Inguinal hernia is seen in 1-3% in term babies and 15-26% in premature babies. It is seen 3-10 times more in boys than girls and 2-3 times more on the right side. It is manifested by swelling in the groin. This swelling occurs with crying, straining, coughing. When the cause that increases the intra-abdominal pressure disappears, the swelling disappears, but the hernia does not go away. In the mother's womb, the testicles are located at the level of the kidneys and continue their downward movement towards birth, passing out of the abdomen in the sixth month and descending into the scrotum by passing the inguinal canal in the last month. At the end of this journey, the inguinal canal also closes. Sometimes the duct does not close and the testis drags the peritoneum along with it, lowering it to the scrotum. When the baby is born, he has a hernia.
The cause of the swelling in the groin is the organ that goes down the inguinal canal, which is open, and enters the inner lining of the abdomen. Intestines, intra-abdominal fatty tissue in boys and ovaries in girls can enter this channel. It is necessary to rotate these organs into the abdomen spontaneously or as a result of the doctor's manual intervention. In cases where it cannot be rotated, urgent surgery is required and this is really urgent. Because the blood supply of the organ in the hernia is disturbed and may cause perforation in the intestines and gangrene in the ovaries. They should be intervened before they occur. The family's awareness of this emergency, that is, its findings are as follows; Continuation of the swelling in the groin in a hard character, reddening of the skin over it, crying, vomiting, swelling and stiffness in the abdomen.
The only treatment for inguinal hernia is surgery. It is in the class of surgery called day-care under general anesthesia. After the pre-operative examinations and the approval of the anesthesiologist, your baby will be hungry for the time determined by your doctor and will be taken into surgery. It is tried to keep this fasting period to a minimum according to the age of the baby and the mother's milk-solid food situation. After waiting for three hours after the operation, he starts to feed and if there are no complications, he spends the night at home. Your doctor will tell you how to use your pain reliever and what you need to pay attention to.
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