Irreducible inguinal hernia in children: how serious is it?

Houben, Christoph H.; Chan, Kin Wai; Mou, Jennifer Wai Cheung; Tam, Yuk Huk; Lee, Kim Hung

doi:10.1016/j.jpedsurg.2014.10.018

Cited by 32 publications

(29 citation statements)

References 21 publications

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“…In this study, 13.8% of the patients treated on account of childhood inguinal hernia presented with incarceration. This proportion, similar to the 14% incarceration rate reported in Ilorin -a city with similar socioeconomic and health indices as Ibadan, is much higher than 1.6% to 9% reported from centres in more developed countries with comparable hernia case loads 10,11,12 . The proportion is on the other hand, similar to the 12% rate reported amongst 6361 children with inguinal hernias treated by a single surgeon over a period of 35 years in Toronto, Canada.…”

Section: Discussionsupporting

confidence: 75%

“…This has helped in the cohort of patients to avoid the risk of reducing a gangrenous bowel into the abdomen. It has been accepted in principle by paediatric surgeons that since this event could occur, a child who has had manual reduction of an incarcerated hernia should be observed closely over a period of 24 to 48 hours for features of peritonitis 7,11,17 .…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

Lawal¹,

Olulana²,

Ogundoyin³

et al. 2017

East. Cent. Afr. J. Surg.

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Background: In patients with incarcerated inguinal hernia, initial manual reduction, which is not always feasible, rather than immediate surgery, is associated with fewer complications. The aim of the study was to evaluate factors associated with successful manual reduction of incarcerated inguinal hernia in children. Methods: A prospective cohort study between January 2010 and December 2014 of children admitted with incarcerated inguinal hernia to a single surgical unit. Results: A total of 34 patients with a median age of 4.2 months (range: 2 weeks to 14 years) were recruited. Manual reduction was attempted in 23 (67.6%) patients and successful in 13 (56.5%). A total of 9 (26.5%) patients had bowel strangulation. Shorter incarceration (median of 18.2 vs. 48.4 hours, p = 0.004) and longer duration of previous swelling (median of 20 vs. 3.5 weeks, p = 0.029) were associated with successful manual reduction. Bowel strangulation rate was higher amongst patients excluded from manual reduction, using the set criteria, compared to those who had failed reduction (77.8% vs. 22.2%, p = 0.044). Conclusions: Manual reduction is more likely to be successful in patients who present early after incarceration as well as those with wider internal rings.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

Lawal¹,

Olulana²,

Ogundoyin³

et al. 2017

East. Cent. Afr. J. Surg.

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“…Some investigators have tried to depict the laparoscopic approach and open surgery in the management of intussusception as competing entities . The results of this study and experience with laparoscopy in other fields, for example, the management of irreducible inguinal hernia, favour the view that the two approaches complement each other …”

Section: Discussionmentioning

confidence: 89%

What is the role of laparoscopic surgery in intussusception?

Houben

Feng

Tang

et al. 2015

ANZ Journal of Surgery

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“…27 Fifteen per cent of reduced incarcerated hernias will re-incarcerate within five days if not repaired, so discuss any patient presenting with incarceration or strangulation with the on-call paediatric surgical team. 7 27 They will assess how quickly the hernia needs to be repaired…”

Section: Incarcerated or Strangulated Herniasmentioning

confidence: 99%