Inguinal hernia in boys is a common disease in young children up to three years. This pathology often has an innate nature of the acquisition, but also a hernia in the groin and acquired. Newborns can be born with an already existing hernia, but more often this happens in premature babies.
The hernia itself is the emergence of the internal organs of the abdomen enveloped in the abdominal sheet through the inguinal ring into the groin area itself. Mostly this pathology occurs in boys, but girls also suffer, although much less often. The high incidence of inguinal hernia in boys is explained by the anatomical features of the male body.
How and why is the formation of protrusion
During the period of intrauterine development in the first few months, the testicles are located in the peritoneal cavity. During the maturation of the fetus, the testicles descend into the lower abdomen and pass through the ring between the peritoneum and groin. Closer to normal birth, the testicles of the fetus completely descend into the scrotum and remain there until the end of life.
However, there is one significant nuance: the testicles, descending to the final destination, pull a part of the peritoneum along the inguinal canal. Thus, a small anatomical pocket is formed, which is called the vaginal process.
In the course of normal development, the latter should completely overgrow, but due to a number of reasons this may not happen, and after the testicles, the internal organs of the peritoneum can descend.
However, it should be remembered that this channel is sometimes not completely overgrown, and during life, against the background of provoking factors, the organs of the abdomen can easily enter the cavity of the scrotum. Pathology with this type of development is called oblique hernia. The name she received in connection with its oblique location. There is another version of the child's inguinal hernia, in which the protrusion passes through the actual wall of the abdomen, without affecting the inguinal canal.
In girls, bulging in this area is 20 times less than in boys. This is also explained by the anatomical features of the female body. There are no testicles in girls, and the ovaries from the beginning of the formation of the fetus of the female type remain lying in the pelvic area. That is, in the course of development, girls do not have something that could pull a sheet of peritoneum. Another protective factor is that the girls in the inguinal canal is the uterine ligament, which strengthens the passage itself.
Not always inguinal hernia is congenital. Older boys also suffer from this disease.
The reasons provoking the development of acquired hernia in the groin:
- injuries such as bumps, falls on the stomach or groin,
- diseases of the internal organs, namely the organs of the digestive tract,
- respiratory diseases, accompanied by persistent strong cough,
- heavy lifting, leading to an increase in intra-abdominal pressure.
At risk are those boys who, from birth according to their constitution, are weak and “frail”. Their inhibiting intra-abdominal pressure factors are not able to compensate for the load. It often happens that parents give their child to the sports section, where strength and endurance are required, without being aware of the consequences.
Pathological protrusions are different in origin, structure and course.
- Congenital - These are the hernias that formed during the period of intrauterine development.
- Acquired - hernias that have formed throughout life due to a number of reasons contributing to the weakening of the abdominal muscles.
- Combined - this is a bulging, having in its structure several hernial sacs with different organs.
- Complicated and uncomplicated.
- Reducible - those hernias that can disappear on their own for a short period.
- Unbreakable. They are not eliminated without the intervention of medical personnel and treatment. Such hernias are usually spliced, that is, the contents of the hernia are connected to the inner side of the wall of the hernia sac.
- Depending on the location side: right-sided, left-sided or double-sided.
Congenital inguinal hernia and its signs
Hernia, like any disease, is manifested by general and specific symptoms. The first group of symptoms is determined by the body's response to the appearance of the disease.
- the child often cries and is concerned for no apparent reason.
What does a hernia look like in the groin? A small tumor-like formation of an elastic consistency appears in the groin area. Outwardly, it may resemble a small lump protruding from the skin. Education in shape can be round and oval.
The second group of signs is determined by the local action of the hernia on the adjacent organs and surrounding tissues.
Specific symptoms include:
- bulging on average up to 10 cm
- disorders of the digestive tract: constipation, bloating, disruption of gas, belching and bad breath,
- severe pain in the groin or scrotum, pain in this case are aching in nature,
- externally, there is swelling in the scrotum, this part of the body can also increase greatly in size,
- if the child is older, he may complain of a burning sensation in the lower abdomen,
- difficulty urinating,
It is important to remember that the protrusion can disappear on its own. In addition, the hernia at the first time of its development often does not have a pronounced clinical picture.
The study of the disease involves assessing the general condition of the boy, the specifics of the hernia, its size, position. To do this, the doctor may prescribe a number of instrumental methods of research.
