Strangulated hernia in children

Inguinal hernia in children is one of the most common surgical diseases, the peak of detection being in the first 3 months of life. Most cases of inguinal hernia are diagnosed during the neonatal period, especially in premature babies [1, 2]. Advances in intensive care and increased survival of preterm infants are increasing the incidence of this pathology in infants. The risk of strangulation in inguinal hernia occurs much more often in children of the first three months of life and, according to different authors, ranges from 28 % to 31 %. By 6 months, this figure regresses to 15-24 %. In premature infants, the incidence of strangulated inguinal hernia is 13–18 %, which is associated with a wider deep inguinal ring [2, 3, 4]. In girls, when strangulated, the contents of the hernial sac are often the ovary and fallopian tube, which undergo torsion and infarction [5, 6, 7].

As the study showed, most often in 66 % of cases, strangulated hernias were found in infants up to 1 year old, since most cases of inguinal and inguinal-scrotal hernias are diagnosed in this age period. 1/3 of the patients with strangulated hernias were girls, in 58 % of cases the strangulated organs had appendages, in 28 % of cases they had organ necrosis, ovariectomies were performed. In 72 % of cases, the loop of the small intestine was infringed, there were no trophic changes in all cases.

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