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INGUINOSCROTAL SWELLINGS

INGUINOSCROTAL SWELLINGS. Inguinal swellingsScrotal swellinsInguinoscrotal swellings. INGUINOSCROTAL SWELLINGS. Acute or chronicCongenital or acquiredAcquired: trauma inflammatory neoplasmWhich tissue is affected? . INGUINOSCROTAL SWELLINGS. Common example

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INGUINOSCROTAL SWELLINGS

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    1. INGUINOSCROTAL SWELLINGS By Dr. M. HANY HASSAB Acting head of pediatric surgery KFMC

    2. INGUINOSCROTAL SWELLINGS Inguinal swellings Scrotal swellins Inguinoscrotal swellings

    3. INGUINOSCROTAL SWELLINGS Acute or chronic Congenital or acquired Acquired: trauma inflammatory neoplasm Which tissue is affected?

    4. INGUINOSCROTAL SWELLINGS Common examples in pediatric age group Inguinal hernia Hydrocele Undescended testicle Torsion testicle Lymphadenitis Tumours Angioneurotic edema

    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%.) Urologic conditions Cryptorchidism Hypospadias Epispadias Exstrophy of the bladder Ambiguous genitalia

    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%.

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