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Inguinal hernia in paediatric age-group: Ibadan experience

O Okunribido1, J K Ladipo, O G Ajao

  • 1Department of Surgery, College of Medicine, University College Hospital, Ibadan, Nigeria.

Insights

This study analyzed 99 pediatric inguinal hernia surgeries, finding indirect hernias were common, particularly on the right side. The elective surgery demonstrated no significant complications, mortality, or recurrence in children.

Area of Science:

  • Pediatric Surgery
  • Surgical Outcomes
  • Hernia Repair

Background:

  • Inguinal hernias are common in children, requiring surgical intervention.
  • Understanding the characteristics and outcomes of pediatric inguinal hernia repair is crucial for surgical practice.

Purpose of the Study:

  • To describe the clinical characteristics of pediatric inguinal hernias.
  • To evaluate the outcomes of elective surgical repair for indirect inguinal hernias in children.

Main Methods:

  • Retrospective study of 99 children undergoing elective inguinal hernia repair.
  • Data collected included hernia side, bilaterality, and associated conditions.
  • Surgical outcomes including morbidity, mortality, and recurrence were assessed.

Main Results:

  • All 99 cases were indirect inguinal hernias, with a male-female ratio of 5.6:1.
  • Right-sided hernias occurred in 56%, left-sided in 28%, and bilateral in 15%.
  • Associated conditions included ipsilateral hydroceles (8%) and undescended testes (19%); no significant morbidity, mortality, or recurrence was observed.

Conclusions:

  • Elective surgical repair of pediatric indirect inguinal hernias is safe and effective.
  • High incidence of right-sided and associated undescended testes noted.
  • The procedure yields excellent outcomes with minimal complications.

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