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Surgical treatment of inguinal hernios and hydroceles in children

Year 2006, Volume 37, Issue 2, 35 - 39, 01.03.2006

Abstract

Objective: To discuss the clinical and surgical aspects of inguinal hernias and hydroceles in children. Material and Methods: In this study medical and surgical records of 15842 patients, operated for inguinal hernia or hydrocele in our hospital between 1987 and 2005 were reviewed retrospectively. Results: The patients were aged between 1 days and 14 years,and, minimal follow-up period was six two years. Of the 12886 boys, 7266 were operated for inguinal hernia, 2766 for scrotal hernia, 2513 for communicating hydrocele, and 341 for non-communicating hydrocele; of the 2756 girls, 2723 were operated for inguinal hernia and 33 for non-communicating hydrocele, respectively. There were associated abnormalities in 376 (2.4 %) of the patients. Complication rate was 0.9 % and, there was no recorded death in our series. Conclusion: Although the increasing number of laparoscopic repair reports in the literature, open surgical treatment of inguinal hernias and hydroceles in children remains as the most cheap, safe and, effective method.

References

  • Weber TR, Tracy TF. Groin hernias and hydroceles. In: Ashcraft KW, Holder TM., eds. Pediatric Surgery. 2nd ed. Philadelphia: WB Saunders Company, 1993:562-570
  • Lloyd DA, Rintala RJ. Inguinal hernia and hydrocele. In: O'Neill JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG., eds. Pediatric Surgery. 5th ed. Missouri: Mosby-Year Rook Inc., 1998:1071-1086
  • Ravi K, Hamer DR. Surgical treatment of inguinal herniae in children. Hernia 2003; 7: 137-140
  • Lewitt MA, Ferraraccio D, Arbesman MC, Rrisseau GF, Caty MG, Glick PL. Variability of inguinal hernia surgical technique. A survey of North American Pediatric surgeons. J Pediatr Surg 2002; 37: 745-751
  • Misra D, Hewitt G, Potts SR, Rrown S, Boston VE. Inguinal herniotomy in young infants, with emphasis on premature neonates. J Pediatr Surg 1994; 29: 1496-1498
  • Rescorla FJ, Grosfeld JL. Inguinal hernia repair in the perinatal period and early infancy: clinical considerations. J Pediatr Surg 1984; 19: 832-837
  • Rowe MI, Clathworthy HW. The other side of the pediatric inguinal hernia. Surg Clin North Am 1971; 51: 1371-1376
  • Rowe MI, Copelson LW, Clathworthy HW. The patent processus vaginalis and the inguinal hernia. J Pediatr Surg 1969; 4: 102-107
  • Kiesewetter WR. Unilateral inguinal hernias in children: What about the opposite side?. Arch Surg 1980; 115: 1443-1445
  • Manoharan S, Samarakkody U, Kulkarni M, Rlakelock R, Rrown S. Evidence-based change of practice in the management of unilateral inguinal hernia. J Pediatr Surg 2005; 40: 1163-1166
  • Chertin R, D e Caluwe D, Gajaharan M, Piaseczna-Piotrowska A, Puri P. Is contralateral exploration necessary in girls with unilateral inguinal hernia?. J Pediatr Surg 2003; 38: 756-757
  • Rurge DM, Sugarman IS. Exclusion ofandrogen insensitivity syndrome in girls with inguinal hernias: current surgical practice. Pediatr Surg Int 2002; 18: 701-703
  • Deeb A, Hughes IA. Inguinal hernia in female infants: A cue to check the sex chromosomes?. BJU Int 2005; 96: 401-403
  • Goldman RD, Ralasubramanian S, Wales P, Mace SE. Pediatric surgeons and pediatric emergency physicians' attitudes towards analgesia and sedation for incarcerated inguinal hernia reduction. J Pain 2005; 6: 650-655
  • Roley SJ, Cahn D, Lauer T, Weinberg G, Kleinhaus S. The irreducible ovary: a true emergency. J Pediatr Surg 1991; 26: 1035-1038
  • Conlin MJ, Tank ES. Minimizing surgical problems of peritoneal dialysis in children. J Urol 1995; 154:917-919
  • Kaya M, Huckstedt T, Schier F. Laparoscopic approach to incarcerated inguinal hernia in children. J Pediatr Surg 2006; 41: 567-569
  • Chan KL, Hui WC, Tam PK. Prospective randomized single-center, single-blind comparison of laparoscopic vs open repair of pediatric inguinal hernia. Surg Endosc 2005; 19: 927-932
  • Borenstein SH, To T, Waija A, LangerJC. Effect of subspecialty training and volume on outcome after pediatric inguinal hernia repair. J Pediatr Surg 2005; 40: 75-80
  • Rowe MI, Marchildon MB. Inguinal hernia and hydrocele in infants and children. Surg Clin North Am 1981; 61: 1137-1145
  • Czeizel A, Gardonyi J. A family study of congenital inguinal hernia. Am J Med Genet 1979; 4: 247-254
  • Handa R, Kale R, Harjai M. Incidental inguinal hernias on laparoscopy. Asian J Surg 2006; 29:28-30
  • Sözübir S, Ekingen G, Şenel U, Kahraman H, Güvenç BH. A continuous debate on contralateral processus vaginalis: evaluation technique and approach to patency. Hernia 2006; 10: 74-78
  • Bahatia AM, Gow KW, Heiss KF, Barr G, Wulkan ML. Is the use of laparoscopy to determine presence of contralateral patent processus vaginalis justified in children greater than 2 years of age ?. J Pediatr Surg 2004; 39: 778-781
  • Nixon RG, Pope JC, Adams MC, Holcomb GW, Brock JW. Laparoscopic variability of the internal inguinal ring: review of anatomical variation in children with and without a patent processus vaginalis. J Urol 2002; 167: 1818-1820
  • Grosfeld fL, Cooney DR. Inguinal hernia after ventriculoperitoneal shunt for hydrocephalus. J Pediatr Surg 1974; 9: 311-315
  • Çelik A, Ergün O, Arda MS, Yurtseven T, Erşahin Y, Balık E. The incidence of inguinal complications after ventriculoperitoneal shunt for hydrocephalus. Childs Nerv Syst 2005; 21: 44-47
  • De Caluwe D, Chertin B, Puri P. Childhood femoral hernia: a commonly misdiagnosed condition. Pediatr Surg Int 2003; 19: 608-609
  • Schier F, Klizaite J. Rare inguinal hernia forms in children. Pediatr Surg Int 2004; 20: 748-752

Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi

Year 2006, Volume 37, Issue 2, 35 - 39, 01.03.2006

Abstract

Amaç: Çocuklarda kasık fıtığı ve hidrosellerin özelliklerinin, bu olgulara yaklaşımdaki sorunların klinik ve cerrahi bulguların ışığında tartışılması. Gereç ve Yöntem: Çalışmada kliniğimizde 1987-2005 arasında kasık fıtığı/hidrosel tanılarıyla ameliyat edilmiş olan 15642 hastanın ameliyat ve ameliyat sonrası kontrol kayıtları geriye dönük olarak değerlendirilmiştir. Bulgular: Ameliyat sonrası izlem süresi en az 6 ay (ortalama 2 yıl) olan ve yaşları 1 gün-14 yıl arasında değişen hastaların 12886'sı (% 82) erkek, 275&sı (%18) kızdı.Erkeklerin 726&sı kasık fıtığı, 276&sı torba fıtığı, 2513xü ilişkili hidrosel ve 34Vİ ilişkisiz hidrosel; kızların ise 2723}ü kasık fıtığı, 33'ü ise ilişkisiz hidrosel tanısıyla ameliyat edildi. Toplam 376 olguda (% 2.4) ek hastalıklar vardı. Serimizde ölüm oranı sıfır olup, % 0.9 sıklıkta başta fıtığın yinelemesi ve yara enfeksiyonu olmak üzere çeşitli istenmeyen sonuçlarla karşılaşılmıştır. Sonuç: Laparoskopik onarımla ilgili yayınların giderek artmasına karşın çocuk kasık fıtık/ hidrosellerinde açık cerrahi tedavi halen en etkin, güvenilir ve ucuz yöntem olma özelliğini korumaktadır.