Among them are the main ways:
- Ultrasound diagnostics, able to give accurate information about the contents of the hernial sac, its location and the state of the entrance gate,
- Gastroduodenoscopy - A method to assess the condition of the esophagus, stomach and duodenum. In this case, it allows to study the involvement of these organs in the pathological process.
Also, the diagnosis of the disease involves differentiation with pathologies that have a similar clinical picture.
Differential diagnosis is carried out with such ailments:
This type of hernia is subject to surgical treatment. Conservative therapy in this case does not prevent a number of complications that may occur after inpatient treatment. The main method of surgery is called hernia repair.
The surgical process consists of several stages:
- The introduction of general anesthesia and the introduction of a child in a state of sleep.
- A small incision of 3 cm is made, thus opening access to the hernia sac.
- The latter is amenable to study and evaluation. Its contents are examined.
- The organs in the bag must be repositioned in the direction of their normal location.
- The excess tissue is cut and the bag itself is removed.
- Sewing and fixation of the peritoneum.
In the usual case, this operation does not cause difficulties for surgeons and it is performed for no more than half an hour.
However, there is always a risk of operating complications:
- wound infection
- trauma to the testicle or surrounding structures (arteries, veins),
- relapse, in this case, the operation must be repeated.
Relapse is a frequent occurrence in hernia surgery. The recurrence of pathology is due to several reasons.
- errors in the intervention process,
- background bowel disease, accompanied by excessive gas,
- strong physical exertion during the first time after surgery.
The postoperative period involves the active management of the patient. For the boy is thorough care.
Also at this stage, lifestyle correction is carried out:
- Exclusion of certain foodsthat can lead to disorders of the gastrointestinal tract.
- Avoiding all physical activity.
Despite the fact that the next day the child will feel a significant relief, we should not miss the observance of these restrictions.
The prognosis for the boy's life is favorable.
It is important to remember that the lack of attention given to a hernia in a child can lead to a complication of the disease. Consequences include pinching - a sudden, rapid compression of the organs in the hernial sac.
For more details on how a hernia looks like in newborns, see the photo. If a child is born with an already closed groin communication with the abdominal cavity, then a hernia in a baby cannot occur. If the passage remains open, the hernia may appear both during childbirth and at an older age.
Symptoms of hernia in newborns can not always be seen, because if it is small, it looks like a small part of the body with a tumor. When a child is strained, it increases, but easily hides inside. And only if the causes of its infringement are manifested, then the hernia becomes noticeable due to pain. In the absence of pain, it is possible to notice the symptoms of the disease only with a significant increase.
Why is hernia dangerous?
The hernia of a baby itself is not dangerous, but it causes discomfort to the child and may be impaired. Under this term they understand that the intestines get stuck between the organs, and they lose their blood supply and vitality. Moreover, the infringement of a hernia in newborn boys can occur as a result of crying, restlessness or in diseases when he coughs, or he has problems with the chair. Then surgical treatment will be required.
Understand that the hernia is strangled, it is possible for the increased anxiety of the child, you can see cramping movements in the abdomen with pain, sometimes the child can vomit. If you look at a hernia at the same time, then you can see that it is swollen, dense and does not reset. If you find these symptoms, you need an urgent appeal to the doctor for surgery or reduction of the hernia. If the hernia cannot be set, the surgeon will perform the operation.
How is the removal operation carried out?
Treatment of a hernia of a baby is possible only with surgery. Elimination of hernia in newborns is a complex, operable procedure due to the appearance of risks and complications. But I must say that this is the only way out, since popular hernia plots are the last century, such treatment does not work. In addition, an incompetent specialist may not be aware of the difficulties in case of a hernia, and its setting will fail, which will lead to unpredictable consequences. Even if the treatment was successful, the hernia can re-form at the most unpredictable time, and it will be more difficult to cure it in an adult, aged 20, 30 years or older. Hernia can also occur in an elderly person aged 70-80, which is even more dangerous.
The operation is performed even in newborns, but most often surgeons operate on boys between the ages of six months and a year or at the age of 2-3 years. When it is used general anesthesia, the operation can be postponed, provided that as long as there is no evidence for the infringement. But still, the treatment is undesirable, since it is not known when the infringement will occur.
During the operation, the surgeon separates the hernia and abdominal cavity so that other internal organs do not fall into the hernia sac. Since the operation should be carried out with maximum accuracy and delicacy, then you need a good specialist who will conduct it competently without damaging the internal genital organs. The operation, depending on the presence of infringement or in its absence, lasts from a quarter to half an hour. It does not use additional materials and implants, in contrast to the same operation in adults older than 20 years.
