diagnosis and treatment leads to loss of testis, ovaries or portion of bowel to incarceration or strangulation. This study was undertaken for clinical evaluation of age, sex, sidewise distribution management and management of complications.Methods: Retrospective observational study done from April 2011 to March 2019. Children with age from 1 month to 12 years presenting with inguinoscrotal swelling Results: In Total 174 children had inguinoscrotal swelling which include 155 (89%) male children and 19 (11%) female children. Most of the patients presented in 2 to 5 years (41%) age group out of 114 case of inguinal hernia include 63 on right,47 on left and 4 bilateral and 60 case of hydrocele 48  on right,10 on left and 2 bilateral.0ut of 174 children 16 were discharge on same day of surgery. Out of 174 children 1 patient had taken as emergency operation due to irreducible hernia. Conclusions: Inguinal hernia and hydrocele in children remain one of the most common congenital problems observed by surgeons. The childhood inguinoscrotal swellings are generally more predominant on the right side and this has been attributed to the delay in descent of the right testis. Regarding the sex prevalence, males are more commonly affected. Inguinal herniotomy in children is a safe and effective operation done as day care procedure.

scholarly journals A study of clinical evaluation and management of inguinoscrotal swelling in paediatric age group

2018 ◽  
Vol 5 (6) ◽  
pp. 2097
Author(s):  
Himadra Koranga ◽  
R. Chandrasekaran
Keyword(s):  
Undescended Testis ◽  
Surgical Repair ◽  
Emergency Operation ◽  
Age Group ◽  
Infancy And Childhood ◽  
Operative Complications ◽  
Paediatric Age ◽  
Hernia Inguinal ◽  
Scrotal Swelling ◽  
Post Operative Complications

Background: Inguino-scrotal swellings are one of the commonest problems in infancy and childhood throughout the world. They represent the conditions most frequently requiring surgical repair in the paediatric age group.  In many of these cases, clinical examination may suffice to obtain a definite diagnosis, but when the diagnosis is inconclusive, ultrasonography can play an important role. Post-operative complications are usually rare following elective operation whereas minor complications do occur after emergency operation. In this study we evaluated various presentations of inguino-scrotal swellings, their management and complications in paediatric age group.Methods: This is a hospital based prospective study, to have an overview of a spectrum of the paediatric cases admitted in the department of surgery with inguino-scrotal swelling that includes 40 patients with age below 13 years, irrespective of sex. Data regarding clinical features, birth history, immunization, family history various blood and radiological investigations was noted. Incidences of associated anomalies, complications and any form of treatment given to the patient were recorded and findings were analysed.Results: Out of 40 cases, all were males with maximum number of cases between the age group of 3-4 years.24 cases were right sided, 12 left sided and 4 bilateral. Hydrocele was associated with 10 of the cases, undescended testis with 2 cases and 1 had encysted hydrocele of the cord. There were no complicated cases like incarceration, obstruction or strangulation. Post-operative complications were noted in 4 cases, out of which 2 were wound haematoma and one case each of wound infection and stitch granuloma.Conclusions: Childhood inguinal hernias are more common on right side due to delay in descent of right testis and males are more commonly affected. Congenital hydrocele may involutes spontaneously, so we should observed at least upto 1 year of age before considering repair but not in the case of congenital inguinal hernia. Inguinal herniotomy in children is a safe and effective operation.

scholarly journals A study of inguinal hernia in children

2018 ◽  
Vol 5 (7) ◽  
pp. 2558
Author(s):  
Rakesh Kumar ◽  
Vijay Shankar Prasad
Keyword(s):  
Inguinal Hernia ◽  
Elective Surgery ◽  
High Ligation ◽  
Indirect Hernia ◽  
Delay In Diagnosis ◽  
New Born ◽  
Infancy And Childhood ◽  
The World ◽  
The Right ◽  
Surgical Condition

Background: Inguinoscrotal swellings are one of the commonest anomalies in infancy and childhood throughout the world. Delay in diagnosis and treatment leads to loss of testis, ovaries or portion of bowel to incarceration or strangulation. This study was undertaken to evaluate the age, sex and sidewise distribution and the complications like incarceration, strangulation and gonadal infarction.Methods: A total of 50 children were selected ranging in age from new born to 12 years presenting with inguinoscrotal swelling which were examined, followed up and managed.Results: The inguinal hernia was most common among male children (92%) thereby giving a ratio of M: F=11.5:1. The children were aged new born -12 years and most of the patients presented around 2 to 7(46%) years and prematurity noticed in 10% of cases. Right sided (64%) inguinal hernia was more common than left (28%). In this study indirect hernia is 98% and direct is 2%. In 16 cases of hydrocele, 10 were on the left side and 6 were on the right and 6 cases were encysted hydrocele. High ligation at the level of deep ring was done in all the cases. In this series of 50 children, there were 2 cases of incarceration. But none had strangulation and gonadal infarction.Conclusions: Inguinal hernia is a common surgical condition in children. Elective surgery is associated with minimal complications. Incarceration is more common in infancy with chances of recurrence if explored in emergency. 

