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Pediatric hernias

Mary L Brandt1

  • 1Michael E. DeBakey Department of Surgery, Texas Children's Hospital, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. brandt@bcm.edu

The Surgical Clinics of North America
|February 13, 2008
PubMed

Insights

Pediatric inguinal hernias require surgical repair via high ligation. Laparoscopic techniques are preferred for treating groin hernias in children, while umbilical hernias often resolve spontaneously.

Area of Science:

  • Pediatric surgery
  • Gastroenterology

Background:

  • Groin hernias in children are typically indirect inguinal hernias, stemming from incomplete closure of the processus vaginalis.
  • Umbilical hernias are prevalent in infants and frequently resolve without intervention.

Purpose of the Study:

  • To outline current treatment strategies for pediatric groin and umbilical hernias.
  • To discuss the indications for surgical intervention in pediatric hernias.

Main Methods:

  • Surgical repair of indirect inguinal hernias involves high ligation of the hernia sac.
  • Treatment options include open and laparoscopic techniques for inguinal hernia repair.
  • Contralateral side exploration is recommended via laparoscopy, avoiding open exploration due to infertility risks.

Main Results:

  • Laparoscopic contralateral exploration is favored over open exploration for pediatric inguinal hernias.
  • Umbilical hernias usually resolve spontaneously in infants.
  • Surgical intervention for umbilical hernias is reserved for symptomatic cases or persistent fascial defects.

Conclusions:

  • High ligation of the hernia sac is the standard treatment for pediatric inguinal hernias.
  • Laparoscopic approaches offer advantages for inguinal hernia repair and contralateral assessment.
  • Conservative management is appropriate for most infant umbilical hernias, with surgery indicated only when necessary.

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