Inguinal hernia in children

Danae pathology does not occur as often, as a rule, in 2% of cases. Inguinal hernia is nothing but a protrusion of the contents of the abdominal cavity through the inguinal canal, in children this process can disappear on its own. A hernia appears, capable of both one side and two at the same time. Often, it is diagnosed in boys under the age of one year.

ICD-10 code

The international classification of diseases includes diseases of the digestive system, this includes hernia. It was marked with a code for mb 10 - K00-K93 Diseases of the digestive system. A separate niche here is given directly to the hernia - K40-K46. They can be different, including both one-sided and two-sided. The reasons for their development also vary.

K40 Inguinal hernia. This includes hernia abdomen. K40.0 Double-sided inguinal hernia with obstruction without gangrene. Including intestinal obstruction. K40.1 Double-sided inguinal hernia with gangrene. K40.2 Double-sided inguinal hernia without obstruction or gangrene. K40.3 Unilateral or unspecified inguinal hernia with obstruction without gangrene. Including intestinal obstruction. K40.4 Unilateral or unspecified inguinal hernia with gangrene.

K40.9 Unilateral or unspecified inguinal hernia without obstruction or gangrene. Including inguinal hernia.

Causes of inguinal hernia in children

There are several main factors that can cause the development of pathology. A special role is played by the excess weight of the baby, underdevelopment of the abdominal wall, which can be hereditary and traumatizing the abdominal wall. These are the main reasons that can cause the development of inguinal hernia in children. This list also includes physical overstrain.

Most often, a pathological change is observed in boys, rather than in girls. This combination of circumstances is associated with certain features of development that occur within the womb of the mother. At its stage of development, the eggs of the embryo are located near the kidneys. When their descent into the scrotum occurs, they carry away part of the peritoneum. This process forms the so-called pocket in the scrotum, the connective tissue lies at its base. By the time the baby appears in the light, the pocket begins to overgrow and represents a weight. Sometimes this does not happen, therefore, the organs of the abdominal cavity fall into it.

Due to their special structure, girls do not have a similar process. Therefore, their hernia does not develop so often. It can appear both at birth and manifest itself with time. There are several factors contributing to its development. This is a weak connective tissue of the peritoneum, usually occurs immediately after birth. Lead to the pathology can be a strong physical strain. It is not necessary to lift weights, to provoke the process is capable of coughing and even vomiting. Eliminate the congenital pathology is simple, exactly as well as acquired. It is enough to conduct a qualitative treatment or to remove it surgically.

[1]

Pathogenesis

Before the birth of a testicle the boy is located in close proximity to the kidneys. Over time, they begin to sink into the usual place, that is, the scrotum. They come out of the abdomen through the inner inguinal ring. This process occurs behind the cavity of the peritoneum. Eggs begin their passage through the inguinal canal. Thus, they gradually descend to their permanent location, that is, the scrotum. This process is a pathogenesis, but sometimes it can be disturbed. So, if the process went wrong, the testicles take with them a pocket of the peritoneum and descend ahead.

After the eggs dropped, the pocket begins to disappear. If this does not happen, the so-called pocket may remain open. Thus, he participates in the formation of a special hernial sac. An open pocket is observed in most cases. Most often it occurs in premature infants. Basically, the closure of the pocket occurs to two years. This process is caused by the penetration of the intestine into it, which leads to the extension of the inguinal ring. If the pocket is closed from the side of the ring, but it is open from the outside, it is possible to form a cavity filled with liquid. That is why oblique inguinal hernia is considered to be a birth defect. It is caused by a violation of atrophy.

The protrusion can occur from the very birth or develop a little later. Hernia, which appears much later, is the result of a loop penetrating into the intestine or bag. And the hernial pocket itself could develop even before birth. Direct inguinal hernia occurs due to weak muscles located at the bottom of the inguinal canal.

Symptoms of inguinal hernia in children

Externally, this pathological process is represented by a small protrusion, a triangular shape. It is above or outside of the pubis. In this case, a direct hernia is diagnosed. If it is located above the scrotum, it means oblique. When a child cries or screams, protrusion, pronounced, and can become much larger. You can correct the hernia yourself, pressing it with your hands. But to make it real only if it is being guided. Often the symptoms of inguinal hernia in children include a visual increase in the scrotum.

For the pathological process is characterized by the manifestation of severe pain localized in the inguinal region. Often it is accompanied by nausea and vomiting. In this case, the anterior muscles of the abdominal cavity may be in a strong tension. Most often, the last symptom is manifested by protrusion of the hernia. If the pathological process can be eliminated by repositioning, the procedure can dramatically become painful. The pain subsides in a few hours. At the same time the baby is pale, his condition worsens, general malaise and exhaustion are observed.

If there are some suspicions, the baby should be immediately sent to the child's surgeon for an appointment. You must diagnose the problem and fix it.