scholarly journals CONCEPTIUAL STUDY ON GANDHAKA KALPA AND PATHYADI LEPA IN THE MANAGEMENT OF VICHARCHIKA W.S.R ECZEMA

2020 ◽  
Vol 8 (10) ◽  
pp. 4818-4823
Author(s):  
Suhasini R. D ◽  
Shankar Gouda
Keyword(s):  
Skin Disease ◽  
Skin Diseases ◽  
Medical Science ◽  
Cost Effective ◽  
Age Group ◽  
Treat Ment ◽  
Infancy And Childhood ◽  
Paediatric Age ◽  
Great Advance

Vicharchika is described under Kshudra Kustha by most of the Acharya’s. Kashyapa described Vicharchika in Sadhya Kustha. In ancient time also skin diseases were very common. Acharya’s described skin diseases and their treatment in detail. In present era also, skin diseases are very common in all age group, especially paediatric age group. One among them is eczema. Eczema is most common chronic re-lapsing skin disease seen in infancy and childhood. Despite of great advance in dermatology and the ad-vent of higher potency antibiotics, antifungal as well as steroids, Eczema continues to defy the best effect of dermatologists. Drug (Dravya) is one among the Chikitsa Catuspada and is having the next place after the physician. Medication is considered as Karana (means) for producing Dhatusamya and defined as “Anything which is utilized by the physician for restoring the equilibrium of body elements”. Anything be-sides the source of action, endeavour, place and time which sub serves the same purpose, is also medica-tion. Management of Vicharchika includes Shodhana, Shamana and Bahirparimarjana Chikitsa among them Shamana in the form of khalvi Rasayana & Bahirparimarjana Chikitsa as Lepa has shown apprecia-ble result in many previous researches. So, need of time is to go for cost effective, safe and efficient treat-ment of Vicharchika. Although, there are many drugs available in modern medical science for the treat-ment of eczema which is found to be effective but is unsatisfactory for long term prophylaxis, so there is need of the hour to look into the safe, efficient & satisfactory remedy which not only treat the above ail-ments, but also ensure reduction in the episodes of relapse of the disease. Keeping all the above points in mind Gandhaka Kalpa & Pathyadi lepa has been selected to know its efficacy in treating Vicharchika. Gandhaka Kalpa & Pathyadi lepa consists of 9 drugs with different properties which includes Gandhaka, Amalaki, Haritaki, karanja, Siddhartha, Haridra, Bakuchi, SaindhavaLavana, Vidanga.

Diaphragmatic Pathology: A cause of clinically unexplained death in the perinatal/paediatric age group

2005 ◽  
Vol 45 (2) ◽  
pp. 110-114 ◽  
Author(s):  
S Sundararajan ◽  
N S Ostojic ◽  
D I Rushton ◽  
P M Cox ◽  
P Acland
Keyword(s):  
Cause Of Death ◽  
Respiratory Arrest ◽  
Age Group ◽  
Post Mortem ◽  
Unexpected Death ◽  
Unexplained Death ◽  
Infancy And Childhood ◽  
Paediatric Age ◽  
Significant Pathology ◽  
Underlying Cause Of Death

Sudden unexpected death in infancy and childhood requires a `full' post-mortem investigation. Guidance from the Royal College of Pathologists recommends sampling of all the major organs. However, the diaphragm does not feature in this or in most lists of routine histology. Our aim is to emphasize the importance of sampling the diaphragm for histological examination during autopsy. We describe three autopsy cases of clinically unexplained death in the perinatal and paediatric age group that showed significant pathology of the diaphragm. In Case 1, a previously healthy five-year-old girl collapsed suddenly and died four days later. In Case 2, an eight-month-old infant had repeated episodes of respiratory arrest that culminated in death. Autopsy demonstrated a predominantly diaphragmatic myositis. In Case 3 a female neonate had a respiratory arrest three days after birth and died less than a month later. Autopsy showed multiple large calcified necrotic fibres in the diaphragm. The diaphragm is seldom sampled at autopsy. In the first two cases a predominantly diaphragmatic myositis was either the direct or underlying cause of death. In the third case long-standing diaphragmatic pathology of uncertain cause may have contributed to the original respiratory arrest. Had the diaphragm not been examined histologically, the cause of death would have remained unascertained in these cases. In cases of sudden death in infancy and childhood, failure to reach a diagnosis may lead to undue suspicion falling upon the child's carers. This underscores the need for full histology at post-mortem in child deaths, including diaphragmatic sampling.

