Inguinal hernia (inguinal hernias as other anatomic terms) are also commonly known as bowel or crashed hernia, is meant in the groin hernia, inguinal refers to a junction in the abdomen and thighs near the abdomen conduit, the conduit for the boys through the spermatic cord, there are girls in the ovary through the round ligament, which means that the hernia bulge, bulging, prominent. So inguinal hernia in the groin area refers to have abnormal bulging and swelling, both men and women will appear the disease. At the same time, this disease can occur at any age (newborn to the elderly), groin on both sides, both sides are likely to occur.
[Incidence? ]
The incidence of children, foreign statistics about one percent to five percent, more boys than girls, ten reports from about three to one ratio of a person has, but its etiology in children during embryonic development the residue did not disappear down tube bag-peritoneum, the peritoneal tube bag-like anatomical name is called vaginalis (processus vaginalis) , which extends from the abdominal wall and peritoneum away the next round the spermatic cord or ovarian ligament, thus creating a the abdominal wall and the abdominal cavity and has a passage communicating the scrotum, so abdominal organs such as the intestines, ovaries or omental abdominal wall may be protruded by this channel, sometimes went scrotum (FIG.), is due to the formation through the hernia congenital left behind bag-shaped tube intraperitoneal, therefore considered indirect hernia, unlike direct abdominal wall hernia defect or weakness formed (that occur more frequently in the elderly or for heavy workers).
[Treatment] to the child
Therefore, a more direct child inguinal hernia Simplex therapeutically, without repair of the abdominal wall is weak, only open at the groin about 1 cm long small wounds, even smaller girls, this channel outside the abdominal wall isolated, this bag-like tube and remove the peritoneum, shorter operative time and postoperative pain time is shorter with smaller and older, children often will bounce on the second day, is not painful, recovery is faster, at the same time and less recurrence, without hospitalization, but still delicate surgical techniques, it should find a special pediatric surgeons surgery.
[Note] children the following symptoms
Clinically can not express their own children, their early detection of full alertness rely on caregivers, while many of the symptoms of hernia occurs in children less than one year old, among newborns peak. The beginning of symptoms to the groin or scrotal swelling at most, while others are a symptom that appears is the belly accounts, vomiting, crying, anxiety, etc. bowel obstruction symptoms , and some just more likely to cry. After typical is when parents change diapers for infants and young children. When a child crying or exertion, which can be seen a significant groin muster, and quiet flat or wake up the muster will disappear. Bigger children are their parents the day the shower will see where there muster groin swelling, and some may even fall into the scrotum cause scrotal size edge.
[Child inguinal hernia can not be delayed ... careful sepsis]
Children inguinal hernia is Rongyifasheng embedded closed the case, and this is the main reason for the child to undergo an operation as soon as possible , embedded closed is stuck, meaning that intra-abdominal organs can not be automatically returned to the abdomen, pain at this time is not only hard to get, even be cause intestinal obstruction, time dragged on longer if it is possible to produce twisted briefly hernia fatal, intestinal necrosis situation that is complicated by sepsis occurred and the treatment will be many difficulties, but also have more complications. The smaller the older the child the more prone embedded closed ( 60% occurred in 6 within months of a child), and often occurs in the middle of the night, all the people will be very anxious at home. Also, small children often can not express the pain, produce to avoid serious consequences, it should be operated on as soon as possible.
Even more importantly, to early neonatal surgery, as long as the technology is skillful, but shorter operative time, but not more wound scars, postoperative complications than other age story does not, in my experience, are not only more likely to occur in addition to the newborn embedded closed hernia outside, and when embedded closed hernia occurs, the consequences serious than other age groups, easily complicated by sepsis or testicular necrosis.
The incidence of children, foreign statistics about one percent to five percent, more boys than girls, ten reports from about three to one ratio of a person has, but its etiology in children during embryonic development the residue did not disappear down tube bag-peritoneum, the peritoneal tube bag-like anatomical name is called vaginalis (processus vaginalis) , which extends from the abdominal wall and peritoneum away the next round the spermatic cord or ovarian ligament, thus creating a the abdominal wall and the abdominal cavity and has a passage communicating the scrotum, so abdominal organs such as the intestines, ovaries or omental abdominal wall may be protruded by this channel, sometimes went scrotum (FIG.), is due to the formation through the hernia congenital left behind bag-shaped tube intraperitoneal, therefore considered indirect hernia, unlike direct abdominal wall hernia defect or weakness formed (that occur more frequently in the elderly or for heavy workers).
[Treatment] to the child
Therefore, a more direct child inguinal hernia Simplex therapeutically, without repair of the abdominal wall is weak, only open at the groin about 1 cm long small wounds, even smaller girls, this channel outside the abdominal wall isolated, this bag-like tube and remove the peritoneum, shorter operative time and postoperative pain time is shorter with smaller and older, children often will bounce on the second day, is not painful, recovery is faster, at the same time and less recurrence, without hospitalization, but still delicate surgical techniques, it should find a special pediatric surgeons surgery.
[Note] children the following symptoms
Clinically can not express their own children, their early detection of full alertness rely on caregivers, while many of the symptoms of hernia occurs in children less than one year old, among newborns peak. The beginning of symptoms to the groin or scrotal swelling at most, while others are a symptom that appears is the belly accounts, vomiting, crying, anxiety, etc. bowel obstruction symptoms , and some just more likely to cry. After typical is when parents change diapers for infants and young children. When a child crying or exertion, which can be seen a significant groin muster, and quiet flat or wake up the muster will disappear. Bigger children are their parents the day the shower will see where there muster groin swelling, and some may even fall into the scrotum cause scrotal size edge.
[Child inguinal hernia can not be delayed ... careful sepsis]
Children inguinal hernia is Rongyifasheng embedded closed the case, and this is the main reason for the child to undergo an operation as soon as possible , embedded closed is stuck, meaning that intra-abdominal organs can not be automatically returned to the abdomen, pain at this time is not only hard to get, even be cause intestinal obstruction, time dragged on longer if it is possible to produce twisted briefly hernia fatal, intestinal necrosis situation that is complicated by sepsis occurred and the treatment will be many difficulties, but also have more complications. The smaller the older the child the more prone embedded closed ( 60% occurred in 6 within months of a child), and often occurs in the middle of the night, all the people will be very anxious at home. Also, small children often can not express the pain, produce to avoid serious consequences, it should be operated on as soon as possible.
Even more importantly, to early neonatal surgery, as long as the technology is skillful, but shorter operative time, but not more wound scars, postoperative complications than other age story does not, in my experience, are not only more likely to occur in addition to the newborn embedded closed hernia outside, and when embedded closed hernia occurs, the consequences serious than other age groups, easily complicated by sepsis or testicular necrosis.
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