PED: Inguinoscrotal Swellings

Question 1

Most common hernias in children?

Answer 1

Indirect Inguinal hernias

Question 2

Indirect Inguinal hernia position

Answer 2

Lateral to the inferior epigastric vessels

Question 3

Direct Inguinal hernia position?

Answer 3

Medial to inferior epigastric vessels

Question 4

Femoral hernia position

Answer 4

Inferior to the Inguinal ligament

Question 5

Explain the indirect hernia open repair

Answer 5

Herniotomy, the ligation of the hernia sac via a transverse Inguinal crease incision.

Question 6

In females, surgeons prefer a different type of surgery for indirect Inguinal hernias, what is it, and explain it

Answer 6

Bevan repair, which is closing the sac above the fallopian tube, since injury to such structures is not ideal.

Question 7

Some infants have a posterior wall weakness, which could lead to re-occurrence, what do we do?

Answer 7

Bassini repair to strengthen the area

Question 8

What is an incarcerated hernia

Answer 8

The entrapment of bowel or viscera within the hernial sac