A Clinical Study and Management of Inguino-Scrotal Swellings in Children: An Institutional Experience

G. Narasimha Reddy; Dr. G. Satyam; T. Siva kumar

Volume : VII, Issue : XI, November - 2017

A Clinical Study and Management of Inguino-Scrotal Swellings in Children: An Institutional Experience

G. Narasimha Reddy, Dr. G. Satyam, T. Siva Kumar

Abstract :

Introduction: Inguinoscrotal swellings are one of the commonest anomalies in infancy and Childhood throughout the world. All pediatric inguinal hernias require operative treatment to prevent the development of complications, such as inguinal hernia incarceration or strangulation. This study was aimed to know the clinical presentation of inguinal hernia in children, age ranging from 9 months to 12 years, management of inguinal hernia in children and other associated conditions.

Patients and Methods: Forty children were selected ranging in age from 9 months to 12 years presenting with inguinoscrotal swelling which were examined, followed up and managed.

Results: The inguinal hernia was most common among male children (87.5%) hereby giving a ratio of M: F=5.6:1. Right sided (60%) inguinoscrotal swellings were more common than left (35%). High ligation at the level of deep ring was done in all the cases. In this series of 40 children, there were 2 cases of incarceration. But none had strangulation and gonadal infarction.

Conclusion: Presence of contralateral patent processus vaginalis on USG doesn’t necessitate routine contralateral groin exploration. Emergency herniotomy is not associated with increased intra–operative or post–operative complications.