Inguinal hernia cases in children who underwent surgery in Karbala hospitals
DOI:
https://doi.org/10.59675/U312Keywords:
Inguinal hernia, Pediatric patients, Surgical ward.Abstract
Background: Groin and scrotal swellings are a common occurrence in pediatric patients and have been observed, diagnosed and treated during surgical practice. It is important and necessary to study the factors associated with inguinal hernia in children, in order to control and manage it optimally.
Objective: To study the normal distribution and significant differences in inguinal hernia cases in pediatric patients, and the most important factors associated with it.
Setting and Design: A study was undertaken in Karbala hospitals Department of Surgery, for a periodic time from (1\1\2023) to (14\2\2024). Children who were aged one day to 13 years were selected for the study. Out of 500 children who were admitted to the surgical ward, the children had inguinal hernia, 475 male and 25 female. Age groups was between one day and 13 years old, outcome of death zero.
Methodology: The specifics of the clinical history and examination were gathered as precise clinical diagnostics, with surgically confirmed therapeutic approaches deemed appropriate. The acquired data was examined using SPSS statistical tests.
Results: The inguinal hernia in the study group was between one day and 13 years old. One day – 3 month = 163 cases, 3 – 12 month = 130 cases, 1 – 3 year = 158 cases, and 3 – 13 year = 49 cases. While the Hernia sac content was as the following classify: small bowel = 456, appendix = 29, ovary = 5, sigmoid colon = 5, and omentum = 5 cases. There is significant differences (abnormality distribution), because the tests of normality is equal to .008, in SPSS statistical study.
Conclusions: Inguinal hernia in children is a common congenital condition that surgeons encounter when examining patients and there are difficulties in identifying and confirming the condition in the presence or absence of inguinal hernia. This study helps in knowing the necessary management to control hernia cases in different age groups of children, as there is a difference in the characteristics of inguinal hernia in pediatric patients and the importance of knowing the factors related to it and directing researchers from specialists to shed light on it.
Downloads
References
Holcomb GW III, Ostlie DJ. Ashcraft's Pediatric Surgery. 6th ed; 2014.
Himanshu Acharya RA, Agrawal V, Abhishek T, Chanchlani R. Management of inguinal hernia in children: a single center experience of 490 patients. Int Surg J. 2016;3(1):346.
Ameh EA, Bickler SW, Lakhoo K, Nwomeh BC, Poenaru D. Pediatric Surgery - a Comprehensive Textbook for Africa; 2010: 1&2. Available from: wwwglobal-helporg. Accessed February 11, 2022.
Grosfeld JL. The current concepts in inguinal hernias in infants and children. World Journal of Surgery. 1989;13(5):506–15. doi: 10.1007/BF01658863. DOI: https://doi.org/10.1007/BF01658863
Ciro Esposito M, Escolino M, Turrà F, et al. Current concepts in the management of inguinal hernia and hydrocele in pediatric patients in laparoscopic era. Semin Pediatr Surg. 2016;25(4):232–240. doi:10.1053/j.sempedsurg.2016.05.006.
Himanshu Acharya RA, Agrawal V, Abhishek T, Chanchlani R. Management of inguinal hernia in children: a single center experience of 490 patients. Int Surg J. 2016;3(1):346. DOI: https://doi.org/10.18203/2349-2902.isj20160257
Wenk K, Sick B, Sasse T, Moehrlen U, Meuli M, Vuille-dit-Bille RN. Incidence of metachronous contralateral inguinal hernias in children following unilateral repair — a meta-analysis of prospective studies. J Pediatr Surg. 2015;50:2147–54. DOI: https://doi.org/10.1016/j.jpedsurg.2015.08.056
Ezomike U, Ekenze S, Amah C. Irreducible inguinal hernias in the paediatric age group. Nigerian J Med. 2013;22(3):230–233.
Gahukamble D, Khamage A. Early versus delayed repair of reduced incarcerated inguinal hernias in the pediatric population. J Pediatr Surg. 1996;31(9):1218–1220. doi:10.1016/S0022-3468(96)90235-3. DOI: https://doi.org/10.1016/S0022-3468(96)90235-3
Fonkalsrud EW, Delorimier AA, Clatworthy HW Jr (1965) Femoral and Direct Inguinal Hernias in Infants and Children. JAMA 192: 597-599. DOI: https://doi.org/10.1001/jama.1965.03080200015003
Viidik T, Marshall DG (1980) Direct Inguinal Hernias in Infancy and Early Childhood. J Pediatr Surg 15(5): 646- 647. DOI: https://doi.org/10.1016/S0022-3468(80)80516-1
Bowling K, Hart N, Cox P, Srinivas G. Management of paediatric hernia. BMJ 2017;359:j4484. doi: 10.1136/bmj.j4484. DOI: https://doi.org/10.1136/bmj.j4484
Panabokke G, Clifford ID, Craig SS, Nataraja RM. Reduction of paediatric inguinal hernias. Emerg Med Australas 2016;28(2):224–27. doi: 10.1111/1742-6723.12549. DOI: https://doi.org/10.1111/1742-6723.12549
Öberg S, Andresen K, Rosenberg J. Etiology of inguinal hernias: A comprehensive review. Front Surg 2017;4:52. doi: 10.3389/fsurg.2017.00052. DOI: https://doi.org/10.3389/fsurg.2017.00052
Shalaby R, Ibrahem R, Shahin M, et al. Laparoscopic hernia repair versus open herniotomy in children: A controlled randomized study. Minim Invasive Surg 2012;2012:484135. doi: 10.1155/2012/484135. DOI: https://doi.org/10.1155/2012/484135
Dreuning K, Maat S, Twisk J, van Heurn E, Derikx J. Laparoscopic versus open pediatric inguinal hernia repair: State-of-the-art comparison and future perspectives from a meta-analysis. Surg Endosc 2019;33(10):3177–191. doi: 10.1007/s00464-019-06960-2. DOI: https://doi.org/10.1007/s00464-019-06960-2
Esposito C, Escolino M, Turrà F, et al. Current concepts in the management of inguinal hernia and hydrocele in pediatric patients in laparoscopic era. Semin Pediatr Surg 2016;25(4):232–40. doi: 10.1053/j.sempedsurg.2016.05.006. DOI: https://doi.org/10.1053/j.sempedsurg.2016.05.006
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Academic International Journal of Medical Update
This work is licensed under a Creative Commons Attribution 4.0 International License.
