1. [Inguinal hernia in children: easily incarcerated].
- Author
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Wimper Y, Stortelder E, Botden SMBI, and de Blaauw I
- Subjects
- Atrophy congenital, Child, Child, Preschool, Diagnostic Errors adverse effects, Female, Hernia, Inguinal congenital, Humans, Intestines abnormalities, Intestines pathology, Ischemia congenital, Male, Referral and Consultation statistics & numerical data, Testis abnormalities, Testis pathology, Time-to-Treatment, Hernia, Inguinal complications, Hernia, Inguinal surgery, Herniorrhaphy statistics & numerical data
- Abstract
Inguinal hernia in children is caused by an incomplete obliteration of the vaginal process during the embryological development. The vaginal process can thus become a hernia sac that often contains bowel and in girls, an ovary. The diagnosis of inguinal hernia is made by history and physical examination. According to current guidelines surgical repair should be performed without delay to avoid incarceration, which gives a high risk of complications, including testicular atrophy and ischemia of vital organs. However, patients are regularly not referred adequately. We present three cases of children who developed complications of a non-repaired inguinal hernia. Additionally, the data of all children with a congenital inguinal hernia, surgically treated from January 2018 until August 2019 show that out of 243 children 13.6% presented acutely with an incarcerated inguinal hernia. Another 6% received a wrong advice from their primary care doctor and was not referred to a (pediatric) surgeon. more...
- Published
- 2021