How to treat indirect hernia?

summary

The incidence rate of indirect inguinal hernia in children has been increasing in recent two years, especially for some premature infants. Because of its complete absence of sheath, it is very easy to induce this disease. Sometimes, the child's crying will aggravate the disease. It will often affect the scrotum part of the child. The following is an introduction to how to treat indirect hernia.

How to treat indirect hernia?

First: the infant's indirect inguinal hernia can appear in the first severe crying after birth, especially in premature infants, because the sheath process has not been completely occluded, the incidence of hernia is high. But it is usually found in 2-3 months or later. The lump only protrudes in the outer ring when crying or exerting force. If it is fed or quiet, the lump disappears. In children or older children, with the increase of the number of attacks, the bulging block extended to the scrotum. In some cases, the block entered the scrotum, even the scrotum bottom, and stayed outside the abdominal cavity for a longer time. After lying on the back, the mass disappeared. There is no complication in children with indirect inguinal hernia, in addition to the bulge, generally do not feel pain. There was no difference in growth and development between the two groups.

Second, local inguinal examination showed that the smaller indirect inguinal hernia in children was located in the outer ring and the beginning of scrotum, which was oval. The larger ones can be lowered into the scrotum, with a heart-shaped appearance. The mass was soft and elastic, and the upper pole gradually disappeared into the inguinal canal in the outer ring with unclear boundary. When the lump is pressed upward gently by hand, the lump can be brought back into the abdominal cavity, and grunting can be heard. When children cough, they can feel the impulse. Remove the finger and the block reappears. In many cases, there is no mass at the time of treatment, and no hernia is found after increasing abdominal pressure. It is necessary to carefully compare the inguinal parts of both sides, and sometimes it can be found that the side with hernia is slightly uplifted. When the fingers slide back and forth above the inguinal ligament, you can feel the thickened spermatic cord and feel the friction between two layers of silk.

Third, although the peritoneum sheath tube can continue to be occluded after birth, there is little possibility of self-healing in children with hernia. Therefore, pediatric indirect inguinal hernia after diagnosis, should be treated surgically, in order to prevent multiple occurrence of occlusive hernia, even premature infants. Surgical treatment of indirect inguinal hernia in children has been quite safe, can not be restricted by age. However, due to the selective operation, the appropriate time should be chosen. Children who are vulnerable to upper respiratory tract infection, long-term cough makes hernia appear frequently, and parents are often more urgent to ask for treatment. At this time, parents should be convinced to treat the original disease first, and carry out surgical treatment in the appropriate season. For children with severe diseases, such as cyanotic congenital heart disease, malnutrition and systemic weakness after infectious diseases, surgery should be postponed.

matters needing attention

Through the experts to explain some knowledge about pediatric indirect inguinal hernia, in daily life, parents should pay close attention to the growth of their children. Once the disease is diagnosed, standardized surgical treatment should be adopted as soon as possible. In addition, after the operation, infection should be prevented.