The most common surgical diseases in children are a hernia. In the first place, of course, are umbilical hernia, then the incidence of inguinal follow. Inguinal hernia in children occurs almost 5% of children, and almost always in boys. But, nevertheless, the occurrence of an inguinal hernia may and girls. As a rule, determined by inguinal hernias in children under the age of two years but may be diagnosed in adolescence. Needless to say that the sooner an inguinal hernia was identified and operated on the child, the better.

What is an inguinal hernia

Inguinal hernia is a protrusion in the groin area, which is caused by cleft vaginal (vaginal) processus peritoneum. As becomes clear from the definition, inguinal hernias Hernia: Types and symptoms - which are the most dangerous?   children usually congenital. Among the many women, particularly the elderly, it is of the opinion that an inguinal hernia can "shout", that is, if the child is restless and often cries and cries, then it certainly will hernia. It is fundamentally wrong, since the origin of the inguinal hernia in a child is associated with it even fetal development. If there are conditions for the emergence of a hernia, it always will be.

Origin

The vaginal process is a protrusion of the peritoneum in the groin, and this protrusion occurs outside the abdominal cavity. The development of a vaginal process begins with the twelfth week of pregnancy. The main goal of the vaginal process is a "descent" of the testicles from the abdomen into the scrotum. After testicles descended into the scrotum begins a complex (hormone-sensitive) process imperforate vaginal process. In the case of disorders of the process in the fetus is formed inguinal hernia, hydrocele, or ovarian cyst of the spermatic cord (which is in the inguinal canal). As a rule, children in the hernial sac is a loop of the intestine, appendix gland and ovaries in girls.

Symptoms of inguinal hernias

Inguinal hernia can be located on either side of the groin, but more often are formed right inguinal hernia. Often there and bilateral inguinal hernia. The main manifestation of the disease is a protrusion in the groin area. This protrusion especially when crying, laughing, straining, crying and physical activity of the child. There is a direct dependence of the size of an inguinal hernia on the activity of the child. The restless baby, the greater the hernia. When probing an inguinal hernia Inguinal hernia - why is it dangerous?   painless, has myagkoelastichnuyu consistency. In a quiet, or a horizontal position to easily reduce a hernia. If the parents questioned the presence or absence of an inguinal hernia, the child must be put right, ask him to retract the stomach and a few lean forward, with clearly visible inguinal hernia. Often there is inguinal-scrotal hernia, while deforms the side of the scrotum, which is a hernia. Children often complain of pain in the lower abdomen and thigh.

Diagnosis of inguinal hernia is based on a survey of parents and / or child, as well as inspection. The doctor should assess the presence of cough shock. To this end, he introduces the tip of the little finger through the inguinal canal into the scrotum and asks the child to cough. At the same time there is a slight concussion of the contents of the hernia sac.

Infringement of inguinal hernia

When strangulated hernia happens compression of the hernia sac, which is developing circulatory problems in disadvantaged organs. At the same time there is a development in which necrosis (necrosis), and it will require further removal. The most common infringement inguinal hernia occurs in children aged one year or younger. Boys tend to be affected bowel loop or omentum, ovaries in girls.

Strangulated hernia is the most serious of its complications. Strangulated inguinal hernia is an emergency condition and requires immediate surgery. In young children, especially premature, trying to straighten strangulated hernia using anesthesia. If the reduction is not possible, surgery is performed. The earlier a child is operated, the better.

Anna Sozinova

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