Diagnosis and Treatment of Inguinoscrotal Hernias in Children

• Main Authors: O.V. Spakhi, Ye.P. Kopylov, O.P. Paholchuk
• Format: Article
• Language: English
• Published: Publishing House Zaslavsky 2016-02-01
• Series: Zdorovʹe Rebenka
• Online Access: http://childshealth.zaslavsky.com.ua/article/view/73734
• ISSN: 2224-0551; 2307-1168

Introduction. Inguinal hernia — the most common disease in the practice of pediatric surgeon and ranged from 70 to 85 % of all hernias in children. The aim of our work is to improve the results of diagnosis and treatment for inguinoscrotal hernias in children. Materials and methods. We have analyzed 186 children with inguinoscrotal hernias in the period from 2010 to 2015. Unilateral inguinal hernia — 68.4 % of cases, bilateral one — 31.6 % of cases. In 76 children, inguinal hernia was combined with umbilical hernia, with hydrocele testis — in 20 children. Results and discussion. Analyzing the results, we have found that in 84.9 % of children hernia diagnosis was based on the complaints of parents and physical examination of children. Surgical treatment of 78 (42 %) children was performed using open access. 108 (58 %) patients underwent laparoscopic correction. Of them, in 28 children hernia on the other side was diagnosed during surgical intervention. Within a year after surgery, in 18 children we have identified metachronous hernia (contralateral). In 12 children with giant inguinoscrotal hernias, we have detected hydrocele testis. Conclusions. 1. The optimal duration of the surgery is the time of diagnosis with a view to preventing complications and damage of the scrotal organs. 2. Laparoscopic access allows you to easily perform the operation on both sides, which, in turn, prevents the occurrence of contralateral hernia in catamnesis.