Irreducible inguinal hernia in children: how serious is it?

Journal of Pediatric Surgery
Christoph Heinrich HoubenKim Hung Lee

Abstract

We evaluated the experience with irreducible inguinal hernias at our institution. We reviewed patients with an inguinal hernia operation at our institution between 1st January 2004 and 31st December 2013. Individuals with a failed manual reduction of an incarcerated hernia under sedation by the attending surgeon were included into the study group as irreducible hernia. Overall 2184 individuals (426 females) had an inguinal herniotomy with the following distribution: right 1116 (51.1%), left 795 (36.4%) and bilateral 273 (12.5%) cases. A laparoscopic herniotomy was done in 1882 (86.4%). 34 patients (3 females) - just 1.6% of the total - presented at a median age (corrected for gestation) of 12 months (range 2 weeks to 16 years) with an irreducible hernia, of which 24 individuals (70%) were right sided. A laparoscopic approach was attempted in 21 (62%), two required a conversion. The open technique was chosen in 13 (38%) individuals. The content of the hernia sac was distal small bowel in 21 (62%), omentum in four (12%) and an ovary in three (9%) cases. Four patients (12%) required laparoscopic assisted bowel resection and two partial omentectomy (6%). Two gonads (6%) were lost: one intraoperative necrotic ovary and one testis at...Continue Reading

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Citations

Dec 25, 2015·ANZ Journal of Surgery·Christoph Heinrich HoubenKim Hung Lee
Aug 16, 2016·Advances in Surgery·James G Bittner
Jul 30, 2016·Pediatric Surgery International·Tomohiro IshiiShuhei Kogata
Aug 31, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S R Lee
Sep 27, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Isamu SaekiTakashi Akiyama
Jan 25, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro EspositoMaria Escolino
Jan 4, 2020·Journal of Minimal Access Surgery·Brigitta BaloghAmulya K Saxena
Feb 11, 2021·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Francesco MoriniAgostino Pierro

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