Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
This study aimed to know the clinical presentation of inguinal hernia in children, to study management of inguinal hernia in children and their post‐operative complications. The present study was carried out in 30 children who were operated for inguinal hernia and hydrocele at the Department of General Surgery. The initial diagnosis was made from the history and clinical examination. The inguinal hernia was most common among male children (86%) thereby giving a ratio of M: F=6.6:1. The children were aged day 1‐12 years and most of the patients presented around 2‐7 (50%) years and. Right sided (60%) inguinal hernia was more common than left (30%). In 93% of cases the swellings were asymptomatic in presentation with 7% of patients having acute presentation. In 43% of cases average duration of symptoms was from 1 month to 1 year. USG is a good alternative tool for diagnosing CPPV, detected 2 cases out of which 1 case had C/L hernia during follow up. The most common associated anomaly was hydrocele (30%) and undescended testis (7%). Other associated anomaly is hypospadias in 1 case. In 9 cases of hydrocele, 6 were on the right side and 3 were on the left, and 2 had patent processus vaginalis. Mainstay of treatment of these swelling was surgical. All operations were elective and 80% of the operations were performed under general anesthesia. In 30 cases herniotomy was done. 7% of cases treated with Mitchell banks procedure and 93% of cases treated with Ferguson technique. In all cases high ligation of hernial sac was performed. For female patients, the hernial sac was always widely opened and inspected for the entrapment of ovary or other structures before twisting and ligating at its neck. The post operative hospital stay ranged from 6 hours to 2 days, average being 1.2 days. The 2(7%) undescended testes were on the right side and in the superficial inguinal pouch. They had archetypes at the time of hernia repair and the testis was kept in the subdartos pouch. The most common abdominal organ found in the sac was small intestine followed by omentum. Out of 26 male patients, 1 patient had incarcerated hernia (3%). This patient was treated primarily by reduction. In the post operative period of 30 children, there were 2 cases of wound infection and 1 case had hypoglycemia. All of them responded to conservative treatment. During the period of 2 years study and follow up period of 12 weeks to 24 weeks, 1/30(3% )case had recurrence. Inguinal herniotomy in children is a safe and effective operation done as Day care procedure but risk of hypoglycemic shock has to be kept in mind which can be a grave consequence of Day care surgery.
How to cite this article:
Vijaya Bhaskar Reddy and K. Murali Mohan. Study of Inguinal Hernia Treatment Outcome in Pediatric Age Group and their Complications.
DOI: https://doi.org/10.36478/10.36478/makrjms.2021.131.135
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2021.131.135