DOI: http://dx.doi.org/10.18203/2349-2902.isj20214366

A study of clinical analysis and management of lnguinoscrotal swelling in paediatric age group

Mukesh Suvera, Pranay Chaudhari, Shreyakumari Patel

Abstract


Background: Inguinoscrotal swellings are one of the commonest congenital problems in infancy and childhood. Delay in diagnosis and treatment leads to loss of testis, ovaries or portion of bowel to incarceration or strangulation. This study was undertaken for clinical evaluation of age, sex, sidewise distribution management and management of complications.

Methods: Retrospective observational study done from April 2011 to March 2019. Children with age from 1 month to 12 years presenting with inguinoscrotal swelling

Results: In Total 174 children had inguinoscrotal swelling which include 155 (89%) male children and 19 (11%) female children. Most of the patients presented in 2 to 5 years (41%) age group out of 114 case of inguinal hernia include 63 on right,47 on left and 4 bilateral and 60 case of hydrocele 48  on right,10 on left and 2 bilateral.0ut of 174 children 16 were discharge on same day of surgery. Out of 174 children 1 patient had taken as emergency operation due to irreducible hernia.

Conclusions: Inguinal hernia and hydrocele in children remain one of the most common congenital problems observed by surgeons. The childhood inguinoscrotal swellings are generally more predominant on the right side and this has been attributed to the delay in descent of the right testis. Regarding the sex prevalence, males are more commonly affected. Inguinal herniotomy in children is a safe and effective operation done as day care procedure.


Keywords


Inguinoscrotal swelling, Inguinal hernia, Hydrocele, Clinical analysis

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References


Eubanks S. Hernias in sabiston text book of surgery. 15th ed. USA: Elsevier; 1999(1):1215-7.

Zimmarson L. The history of Hernia Lloyd. 2nd ed. United States: Intechopen; 2005:1-13.

Okunribido O, Ladipo JK, Ajao OG. Inguinal hernia in paediatric age group, Ibadan experience. East Afr Med J. 1992;69(6):347-8.

Simons MP, de Lange D. The “Inguinal hernia” guideline of the association of surgeons of the Netherlands. Ned Tijdschr Geneeskd, 2003;147(43):2111-7.

Muhammad TS. Complications of inguinal hernia in infants and children. Int Surg. 1969;51:95-8.

Dinesh LJ, Manjunath L, Vikas GK. A study of inguinal hernia in children. Int Surg. 2005;125:45-9.

Adesunkanmi AR, Adejuyigbe O. Prognostic factors in childhood inguinal hernia at Wesley Guild Hospital, Nigeria. East Afr Med J. 1990;76(3):144-7.

Frederick JR, Jay LG. Inguinal hernia repair in the perinatal period and early infancy: clinical considerations. J Paed Surg. 1984;19:832-6.

William BK, Lucio P. When should Hernia in the infant be treated bilaterally? JAMA. 1959;171:287-90.

Hugh BL. Inguinal Herniorrhaphy in children. Arch. Surg. 1961;83:105-10.