Testicular Infarction in Infancy: Its Association With Irreducible Inguinal Hernia

Jg, Sloman

doi:10.5694/j.1326-5377.1958.tb86226.x

Cited by 26 publications

(5 citation statements)

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“…This higher rate of incarceration in small infants is 2-5 times that of the 6-18% rate reported in older children by several authors (Table 1) [4,[8][9][10]. Sloman and Mylius [11] reported a 30% rate of gonadal infarction in infants younger than 3 months of age. This compared to a 7-14% rate of gonadal infarction associated with irreducible incarceration in the general pediatric population [4,12,13].…”

Section: Complicationsmentioning

confidence: 57%

Current concepts in inguinal hernia in infants and children

Grosfeld

1989

World j. surg.

147

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Trends are changing in the management of infants and children with indirect inguinal hernias. Advances in neonatal intensive care have resulted in the survival of many small premature infants who have a high incidence of inguinal hernia. The rate of incarceration, strangulation, and gonadal infarction in these babies is twice that of the general pediatric age group. Respiratory immaturity, apnea, bradycardia, and associated neonatal conditions require special management at the time of hernia repair, usually performed just before discharge from the neonatal intensive care unit. New information concerning volume loss and depletion of germ cells beginning at 6 months of age in boys with undescended testes has stimulated the performance of orchiopexy when the patient is 1 year of age. More than 90% of boys with cryptorchid testes at the age of 1 year have an associated hernia that requires concomitant repair at the time of orchiopexy. The use of the peritoneal cavity for fluid absorptive purposes in hydrocephalus treated by venticuloperitoneal shunts or of peritoneal dialysis for renal failure and metabolic diseases such as hyperammonemia and lactic acidosis causes increased intraabdominal pressure and results in the appearance of a previously unrecognized hernia. Recognition of these and other conditions associated with a high incidence of hernial occurrence should allow early diagnosis and treatment before the development of complications. Most elective repairs of hernias are safely performed in the outpatient setting; however, some infants and children with concurrent illnesses are best managed in a "morning admissions" program, in which hospital admission occurs postoperatively.

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Section: Complicationsmentioning

confidence: 57%

Current concepts in inguinal hernia in infants and children

Grosfeld

1989

World j. surg.

147

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“…This is significantly higher in premature infants, with a referred incidence of 31% or 2 -5 times more than the 6% -18% rate reported in older children [48]- [50]. In addition, there is a risk of gonadal infarction ranging from 22% for premature infants [51] to 30% for infants less than 3 months of age [52] when compared to 7% -14% with irreducible incarceration in the general pediatric population [51]- [53]. Similarly to males, small girls with an IH containing ovary and fallopian tubes are at risk of compression or torsion of the gonadal structures, leading to ischemic infarction of the ovary [54].…”

Section: Time To Treatmentmentioning

confidence: 92%

Current Trends in the Management of Inguinal Hernia in Children

Zavras¹,

Christou²,

Misiakos³

et al. 2014

IJCM

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Inguinal hernia repairs in one of the most common surgical procedures in the pediatric population. Its diagnosis is made easily and the repair is usually performed by open surgery and with low complications rates. However, a substantial number of topics concerning anesthetic management, the precise time of operation especially in premature and high-risk infants, and the need of contralateral exploration have not yet been resolved. Recently, the introduction of laparoscopic repair seems to play a significant role regarding the safety, the examination and possible simultaneously repair of the contralateral groin, and the better cosmetic results. In this review, the current trends of the above mentioned topics will be discussed.

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“…During infancy, and particularly in the newborn, a strangulated indirect inguinal hernia is not infrequently accompanied by infarction of the testis (Sloman and Mylius, 1958), due to the anatomical arrangement of the testicular vessels. The spermatic cord is often intrasaccular, lying in a mesentery within the wall of the hernia, and is thus vulnerable to pressure by its contents.…”

Section: Torsion Of the Testismentioning

confidence: 99%

Torsion of the Testis and its Appendages During Childhood

Jones¹

1962

Archives of Disease in Childhood

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Testicular Infarction in Infancy: Its Association With Irreducible Inguinal Hernia

Cited by 26 publications

References 0 publications

Current concepts in inguinal hernia in infants and children

Current concepts in inguinal hernia in infants and children

Current Trends in the Management of Inguinal Hernia in Children

Torsion of the Testis and its Appendages During Childhood

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