scholarly journals Multiple foreign body aspiration: a case report

2020 ◽  
Vol 16 (3) ◽  
pp. 325-328
Author(s):  
Aranjit Singh Randhawa ◽  
◽  
Norhafiza Mat Lazim ◽  
Khairul Bariah Noh ◽  
Irfan Mohamad ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Tracheobronchial Tree ◽  
Foreign Body Aspiration ◽  
High Morbidity ◽  
Age Group ◽  
Delay In Diagnosis ◽  
Cardiopulmonary Complications ◽  
Paediatric Age ◽  
Group A

Foreign body in the tracheobronchial tree is an emergency commonly affecting the paediatric age group. A delay in diagnosis and removal may cause high morbidity and mortality. We report a case of a 1-year-6-month-old presenting with multiple peanuts aspirated into both lungs, ultimately resulting in death due to cardiopulmonary complications. The aim of the case report is to highlight the importance of thorough history-taking from parents, intraoperative suspicion of more than a single aspirated foreign body, and meticulous measurements taken to minimise extraction time.

Endocarditis of a congenital coronary fistula in a child

2017 ◽  
Vol 28 (2) ◽  
pp. 334-337 ◽  
Author(s):  
Thomas Krasemann ◽  
Ingrid M. van Beynum ◽  
Ingrid M. E. Frohn-Mulder ◽  
Michiel Dalinghaus
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Right Atrium ◽  
Age Group ◽  
Coronary Fistula ◽  
Vascular Plug ◽  
Caval Vein ◽  
Superior Caval Vein ◽  
Paediatric Age ◽  
The Right

AbstractEndocarditis of congenital coronary fistulas in the cardiac chambers is rare, especially in the paediatric age group. We describe the case of a 9-year-old boy with a fistula from the dilated right coronary artery to the junction of the superior caval vein to the right atrium, complicated by endocarditis. Treatment consisted of 6 weeks of antibiotics and interventional closure of the fistula 3 months later with an Amplatzer vascular plug.

scholarly journals Reduction en masse of inguinal hernia after self-reduction: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Khosrow Najjari ◽  
Hossein zabihi Mahmoudabadi ◽  
Seyed Zeynab Seyedjavadeyn ◽  
Reza Hajebi
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Ct Scan ◽  
Lower Quadrant ◽  
Case Presentation ◽  
Delay In Diagnosis ◽  
Patient Reported ◽  
History Of ◽  
Old Persian ◽  
The Right

Abstract Background Reduction en mass (REM) is one of the rare complications of inguinal hernia reduction. Although REM can be detected on the basis of specific computed tomography (CT) scan findings, many radiologists are not familiar with its radiological appearance because of the scarcity of this complication, which may cause a delay in diagnosis. Case presentation The patient reported in this article was a 50-year-old Persian man with a history of inguinal hernia, who had been referred with the periumbilical pain that radiated to the right lower quadrant and developed following hernia replacement by the patient himself. REM diagnosis was based on clinical examination and CT scan findings, and surgical treatment was performed by the Lichtenstein repair and mesh implantation. Conclusions Although REM usually occurs after reduction with compression in the inguinal hernia, this unique case report highlighted the possibility of REM after self-reduction. Surgeons and radiologists should consider REM in patients with a history of inguinal hernia presenting with intestinal obstruction symptoms, even without any apparent signs of hernia in the physical examination.

scholarly journals A comparative study between laparoscopic hernia repair and open herniotomy of inguinal hernia in paediatric age group: A prospective randomized controlled study

2021 ◽  
pp. 24
Author(s):  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Pain Assessment ◽  
Laparoscopic Hernia Repair ◽  
Controlled Study ◽  
Group Method ◽  
Healthy Children ◽  
Age Group ◽  
Post Operative Pain ◽  
Paediatric Age

Background: Inguinal hernia in children remains one of the most common congenital anomaly observed by surgeons. Prompt diagnosis and early treatment of the inguinal hernia continues to be the mainstay to avoid the complications. The present study was undertaken to compare the effectiveness of laparoscopic hernia repair and open herniotomy of inguinal hernia in paediatric age group. Method: A total 104 healthy children of age <12 years diagnosed with inguinal hernias were alternately randomized into two equal groups, 52 patients were treated by laparoscopic method and 52 patients were treated by open herniotomy method. The outcome of two techniques compare were operative time, recovery and discharge within 24 hours, post-operative pain assessment, cosmesis and complications. Results: The mean operating time for open herniotomy was significantly less (36.69) as compared to that for laparoscopic hernia group (66.98). Recovery and discharge within 24 hours of patients undergoing laparoscopic hernia repair were significantly more (78.85%) than the open herniotomy group (57.69%). The CHIPPS for post-operative pain assessment were 5.28 for open herniotomy Vs 5.07 for laparoscopic hernia repair. FLACC tool for postoperative and periprocedural pain assessment was 4.75 for open hernioromy Vs 4.61 for laparoscopic hernia repair. The excellent cosmesis after laparoscopic procedure, whereas good cosmesis after open procedure among all subjects from respective groups. The complications including scrotal edema, erythema, hydrocele and recurrence were not significantly different in the two groups. Conclusion: The study concludes that the well performed conventional herniotomy yields results similar to those of laparoscopic repair.