References

  • Weber TR, Tracy TF. Groin hernias and hydroceles. In: Ashcraft KW, Holder TM., eds. Pediatric Surgery. 2nd ed. Philadelphia: WB Saunders Company, 1993:562-570
  • Lloyd DA, Rintala RJ. Inguinal hernia and hydrocele. In: O'Neill JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG., eds. Pediatric Surgery. 5th ed. Missouri: Mosby-Year Rook Inc., 1998:1071-1086
  • Ravi K, Hamer DR. Surgical treatment of inguinal herniae in children. Hernia 2003; 7: 137-140
  • Lewitt MA, Ferraraccio D, Arbesman MC, Rrisseau GF, Caty MG, Glick PL. Variability of inguinal hernia surgical technique. A survey of North American Pediatric surgeons. J Pediatr Surg 2002; 37: 745-751
  • Misra D, Hewitt G, Potts SR, Rrown S, Boston VE. Inguinal herniotomy in young infants, with emphasis on premature neonates. J Pediatr Surg 1994; 29: 1496-1498
  • Rescorla FJ, Grosfeld JL. Inguinal hernia repair in the perinatal period and early infancy: clinical considerations. J Pediatr Surg 1984; 19: 832-837
  • Rowe MI, Clathworthy HW. The other side of the pediatric inguinal hernia. Surg Clin North Am 1971; 51: 1371-1376
  • Rowe MI, Copelson LW, Clathworthy HW. The patent processus vaginalis and the inguinal hernia. J Pediatr Surg 1969; 4: 102-107
  • Kiesewetter WR. Unilateral inguinal hernias in children: What about the opposite side?. Arch Surg 1980; 115: 1443-1445
  • Manoharan S, Samarakkody U, Kulkarni M, Rlakelock R, Rrown S. Evidence-based change of practice in the management of unilateral inguinal hernia. J Pediatr Surg 2005; 40: 1163-1166
  • Chertin R, D e Caluwe D, Gajaharan M, Piaseczna-Piotrowska A, Puri P. Is contralateral exploration necessary in girls with unilateral inguinal hernia?. J Pediatr Surg 2003; 38: 756-757
  • Rurge DM, Sugarman IS. Exclusion ofandrogen insensitivity syndrome in girls with inguinal hernias: current surgical practice. Pediatr Surg Int 2002; 18: 701-703
  • Deeb A, Hughes IA. Inguinal hernia in female infants: A cue to check the sex chromosomes?. BJU Int 2005; 96: 401-403
  • Goldman RD, Ralasubramanian S, Wales P, Mace SE. Pediatric surgeons and pediatric emergency physicians' attitudes towards analgesia and sedation for incarcerated inguinal hernia reduction. J Pain 2005; 6: 650-655
  • Roley SJ, Cahn D, Lauer T, Weinberg G, Kleinhaus S. The irreducible ovary: a true emergency. J Pediatr Surg 1991; 26: 1035-1038
  • Conlin MJ, Tank ES. Minimizing surgical problems of peritoneal dialysis in children. J Urol 1995; 154:917-919
  • Kaya M, Huckstedt T, Schier F. Laparoscopic approach to incarcerated inguinal hernia in children. J Pediatr Surg 2006; 41: 567-569
  • Chan KL, Hui WC, Tam PK. Prospective randomized single-center, single-blind comparison of laparoscopic vs open repair of pediatric inguinal hernia. Surg Endosc 2005; 19: 927-932
  • Borenstein SH, To T, Waija A, LangerJC. Effect of subspecialty training and volume on outcome after pediatric inguinal hernia repair. J Pediatr Surg 2005; 40: 75-80
  • Rowe MI, Marchildon MB. Inguinal hernia and hydrocele in infants and children. Surg Clin North Am 1981; 61: 1137-1145
  • Czeizel A, Gardonyi J. A family study of congenital inguinal hernia. Am J Med Genet 1979; 4: 247-254
  • Handa R, Kale R, Harjai M. Incidental inguinal hernias on laparoscopy. Asian J Surg 2006; 29:28-30
  • Sözübir S, Ekingen G, Şenel U, Kahraman H, Güvenç BH. A continuous debate on contralateral processus vaginalis: evaluation technique and approach to patency. Hernia 2006; 10: 74-78
  • Bahatia AM, Gow KW, Heiss KF, Barr G, Wulkan ML. Is the use of laparoscopy to determine presence of contralateral patent processus vaginalis justified in children greater than 2 years of age ?. J Pediatr Surg 2004; 39: 778-781
  • Nixon RG, Pope JC, Adams MC, Holcomb GW, Brock JW. Laparoscopic variability of the internal inguinal ring: review of anatomical variation in children with and without a patent processus vaginalis. J Urol 2002; 167: 1818-1820
  • Grosfeld fL, Cooney DR. Inguinal hernia after ventriculoperitoneal shunt for hydrocephalus. J Pediatr Surg 1974; 9: 311-315
  • Çelik A, Ergün O, Arda MS, Yurtseven T, Erşahin Y, Balık E. The incidence of inguinal complications after ventriculoperitoneal shunt for hydrocephalus. Childs Nerv Syst 2005; 21: 44-47
  • De Caluwe D, Chertin B, Puri P. Childhood femoral hernia: a commonly misdiagnosed condition. Pediatr Surg Int 2003; 19: 608-609
  • Schier F, Klizaite J. Rare inguinal hernia forms in children. Pediatr Surg Int 2004; 20: 748-752

