Children, also known as infantile hernia hernia, hernia in children is a common pediatric surgical diseases, the main clinical manifestations of child soon after birth, in the groin reusable parts have mass, most of them in 2 to 3 months when, but also as late as l ~ 2-year-old later. The incidence of hernias in children in general 1-4% for male and female incidence rate 14 times higher in premature infants, and may occur on both sides.
Hernias in children may be a few days after birth, a few months or years after. Usually a child crying, vigorous exercise, dry stool, the Department will be in the groin of a massive tumor processes, sometimes extending to parts of the scrotum or labia; in the flat and a hand press will go away. Block occurs once incarcerated hernia (hernia mass is unable to return to Namibia) will suffer from abdominal pain, nausea, vomiting, fever, anorexia, or crying, irritability.
Incidence of hernias in children early, when children may be lying quietly disappear when the tumor; as a continuation of increased intra-abdominal pressure, can be reduced to masses in the scrotum. At this time, if the lifting of the factors that increased intra-abdominal pressure, and children lying, or lightly push the direction of tumor to the abdominal cavity, testicular tumors may be decreased through the channel at the time of that return to the abdominal cavity, tumor disappear, which is called hernia reusable. Satisfied if the tumor can not be returned to abdominal cavity, abdominal pain will be intensified, not crying, followed by vomiting, abdominal distension and bowel obstruction and other symptoms of poor, in the groin or scrotum can be seen within the oval-shaped mass, texture hard, obvious tenderness ; incarcerated over time can be seen from the skin red and swollen, if the tube can not come back a long time is likely to be satisfied intestine serious complications such as avascular necrosis.
It is usually said hernia in children, from a medical perspective, mainly refers to congenital hernia. Because the boys in the testicles before birth to the scrotum through the inguinal canal, and then down the formation of the peritoneal sheath-like process. If the sheath-like process in the infant after birth have not yet closed, or valve insufficiency, but become larger lacunar, abdominal contents will process from here to the surface, and the formation of hernias. Decline because of the right testis than the left a little late, sheath-like latch-up was relatively late process, the more the right inguinal hernia. Of course, the girls may also be weak due to the formation of abdominal wall hernia, the incidence is relatively low. Abdominal muscles as a result of the infant can gradually with the growth of the body strong, hernia also may disappear on its own, so for 6 months following the treatment of infants can not, at any time to observe changes in the disease, hernia block highlighting timely to also satisfied to prevent hernia Block once again prominent, and the development of abdominal muscles have the opportunity to strengthen the abdominal wall so that the hernia may be self-healing disease. (But would need further attention are: In the meantime, in case of incarcerated hernia hernia mass --- stuck, unable to reset the situation, take immediate and effective measures should be reset as soon as possible for treatment.)
With age, hernia block will be growing back in time, if satisfied, the problem is not large, but even the slightest effort to stand there when the block hernia, often will affect the normal life. May lead to incarcerated hernia, strangulated hernia from occurring. When a child crying or sudden intense effort, the sudden increase in intra-abdominal pressure, abdominal intestine highlighted excessive friction often sac neck, so that hernia contents can not be satisfied also immediately to the hospital for treatment. If incarcerated for too long will be the formation of serious complications such as bowel necrosis, acute surgery again this time, the risk is much greater.
Therefore, when the parents found the child suffering from hernia, the child should be immediately to the regular hospital, 6 months of age children can not deal with, but close observation; six months or more children increases if the free block , or the history of those incarcerated, they should seize the moment and as soon as possible to conduct a thorough treatment.
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