Inguinal Hernias and Hydroceles

Glick, Philip L.; Boulanger, Scott C.

doi:10.1016/b978-0-323-07255-7.00076-3

Cited by 48 publications

(39 citation statements)

References 96 publications

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“…The present study found that manual reduction is more likely to be successful in patients who present early and in those who had a prior groin swelling that had been there for a longer period. Time is of essence in the progression from incarceration to obstruction and finally strangulation with the ability to successfully reduce the bowel mirroring this sequence 16 . A groin swelling that had been there for a longer time was found easier to reduce than one that had been there for a shorter time, perhaps because the older children in the study may have had their hernia for a longer time than the younger ones.…”

Section: Discussionmentioning

confidence: 99%

“…A groin swelling that had been there for a longer time was found easier to reduce than one that had been there for a shorter time, perhaps because the older children in the study may have had their hernia for a longer time than the younger ones. A wider internal inguinal ring may also allow the content to be easing in and out of the inguinal canal much more readily, and thus stay for longer before becoming irreducible compared to a narrower inguinal ring 16 .…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

Lawal¹,

Olulana²,

Ogundoyin³

et al. 2017

East. Cent. Afr. J. Surg.

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Background: In patients with incarcerated inguinal hernia, initial manual reduction, which is not always feasible, rather than immediate surgery, is associated with fewer complications. The aim of the study was to evaluate factors associated with successful manual reduction of incarcerated inguinal hernia in children. Methods: A prospective cohort study between January 2010 and December 2014 of children admitted with incarcerated inguinal hernia to a single surgical unit. Results: A total of 34 patients with a median age of 4.2 months (range: 2 weeks to 14 years) were recruited. Manual reduction was attempted in 23 (67.6%) patients and successful in 13 (56.5%). A total of 9 (26.5%) patients had bowel strangulation. Shorter incarceration (median of 18.2 vs. 48.4 hours, p = 0.004) and longer duration of previous swelling (median of 20 vs. 3.5 weeks, p = 0.029) were associated with successful manual reduction. Bowel strangulation rate was higher amongst patients excluded from manual reduction, using the set criteria, compared to those who had failed reduction (77.8% vs. 22.2%, p = 0.044). Conclusions: Manual reduction is more likely to be successful in patients who present early after incarceration as well as those with wider internal rings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

Lawal¹,

Olulana²,

Ogundoyin³

et al. 2017

East. Cent. Afr. J. Surg.

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“…1 The incidence of inguinal hernia is approximately 3 to 4% in terms infants and 12% in infants borned premature. [2][3][4] As more infants survived in premature life, more hernias are diagnosed in this age group.…”

Section: Introductionmentioning

confidence: 99%

Management of Inguinal Hernia in Children

Nasar¹,

Sandhu²,

Sultan³

2017

APMC

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Objectives: To determined best practice for the management of inguinal hernia in children. Design: Descriptive Study. Place and Duration of Study: Children Hospital Quetta from January, 2014 to January, 2016. Patients and Method: All the children admitted in pediatric surgery unit with inguinal hernia were included in this study, already operated patients were excluded from the study. Physical examination and relevant investigations (CBC, HBsAg, anti HCV & scrotal ultrasound) were performed. Patients were followed post operatively to observe the complications of surgery. Results: Total 180 patients were included in this study. Male 145 and female 35. Patients with bilateral inguinal hernia were 20 (11.1%) Age from two days to twelve years. 98 patients came for follow up until 8 months. Twenty patients had complications like haematoma in 09 (5%), scrotal odema in 5 (2.77%), wound infection in 4 (2.2%) and recurrence in 2 (1.1%) patients. All these complications were observed in first two months of follow up. Haematoma and oedma was treated conservatively, patients of recurrent hernia were re-operated, no complications found related to scrotal size during follow up. Conclusions: Complications observed in our study are minimal.

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“…Düşük komplikasyon ve yüksek başarı oranları bu tedavinin en sağlam dayanakları olmuştur (1) . Ancak ilk olarak erişkinlerde uygulamaya giren ve endikasyonları gittikçe genişleyen, minimal invazif cerrahi teknikler, son yıllarda, çocuk cerrahisinde de kendisine yaygın kullanım alanı yaratmaktadır.…”

Section: Introductionunclassified

PIRS method in the inguinal hernia surgery: Technical details

Karadağ¹

2016

Tccd

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Inguinal Hernias and Hydroceles

Cited by 48 publications

References 96 publications

Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

Management of Inguinal Hernia in Children

PIRS method in the inguinal hernia surgery: Technical details

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