In addition to the classical operation, which is called hernia repair, the symptoms of hernia in boys can be eliminated by laparoscopy. In this case, the channel between the abdominal cavity and the groove channel is sutured with special threads, permanently eliminating the possibility of a hernia. Recently, doctors have increasingly resorted to this method, since after such hernioplasty (another name for the operation) there is no scarring, the possibility of damage to the internal genital organs is excluded, and it is possible to notice the beginning of a hernia on the other side.
If the hernia is double - inguinal and umbilical, then laparoscopy removes both defects through the umbilical ring in one operation.
Remember that if a hernia is not treated or not operated on it, then there is a risk of its infringement, resulting in unpleasant serious consequences. Examine the child exactly in time and always respond promptly to changes in his condition. This is the only way to keep the baby healthy and bring him back to a full life. Do not be ill!
At the first suspicion of the formation of an inguinal hernia, it is necessary to go to the hospital, the doctor will diagnose the disease and select a treatment. The symptoms of the defect are pain and visible protrusion. Herniation bulging is either in the groin - a lump appears, or in the scrotum - the sore spot along with the scrotum increases in size. And when a child screams and cries, the lump comes out, and in a calm state, the hernia can remain inside the body without showing itself. An examination of the groin and testicles will be carried out at the doctor’s office; a pediatric surgeon may ask the boy to cough to determine if there is a hernia.
In addition to the visual symptom, the child feels painful sensations in the groin, abdomen or testicles. Along with this is a delay of stool and gas, vomiting and nausea.
Treatment for children with inguinal hernia can only be prescribed by a pediatric surgeon, who has both experience and knowledge behind his back. If the boy is still too small, then he will have to wear a special bandage from time to time, it is better to wear it constantly with minimal time for rest. If the child is more than 5 years old, that is, this age is allowed for the operation, an operative intervention will be prescribed. During the operation, the defect in the peritoneal area will be corrected and the hernial sac will be removed.
The inguinal hernia in boys is much more complicated than, for example, the umbilical hernia, which can be cured by a conservative method, and there are cases when it disappears by itself. Here everything is more complicated, even if the baby will wear a special bandage, the operation will be needed in any case. The bandage only warns the boy from the infringement and complications of a hernia, and will not allow her to grow.
The surgical procedure is performed under general anesthesia, and it will take about 20 minutes to remove the hernia. A child is discharged from the hospital already 5 days after the procedure, maybe even earlier. If during the operation the usual stitches were applied, but not absorbable, then they were removed for the second week. Modern methods of surgical treatment are not the procedures that were used during the times of our grandmothers. Today, operations are carried out smoothly and with minimal risk.
Separately, I want to talk about a strangulated hernia that may occur during late treatment or as a result of his absence. If the doctor and parents did not observe and did not find a defect, then the treatment will not be performed. And if it is not there, then the hernia is growing and it is impossible to remove it without an operation already.With this complication, the child feels the strongest pains that worry him almost constantly. The protrusion itself no longer reacts to the hands, if at the initial stage it was reset with a little effort, then in this form the hernia remains in place. She hardens and in a strangled state like a stone. As a rule, a child with acute pain is brought to the ambulance and an unscheduled operation is performed. In this case, you can not wait. If with a normal inguinal hernia it is still possible to delay time and only after the age of five years to prepare for the operation, then with a strangulated hernia the procedure is carried out regardless of the age of the child. Otherwise, the complication can be fatal.
Infringement is a rare phenomenon, as a rule, it is formed when parents treat the child's health carelessly, neglect the recommendations of doctors or do not attend the children's clinic at all.
Why does a hernia occur?
Very often, the causes of occurrence are hidden in hereditary predisposition. From this it follows that inguinal-scrotal hernia in children is considered a developmental defect. However, there are situations where a similar ailment can manifest itself. And most often this situation becomes excessive exercise.
However, the predominant cause, due to which an inguinal hernia occurs in boys, is a feature of testicular development. When a child lives in the womb, the testicles are in the boy's stomach and descend into the scrotum after birth. Inside the abdominal cavity is covered with some kind of film, the so-called peritoneum. When lowering the testicles specified film goes after them. As a result, a kind of pocket is formed, which, under normal conditions, should grow and become heavy. If this does not happen, then an inguinal hernia in boys is formed.
