Surgical Treatment of Inguinal Canal Hernias in Boys: an Analysis of Five Years’ Experience

Author:

Blandinskii V. F.1,Nesterov V. V.1,Sokolov S. V.2,Kotova Z N.3,Anfinogenov A. L.3

Affiliation:

1. Yaroslavl State Medical University

2. Russian Children’s Clinical Hospital

3. Regional Children Clinical Hospital

Abstract

Introduction.Currently the surgical treatment of inguinal hernias in children is usually a high ligation of the hernia sac without the separation of its distal portion or plastic reconstruction of the inguinal canal. This technique is considered the treatment of choice as it has brought down the incidence of post-operative hernias and testicular atrophy. However, the issues of approach to the selection of a conservative treatment strategy and the role played by instrumental examination methods used to determine indications for surgical treatment remain controversial.Materials and methods.This paper presents a retrospective analysis of 684 clinical cases followed up at the Yaroslavl Regional Children’s Teaching Hospital. The study included boys aged one month to 17 years who were treated for inguinal and inguinoscrotal hernias in 2011-2015.Results and discussion.89 patients (10.3%) were hospitalised with incarcerated inguinal and inguinoscrotal hernias in the period under review. Of these, in 86 patients, when the incarceration lasted under 12 hours, conservative treatment attempts were undertaken. Hernia reduction was achieved without any direct manipulation on the hernia sac in 10 boys (11.6%). Attempts of manual hernia reduction were undertaken in the remaining 56 children (65.1%); these resulted in successful outcomes in 47 patients (83.9%). Emergency surgical repair of incarcerated hernias was performed in 23 cases (3.1%). No patients with incarcerated hernias were older than seven years. 45 out of 183 boys (29.5%) had scrotal oedemas and haematomas in the early post-operative period following planned hernia repair surgeries.Conclusion. In the majority of patients hospitalised early the conservative hernia reduction approach was effective and resulted in fewer emergency hernia repair surgeries. Ultrasound examination of inguinal canal may be considered as a method of screening for asymptomatic hernias.

Publisher

Bashkir State Medical University

Subject

General Engineering,Energy Engineering and Power Technology

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Surgical treatment of Littre hernia in a 6-month old child;Russian Journal of Pediatric Surgery;2022-04-11

2. Direct inguinal hernias in children;Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care;2021-07-07

3. Method of laparoscopic hernioplasty in children with inguinal hernia with large sizes of the inner inguinal ring;Endoskopicheskaya khirurgiya;2021

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