Scrotal hernia in children?

summary

Pediatric hernia, also known as inguinal hernia, generally occurs in infancy, and more common in boys. Because the testicle of a baby boy is in the abdomen at first, and it drops into the scrotum just before birth. The passage from the abdomen to the scrotum that the testicle passes through is usually closed after birth, but there are a few cases of poor atresia. When the baby is 2-3 months old, due to severe crying or constipation, when the intra-abdominal pressure increases, the intestinal tube in the abdominal cavity will follow the passage of incomplete atresia, Through the groin (the base of the thigh) into the scrotum, this is inguinal hernia. Now let's talk about it.

Scrotal hernia in children?

Indirect inguinal hernia when the sick child cries or stands upright, and the abdominal pressure increases, a round or pear shaped mass protrudes from the inguinal to the scrotum, and the mass retracts and disappears when lying flat. The upper end of the tumor was pedunculated and passed into the abdomen. When the patient coughs, the tumor can be touched and there is a sense of swelling shock. When the tumor is still accepted, press the finger tightly on the inner ring, the tumor will not reappear. If the finger is released, the tumor can reappear. If the contents of the hernia are small intestine, when it is still in the abdomen, grunting can be heard. After the contents of the hernia are returned, the index finger extends into the outer ring through the scrotal skin to feel the expansion and relaxation of the outer ring. At this time, if the patient coughs, the fingertip will have a sense of impact. This is helpful for the diagnosis of incomplete indirect inguinal hernia, especially in obese patients. According to the different contents of the hernia, the local manifestations may be different. If it is small intestine, the surface of the tumor is smooth and soft. If it is omentum, the mass is tough and inelastic, and the percussion is voiced. In addition to infants due to thin intestinal wall can be transparent, the general hernia mass are opaque. In women, the mass may appear in the labia major. In addition to the feeling of falling and distension, there are no symptoms in general, and the larger hernia can have obvious traction pain.

Some manifestations of direct inguinal hernia are basically similar to indirect inguinal hernia, but the tumors are located in the inner side of inguinal and the upper part of pubic tubercle. Most of them are hemispherical and never enter scrotum. They appear when standing up and disappear when lying on the back. Because the base is wide, it is easy to return, and it is not easy to occur incarceration. It can't prevent the inner ring from appearing again. If the index finger is inserted into the inguinal canal through the outer ring, obvious defect of the posterior wall can be detected. There were no conscious symptoms.

Hernia band and other methods are also useful in medicine, but it can only be used as a means of adjuvant treatment, and can not fundamentally cure hernia. Children over one year old can be operated, and generally will not relapse after operation. No treatment other than surgery can cure the hernia in children.

matters needing attention

The above are all about the symptoms of children's hernia. If mothers find that their children have the above abnormalities, they must be treated as soon as possible, and it is suggested that we go to some regular hospitals for comprehensive treatment, so that the children can recover as soon as possible.