Reduction of paediatric inguinal hernias

Panabokke, Gayathri; Clifford, I; Craig, Simon; Nataraja, Ramesh M.

doi:10.1111/1742-6723.12549

Cited by 4 publications

(6 citation statements)

References 12 publications

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“…[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.…”

mentioning

confidence: 99%

“…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.…”

mentioning

confidence: 99%

“…[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.…”

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confidence: 99%

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Inguinal hernias in children

2020

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2020

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“…The primary concerns associated with pediatric IH are the risks of intestinal incarceration and potential strangulation [5, 6, 37]. Consequently, there is a potential risk of IH strangulation during the fetal period.…”

Section: Discussionmentioning

confidence: 99%

“…Failure of PV closure enables intraabdominal herniation through the deep inguinal ring, inguinal canal, and superficial inguinal ring into the scrotum [4, 5]. This is known as indirect IH, which is the most common type of pediatric IH, rather than the direct type, found in older patients [1, 6, 7].…”

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confidence: 99%

Fetal Inguinal Hernia: Case Report and Review of the Literature

Liberty,

Shweiki,

Nica

et al. 2023

Fetal Diagn Ther

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Fetal inguinal hernia (FIH) is a rare event, and only a few cases were published in the medical literature. In the present study, we aimed to characterize the sonographic features, clinical presentation, management, outcomes, and differential diagnoses of FIH. Accordingly, we reviewed all 17 cases of FIH published in the medical literature, including one new case evaluated by our group. All 17 cases (100%) were male, and FIH presented as a scrotal mass with a mean diameter of 38±9.5 mm. The right side was dominant (62%). Peristalsis was reported in 80% of the cases, and blood flow was reported in two-thirds. Most cases were diagnosed in the third trimester (88%) at a mean gestational age (GA) of 33.1±5.2W. Sixty percent of the cases had isolated FIH, and 40% had another sonographic or genetic abnormality. Three cases (18%) were syndromic with multiple malformations: trisomy 18, skeletal anomalies due to Jarcho-Levin syndrome, and undefined multiple joint contractures. Two cases (12%) had co-pathologies in the gastrointestinal tract: one had an echogenic bowel due to homozygosity for cystic fibrosis and the other had low anorectal malformation. Bowel loop dilatation was observed prenatally in both cases and in one isolated case (18%). GA at delivery was 38±1.8W, and the median time between diagnosis and delivery was 3 weeks. All three cases of neonatal death occurred in syndromic fetuses. All patients with non-syndromic inguinal hernias underwent definitive surgical repair at a median of 13 days postpartum. No signs of strangulation and only one case of edematous bowel without necrosis have been reported. In conclusion, FIH should be suspected in male fetuses when an intra-scrotal mass with peristalsis is diagnosed during the third trimester. Close follow-up until term in the absence of signs of bowel obstruction is reasonable, and in isolated FIH, the prognosis is favorable.

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Role of Emergency Laparoscopy in Pediatric Patients

Laverty,

Gallagher

2023

Hot Topics in Acute Care Surgery and Trauma

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Reduction of paediatric inguinal hernias

Cited by 4 publications

References 12 publications

Inguinal hernias in children

Inguinal hernias in children

Fetal Inguinal Hernia: Case Report and Review of the Literature

Role of Emergency Laparoscopy in Pediatric Patients

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