Management of paediatric hernia

Prevalence of surgically correctable conditions among children in a mixed urban-rural community in Nigeria using the SOSAS survey tool: Implications for paediatric surgical capacity-building

“…Among the 1883 children included in the study, the median age of respondents was 8.0 (IQR: 8.0, range: 5 months-18 years). Eighty-one surgical conditions were identified, the most common of which being umbilical hernias (20), inguinal hernias (13), and wound injuries to the extremities (9). The prevalence of common congenital conditions is shown in Table 1.…”

“…The prevalence of umbilical hernia has been estimated to be between 10% and 85%. [20] While most of these resolves spontaneously, some persist and require surgical correction. Health education during antenatal care on the proper care of the cord needs to be emphasised.…”

Inguinal hernias in children

“…1 The incidence in full-term babies is estimated at 1-5%, and it is six times more common in boys. [2][3][4] The small intestines are the most commonly herniated intra-abdominal content in boys. 5 In female infants, the ovaries are the most commonly herniated content; however, after one year of age, bowel becomes more common, and a herniated ovary in an adolescent would be extremely unlikely.…”

“…5 The incidence of right-sided hernias is more than three times that of left-sided hernias. [2][3] Bilateral hernias are more common in premature infants. 3,5 In a female full-term infant, bilateral inguinal hernias that may contain ovaries should prompt investigation for a possible androgen insensitivity syndrome.…”

The meaning of laparoscopic procedure against inguinal hernia

“…Herniorrhaphy is one of the most conventional surgical procedures against inguinal hernia (IH) for pediatric surgeons [1]. Traditionally, open surgery has been performed for IH; however, laparoscopy is currently being explored [2] as a treatment option [2][3][4][5].…”