Paediatric Genital Problems
Case Study Four - Herniae
Very large umbilical hernia.
Right inguinal hernia
Large right indirect inguinal hernia
Large indirect left inguinal hernia
This is a large reducible indirect inguina; hernia needing repair
This is the hernia reduced
Releasing the hernia, it tracks down the canal to the scrotum again
Herniae in the umbilicus close spontaneously. Paraumbilical herniae wont close and may need surgical correction for cosmetic reasons or pain.
Inguinal herniae are important as they have a risk of bowel obstruction, and in the female of having an ovary in the herneal sac.
Infants with an inguinal hernia need urgent referral to a paediatric surgeon for herniorrhaphy within a week.
Obstruction within a hernia presents with acute onset of pain and vomiting and the hernia will become firm as the contents become oedematous.