Inguinal hernia is more common in men, low birth weight, premature infants and children with certain congenital connective tissue diseases. Those who are curious about inguinal hernia whose male incidence rate is 5-6 times higher than girls Yeditepe University Hospital Pediatric Surgery Specialist Assoc. Dr. View Selami's Full Profile It explains.
: Is inguinal hernia common?
Assoc. Dr. Selami Sözübir: The inguinal region is the most common site of pediatric surgery. Among these, inguinal hernia repair is the most common operation in both pediatric surgery and groin region. Inguinal hernia in children differs from adults in both its formation, type and repair technique. The occasional swelling in the groin, which can be seen and disappeared in childhood, should bring to mind the inguinal hernia first. About 3 out of 100 boys develop inguinal hernia. Hernia is more common in preterm or low birth weight babies.
: How does inguinal hernia occur?
Assoc. Dr. Selami Sözübir: While the testes of the male infants complete their development in the mother's womb, they make a downward stroke through the first place where they are formed and settle in the egg sacs (bags) where they should be. This journey starts around 3 months and ends near birth. The testes that pass through the abdomen and out of the abdomen pass through the groin canal. It normally closes in the canal by losing its function with birth. However, if one or both of these channels do not close, herniation occurs. This swelling increases when the child is awake and mobile if the duct opening is narrowed and allows only intra-abdominal fluid to pass. When the child sleeps and sleeps calmly, it may diminish or disappear. Known as sel Hydrocele Tıp in the language of medicine, the name of this disease among the people is “Water hernia”.
If the remaining canal is large, the organs in the abdomen and most commonly the intestinal hernia develop from this canal. That's the real groin hernia. The swelling may be in the groin or in the egg sac. It does not cause pain, but it can cause restlessness, discomfort and sometimes vomiting. However, it should be emphasized that inguinal hernia may occur not only in boys but also in girls. However, in girls, inguinal hernia is less common and in girls, the ejected organ is mostly ovary, not intestine.
: Who is more frequent and effective on environmental factors?
Assoc. Dr. Selami Sözübir: It is more common in males, low birth weight, premature infants and children with some congenital connective tissue diseases. The incidence of males is 5-6 times higher than females. Environmental factors do not directly cause inguinal hernia. However, in some cases it may cause inguinal hernia to become prominent. We now know that the canal opened to pass the testis to the egg sac does not cause inguinal hernia even if it does not close in some cases. These environmental factors can cause this slight opening to become larger and more pronounced. The most important of these environmental factors are chronic constipation, severe infections such as pertussis with fever and cough, or severe vomiting that increases intra-abdominal pressure. However, it should not be forgotten that these children do not cause hernia, only the existing openness to grow into a hernia sac causes.
: Why surgery immediately?
Assoc. Dr. Selami Sözübir: Because inguinal hernia in children is a very dangerous and even insidious disease especially with the dangers it may cause. Especially because of the risk of choking the intestine entering the hernia may require emergency surgery. It should be kept in mind that emergency surgery in children and especially in infants means increased risk. In this case, which is defined as strangulation of hernia among the people, the blood supply and feeding of the trapped organs entering the hernia sac will deteriorate within a few hours and decay occurs. This increases the life-threatening and means removal of rotting organs.
: Is hernia surgery difficult?
Assoc. Dr. Selami Sözübir: If the child is operated immediately after being detected without emergency conditions, this operation is not a difficult operation. In our hospital, this surgery is performed as cerrahi daily surgery.. A significant number of patients can go home about 2-3 hours after surgery and do not need to be hospitalized at all. In addition, this operation can be performed in both open and laparoscopic forms. The basic principle of this surgery is to close the open canal and to eliminate the intraabdominal involvement.