Paediatric Genital Abnormalities

Herniae

Very large umbilical hernia.

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umbilical hernia

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Right inguinal hernia

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Large right indirect inguinal hernia

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Large indirect left inguinal hernia

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This is a large reducible indirect inguina; hernia needing repair

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This is the hernia reduced

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Releasing the hernia, it tracks down the canal to the scrotum again

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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.