SURGICAL MANAGEMENT OF INGUINAL HERNIA IN PEDIATRIC AGE- A CASE CONTROL OBSERVATIONAL STUDY

Abstract

Background: Inguino-scrotal swellings are one of the commonest anomalies in pediatric age group. Among these, the most common congenital anomalies are inguinal hernia and Hydrocele. The incidence of inguinal hernia is even higher in preterm babies.

Objectives: This prospective study was conducted to evaluate the different surgical techniques in the management of inguinal hernias.

Methods: A prospective case control analysis was performed on the hospital records including operative notes of 160 admitted pediatric patients, aged from 0 to 12 years, who had inguinal hernia.

Results: A total of 160 patients of age between 0-12 years age group were recruited into the study including 126 male and 34 female patients were included in the final analysis. We divided 160 patients in three groups i.e. 0-3, 3-7 and 7-12 years. Number of patients were (43) 26.0% of the cases, 3 to 7 years which compromise (67) 42.75% and 7 to 12 years which compromise (50) 31.25%. Most common age of inguinal hernia was between 3-7 years. The right inguinal hernia is more than left in both genders. The most common anomaly was undecsended testis found in 7 patients. The rate of complications was higher in emergency cases i.e. 55% and in elective cases 16.25% increasing. More complications found in 20 (12.5%) male patients, 6 (3.75%) females and male: female ratio 3.3:1. Superficial infection i.e. 24(15%) was more common than deep infection. Recurrence was very less noticed i.e. in 3.3% patients.

Conclusion: Early detection and repair of inguinal hernia in pediatric patients is essential to decrease the potential morbidity and operative complications.

Keywords: Epigastric hernia, inguinal hernia, Umbilical hernia, Herniotomy, Processus vaginalis, Strangulation.