The most common surgical pathology in young patients is an inguinal hernia. It doesn’t cause pain to a child, so some parents don’t pay special attention to it. But a hernia may suddenly be affected. This will cause impaired blood flow, tissue and organ necrosis. How necessary is the operation and when to do it?
What is an inguinal hernia and how does it look?
An inguinal hernia is detected in 5% of children, and this is not only about boys. The disease is found most often in children under 2 years old, but it happens that it is also found in adolescents. The earlier the pathology is detected and the operation is performed, the more favorable the prognosis will be and the easier the recovery process will be.
In most cases, doctors are faced with running hernia, which complicates treatment. In order not to overlook the formation of pathology and in time to ask for help, parents will not hurt to know what an inguinal hernia looks like in a child, the symptoms and manifestations of this disease.
Hernia can form on the one hand, bilateral forms are less common. The site of their localization is the anterior wall of the peritoneum. Looking around a child, parents can see a small lump on his belly. This is not a reason for panic, but hoping that everything will pass by itself is also wrong - it is better to hurry to the doctor.
Hernia is a protrusion into the groin area (hence the name) of the hernial sac, the filling of which is the ovary, the intestinal loop, or the stuffing box strand. There is no pain. But when walking or crying a lump always becomes larger in size.
Where does the hernia come from?
With hernias, children are most often already born. The factor that provokes the appearance of such a defect is called the vaginal process. It develops in the abdominal cavity at the 12th week of gestation.
Boys are more prone to hernial protrusion. How is it formed? In children in the womb, the testicle is formed not in the scrotum, but in the stomach. At 5 months, it descends along the inguinal canal and "captures" the vaginal process along the way. By the time the baby is born, this formation is overgrown and closed, and the testicle safely "moves" into the scrotum. This is normal.
But sometimes the channel between the stomach and the scrotum remains open. This increases the likelihood of an inguinal hernia. A child with such a specific development in the non-attached vaginal process may have bowel loops.
In girls, the defect occurs differently. In the embryo, the uterus is located quite high. Then she falls to the proper place, sometimes “pulling” the peritoneum along with her. This forms a fold, which becomes a hernia later on.
The second, but much less common, cause is excessive exercise. Such a hernia is called acquired, and it appears, as a rule, in adolescents.
What diagnosis will confirm the presence of a hernia?
Diagnosis of a hernia is simple: the doctor discovers the pathology during a routine examination of the infant. It is placed on the legs, and in this position the characteristic bulging becomes clearly visible. If the baby coughs or starts crying, the hernia will increase.
For making an accurate diagnosis, special methods can be used:
- Ultrasound scrotum. In this case, the hernial sac (and the organs that were in it), the testicle, the spermatic cords and the inguinal canal will be visible. This will establish the exact location of the hernia, its size and filling;
- Ultrasound examination of the abdominal cavity. The procedure will let you know exactly which organs "moved" into the hernia;
- Ultrasound of the pelvis. It is carried out by girls. Examination is necessary to detect whether the fallopian tubes and ovaries are in the bag;
- herniography It is performed under local anesthesia. Using a special needle, a coloring matter is injected into the abdominal cavity. Then do an x-ray. During the procedure, the test is performed - the child will be asked to cough or strain the muscles of the abdomen;
- irrigoscopy. This is a kind of X-ray examination, only in this case a picture of the intestine is taken. Such a diagnosis is necessary if a colon segment is present in the hernial sac;
- cystography. X-ray of the bladder. Appointed if it is assumed that part of this body fell into the bag.
The last three diagnostic methods are used only in case of urgent need, as they are quite painful for the child.
Can a bandage cure a hernia?
The surgeon can sometimes advise parents to get a child a bandage. But this is not a method of treating a hernia, but only a temporary measure, which is necessary if there are serious contraindications to the operation, if a severely weakened body of the child cannot properly transfer it. An indication for the use of a bandage is also a serious illness.
The bandage is selected individually, considering where the hernia is located. It can be right- and left-sided, as well as bilateral. Put it on the child in the supine state, when the hernia is the least protruding beyond the peritoneum.
The purpose of the device is to eliminate the possibility of abdominal organs being pinched and falling into the bag. But the most expensive bandage will not eliminate such a pathology as an inguinal hernia in children. Treatment can only be operational.
Folk methods: dangerous experiments with the health of the child
Often you can see ads from the "healers" that they can miraculously heal the child from a hernia. In fact, they are charlatans who enjoy the gullibility and ignorance of their parents.
Sometimes such an education can still be cured on its own, but this is a umbilical hernia. This does not apply to cases where an inguinal hernia is diagnosed in children. Treatment without surgery for such a pathology is impossible. Therefore, it is not necessary to spend money to pay for fraudsters. No manipulation of the hands will not make hernia disappear, but it can lead to a deterioration of the child’s condition.
If the hernia has not been tampered with, and the operation is postponed for some reason, you can still alleviate the child’s condition with the help of popular recipes.
- famous healer Wanga advised to put compresses on the basis of decoction of wormwood;
- In the "first-aid kit" you can find recipes for treating a hernia by attaching sauerkraut leaves to it (pickle is also suitable for compress);
- Many healers claim that daily washing of a hernia with acetic acid solution helps. After this procedure, apply a compress of tincture of oak leaves, bark and acorns. All components are crushed, put in a 3-liter glass jar, fill it with 2/3 of red wine. The infusion will be ready in 21 days;
- You can make poultices from the herb Gryzhnika. It is poured with boiling water, steamed, and then applied to the bump;
- Healers also recommend drinking infusions of bone leaves, gooseberries, and larch bark.
How is the operation and how dangerous is it?
The prospect that the child, and even more so - the baby, will be on the operating table, scares all parents and makes them look for other ways to get rid of the disease. But it is necessary to clearly understand: there is no alternative to surgical treatment! The only method by which an inguinal hernia is cured in children is surgery.She will return health and allow them to continue to experience the happiness of fatherhood or motherhood.
The removal of an inguinal hernia in children is performed by a sparing, low-traumatic method of laparoscopy using modern endoscopic equipment. All manipulations are done through a small puncture.
How to do an urgent operation? It depends on the condition of the child. If the hernia is not stranded, then appoint a planned operation. The child must donate blood and urine for analysis; before the intervention of the baby, the surgeon and the anesthesiologist will again inspect. It will be operated under general anesthesia. The doctor will make a cut in the groin with a length of 1.5 cm. Then he will separate the spermatic cord of the hernia and remove it. To exclude other pathologies, the surgeon will examine the condition of the vaginal process. Then the wound is sutured. Such an operation is usually successful and does not cause complications.
A more complicated case is the removal of a strangulated hernia, since the intervention is carried out urgently, without prior preparation.
The very next day the baby can get out of bed. Will write him home in 3 days. A week later, remove the stitches. To eliminate the pain, the child will be prescribed pain medication, it may be necessary to drink antibiotics. Parts of little patients will have to wear a bandage.
A month after the removal of the hernia physical exercises are not allowed. To avoid constipation, the menu includes foods that contain fiber.
Can a bump appear again?
If the intervention was performed incorrectly or a surgical tactic was chosen that does not correspond to the specific pathology, then, unfortunately, relapses are possible..In 2-10% of cases, the hernia appears again. But other factors can also lead to such consequences: high physical exertion, severe cough, constipation and suppuration in the postoperative period.
The possibility of a hernia recurrence does not mean that the operation should be abandoned. When deciding on the feasibility of such events, parents should, first of all, think about the future of their son or daughter. Postponing the trip to the surgeon also does not make sense. A hernia is a time bomb. It can work at any time, and then it will be necessary not to heal, but to save the child.