Javad Ghoroubi, Farid Imanzadeh, Shahnam Askarpour, Ali Akbar Sayyari, Mir Mahmood Seyyed Ahadi, Hazhir Javaherizadeh.
Ten years study of inguinal hernia in children.
J Surg Pak Jan ;13(4):173-4.

Objective The aim of this study was to evaluate the management of inguinal hernia in children. Study design: Descriptive study. Place & Duration of study: Mofid Children Hospital, Tehran, Iran from 1996 to 2006. Patients and Methods: This retrospective study was carried out on 1000 children less than 12 years who underwent inguinal hernia surgery. Sex, age, type and location of hernia, type of surgery, mortality, and complications of surgery were noted. Results The inguinal hernia was most common among male children (n 83.7%) and on right side while bilateral inguinal hernia was more common in females. The most common associated anomaly was hydrocele (27.6%) and undescended testis (5.85%). The most common abdominal organ found in the sac was small intestine followed by omentum. Out of 837 male patients, 28 had incarcerated hernia (3.4%). These patients were treated primarily by reduction. In 42.8% of cases, reduction was unsuccessful. Half of the patients with incarcerated hernia were below 1 year of age. Most of the incarcerations were seen below 1 month of age. Contralateral exploration was done in 2.85% of the cases. Complications of the surgery were erythema of the incision and recurrent inguinal hernia. Rate of recurrent inguinal hernia was 0.3%. Conclusions: Inguinal hernia is a common surgical condition in children. Elective surgery is associated with minimal complications. Incarceration is more common in infancy with chances of recurrence if explored in emergency.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com