It was a mechanism for the formation of oblique type of hernia. The name is associated with an oblique location. However, there is an option that ends with a straight scrotal hernia in children. Their appearance is due to excessive loads for children or an increase in pressure in the abdomen. The peculiarity of this type is that it does not affect the inguinal canal, but passes through the walls of the abdomen.
Symptoms, complications and hernia repair
Inguinal scrotal hernia may occur even at the birth of a baby, then in this case the symptoms will be absent. In rare cases, pain and discomfort appear, but the signs that would indicate an ailment consist in a protrusion, which can be easily recognized during the examination. Hernia can cover the scrotum or be in the groin. In the first case, the part in which there is an education will exceed the healthy half of the scrotum.
If the child takes a horizontal position, the bulging may disappear, and in a standing position again arise. It is necessary to observe the child when he sneezes, coughs or strains his tummy. In this case, the protrusion will increase.
During a medical examination, the doctor easily notices this. One has only to attach the fingers to the problem area and ask the child to strain the abdomen, then the hernia will be clearly felt. Hernia can be of different sizes.
In addition, it may contain parts of organs, for example, the bladder, intestines, and in some cases even the appendix.
Until a certain time, a hernia may be asymptomatic and without any kind of complications.
However, the latter may lie in wait at any time, so if the child begins to complain of pain in the lower abdomen, you need to go to the hospital.
As for complications, there may be consequences. Most often, a pinching occurs, as the hernia sac may be squeezed in the area of the inguinal canal. In this case, the child suffers from vomiting, severe pain, his temperature rises. This condition requires urgent hospitalization.
A relatively rare complication is appendicitis. It is possible that the appendix can not get into the formed hernial bag. If ingested, its blood circulation is disturbed, which immediately affects the boy’s condition.
The next complication is the inability to right hernia. In some cases, the hernial bag reaches a large size, which complicates this process. The most common complication is constipation and indigestion.
After the diagnosis, which is immediately visible during the examination, the doctor prescribes a treatment regimen. It includes the delivery of tests and the attendance of the patient for hospitalization. The next stage is the operation. It does not take much time and is very easy to implement. An incision is made, the hernia is separated and cut off. A few days later the patient is discharged, and the removal of sutures is carried out in a week.
Causes of pathology
Inguinal hernia in children ranks second among hernias in children and occurs quite often. At the stage of intrauterine development, the testicles of the fetus are located in the abdominal cavity, with further development they descend into the scrotum, capturing a piece of peritoneum. This forms a pocket of connective tissue. Before the birth, the pocket must be tightened; if this does not occur, then an inguinal hernia begins to protrude through it.
The connecting pocket in children is formed up to two years. There are cases of oblique inguinal hernia. The oblique is caused by the closing of the pocket on the side of the inguinal ring, but it remains open outside, thus forming a cavity filled with fluid, that is, a hernia. Such inguinal hernias are considered congenital. In older children, it happens that a loop of the abdominal cavity has penetrated the intestine due to weak muscles of the inguinal canal. Such bulges are called straight lines.
Inguinal hernia in children may occur after birth. If the baby is restless, often crying heavily, the inguinal sac may crawl out. In case of weak connective tissue or peritoneal injuries, protrusion may also occur. Excessive physical activity in a child causes an illness. An important role is played by heredity. If one of the parents ever operated on this issue, the risk of a hernia in a child increases several times.
Treatment of inguinal hernia in children
An inguinal hernia can not disturb for a long time. It does not cause pain, only manifested as a defect. But it is like a time bomb, which can be infringed at any time and then the removal of an inguinal hernia in children cannot be avoided. Manifested a hernia as a seal in the groin area. If it is pinched, then the child experiences pain when pressing on the protrusion. When coughing or crying, bulging increases several times. If the hernia touches the intestinal wall of the child, then when pressing on it, the stomach rumbles. Pinching a hernia is a life-threatening condition in which nausea, vomiting, abdominal distension, constipation, and fever develop. With such symptoms, an urgent need to contact a pediatric surgeon, with infringement, an emergency operation is performed for 6 hours. It is important to make an accurate diagnosis and prescribe treatment, because such symptoms can occur with appendicitis.
