Diagnosis and treatment of inguinal-scrotal hernias in infants
DOI:
https://doi.org/10.14739/2310-1237.2015.2.50809Keywords:
Children, Hernia Inguinal, Diagnosis, SurgeryAbstract
Surgery for inguinal hernias takes first place and make up to 50% of all surgical procedures, and emergency surgery is in the second place after acute appendicitis.
Aim. The purpose of the work is to improve the treatment of infants with congenital hernias.
Methods and results. In the department of neonatal surgery of NCSH «OHMATDET» 290 patients with hernias were treated, they were divided into two subgroups: the main, born from 2004 to 2014 – (I) group – 196 (67.59%), and the control, born from 1992 to 2003 – (II) group – 94 (32.41%). The study included the following pathology: unilateral hernia – 194 (66.89%), bilateral hernia 36 (12.42%), strangulated hernia - 60 (20.69%). The age of patients ranged from one to three months.
Results and discussion. In the (I) group 182 patients underwent ultrasound and Doppler examination, and the data were different in patients with free hernias and strangulated ones. In case of strangulated hernia there were acute circulatory disorders in the testis in 21 patients by 40-50% of normal, and blood flow was absent in 8 ones. Surgical treatment was individualized, and in 230 newborns it was carried out in a planned manner. 11 (3.79%) patients were treated laparoscopically. In strangulated hernia correction was performed without bowel resection in 52 cases, and resection of strangulated portion was carried out in 8 cases. All the children recovered, there was no hernia recurrence.
References
Puri, P., & Golvart, M. (Eds) (2009) Atlas detskoj operativnoj khirurgii [Atlas of Children's operative surgery] Moscow: MEDpress. [in Russian].
Ashcraft, K. U., & Holder, T. M. (1997) Detskaya khirurgiya [Pediatric Surgery], (Vol. 2), (P. 251–260). Saint Petersburg. [in Russian].
Horbatiuk, O. M. (2002) Suchasne likuvannia ditei z khirurhichnymy zakhvoriuvanniamy yaiechka i sim’ianoho kanatyka, yaki suprovodzhuiutsia ishemichnym syndromom (Avtoref. dis… dokt. med. nauk) [Modern treatment of children with surgical diseases testes and spermatic cord, accompanied by ischemic syndrome. Dr. med. sci. diss.]. Kyiv [in Ukrainian].
Isakov, Yu. F. & Dronova A. F. (Eds.) (2009) Detskaya khirurgiya: nacional'noe rukovodstvo [Pediatric Surgery: national leadership]. Moscow: GEOTAR Media. [in Russian].
Sushko, V. I., Kryvchenia, D. Yu, Danylov, O. A., Dikhtiar, V. A., et al. (2009) Khirurhiia dytiachoho viku [Surgery childhood: a textbook] V.I. Sushko, D.Yu. Kryvchenia (Eds.). Kyiv: Medytsyna [in Ukrainian].
Khadirov, V. A. (2009) Osobenosti khirurgicheskogo lecheniya pakhovykh gryzh u novorozhdennykh i detej pervykh mesyacev zhizni (Avtoref. dis…kand. med. nauk). [Features of surgical treatment of inguinal hernias in infants and children during the first months of life] (Extended abstract of candidate’s thesis). Moscow. [in Russian].
Yusufov, A. A. (2011) Ul'trazvukovye kriterii diagnostiki i ocenki lecheniya khirurgicheskikh zabolevanij pakhovo-moshonochnoj oblasti u detej (Avtoref. dis… dokt. med. nauk) [Ultrasonic diagnostic criteria and assessment of treatment of surgical diseases inguinal-scrotal in children. Dr. med. sci. diss.] Moscow. [in Russian].
Okonkwo, K. C., Wong, K. G., Cho, Ch. T., & Gilmer, L. (2008) Testicular trauma resulting in shock and systemic inflammatory response syndrome: a case report. Cases J., 12(1), 709–720. doi: 10.1186/1757-1626-1-4.
Harriet, J. P., Leslie, A. K., Susaeta A. R., Frauscher, F., O'Kane, P. L., & Freitas-Filho, L. G. (2006) Pulse-Inversion US Imaging of Testicular Ischemia: Quantitative and Qualitative Analyses in a Rabbit Model. Paltiel et al. Radiology, 239(3), 718–728. doi: 10.1148/radiol.2393050210.
Myers, J. B., Lovell, M. A., Lee, R. S., Furness, P. D., & Koyle, M. (2004) Torsion of an indirect hernia sac causing acute scrotum. J Pediatr Surg, 39(1), 122–123. Retrieved from: http: // www. ncbi.nlm.nih.gov/pubmed/14694389?dopt =Abstract.
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeThe Effect of Open Access).
