|
|
Pediatric
Inguinal Hernia
Inguinal (or groin) Hernia is a common finding in infants and
children and represents the condition most frequently requiring
surgical repair in the pediatric age group. A hernia is basically a
hole or defect in the groin muscle layers that can allow
intraabdominal organs to protrude through. The incidence of inguinal
hernia varies with gestational age ranging from 9 to 11% in
premature infants to 3 to 5% in full-term babies. Inguinal hernias
are more common in males, tend to run in families, and are more
common on the right side.
The hernia will be noticed by the child or parent as a buldge in the
groin with or without associated pain. Often they are detected by
pediatricians or during routine sports physical examinations.
Unfortunately, some hernias go undiagnosed until complications
arise. The major risks in hernias requiring emergency surgery are:
incarceration, where the intestine becomes obstructed because it is
stuck in the hernia, and strangulation where the bowel becomes
gangrenous and this portion of the intestine needs to be removed.
The child can become very ill with vomiting and severe pain.
Emergency surgery in these cases has a postoperative complication
rate of 20% compared to 1% in elective surgery, therefore, elective
surgery is recommended.
All infants and older children without underlying medical illnesses
can and should undergo hernia repair in an outpatient setting.
Outpatient hernia repair in children is safe, effective, and well
tolerated. If you suspect your child has a hernia or your child’s
physician has diagnosed one, a surgeon who performs pediatric hernia
repair should see the child electively.
This medical update is provided to you by Dr. Mark E. Petrites. His
office is located in the Bonita Community Health Center.
Back to Nurse's
Corner |
|