Title: Inguinal hernia in children - how to diagnose and when to operate?
- Aleksandra Gawłowska, Jerzy Niedzielski
- Pediatric Review
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- congenital inguinal hernia, persistent processus vaginalis, children
Congenital inguinal hernia is one of the most frequent developmental anomalies in children. The incidence of inguinal hernia in children ranges from 0.8 to 4.4%. Its creation is result of persistent processus vaginalis and clinical presentation is stimulated by diseases with increased intraabdominal pressure. During foetal period processus vaginalis appears to play an integral role in testi-cular descent in boys and round ligament transit through the internal inguinal ring in girls. It should obliterate spontaneously. The diagnosis of hernia is established by physical examination and history. US examination helps with differential diagnostics. The most serious complication of inguinal hernia is its incarceration which is life-threatening state and needs urgent surgical interven-tion. The presence of inguinal hernia is an indication to surgical repair. The age of patient is not a contraindication. Hernia repair is the most frequently performed procedure in general paediatric surgery and is done in the outpatient surgical unit at present. The complications after surgical treatment are rare and occur in less than 1% of operated patients.