scholarly journals POLA HERNIA INGUINALIS LATERALIS DI RSUP PROF. DR. R. D. KANDOU MANADO PERIODE AGUSTUS 2012 – JULI 2014

e-CliniC ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Claudia G. Rawis ◽  
Hilman P. Limpeleh ◽  
Paul A. V. Wowiling
Keyword(s):  
Inguinal Hernia ◽  
Abdominal Wall ◽  
General Hospital ◽  
Secondary Data ◽  
Descriptive Study ◽  
Inguinal Region ◽  
Age Group ◽  
Hernia Inguinalis ◽  
Male Sex ◽  
The Right

Abstract: Lateral inguinal hernia is a protrusion of the abdominal wall that occurs in the inguinal region adjacent to the lateral inferior epigastric vessels. This hernia can occur due to congenital or acquired causes. Approximately 80-90% of laateral inguinal hernia was found in men and 10% in women. This study aimed to determine the pattern of lateral inguinal hernia in Prof. Dr. R. D. Kandou Manado period August 2012 - July 2014. This was a retrospective descriptive study using secondary data of lateral inguinal hernia patients in the Prof. Dr. R. D. Kandou General Hospital Manado. The results showed that there were 146 lateral inguinal hernia patients in Prof. Dr. R. D. Kandou General Hospital Manado during the period August 2012 - July 2014. The most common age group was elderly (27.4%). Male sex was the majority of the lateral inguinal hernia patients (99.3%). Patients with the layout of the lateral inguinal hernia on the right were the most cases (60.3%). The type according to the progress of the hernia was reponible (74.0%). The most frequent management of the lateral inguinal hernia patients was herniotomy with the use of mesh (73.3%).Keywords: hernia, pattern of lateral inguinal herniaAbstrak: Hernia inguinalis lateralis adalah suatu penonjolan dinding perut yang terjadi di daerah inguinal sebelah lateral pembuluh epigastrika inferior. Penyebab hernia inguinalis lateralis yaitu kongenital atau karena sebab yang didapat. Sekitar 80-90% ditemukan pada laki-laki dan 10% pada perempuan. Penelitian ini bertujuan untuk mengetahui pola hernia inguinalis lateralis di RSUP Prof. Dr. R. D. Kandou Manado periode Agustus 2012 – Juli 2014. Penelitian ini bersifat deskriptif retrospektif menggunakan data sekunder pasien hernia inguinalis lateralis di RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian memperlihatkan 146 pasien hernia inguinalis lateralis di RSUP Prof. Dr. R. D. Kandou Manado selama periode waktu tersebut. Kelompok umur tersering ialah manula atau >65 tahun (27,4%). Jenis kelamin laki-laki merupakan mayoritas (99,3%). Pasien hernia inguinalis lateralis dengan letak di sebelah kanan merupakan kasus terbanyak (60,3%). Jenis menurut perlangsungan hernia yang tersering ialah hernia inguinalis lateralis reponibel (74,0%). Penanganan hernia inguinalis lateralis yang paling sering dilakukan ialah herniotomi disertai penggunaan mesh (73,3%).Kata kunci: hernia, pola hernia inguinalis lateralis

scholarly journals Massive epistaxis secondary to an impacted rhinolith in mentally disabled patient

2020 ◽  
Vol 6 (2) ◽  
pp. 391
Author(s):  
Nikma Fadlati Binti Umar ◽  
Ramiza Ramza Ramli
Keyword(s):  
Foreign Body ◽  
Middle Turbinate ◽  
Age Group ◽  
Disable Patient ◽  
Mentally Disabled ◽  
The Past ◽  
Paediatric Age ◽  
History Of ◽  
The Right ◽  
Multiple Episodes

<p class="abstract">Foreign body nose commonly seen in paediatric age group. In mentally disable patient this may occur and become asymptomatic for many years. We reported mentally disable patient presented with massive epistaxis and history of multiple episodes of foul-smelling discharge from his right nose for the past 20 years. After epistaxis resolved during nasal endoscopy noted impacted rhinolith foreign body in between the septum and the right middle turbinate. Rhinolith successful removed using bent tip of Jobson-Horne probe in otorhinolaryngology, head and neck clinic.</p>

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