inguinal hernia

Question 1

why are inguinal hernias more common in boys

Answer 1

testes migrates from its location on the postieor abdominal wall, down through the inguinal canal

• a patent processus vaginalis may persist and be the site of subsequent hernia development

Question 2

management of inguinal hernias in children in the first few months of life

Answer 2

higher risk of stranglluation

-hernia should be repaired urgently

-*resuscitate, reduce and repair

Question 3

what type of inguinal hernia is most common

Answer 3

99% are indirect hernias

-30% present within the first year of life

Question 4

management of an acutely incarcerated inguinal hernia

Answer 4

manual reduction attempted in the first instant
-unless show signs of systemic toxicitiy

when manual reduction fialurs
- immediate surgery

Question 5

management of inguinal hernia in children over 1 year

Answer 5

if not strangulated- elective surgery

Question 6

points about surgery in children with inguinal hernia 3

Answer 6

paeidatirc hernias- herniotomy without implantation of mesh is suffiecent

most cases are day cases

neonates and premature infants are kept in overnight
-as a regonised increased risk of post operative apnoea

Question 7

increased risk factors for inguinal hernia 2

Answer 7

premature babies

LBW babies

Question 8

overview of umbilical hernias

Answer 8

Most umbilical hernias do not cause any symptoms and are managed by simple
observation till 5 years of age, when may be repaired if still clinically present.