With such a diagnosis, in most cases, the removal of an inguinal hernia in children is indicated. In this case, the hernia is surgically removed under general anesthesia. Therefore, there are contraindications for surgery. These include: dermatitis in the groin area, cardiac and renal failure in a child. First of all, during the operation, it is necessary to provide access to the inguinal canal. After that, the hernial sac is removed and the inguinal opening is sutured to avoid re-formation. If during the operation the expansion of the inguinal canal is visible, then it is sutured using plastic surgery. Also during the operation, a defect in the bowel loop can be detected. Its viability is determined by color, if it is damaged or necrotized, then the color of the serous membrane of the intestine dims, the peristalsis is not determined and the surrounding blood vessels do not pulsate. In case of necrotization, the dead tissue is removed by laparotomy.
In cases where the operation is not of an emergency nature, endovideosurgical treatment is widely used. The advantages of this type of surgical treatment: the spermatic cord is not injured, visualization of the hernia on the back of the groin and hernia in the umbilical region, the minimum number of postoperative scars.
Harmless preparations are used for anesthesia in children, after which the baby will move away from anesthesia in a short period of time. It is also possible to use combined anesthesia. To do this, use local anesthesia and sedatives.
In the postoperative period, you should observe bed rest for three days, if necessary, take laxatives. If the operation was uncomplicated, the child is discharged the next day, the stitches are removed on the seventh day.
Unfortunately, after surgery there may be complications in the form of hemorrhages in the scrotum and hematomas in the area of surgery. It is very important that the surgeon be vigilant and careful during the operation in order to prevent such severe complications as injury to the bladder, bowel loop and other vital organs of the child, bleeding from the omentum. With an incorrectly performed operation, at a more mature age in boys, complications such as infertility may occur. Since during the removal of the protrusion, the surgeon can damage the ejaculi, which are very close to the hernial bag. Recurrent recurrences of inguinal hernias are not excluded, which will require repeated treatment.
Non-surgical treatment of inguinal hernia in children
Non-surgical treatment is carried out in children under 5 years, then this treatment does not bring results. Wearing a bandage when protruding in a child gives a good result and is recommended for physical exertion. It is necessary to give the body a rest, the constant wearing of a bandage can harm. Gymnastics, swimming and abdominal exercises help in the treatment of illness in children. The pediatrician may prescribe abdominal massage and physiotherapy procedures. For the treatment and resorption of hernia apply compresses of decoctions of wormwood, oak bark, and cornflower. A good result in the treatment gives the reception of a decoction of the leaves of the gooseberry, bone-cutting. Camphor oil treatment will help to get rid of the protrusion. It must be daily rubbed into the groin area for 5 days.
ICD code 10
- K00-K93 Diseases of the digestive organs.
- K40-K46 Hernia.
- K40 Inguinal hernia.
- K40.0 Bilateral inguinal hernia with signs of obstruction.
- K40.1 Bilateral inguinal hernia with gangrenous complication.
- K40.2 Bilateral inguinal hernia uncomplicated.
- K40.3 Unilateral or undiagnosed inguinal hernia with obstruction phenomena.
- K40.4 Unilateral or undiagnosed inguinal hernia with gangrenous complication.
- K40.9 Unilateral or undiagnosed inguinal hernia without complications.
Causes of congenital inguinal hernia and pathogenesis
Congenital inguinal hernia is formed due to the existence within the human body of the inguinal canal. The channel originates in the middle of the abdominal cavity, passes inside the front wall of the abdominal press, then settling inward and downward, forming a hole just above the scrotum in the male body, or above the labia in the female body.
Such a hole is considered a pathology. The inguinal canal is formed of muscles and ligaments. Under normal circumstances, the male spermatic cord or the female uterine ligament passes through it. However, in some cases, the hernial sac may pass through this channel. What contributes to this:
- congenital weakness of the abdominal wall,
- non-closure of tissues after the testicle sinks into the scrotum.
As is known, congenital inguinal hernia in boys is found approximately 20 times more often than in girls. This is due to the features of the anatomy of the male body. The percentage of the appearance of pathology in premature babies is much higher.
Firstly, the vaginal peritoneal process is of great importance in the development of a hernia, which can be represented as a kind of tubercle of the parietal peritoneum (blind sac). This process along with the testicle must proceed to the scrotum, all of which take place during the growth of the fetus in the womb. These processes are largely dependent on hormonal changes in the body, and if any disorders occur, the vaginal process may not be closed and the testicle may be delayed in the area of the inguinal canal. As a result, a hernia is formed in the child, and at the same time a hydrocele, or cystic formation of the spermatic cord, usually occurs with it.