Details

Primary Language Turkish
Journal Section Articles
Authors

Serdar SANDER This is me


Gülay AYDIN This is me


Oyhan DEMİRALİ This is me

Publication Date March 1, 2006
Published in Issue Year 2006, Volume 37, Issue 2

Cite

Bibtex @ { zktipb236857, journal = {Zeynep Kamil Tıp Bülteni}, issn = {1300-7971}, eissn = {2148-4864}, address = {}, publisher = {Zeynep Kamil Kadın ve Çocuk Hastalıkları EAH}, year = {2006}, volume = {37}, number = {2}, pages = {35 - 39}, doi = {10.16948/zktb.11947}, title = {Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi}, key = {cite}, author = {Sander, Serdar and Aydın, Gülay and Demirali, Oyhan} }
APA Sander, S. , Aydın, G. & Demirali, O. (2006). Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi . Zeynep Kamil Tıp Bülteni , 37 (2) , 35-39 . Retrieved from https://dergipark.org.tr/en/pub/zktipb/issue/22059/236857
MLA Sander, S. , Aydın, G. , Demirali, O. "Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi" . Zeynep Kamil Tıp Bülteni 37 (2006 ): 35-39 <https://dergipark.org.tr/en/pub/zktipb/issue/22059/236857>
Chicago Sander, S. , Aydın, G. , Demirali, O. "Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi". Zeynep Kamil Tıp Bülteni 37 (2006 ): 35-39
RIS TY - JOUR T1 - Surgical treatment of inguinal hernios and hydroceles in children AU - SerdarSander, GülayAydın, OyhanDemirali Y1 - 2006 PY - 2006 N1 - DO - T2 - Zeynep Kamil Tıp Bülteni JF - Journal JO - JOR SP - 35 EP - 39 VL - 37 IS - 2 SN - 1300-7971-2148-4864 M3 - UR - Y2 - 2022 ER -
EndNote %0 Medical Bulletin of Zeynep Kamil Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi %A Serdar Sander , Gülay Aydın , Oyhan Demirali %T Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi %D 2006 %J Zeynep Kamil Tıp Bülteni %P 1300-7971-2148-4864 %V 37 %N 2 %R %U
ISNAD Sander, Serdar , Aydın, Gülay , Demirali, Oyhan . "Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi". Zeynep Kamil Tıp Bülteni 37 / 2 (March 2006): 35-39 .
AMA Sander S. , Aydın G. , Demirali O. Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi. Zeynep Kamil Tıp Bülteni. 2006; 37(2): 35-39.
Vancouver Sander S. , Aydın G. , Demirali O. Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi. Zeynep Kamil Tıp Bülteni. 2006; 37(2): 35-39.
IEEE S. Sander , G. Aydın and O. Demirali , "Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi", Zeynep Kamil Tıp Bülteni, vol. 37, no. 2, pp. 35-39, Mar. 2006, doi:10.16948/zktb.11947