Inguinal hernia in children: Factors affecting recurrence in 62 cases

Grosfeld, Jay L.; Minnick, Kathryn; Shedd, Frederick; West, Karen W.; Rescorla, Frederick J.; Vane, Dennis W.

doi:10.1016/0022-3468(91)90503-l

Cited by 137 publications

(96 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Inguinal hernia repair is the most frequently performed operation in the paediatric age group. Studies from various centres have reported an incidence of 3.5 to 5.0% for the inguinal hernias in full term infants and an incidence of 44 to 55% in premature and LBW babies [4,5]. In our study, a 30% and a 32% incidence were seen in premature babies and in low birth weight babies respectively.…”

Section: Discussionsupporting

confidence: 54%

A Clinical Study on the Management of Inguinal Hernias in Children on the General Surgical Practice

Ravikumar

Hr²,

Gowda³

2013

JCDR

View full text Add to dashboard Cite

Background: Inguinal and scrotal swellings are frequently encountered in the surgical practice, especially in children. It is also important to study the factors which are associated with inguinal hernia, especially in children, for its effective management.Objective: To study the factors which are associated with inguinal hernia in children. Setting and Design:A prospective hospital based study was undertaken in the Department of Surgery for a period of one year between 2001 to 2002. Children who were aged one day to 12 years were selected for the study. Out of 960 children who were admitted to the surgical ward, 50 children had inguinal hernia and they constituted the sample. Methodology:The details regarding the clinical history and the examination details were collected by using a predesigned proforma. The data which was thus collected was analyzed by using the appropriate statistical tests. Results:The inguinal hernia in the study group was common in the 1-5 years age group. 90% of the study group was males; a swelling in the inguinal region was the commonest symptom. 70% of the study group was term deliveries; the swelling of the inguinal hernia was elastic in consistency in 35 cases. The swelling of the inguinal hernia was irreducible in two cases. The testis was palpable in 48 cases; a cough impulse was seen and felt in 48 cases. Tenderness of the swelling was present in 2 cases. Conclusions:Inguinal hernia is a common congenital condition in children. Difficulties are commonly encountered by the surgeons to identify and to confirm the presence of inguinal hernia. This study will help in a better management of hernia in the paediatric age group by understanding the features of inguinal hernia.V. RaViKumaR, RajshanKaR s, haReesh R. s. KumaR, nagendRa goWda m.R InTRODuCTIOnInguinal and scrotal swellings in children are frequently encountered in the surgical practice. Most of these swellings are congenital and they have an asymptomatic presentation. They are related to the descent of the testes and the processus vaginalis [1]. To date, the mechanism of the testicular descent is speculative, with various hypotheses being put forth, the most recent one being that of "WATER-TRAP" which was made by Heyns and Deklerk. The abnormalities in the descent result in ectopic or undescended testes. The undescended testis which is found in more than 90% of the cases, is associated with congenital inguinal hernias [2].Congenital inguinal hernias are common in infants and children, for which surgery constitutes the most frequent method of treatment in the paediatric age-group. The difficulties which are encountered in paediatric inguinal hernia are operative difficulties which are connected with a thin transparent sac, which is the association with the undescended testis and the different opinions on the timing of the operation when the two conditions co-exist. The swelling in the inguinal region is described by the parent but the surgeon is unable to confirm its presence. Once the diagnosis is definite, the rule i...

show abstract

Section: Discussionsupporting

confidence: 54%

A Clinical Study on the Management of Inguinal Hernias in Children on the General Surgical Practice

Ravikumar

Hr²,

Gowda³

2013

JCDR

View full text Add to dashboard Cite

show abstract

“…14 Regarding recurrence rate, this still ranges from 0.4 to 4.8% in laparoscopic hernia in pediatrics 15 while in our study there was no recurrence. Also in laparoscopy, there is a chance of abdominal visceral injury especially to the bladder, 16 complications with CO 2 and technical difficulties especially in the early age group.…”

Section: Resultsmentioning

confidence: 37%

Herniotomy in Infants, Children and Adolescents without Disruption of External Ring

Kareem¹,

Juma²,

Mishra³

2009

WJOLS

View full text Add to dashboard Cite

Inguinal hernia is one of the commonest pediatric surgical problems and when treated early and appropriately is associated with negligible morbidity and very rarely any mortality. In our prospective study we introduce a new method for repair of hernia in infants, children and adolescences without disruption of external ring. Our study involves 252 patients with inguinal hernia, the ages ranging from 7 days to 15 years, 8 female and the remaining male. We apply the principles of minimal access surgery but without laparoscope that's to say the smallest incision, a short stay in hospital, a rapid recovery, the least cost and fewer complications with no recurrence. So we can say that it is nonlaparoscope minimal access surgery.

show abstract

“…Postoperative recurrence was significantly less frequent in the LCEPC group. The main factors affecting recurrence have been recognized as (1) failure to ligate the sac high enough at the internal ring, (2) injury to the floor of the inguinal canal as a result of operative trauma, (3) failure to close the internal ring in girls, and (4) postoperative wound infection and hematoma (Grosfeld et al, 1991). Our technique has proven to be a method that can avoid all these possible causes of recurrence.…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic Hernia Repair and Its Validation by Second-Look Inspection to Internal Inguinal Rings in Children with Patent Processus Vaginalis

Endo¹,

Ohno²,

Yoshida³

et al. 2011

Laparoscopy - An Interdisciplinary Approach

View full text Add to dashboard Cite

Inguinal hernia in children: Factors affecting recurrence in 62 cases

Cited by 137 publications

References 15 publications

A Clinical Study on the Management of Inguinal Hernias in Children on the General Surgical Practice

A Clinical Study on the Management of Inguinal Hernias in Children on the General Surgical Practice

Herniotomy in Infants, Children and Adolescents without Disruption of External Ring

Laparoscopic Hernia Repair and Its Validation by Second-Look Inspection to Internal Inguinal Rings in Children with Patent Processus Vaginalis

Contact Info

Product

Resources

About