Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Inguino‐scrotal swellings are one of the commonest problems in infancy and childhood throughout the world. Male hydrocele, most commonly non communicating type, accounts for 1‐2% with male female ratio of 5:1. As a result of improved neonatal intensive care, more and more premature babies are being delivered and consequently the incidence of neonatal inguinal hernia and hydrocele is increasing. Although laparoscopic repair is an established treatment for inguinal hernia in adults, still it has got little role in the repair of paediatric inguinal hernias. Some surgeons favour the repair of inguinal hernia in paediatric age group by laparoscopic procedure, especially for bilateral cases. This study was intended to study the congenital Inguinal hernia and hydrocele and their management and to find out the associated anomalies and outcome of surgical intervention at tertiary care center. The present prospective clinical study was conducted from December 2020 to November 2022 amongst 76 patients with congenital inguinal hernia or hydrocele at tertiary care hospital. The Congenital Inguinal hernia was seen in 48 (63%) patients followed by Congenital hydrocele 27 (36%). Majority of the males (22) were in the age group of 0‐3 and majority of females (7) were in the age group of 10‐12 years. Out of all congenital inguinal hernia and hydrocele cases, only 17% patients were female. Thus, Male: Female ratio is 4.9:1.0. Right Sided swelling was seen in 67% patients while 30% patients having left sided swelling. Bilateral was seen in 3% cases only. Out of 76 patients, 4 patients had associated phimosis, 2 patients had hypospadias and 6 patients had undescended testis. Once swelling develops, it rarely resolves spontaneously especially after 2 years of age, so early surgical intervention in the form of inguinal herniotomy is the most appropriate management of congenital inguinal hernia and hydrocele. Otherwise, it can lead to the complications like obstruction and strangulation. Post operative complications are rare as it is an elective procedure but can be in form of minor complications such as tenderness or wound infection. Recurrence is usually rare in post operative period.
How to cite this article:
Yogesh Dhanraj Moghe, Junaid M. Shaikh, Surajit Das and Vaibhav Kanhaiyalal Yadav. Clinical Study of Congenital Inguinal Hernia and Hydrocele and their Management at Tertiary Care Center.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.278.283
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.278.283