Groin hernias (Inguinal hernias)

Groin hernias (Inguinal hernias)... a very common surgical condition in infancy and childhood!

Clinical features:
There is a swelling in the groin that may extend to the scrotum.

Causes:
Bowel descends through an abnormally wide or open inguinal canal.

Treatment:
Bowel needs to be manually reduced back into the abdominal cavity and the hernia should be surgically repaired without undue delay.
There is a special surgical technique for children. This operation should only be performed by a specialist trained in paediatric surgery.

Complications before surgical repair:

  • Strangulation / incarceration, a bowel loop becomes trapped in the hernial sac and can no longer be reduced manually.
  • The blood supply to the testicle is at risk and may become compromised.

A hard and painful swelling in the groin, rejection of feeds and vomiting are red flag symptoms. This is an emergency!

Our advice: Please see a paediatric surgeon immediately!

Further reading:

Groin hernias (Inguinal hernias) and hydrocele in infancy and childhood

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PAEDIATRIC SURGERY VIENNA
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