Management of Incarcerated Inguinal Hernia in Children at the University Hospital of Antananarivo - Joseph Ravoahangy Andrianavalona
##plugins.themes.bootstrap3.article.sidebar##
PDF
Submitted Apr 15, 2022
Published May 25, 2022
Published May 25, 2022
DOI
Abstract viewed = 35 times
Issue
Section
Articles
##plugins.themes.bootstrap3.article.main##
Inguinal hernia is one of the most common surgical pathologies in children. The main risk is the evolution towards strangulation especially before the age of one year. Our study reports our experience on the management of strangulated hernias in children at the University Hospital Center of Antananarivo - Joseph Ravoahangy Andrianavalona (CHUA - JRA).
This is a 12-month retrospective study. The parameters studied are the age of onset of strangulation, gender, the side concerned, clinical manifestations, therapeutic methods, outcomes.
Of 74 cases collected, 96% were male. The right side predominated with 71.62% of cases. More than 70% of the cases were less than a year old, of which 50% were less than 3 months old. Besides the signs of strangulation, 10 cases presented an evident occlusive syndrome and 5 cases had come with a deterioration of the general state. Among 56 cases of initial reduction, 49 cases were reduced and their surgical treatment was postponed from 2 to 7 days. Cases with evident signs of complications, reduction failure, and cases of ovarian hernias had emergency surgery. Two cases of immediate post-operative death, 6 cases of testicular necrosis and two cases of recurrence over a three-month follow-up were deplored in patients operated on immediately.
In case of strangulated hernia, delayed surgery after an immediate reduction offers a better prognosis. The main factor limiting this method is the late consultation responsible for advanced visceral complications.
Keywords: Children, complications, incarceration, inguinal hernia
References
Aboagye J, Goldstein SD, Salazar JH, Papandria D, Okoye MT, Al’Omar K et al. Age at presentation of common pediatric surgical conditions : reexamining dogma. J Pediatr Surg. 2014; 49: 995-9. DOI: https://doi.org/10.1016/j.jpedsurg.2014.01.039
Clatworthy WH Jr, Thompson AG. Incarcerated and strangulated inguinal hernia in infants : a preventable risk. J Am Med Assoc. 1954; 154: 123-6. DOI: https://doi.org/10.1001/jama.1954.02940360021006
Stylianos S, Jacir NN, Harris BH. Incarceration of inguinal hernia in infants prior to elective repair. J Pediatr Surg. 1993; 28(4): 582-3. DOI: https://doi.org/10.1016/0022-3468(93)90665-8
Rattin KN, Garg P. Neonatal scrotal fecal fistula. Pediatr Surg Int. 1998; 13: 440-44. DOI: https://doi.org/10.1007/s003830050363
Alrzoq RA, Alhaji AMA, Alolayt IYI, Almulhim AI, Althobaiti SA, Alzarhani IA et al. The incidence of inguinal hernia among children. The Egyptian Journal Of Hospital Medecine. 2018; 70(3): 483-6. DOI: https://doi.org/10.12816/0043492
Ein SH, Njere I, Ein A. Six thousand three hundred sixty-one pediatric inguinal hernias: a 35 year review. J Pediatr Surg. 2006; 41: 980-6. DOI: https://doi.org/10.1016/j.jpedsurg.2006.01.020
DeBoer A. Inguinal hernia in infants and children. AMA Arch Surg. 1957; 75: 920-8. DOI: https://doi.org/10.1001/archsurg.1957.01280180052008
Erdogan D, Karaman I, Aslan MK, Karaman A, Cavusoglu YH. Analysis of 3,776 pediatric inguinal hernia and hydrocele cases in a tertiary center. J Pediatr Surg. 2013; 48(8): 1767-72. DOI: https://doi.org/10.1016/j.jpedsurg.2012.09.048
Houben CH, Chan KV, Mou JW, Tam YH, Lee KH. Irreductible inguinal hernia in children : how serious is it ? J Pediatr Surg. 2015; 50(7): 1174-6. DOI: https://doi.org/10.1016/j.jpedsurg.2014.10.018
Lawal TA, Egbuchulem KI, Ajao AE. Obstructed inguinal hernia in children: case-controlled approach to evaluate the influence of socio-demographic variables. J West Afr Coll Surg. 2014; 4(2): 76-85.
Rantomalala HYH, Andriamanarivo ML, Rasolonjatovo TY, Rakotoarisoa AJC, Rakotoarisoa B, Razafindramboa H, et al. Les hernies inguinales étranglées chez l’enfant. Arch Pédiatr. 2005; 12: 361-5. French. DOI: https://doi.org/10.1016/j.arcped.2004.07.006
Ngom G, Fall M, Allumeti MD, Ndour O, Fall I, Ndoye M et al. Les hernies inguinales étranglées de l’enfant en milieu africain : à propos de 135 cas. Rev Trop Chir. 2009; 3: 13-16. French.
Thapa B, Pun M. Manual reduction of incarcerated inguinal hernia in children. J Nepal Paediatr Soc. 2012; 32(3): 229-32. DOI: https://doi.org/10.3126/jnps.v32i3.6146
Mieret JC, Moyen E, Ondima I, Koutabe E, Mboutol MC, Moyen G. Hernies inguinales étranglées chez l’enfant au centre hospitalier et universitaire de Brazzaville. Rev Int Sc Méd-RISM. 2016; 18(2): 157-60. French.
Abdulhai SA, Glenn IC, Ponsky TA. Incarcerated Pediatric Hernias. Surg Clin N Am. 2017; 97: 129-45. DOI: https://doi.org/10.1016/j.suc.2016.08.010
Zhou X, Peng L, Sha Y, Song D. Transumbilical endoscopic surgery for incarcerated inguinal hernias in infants and children. J Pediatr Surg. 2014; 49(1): 214-7. DOI: https://doi.org/10.1016/j.jpedsurg.2013.10.024
Chirdan LB, Uba AF, Iya D, Dakum NK. Spontaneous scrotal faecal fistula in a neonate: report of a case. Nigerian J Surg Research. 2004; 6: 59-60. DOI: https://doi.org/10.4314/njsr.v6i1-2.54797
Downloads
Download data is not yet available.
##plugins.themes.bootstrap3.article.details##
How to Cite
Raherison, A. R., Andriamanarivo, L. R. C., Andriantsoa, A. A. A., Hunald, F. A., & Andriamanarivo, M. L. (2022). Management of Incarcerated Inguinal Hernia in Children at the University Hospital of Antananarivo - Joseph Ravoahangy Andrianavalona. European Journal of Medical and Health Sciences, 4(3), 72–74. https://doi.org/10.24018/ejmed.2022.4.3.1335
This work is licensed under a Creative Commons Attribution 4.0 International License.
