The reason that oblique hernia sees more on the right side?

summary

Indirect inguinal hernia in children is one of the common diseases in pediatric surgery. We need to seize the time to treat it. It is a kind of congenital dysplasia, which is mainly caused by the failure to block the peritoneal sheath process during the process of testicular descent to scrotum in the embryonic period, and it can occur in the neonatal period. Indirect inguinal hernia is more common in boys than in girls. The right testis is 2-3 times more than the left testis, which is due to the late decline of the right testis than the left testis. What is the common reason for the right side of indirect hernia?, Now let's take a concrete look.

The reason that oblique hernia sees more on the right side?

First, the common manifestations of indirect inguinal hernia are: at first, it is mainly the retractable mass in the inguinal area. When the intra-abdominal pressure is increased due to crying or other reasons, the mass can be significantly increased, while the mass can be reduced or completely disappeared after quiet, lying down and sleeping. In general, it does not interfere with activities, and does not affect the normal development of children. There is little pain and discomfort except for incarceration of hernia contents. Older children may report feeling of falling and swelling.

Second, the main sign of indirect inguinal hernia in children is the reducible mass with pedicle in inguinal area. It is smooth and soft; The smaller mass was located in the inguinal canal or protruded from the inguinal canal to the beginning of scrotum; Large can protrude into the scrotum, resulting in scrotum swelling. The contents of hernia are mostly intestinal tube. When the hernia is pushed upward by hand, the mass can be returned to the abdominal cavity. In the process of return, the sound of "grunt" can sometimes be heard. After the contents of the hernia are returned, the outer ring can be enlarged and relaxed. When the baby is crying or the elder is coughing, the finger can be stretched into the outer ring to feel the impact. When the finger tip was pressed on the inner ring of inguinal canal, the mass could not be expanded again. After the finger was removed, the mass appeared again.

Third: in addition, it should be noted that infants under 2 years old are prone to incarceration of inguinal hernia, especially the primary hernia with small hernia sac neck or narrow outer ring, or infant hernia. Incarceration mostly occurs after a burst of severe crying and coughing, the hernia mass suddenly increases, hardens, cannot be accepted and has tenderness. Most of the contents of incarcerated hernia are intestinal tract. After incarceration, abdominal pain, abdominal distension, vomiting, stopping exhaust and defecation may occur. The scrotum may have edema, redness, increased skin temperature, tenderness and other manifestations if strangulation occurred later. And there are body temperature rise, leukocytosis, water electrolyte imbalance and acid-base balance disorders, toxic shock and other systemic manifestations.

matters needing attention

Surgery is the best way to treat inguinal hernia. Theoretically speaking, it is possible for inguinal hernia in children to self heal within six months, and there are a few cases of self healing in clinic, but it is not advisable to wait for self-healing. With the growth of children's age, hernia mass gradually increases, incarceration and strangulation can occur at any time, affecting testicular development, and even life-threatening. Therefore, in principle, early surgical treatment is appropriate after the diagnosis of indirect inguinal hernia.