Neonatal Inguinal Hernia Management
Since infants are now being discharged home at much lower weights there has been a trend towards postponing surgery for 1 2 months to allow further growth.
Neonatal inguinal hernia management. The herniasurge group has developed these extensive and inclusive guidelines for the management of adult groin hernia patients. Inguinal hernia repair in infants is a routine surgical procedure. You may be able to see the swelling more easily when the baby cries. Given the lack of compelling data consideration should be given to large prospective randomized controlled trials to determine best practices for the management.
Conducting research in the management of paediatric hernias. However numerous issues including timing of the repair the need to explore the contralateral groin use of laparoscopy and anesthetic approach remain unsettled. Advances in neonatal intensive care and improved survival of preterms have resurfaced the issue of dealing with such cases. A hernia is the protrusion of an organ such as the bowel through the wall of the cavity in which it normally resides 1 paediatric hernias are common developmental abnormalities which have different management from their adult equivalents.
Sometimes there are inguinal hernia complications. 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. This is described as being reducible. Assessment and management of inguinal hernia in infants aap clinical report inguinal hernia nih gov.
In a simple inguinal hernia the bowel can move freely in and out of the opening in the muscle wall. Inguinal hernias in premature infants are usually repaired prior to discharge from the neonatal intensive care unit nicu. They result from failure of closure of the processus vaginalis a covering or peritoneum that encloses the testicles during their descent into the scrotum. Inguinal hernias look like a bulge or swelling in the groin or scrotum.
Surgery management of inguinal hernia in the neonate. Conducting research in the management of paediatric hernias is challenging because of ethical considerations and variations in treatment practice. After an inguinal hernia repair most children do not have problems with this again. Inguinal herniae are common in preterm infants.
Inguinal hernias are slightly more common on the right side but may occur on the left or on both sides of the groin or scrotum. It may get smaller or go away when the baby relaxes. A hernia is the protrusion of an organ such as the bowel through the wall of the cavity in which it normally resides 1 paediatric hernias are common developmental abnormalities which have different management from their adult equivalents. More knowledge better training national audit and specialization in groin.