VOLGOGRAD STATE MEDICAL UNIVERSITY

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VOLGOGRAD STATE MEDICAL UNIVERSITY

Children’s surgery

Inguinal hernia and hydrocele in children

RAMAR SOLAIMUTHU

COURSE-5

GROUP -45

Hernia

A hernia occurs when a portion of an organ within the abdomen, such as the intestines, protrudes through a weakness in the muscles of the abdomen. A soft bulge is seen underneath the skin where the hernia is located.

A hernia that occurs in the groin (inguinal) area is called an inguinal hernia.

Causes of Inguinal Hernia

Between 12 to 14 weeks of fetal development, the testicles or ovaries form in the abdomen near the kidneys. They gradually move down into the lower part of the abdomen as the baby continues to develop. As they move down, a portion of the peritoneum (a thin layer of tissue that lines the inside of the abdomen) that attaches to the testicle is drawn with it into the scrotum, forming a pouch or sac.

Incidence of Inguinal Hernia

An inguinal hernia can occur at any age, but one-third of hernias in children appear in the first 6 months of life.

Risk Factors for Inguinal Hernia

In just over 10 percent of cases, other members of the family may have had a hernia at birth or in infancy
In premature infants, the occurrence of inguinal hernia is increased by up to 30 percent.

Signs and Symptoms of Inguinal Hernia

Swelling or a bulge in the groin or scrotum may be seen during crying or straining, and it may get smaller or go away when the baby relaxes
A smooth mass that is usually not tender
Localized pain in the area of the hernia

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