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Dr. Zahida Akhter
Dr. Aijaz A Rather
Dr. Showket Majeed
Dr. Sajad Hamid


Inguinal hernia, Pediatric, Herniotomy, Hydrocele


BACKGROUND: Inguino-scrotal swellings are a common incidence in pediatric age groups, often associated with abnormalities inside the descent of the testis and the failure of the processus vaginalis to shut well. Amongst those anomalies, inguinal hernia and hydrocele are the maximum often determined congenital situations. The occurrence of inguinal hernia is mainly high in preterm toddlers. With advancements in infertility treatment and upgrades in neonatal care, the survival charge of untimely toddlers has increased, circuitously leading to a better incidence of inguinal hernia and hydrocele inside the pediatric population.Diagnosis of inguinal hernia in pediatric patients is based totally at the records supplied with the aid of mother and father and medical examination performed by means of pediatricians and  surgeons. Extra investigations are carried out to rule out any related anomalies. As soon as the prognosis is confirmed, the most common remedy for inguinal hernia in pediatric patients is surgical closure of the patent processus vaginalis, known as inguinal herniotomy. whilst laparoscopic restore is a well-set up remedy choice for inguinal hernia in adults, its position in pediatric instances is restrained. A few surgeons may also choose laparoscopic restore, mainly in bilateral instances. This look at ambitions to discover the connection among various factors consisting of age, sex  and maturity, and the prevalence of inguinal hernia in children.

OBJECTIVES: To study the epidemiology, management and outcome of inguinal hernia in children. Additionally, it seeks to identify any associated anomalies and evaluate the consequences of surgical intervention in pediatric sufferers with inguinal hernia at our Tertiary care center METHODS: A prospective study was conducted on pediatric patients with inguinal hernia for a period of 18 months, between 2021 to JAN 2024. Patients from newborn to 13 years of age were selected for this study.  

RESULTS: Inguinal hernia can occur at any age, but the majority of patients are seen between 1 to 5 years of age. It is more commonly seen in male children and incidence is slightly higher on right side. Almost all of the inguinal hernia in the pediatric age group is of indirect type, which develops due to congenitally patent processus vaginalis.

CONCLUSION: Early surgical intervention in form of Inguinal herniotomy is the most appropriate management of inguinal hernia in children.

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1. grey SW, Skandalakis J.E. Embryology for Surgeons: W.B. Saunders, Philadelphia. 1972; 417-22.
2. V.Ravikumar, Rajshankar S, Hareesh R.S.Kumar, Nagendra Gowda M.R.: A medical look at of the control of inguinal hernias in youngsters on the overall surgical practice, magazine of medical and Diagnostic studies, 2013 January, Vol-7(1), a hundred and forty four-147
3. Dinesh L Jadhav, Manjunath L, Vikas G Krishnamurthy : A have a look at of inguinal hernia in children. Int J of technology and research, Dec 2014, Vol3 (12): 2149-2155
4. four. Okunribido O. Ladipo J.k. and Ajao O.G. “Inguinal hernia in paediatric age institution, Ibadan revel in”, East Afr. Med. J.,1992; 69 (6) : 347-348
5. five. Bronsther B, Abrams MW, Elboim C : Inguinal hernias in youngsters- a take a look at of a hundred instances and a evaluate of literature. J Am Med Womnes Assoc 1972;27: 522-525
6. Grosfeld JL. The modern-day principles in inguinal hernias in toddlers and kids. world magazine of surgical treatment. 1989; 13(5): 506-15.
7. Dan Poenaru, Inguinal hernias and hydroceles in infancy and early life: A consensus statement of the Canadian association of Paediatric Surgeons : Paedirtr child fitness, 2000 Nov-Dec; five(8): 461–462.
8. Groff D, Nagaraj HS, Pietsch JB. Inguinal hernias in premature in¬fants who had been operated on earlier than their discharge from the neonatal intensive care unit. Arch surgery. 1985; one hundred twenty: 962.
9. Grosfeld JL, Minnick k, Shedd F, West KW, Rescorla FJ, Vane DW. Inguinal hernia in children: the factors which affected the recurrence in 62 cases. journal of Paed surgical treatment. 1991; 283 – 87.
10. Rowe MI, Lloyd DA et al., Inguinal Hernia in Pediatric surgical procedure. yr e-book clinical Publishers.
11. eleven. Grosfeld et al., elements influencing recurrence in 62 instances of inguinal hernia in children. magazine of Pediatric surgical operation. 1991; 265-83.
12. Scorer CG, Farrington GH. Congenital abnormalities of the testis and epididymis. Butterworth. London: 1971; 15-102.
13. Witherington R. Cryptorchidism and surgical control strategies. Surgical Clinics of North the united states. 64:2 April eighty four, 367-83.
14. Rescorla FJ, Grosfeld JL. clinical concerns for inguinal hernia restore within the perinatal length and early infancy. journal of Pediatric surgical procedure. 1984; 19(6):832.
15. Holder TM, Ashcraft KW. Pediatric surgical treatment. Groin hernias and hydroceles. Philadelphia: WB Saunders Co. 1980; 594-608.