The Treatment of Inguinal Hernia in Infants and Children

Potts, Willis J.; Riker, William L.; Lewis, James E.

doi:10.1097/00000658-195009000-00020

Cited by 115 publications

(38 citation statements)

References 1 publication

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“…Excellent results have been reported in the small indirect hernia group with nothing more than high ligation of the peritoneal sac 34 but we feel that any dilatation of the fascial abdominal inguinal ring should be corrected, even in infants. The protrusion of preperitoneal fat through the dilated abdominal ring in the postoperative period must surely be a basis for the development of a recurrent indirect inguinal hernia.…”

Section: Discussionmentioning

confidence: 61%

Inguinal and femoral Hernioplasty: The Evaluation of a Basic Concept

McVay¹,

Chapp²

1959

Journal of Occupational and Environmental Medicine

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Section: Discussionmentioning

confidence: 61%

Inguinal and femoral Hernioplasty: The Evaluation of a Basic Concept

McVay¹,

Chapp²

1959

Journal of Occupational and Environmental Medicine

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“…12 Scorer et al found that incidence of undescended testis was 30.3% in their study. 14 Duckett JW et al conducted 380 hernia operations in children during a period of 6 year.…”

Section: Associated Congenital Anomaliesmentioning

confidence: 80%

“…11 Potts WJ conducted studies on inguinal herniotomies in children below 12 years over a period of 5 years. 12 They found that 70% occurred on the right side and 9% associated with hydrocele. 17% was bilateral presentation.…”

Section: Side Distributionmentioning

confidence: 98%

A study of clinical evaluation and management of inguinoscrotal swelling in paediatric age group

Koranga

Chandrasekaran

2018

Int Surg J

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Background: Inguino-scrotal swellings are one of the commonest problems in infancy and childhood throughout the world. They represent the conditions most frequently requiring surgical repair in the paediatric age group. In many of these cases, clinical examination may sufﬁce to obtain a deﬁnite diagnosis, but when the diagnosis is inconclusive, ultrasonography can play an important role. Post-operative complications are usually rare following elective operation whereas minor complications do occur after emergency operation. In this study we evaluated various presentations of inguino-scrotal swellings, their management and complications in paediatric age group.Methods: This is a hospital based prospective study, to have an overview of a spectrum of the paediatric cases admitted in the department of surgery with inguino-scrotal swelling that includes 40 patients with age below 13 years, irrespective of sex. Data regarding clinical features, birth history, immunization, family history various blood and radiological investigations was noted. Incidences of associated anomalies, complications and any form of treatment given to the patient were recorded and findings were analysed.Results: Out of 40 cases, all were males with maximum number of cases between the age group of 3-4 years.24 cases were right sided, 12 left sided and 4 bilateral. Hydrocele was associated with 10 of the cases, undescended testis with 2 cases and 1 had encysted hydrocele of the cord. There were no complicated cases like incarceration, obstruction or strangulation. Post-operative complications were noted in 4 cases, out of which 2 were wound haematoma and one case each of wound infection and stitch granuloma.Conclusions: Childhood inguinal hernias are more common on right side due to delay in descent of right testis and males are more commonly affected. Congenital hydrocele may involutes spontaneously, so we should observed at least upto 1 year of age before considering repair but not in the case of congenital inguinal hernia. Inguinal herniotomy in children is a safe and effective operation.

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“…Laparoscopic pediatric hernia repairs is beneficial in bilateral hernia of girls, giant hernia, recurrent following failed repair and in hernia associated with undescended testis or ambiguous genitalia [7]. Safety and efficacy of laparoscopic hernia repair especially in female patients and in patients with initial left sided hernia [24].…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally, it is operated upon by open inguinal incision. However, with the introduction of laparoscopic repair, opinion of scientific community is divided concerning the best method of pediatric herniotomy [7]. Relatively small number prefer a laparoscopic repair over traditional open repair [5].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Herniotomy – A Single Centre Study of 150 Cases

Verma¹

2017

AJCEM

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Pediatric patients presenting as inguinal hernia or congenital hydrocele is common ailment encountered in surgical practice and herniotomy is a very common surgical procedure performed. Open procedure is gradually being replaced by laparoscopic approach because of the distinct advantages of early recovery, short stay and better cosmetic results. 150 pediatric patients of inguinal hernia or congenital hydrocele were subject of this study. These patients were subjected to laparoscopic herniotomy performed at the neck of the sac and proximal part of peritoneum was closed with non-absorbable polypropyelene suture with aspiration of scrotal sac, if required. Average age of patients was 6.5 year with 93.35% male. 70.6% had inguinal hernia and 29.4% had congenital hydrocele). 68% patients had right sided and 10.6% clinically bilateral lesion. Operating time was 25 minutes in unilateral and 34.8 minutes in bilateral procedure. Postoperative stay was 1.06 days. No intraoperative complication was noted. Recurrence rate was 1.33% and conversion rate was 0.66%. Laparoscopic herniotomy is safe, well tolerated and effective procedure with early recovery, short operating time, less postoperative pain, free of complication, shorter post-operative hospital stay and very low recurrence. It can detect contralateral patent processus vaginalis and bilateral closure of it can be done through same approach.

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The Treatment of Inguinal Hernia in Infants and Children

Cited by 115 publications

References 1 publication

Inguinal and femoral Hernioplasty: The Evaluation of a Basic Concept

Inguinal and femoral Hernioplasty: The Evaluation of a Basic Concept

A study of clinical evaluation and management of inguinoscrotal swelling in paediatric age group

Laparoscopic Herniotomy – A Single Centre Study of 150 Cases

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