Management Of Inguinal Hernia In Infants
Inguinal hernia repair in infants is a routine surgical procedure.
Management of inguinal hernia in infants. Inguinal hernias usually occur in newborns. Given the lack of compelling data consideration should be given to. But rarely a hernia can come back and a surgeon will need to see your child again. However numerous issues including timing of the repair the need to explore the contralateral groin use of laparoscopy and anesthetic approach remain unsettled.
Inguinal hernia is a common paediatric surgical problem. Key points about an inguinal hernia in children. Inguinal hernia repair in infants is a routine surgical procedure. 1 the incidence in full term babies is estimated at 1 5 and it is six times more common in boys.
The epidemiology clinical presentation and management of inguinal hernia in children will be reviewed here. The management of inguinal hernia in premature infants is slowly drifting from urgent exploration surgery before discharge to readmission and elective surgery weighing the balance between risk of incarceration and anesthesia. 5 in female infants the ovaries are the most commonly herniated content. However after one year of age bowel becomes more common and a.
Assessment and management of inguinal hernia in infants aap clinical report inguinal hernia nih gov. However numerous issues including timing of the repair the need to explore the contralateral groin use of laparoscopy and anesthetic approach remain unsettled. Babies born early or who have a family history of hernias are more likely to develop one. When that happens in the groin area it s called an inguinal hernia.
Inguinal hernia occurs more commonly in premature infants than in the general population with a reported incidence being up to 30 controversial issues in the management of inguinal hernia in premature infants include timing of repair the need for contralateral inguinal exploration and the minimum postconceptional age pca for day surgery repair. After an inguinal hernia repair most children do not have problems with this again. A hernia occurs when a part of the intestine pushes through a weakness in the belly muscles. The evaluation of inguinal swelling and the causes and evaluation of scrotal pain and swelling in children and adolescents are discussed separately.
It is important to differentiate between a hernia and a. A palpable hernia in a female could represent an ovary. Given the lack of compelling data consideration should be given to large prospective randomized controlled trials to determine best practices for the management. Refer all infant patients to secondary care as the incidence of incarceration in infants ranges from 3 to 16 and can be up to 31 in premature infants in the first year of life 7 26 older children with a n asymptomatic inguinal hernia should be r eferred on a routine basis with the risk of incarceration decreasing with age.
Advances in neonatal intensive care and improved survival of preterms have resurfaced the issue of dealing with such cases.