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Published on: April 17, 2019
[Sliding ingvinal haernias in children]
A E Solov'yov1, O V Laricheva1, O A Kulchitskiy1
1Pavlov Ryazan State Medical University of Russian Ministry of Health, Ryazan, Russia.
Insights
Sliding hernias in children are rare and often misdiagnosed as incarcerated hernias. Surgical treatment is successful, though bladder injury can occur during operations for sliding inguinal hernias.
Area of Science:
- Pediatric Surgery
- Abdominal Wall Surgery
Background:
- Sliding inguinal hernias are uncommon in pediatric patients.
- Accurate preoperative diagnosis of sliding hernias in children is challenging.
Purpose of the Study:
- To investigate the diagnostic and therapeutic characteristics of sliding inguinal hernias in children.
- To highlight the difficulties and outcomes associated with surgical repair.
Main Methods:
- A retrospective analysis of 30 years of treatment data for pediatric patients with sliding hernias.
- Inclusion of 19 boys with sliding inguinal hernia and 1 boy with bilateral sliding femoral hernia.
Main Results:
- 14 out of 20 children were initially diagnosed with incarcerated inguinal hernia.
- Accurate diagnosis was typically established intraoperatively.
- Two cases of intraoperative bladder injury were noted in sliding inguinal hernia repairs.
- All patients achieved successful recovery following surgical intervention.
Conclusions:
- Sliding inguinal hernias are rare in children, with sliding femoral hernias being even rarer.
- Misdiagnosis as incarcerated inguinal hernia is common.
- The colon and bladder, when involved in sliding hernias, remained viable post-infringement.
Aim:
To study the features of diagnosis and treatment of children with sliding inguinal hernias.
Material And Methods:
30-year experience of treatment of 19 boys with sliding inguinal hernia and 1 boy with bilateral sliding femoral hernia was analyzed.
Results:
14 out of all children with inguinal and femoral hernia admitted with the diagnosis of incarcerated inguinal hernia. Accurate diagnosis was established during the operation as a rule. Surgical treatment of sliding hernias in children presents some difficulties. Intraoperative injury of bladder was observed in 2 children with sliding inguinal hernia. All children with sliding hernias have recovered after surgery.
Conclusion:
Sliding inguinal hernia in children are rare, sliding femoral hernia is even rarer. In most cases children with sliding inguinal hernias are diagnosed with incarcerated inguinal hernia. Colon and bladder as the elements of sliding inguinal hernias remain viable after infringement.