Congenital inguinal hernia in girls is extremely rare. This can be explained by the fact that the girl's lumen of the inguinal canal is much narrower and already has a round uterine ligament. However, in rare situations, the vaginal appendix may not close, and the opening will remain free. Such a phenomenon is called “the formation of the Nukki channel” in it and may be the ovary.
Symptoms of congenital inguinal hernia
The first signs of a hernia appear in children immediately after birth. In this case, the main thing that you can pay attention to when examining a child is an incomprehensible bulging tubercle in the groin area, which looks like an elongated swelling along the inguinal canal. The hernia has a soft and elastic consistency, it is painless and practically does not cause discomfort to the baby.
At rest and in a prone position, protrusion “hides”, creating the appearance of a lack of pathology. In such a situation, the disease can be recognized by compaction of the spermatic cord, which can be seen during a thorough examination. This symptom is called the "silk glove symptom."
However, when the child takes a vertical position, or straining, laughing, crying - the inguinal hernia becomes much more noticeable.
In a girl, protrusion may have the appearance of one-sided or bilateral edema on the labia majora.
An infringement of an inguinal hernia can reveal itself with the following symptoms:
- it becomes difficult to feel a hernia (the baby cries and screams),
- hernia is not amenable to self-reduction,
- the child develops nausea (regurgitation), then vomiting, increased gas formation and constipation.
The intestinal loop usually becomes the object of infringement in boys and the appendage in girls.
How to detect an inguinal hernia in a boy? Signs.
Hernias are direct, the causes of which are constant and increased power loads or increased intra-abdominal pressure. Oblique hernias include the formation of abnormalities in the anterior abdominal wall in the process of lowering the testicle, while the right one enters the scrotum much later than the left, so much more often the groin hernia appears on the right side. Sometimes there is a hernia from both sides, which require the implementation of two surgical interventions.
For any signs that indicate an inguinal hernia in a child, it is necessary to get to the hospital as early as possible, where they will be able to detect the disease, prescribe treatment.
Symptoms of a hernia are strong feelings of pain and a noticeable protrusion that occurs either in the inguinal region where a lump occurs, or in the scrotum, which increases in size.
When a child screams and cries, the resulting nipple protrudes outside and becomes noticeable, and in its calm state it can continue to be in the body itself, without any manifestation.
When referring, the doctor examines the groin area, as well as the testicles, and the surgeon can ask the patient to cough so that he can diagnose the disease as accurately as possible.
In addition to a bulging bump, boys usually have complaints about pain in the groin, abdomen, or testicles. In addition, constipation, vomiting, and nausea may manifest.
How to find out an inguinal hernia in boys?
The procedure and conditions for the treatment of an inguinal hernia should be prescribed by a pediatric surgeon who has experience and knowledge in this area in his baggage.
For a very young patient, a special bandage is written out, which should be worn constantly, practically without removing it. You can buy a male inguinal bandage in the online store "Allorto". For a child older than five years prescribed surgery. In the process of performing surgical operations, the defect of the abdominal cavity and the hernial sac itself are eliminated.
Male children carry a groin of the inguinal region much harder than the umbilical, which can be eliminated by various methods, and often it passes itself. Hernia in the groin is much more complicated. Even under the condition that the baby will always be in a special bandage, the operation will most likely not go away anyway. The bandage is needed only in order to avoid concomitant complications and to prevent further growth of the hernia.
The operation is performed with general anesthesia, the duration of the intervention is about a third of an hour. Home child can send about the sixth day, and sometimes early. If, during the operation, traditional seams were put in place of self-absorbable traditional sutures, then they should be removed no earlier than in a week or a little more. Thanks to modern technologies, operations are carried out as painlessly and safely as possible for the patient’s life.
If the hernia is found too late or the treatment is not performed in time, then a strangulated hernia is formed. If untreated, the hernia continues to grow, therefore, in this case, it is impossible to do without surgery. During this period, the child is subject to severe pain that torments him all the time.
A bulging bump does not react to the action of the hands, while, if in the initial form, it could be repositioned with virtually no problems, then in the advanced stage it does not even budge.
With the described symptoms of a child with acute pain, they are taken to the hospital and prepared for surgery, since there is no time to wait. With the usual form of a hernia, you can postpone the process of surgical intervention until the child reaches the fifth anniversary, but it is impossible to delay with a strangulated hernia, since everything can end up pretty badly.
The good news is that a strangulated hernia is a rather rare disease and occurs when the parents do not monitor the child’s health at all or do not follow the recommendations of children's specialists, and often simply do not go to the clinic for an appointment.
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