Diagnosis and Treatment of Inguinoscrotal Hernias in Children
Journal Title: Здоров`я дитини - Year 2016, Vol 1, Issue 69
Abstract
Introduction. Inguinal hernia — the most common disease in the practice of pediatric surgeon and ranged from 70 to 85 % of all hernias in children. The aim of our work is to improve the results of diagnosis and treatment for inguinoscrotal hernias in children. Materials and methods. We have analyzed 186 children with inguinoscrotal hernias in the period from 2010 to 2015. Unilateral inguinal hernia — 68.4 % of cases, bilateral one — 31.6 % of cases. In 76 children, inguinal hernia was combined with umbilical hernia, with hydrocele testis — in 20 children. Results and discussion. Analyzing the results, we have found that in 84.9 % of children hernia diagnosis was based on the complaints of parents and physical examination of children. Surgical treatment of 78 (42 %) children was performed using open access. 108 (58 %) patients underwent laparoscopic correction. Of them, in 28 children hernia on the other side was diagnosed during surgical intervention. Within a year after surgery, in 18 children we have identified metachronous hernia (contralateral). In 12 children with giant inguinoscrotal hernias, we have detected hydrocele testis. Conclusions. 1. The optimal duration of the surgery is the time of diagnosis with a view to preventing complications and damage of the scrotal organs. 2. Laparoscopic access allows you to easily perform the operation on both sides, which, in turn, prevents the occurrence of contralateral hernia in catamnesis.
Authors and Affiliations
O. V. Spakhi, Ye. P. Kopylov, O. P. Paholchuk
Keywords
Related Articles
- EP ID EP198316
- DOI -
- Views 84
- Downloads 0
The Role and Place of Magnesium Deficiency in the Development of Vegetative-Vascular Dysfunction in Children
Important role in the development of vegetative-vascular dysfunction in children belongs to stress. Stress and magnesium deficiency are interdependent processes that deepen each other and cause changes in the functionin...
Health Status and Prognosis of Disease Prevalence Among Adolescents in Ukraine
The article provides an analysis of the health status of adolescents in Ukraine; the tendencies and dynamics of changes in the structure of disease prevalence among adolescents are determined using the method of prognosi...
Peculiarities of the Early Neonatal and Postnatal Diagnosis, Clinical Picture, Treatment and Prognosis of Tricuspid Atresia
The article presents the published data on the prevalence, the main clinical manifestations, modern methods of early neonatal and postnatal diagnosis, treatment and prognosis of tricuspid atresia — the congenital malform...
Some Aspects of the Mechanisms of Action of Hemic Antihypoxant Acyzol in Clinical Practice and Experiment
The results of clinical and experimental study of the mechanisms underlying the antihypoxic effect of Acyzol are considered. Its effect on the acid-base balance of the blood and oxygen-transport properties of hemoglobin...
Features of Adaptive Mechanisms in Children with Minor Cardiac Abnormalities
The paper presents the features of adaptive-compensatory reactions in children with minor cardiac abnormalities (MCA) depending on the presence or absence of fibrillogenesis violations. It is proved that the most informa...