1. INGUINOSCROTAL SWELLINGS By
Dr. M. HANY HASSAB
Acting head of pediatric surgery
2. INGUINOSCROTAL SWELLINGS Inguinal swellings
3. INGUINOSCROTAL SWELLINGS Acute or chronic
Congenital or acquired
Which tissue is affected?
4. INGUINOSCROTAL SWELLINGS Common examples in pediatric age group
5. Today, inguinal hernia repair is one of the most common pediatric operations performed. Inguinal hernia is a type of ventral hernia that occurs when an intra-abdominal structure, such as bowel or omentum, protrudes through a defect in the abdominal wall. Most hernias that are present at birth or in childhood are indirect inguinal hernias. Other less common types of ventral hernias include umbilical, epigastric, and incisional hernias.
6. Because inguinal hernias are common, every clinician must be well versed in the subject and able to provide optimal care to patients and their families, especially because hernias can be organ-threatening or life-threatening if not expeditiously managedure, such as bowel or omentum, protrudes through a defect in the abdominal wall.
Most hernias that are present at birth or in childhood are indirect inguinal hernias.
7. The following are associated with an increased risk of inguinal hernia:
Prematurity and low birth weight (Incidence approaches 50%.)
Exstrophy of the bladder
8. incarceration Incarceration occurs in 17% of right-sided hernias and 7% of left-sided hernias.
More than 50% of cases of incarceration occur within the first 6 months of life; the risk gradually decreases after age 1 year.
Premature infants have twice the risk of incarceration than the general pediatric population.
More than two thirds of all incarcerations occur in children younger than 1 year.
Girls are more likely to develop incarceration of an inguinal hernia; the incidence in girls is 17.2%, whereas the incidence in boys is 12%.