Inguinal Hernia

Document Type

Book Chapter

Publication Date

12-2022

Identifier

DOI: 10.1007/978-3-031-07524-7_81

Abstract

An inguinal hernia repair is one of the most common procedures performed by pediatric surgeons. Almost all children present with an indirect inguinal hernia due to a persistent patent processus vaginalis. Inguinal hernias are often identified by a bulge noted in the groin area. They are more common in males and prematures. The inguinal hernia is often painless and reducible. The hernia can increase in size with increases in intra-abdominal pressure, such as crying. Incarcerated hernias that are painful, associated with obstructive symptoms, or present with overlying skin that is erythematous. Reduction of these hernias should be attempted at presentation to avoid strangulation. Both laparoscopic and open techniques are effective for hernia repair. Laparoscopic repair has become more widely utilized as it offers the advantage of identifying and treating a contralateral patent processus vaginalis through the same incisions. Complications are rare; the most common is a recurrent inguinal hernia.

Journal Title

Fundamentals of Pediatric Surgery

Issue

781

First Page

787

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