The incidence of inguinal hernia and associated risk factors of incarceration in pediatric inguinal hernia: a nation-wide longitudinal population-based study

Abstract

The cumulative incidence of inguinal hernia from birth to 15 years of age was 6.62 and 0.74 % in males and females, respectively. Incarceration was not related to prematurity or the waiting time for surgery.

Common urological problems in children: inguinoscrotal pathologies

“…For paediatric inguinal hernia, the cumulative incidence was reported to be 6.62% in boys up to 15 years old in a nationwide study in Taiwan: one in 15 boys would develop inguinal hernia before the age of 15 years. 2 Both inguinal hernia and hydrocoele occur because of non-closure of the processus vaginalis (patent processus vaginalis). The processus vaginalis forms an extension of the peritoneum during the time of testicular descent into the scrotum in the fetus.…”

“…2 In premature babies, the incidence is even higher with babies born less than 32 weeks of gestation having a reported incidence of 9.34%. Right-sided hernias are more common (ratios of right, left, and bilateral hernia are approximately 59%, 29%, and 12%, respectively).…”

“…Right-sided hernias are more common (ratios of right, left, and bilateral hernia are approximately 59%, 29%, and 12%, respectively). 4 Boys are affected around 10 times more often than girls 2 ; 99% of inguinal hernias in children are of the indirect type. 4 Hydrocoele is an abnormal collection of fluid along the processus vaginalis, and can be communicating or non-communicating.…”

“…2,11 As young children and infants have a higher risk of incarceration, it may be wise to arrange earlier operation. Surgery, however, should still be arranged as early as possible in an otherwise healthy child.…”

Management of Inguinal Hernia in Children

“…1 The incidence of inguinal hernia is approximately 3 to 4% in terms infants and 12% in infants borned premature. [2][3][4] As more infants survived in premature life, more hernias are diagnosed in this age group. Day care surgical repair of inguinal hernia was recommend since long in 1938 and now become a common practice.…”