Abstract
BackgroundInguinal hernia in neonates and infants including children is as a result of failure of processes vaginalis to close. Once diagnosed, it should be promptly repaired on elective basis to prevent possible risk of bowel incarceration. The purpose of this study was to evaluate the clinical profile, management, and outcome of infantile inguinal hernia.MethodsAim of this prospective clinical study was to clinically evaluate the infants with clinical diagnosis of inguinal hernia admitted in our tertiary child care institute from January 2014 to December 2017 over a period of three years. The design of this study was to assess the clinical profile, management and outcome of infantile inguinal hernia. Study was conducted in a tertiary care neonatal and paediatric referral centre in southern India. Infants less than 1 year including neonates were selected for this study on the basis of inclusion and exclusion criteria. The maximum follow-up period was 5 years.ResultsA total of 118 infants admitted with clinical diagnosis of inguinal hernia were included in the present study. They were grouped as per their clinical diagnosis and age on admission into two groups; 0 to 6 months as group I and more than 6 months to 12 months as group II. All of them underwent surgical repair as soon as diagnosed. Overall survival rate was 100%. There was no operative mortality 0/118 (0%). Rate of recurrence was 0.034% without any surgical site infections.ConclusionEarly surgical intervention in the form of inguinal herniotomy is the most appropriate management of inguinal hernia in infants including the neonates as soon as diagnosed on elective basis.
Highlights
Inguinal hernia in neonates and infants including children is as a result of failure of processes vaginalis to close
2 Methods This was a prospective clinical observational study conducted in a tertiary care centre in Bengaluru, southern India, in neonates and infants less than a year over a period of three years, with the clinical diagnosis of inguinal hernia, International Classification of Diseases [ICD] 2018, K40.0, K40.2, K40.3, and K40.9 included; between 1st January 2014, and 31st December 2017
4 Results A total of 118 infants with inguinal hernia were enrolled in the present study
Summary
Inguinal hernia in neonates and infants including children is as a result of failure of processes vaginalis to close. Once diagnosed, it should be promptly repaired on elective basis to prevent possible risk of bowel incarceration. The purpose of this study was to evaluate the clinical profile, management, and outcome of infantile inguinal hernia. Inguinal hernias in infants and young children are the result of persistent patent processus vaginalis. An inguinal hernia should be promptly repaired on an elective basis to prevent the risk of incarceration. Aim of the present study was to describe the clinical profile, management and its anaesthetic and surgical challenges in infantile inguinal hernia including neonates
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