05/02/2025
A young 12-year-old recently visited us with discomfort and swelling in her left groin area—a concern that turned out to be a left inguinal hernia. During her evaluation, the clinical examination identified a reducible swelling, and a high-resolution ultrasound (HRUSG) confirmed the diagnosis. Understanding the importance of prompt, minimally invasive care, we performed a laparoscopic herniotomy to repair the defect, ensuring precision and a faster recovery. The procedure was a success, and thanks to her resilience and our team’s expertise, she was back home by the third day, ready to return to her active, playful life. Her smooth journey from diagnosis to discharge highlights the power of advanced minimally invasive surgical techniques and compassionate care, giving her and family peace of mind and a hernia-free future!
# # # Inguinal Hernia in Pediatric Age
An inguinal hernia occurs when abdominal contents, such as part of the intestine, protrude through a weak spot in the abdominal wall in the groin area. In pediatric patients, this condition is often due to a congenital defect known as a patent processus vaginalis.
• More common in males than females (6:1)
• Pathophysiology
Patent Processus Vaginalis
Indirect Inguinal Hernia: The most common type in children, where the hernia sac passes through the internal inguinal ring and into the inguinal canal.
• Clinical Presentation
- A visible or palpable bulge in the groin or sc***um, which may become more prominent with crying, coughing, or straining.
- The bulge may disappear when the child is relaxed or lying down.
• Complications
Incarceration: The hernia becomes trapped and cannot be reduced, leading to obstruction and potential compromise of blood flow.
Strangulation: A medical emergency where the blood supply to the herniated tissue is cut off, leading to tissue necrosis.
• Management
- Surgical Repair: The definitive treatment for pediatric inguinal hernia is surgical repair, known as herniotomy. This involves ligating and excising the hernia sac.
