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Related Experiment Videos

Incarcerated Pediatric Hernias.

Sophia A Abdulhai1, Ian C Glenn1, Todd A Ponsky1

  • 1Division of Pediatric Surgery, Akron Children's Hospital, One Perkins Square, Akron, OH 44308, USA.

The Surgical Clinics of North America
|November 30, 2016
PubMed
Summary
This summary is machine-generated.

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Pediatric inguinal hernias are common, especially in premature infants. Timely surgical repair, including laparoscopic options, is recommended for incarcerated hernias, even in preterm neonates.

Area of Science:

  • Pediatric Surgery
  • Surgical Innovation

Background:

  • Indirect inguinal hernias are the most frequent incarcerated hernias in children.
  • Premature and low birth weight infants exhibit a higher incidence.
  • Contralateral groin exploration for subclinical hernias remains a debated topic due to low progression rates.

Purpose of the Study:

  • To review the management of incarcerated inguinal hernias in pediatric patients.
  • To evaluate the efficacy and safety of laparoscopic repair versus open surgery.
  • To discuss the controversial practice of contralateral groin exploration.

Main Methods:

  • Review of current literature on pediatric incarcerated inguinal hernias.
  • Analysis of outcomes for nonoperative reduction and surgical repair techniques.
Keywords:
Femoral herniaIncarcerated pediatric herniaInguinal herniaSpigelian herniaUmbilical hernia

Related Experiment Videos

  • Comparison of laparoscopic and open surgical approaches for hernia repair.

    • Main Results:

    • Most indirect inguinal hernias are reducible nonoperatively.
    • Timely repair is advised for all pediatric inguinal hernias, including in premature infants.
    • Laparoscopic repair is a safe and effective alternative for incarcerated inguinal hernias.
    • Other rare incarcerated pediatric hernias can be managed effectively with laparoscopy.

    Conclusions:

    • Prompt surgical intervention for incarcerated inguinal hernias in children is crucial.
    • Laparoscopic repair offers a safe and effective treatment option.
    • The necessity of contralateral exploration for asymptomatic patent processus vaginalis is questionable.