Abstract
Target. To study the level of blood lactate in children with strangulated inguinal hernias (SIH). Material and methods. 46 boys with UPG under the age of 3 years were examined. The examination included anamnesis, examination, laboratory data, including blood lactate, ultrasound, Doppler sonography, examination of biopsy and surgical material. Results. Blood lactate in children of group 1 (up to 12 hours from the moment of strangulation) was 1.8±0.3 mmol/l, in children of group 2 (from 12 to 24 hours) - 2.5±0.2 mmol/l, in children of group 3 (after 24 hours) - 2.8±0.3 mmol/l. All children were operated on. In 6 children, bowel resection was performed; in 6, testicular infarction was detected. Discussion. A significant excess of normal blood lactate levels occurred in children with strangulated inguinal hernias who were admitted later than 12 hours from the moment of strangulation. Conclusion. The study of blood lactate in children with strangulated inguinal hernias can be used in the diagnosis of intestinal and testicular ischemia.
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