Hernia_flashcards

1
Q

What is the treatment for inguinal hernia in children?

A

Surgical repair; timing is based on whether there are complications or not.

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2
Q

When is emergency hospital admission required for inguinal hernia?

A

If there are suspected complications (i.e. strangulation or bowel obstruction).

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3
Q

What is the referral process for inguinal hernia without complications?

A

Arrange urgent referral to paediatric surgeon, preferably within 2 weeks.

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4
Q

What is the management for a small, asymptomatic umbilical hernia?

A

Observation until 4-5 years of age; elective repair at 4-5 years if still present.

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5
Q

When should an elective repair be considered for umbilical hernia?

A

Elective repair at 2-3 years of age if the umbilical hernia is large or symptomatic (> 1.5cm), or if there are intermittent symptoms of incarceration or recurring pain.

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6
Q

What is the procedure if an umbilical hernia incarcerates during observation?

A

It should be manually reduced with pressure and surgically repaired at the earliest opportunity.

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7
Q

What should be done if an umbilical hernia cannot be reduced?

A

An emergency operation is required.

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8
Q

What are the PACES tips for explaining hernia to parents?

A

Explain the diagnosis (due to immaturity of the gullet leading to food coming back up), reassure that it is common and usually gets better with time, breastfeeding: offer assessment and alginate therapy, formula: review feeding history, smaller frequent feeds, thickeners, alginate therapy.

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9
Q

What should be included in the safety net advice for hernia?

A

Keep an eye on the vomitus (if it’s blood-stained or green seek medical attention).

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