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

A Clinical Study and Management of Inguino-scrotal Swellings In Children

2018 ◽  
Vol 2 (S1) ◽  
pp. e000125
Author(s):  
Khyati Vaja ◽  
Mukesh Suvera
Keyword(s):  
Inguinal Hernia ◽  
Pediatric Surgery ◽  
Pediatric Patients ◽  
Undescended Testis ◽  
Length Of Hospital Stay ◽  
Indirect Inguinal Hernia ◽  
Short Term ◽  
One Year ◽  
Groin Hernias ◽  
Inguinal Hernia In Children

Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.

scholarly journals Functional testicular torsion secondary to an incarcerated inguinal hernia in a 4-month old: complete recovery at 18-hours

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Gregory M Taylor ◽  
Christian C Strachan
Keyword(s):  
Inguinal Hernia ◽  
Testicular Torsion ◽  
Pediatric Patients ◽  
Complete Recovery ◽  
Cord Compression ◽  
Acute Scrotum ◽  
Indirect Inguinal Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Scrotal Swelling ◽  
Urological Emergencies

Abstract One of the most common urological emergencies encountered in pediatric patients in the emergency department (ED) is the acute scrotum. We present the case of a 4-month-old male that presented to our community ED with scrotal swelling and vomiting of 16-hours duration. He was diagnosed with a functional testicular torsion from an incarcerated inguinal hernia, transferred to a hospital with pediatric urological capabilities and was taken to the operating room ~2 hours later. His hospital course was unremarkable, and he was discharged on day 3, having made a full recovery without any loss of bowel or testicle. There have only been a handful of cases in the literature of a pediatric patient presenting with a functional testicular torsion as a result of spermatic cord compression from an indirect inguinal hernia, with no reported cases of complete salvage at nearly 18 hours since symptom onset.

scholarly journals INGUINAL HERNIA REPAIR;

2014 ◽  
Vol 21 (06) ◽  
pp. 1144-1146
Author(s):  
Iftikhar Ahmed Bhatti
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Prosthetic Mesh ◽  
Indirect Inguinal Hernia ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Group A ◽  
Group B

Objective: To compare the results of Inguinal Hernia repair using commonly employed methods of Bassini’s and Mesh repair. Methodology: This study included 90 cases of hernia repair ranging over a period of 18 months from October 2008 to Mar 2010 at Social Security Hospital Lahore. All the cases were done by the consultants and senior surgeons. The methods of repair included Bassini’s and Hernioplasty with Prosthetic mesh. Results: Out of 90 patients, 88 were males (97.78%) and 02 were females (2.22%). Male – female ratio 45 : 1. The peak incidence was found in 3rd and 4th decades of life. 56(62.22%) had Rt.sided Inguinal hernia, 29 (32.22%) had Lt. sided and 5(5.56%) had bilateral Inguinal hernia. 72 patients (80%) had Indirect Inguinal hernia, 17 (18.89%) had direct inguinal hernia while 1(1.11%) had both types. All the cases were done under Spinal anaesthesia. The Bassini’s repair was performed in 50% cases, using non-absorble no. 1 Prolene interrupted suturing (Group- A). In the Group – B, 50% cases underwent Hernioplasty with prosthetic prolene mesh 6x11 cms. Post-operative follow up was done for a period of 01 year. In the group- A, 3 (6.67%) patients had recurrence and 3 (6.67%) had infection of the wound. In group – B, 01 patient (2.22%) got infected and none of the cases did not get recurrence over a period of 01 year. Conclusions: Hernioplasty with prosthetic mesh is a better treatment modality for inguinal hernia repair to get a low recurrence rate.

scholarly journals Laparoscopic Repair of Bilateral Inguinal Hernia in Female - A Case Report

2015 ◽  
Vol 3 (2) ◽  
pp. 79-80
Author(s):  
Samiron Kumar Mondal ◽  
Sharmistha Roy
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Laparoscopic Repair ◽  
Indirect Inguinal Hernia ◽  
Bilateral Inguinal Hernia ◽  
Male To Female

Inguinal hernia is relatively uncommon in female, as compared to in males. The ratio of male to female is 6:11. The reason behind that is favorable stronger inguinal anatomy in females. This is a case of 59 years old lady presenting with pain in groin diagnosed as case of bilateral indirect inguinal hernia and was treated successfully by laparoscopic transabdominal pre-peritoneal (TAPP) hernioplastyBangladesh Crit Care J September 2015; 3 (2): 79-80

Modified Marcy repair for indirect inguinal hernia in children: a 24-year single-center experience of 6826 pediatric patients

Surgery Today ◽  
2016 ◽  
Vol 47 (1) ◽  
pp. 108-113 ◽  
Author(s):  
Zenon Pogorelić ◽  
Marijana Rikalo ◽  
Miro Jukić ◽  
Josip Katić ◽  
Ivo Jurić ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Pediatric Patients ◽  
Indirect Inguinal Hernia ◽  
Single Center ◽  
Single Center Experience ◽  
Marcy Repair ◽  
Inguinal Hernia In Children

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
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