inguinal hernia Flashcards
why are inguinal hernias more common in boys
testes migrates from its location on the postieor abdominal wall, down through the inguinal canal
- a patent processus vaginalis may persist and be the site of subsequent hernia development
management of inguinal hernias in children in the first few months of life
higher risk of stranglluation
-hernia should be repaired urgently
-*resuscitate, reduce and repair
what type of inguinal hernia is most common
99% are indirect hernias
-30% present within the first year of life
management of an acutely incarcerated inguinal hernia
manual reduction attempted in the first instant
-unless show signs of systemic toxicitiy
when manual reduction fialurs
- immediate surgery
management of inguinal hernia in children over 1 year
if not strangulated- elective surgery
points about surgery in children with inguinal hernia 3
paeidatirc hernias- herniotomy without implantation of mesh is suffiecent
most cases are day cases
neonates and premature infants are kept in overnight
-as a regonised increased risk of post operative apnoea
increased risk factors for inguinal hernia 2
premature babies
LBW babies
overview of umbilical hernias
Most umbilical hernias do not cause any symptoms and are managed by simple
observation till 5 years of age, when may be repaired if still clinically present.
