Current trends in the management of inguinal hernia in children

Česká verzia

Authors: Zahradníková Petra ¹; Fědorová Lenka ¹; Vnenčák Tomáš ²; Francisty Tomáš ²; Nedomová Barbora ³; Babala Jozef ¹
Authors place of work: Klinika detskej chirurgie, Lekárska fakulta Univerzity Komenského v Bratislave, Národný ústav detských chorôb, Bratislava ¹; Chirurgické oddelenie s JIS, Nemocnica Poprad, a. s. ²; Detská klinika anestéziológie a intenzívnej medicíny, Lekárska fakulta Univerzity Komenského v Bratislave, Slovenská zdravotnícka univerzita, Národný ústav detských chorôb, Bratislava ³
Published in the journal: Čes-slov Pediat 2023; 78 (4): 215-219.
Category: Case Report
doi: https://doi.org/10.55095/CSPediatrie2023/038

Summary

Inguinal hernia is one of the most common surgical diagnoses in childhood and is often diagnosed during the first year of life. Clinically, the inguinal hernia usually manifests as a bulge in the groin area and represents the protrusion of the organs of the peritoneal cavity through a preformed or secondary made aperture. An inguinal hernia can also manifest as a stiff, significantly painful resistance in the groin or scrotum area, which cannot be freely reponed, it is a so-called „incarcerated“ or strangulated inguinal hernia. An incarcerated hernia in a child is one of the acute abdominal events. Treatment of inguinal hernia is only surgical. Non-incarcerated inguinal hernia surgery is a planned procedure. The aim of the article is to offer an overview of current surgical methods in the treatment of inguinal hernia in children. The operations of inguinal hernia in children can be performed in several ways. In addition to open inguinal surgery, a minimal invasive approach can also be chosen, using the PIRS (Percutaneous Internal Ring Suturing) method, or the laparoscopic purse-string method, or other laparoscopic approaches. Inguinal hernia is operated under general anaesthesia. Inguinal hernia operations in children can also be performed in the form of one-day surgery.

Keywords:

inguinal hernia – herniotomy – PIRS – purse-string – minimally invasive surgery in children

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