First signs

The most basic symptom is the presence of an ovoid protrusion. If the baby starts crying or screaming, it becomes clearly pronounced, this is the first sign of a problem. In a quiet state, or during sleep, it is almost impossible to see a protrusion. In boys, the pathological process can spread not only in the inguinal region, but also smoothly pass into the scrotum. Usually, a hernia can be corrected, this is done simply. With proper operation, you can hear a slight rumbling.

There are cases when the hernia is infringed. Usually removing such a complication does not carry a danger. For this pathology is characterized by the presence of severe pain, which is acute. There may be a swelling that can not be removed by repositioning. This process requires immediate elimination. Infringement is most often a complication and can develop without any reason. To facilitate the baby's condition, it is necessary to begin timely treatment.

[2], [3]

Congenital inguinal hernia in children

This condition can occur due to incomplete development of the abdominal wall or the same diaphragm. In general, congenital inguinal hernia is an anatomical concept, it arises both in children and adults. A significant increase in pressure inside the abdominal cavity may well lead to its development. In turn, it arises because of a strong physical strain. In children this process is exclusively oblique. The intestines enter the inguinal canal and run obliquely through it. This condition is typical for 3% of all cases. Often, a pathological process occurs at the age of up to 6 months. The localization of the hernia in the right side is much more common, in the left one only 30%.

Often the hernia is affected. Preterm infants are also susceptible to this disease. This process consists in the passage of internal organs through the lumen. It, in turn, is formed in the process of the peritoneum. Over time, it should close. If this process has not occurred, the abdominal organs begin to fall into the pocket formed. A similar phenomenon is observed in girls. Normally, the ovary should remain in the small pelvis. The inguinal canal contains a round uterine ligament. The bulging process closes with time. If this does not happen, a hernia is formed.

It is easy to notice the presence of a pathological process. It is characterized by the presence of formation or swelling, which can be localized in the groin, scrotum or labia. With strong abdominal pressure, protrusion occurs. It's enough for a kid to just cry or scream.

[4], [5], [6],

Inguinal-scrotal hernia in children

This condition is characterized by the exit of the abdominal cavity beyond its limits. This is due to the presence of the abdominal pocket. If it does not close on time, the negative consequences begin to manifest themselves almost immediately. In most cases, the inguinal and scrotal hernia is a congenital pathology in children.

Most often it develops on the one hand, its place of localization is the area to the right. The main process is found in boys. This is due to a violation of the process of ovulation. Acquired pathology is not so common, mostly in boys over 10 years old. To cause her development can be excessive physical activity. This is especially dangerous in the presence of a weak anterior wall of the abdominal cavity.

In general, he classifies two types of pathology: inguinal and inguino-scrotal. The latter species is subdivided into two subspecies: a quantum and testic hernia. The contents of the abdominal pocket are the loops of the small intestine. In older children there is an ordinary omentum. The girls in the hernial sac have an ovary.

Inguinal hernia left of the child

As a rule, a straight and slanting hernia occurs. It all depends on how it goes down into the inguinal canal. It can provoke as an inguinal ring, and the presence of a defect in the abdominal wall. By its location, inguinal hernia in a child can be both left and right. There are cases of bilateral education. Most pathology is formed on the left. Boys often suffer from inguinal protrusion, and often there is an inguinal and scrotal phenomenon.

It is easy to notice the presence of a pathological process. If the child is crying or overactive, the hernia is bulging and is very clearly visible. The swelling does not bring any discomfort and is painless. This condition is characterized by the presence of trailing pain, which manifests itself in the lower part of the abdomen. Often she gives in the thigh.

If you do not eliminate the swelling, it can lead to complications. The most dangerous of them is infringement. The child pierces acute, unbearable pain, there is a disorder of blood circulation. Often there is constipation, intra-abdominal pressure rises, and flatulence inflames. Infringement can provoke problems with the reproductive system at any age.

Inguinal hernia on the right side of the child

The pathological process manifests itself in the form of an ordinary swelling. Its place of localization is the inguinal region. Thus, inguinal hernia can increase with movement and anxiety in the child, standing out, on the right. With the correct direction, it disappears.

If the swelling spreads to half of the scrotum, then it is an inguinal and scrotal hernia. Sometimes you can hear its second name - dropsy. Suspect the wrong parents themselves when examining the baby. If a swelling is found, consult a doctor for further treatment. Left-sided hernia occurs in 60% of cases.

Until the appearance of complications, she does not bother the child in any way. Moreover, it can be corrected without definite treatment. But if there is an infringement, the condition worsens. The child has acute symptoms, in which case it is necessary to begin quality treatment. This will avoid problems with the reproductive system in the future.

Two-sided inguinal hernia in children

This condition is characterized by the manifestation of a hernia on both sides. Most often pronounced protrusion is seen in the groin. Much less often the place of localization changes. The two-sided inguinal hernia in children can be eliminated with the help of surgical intervention. Preference is given to hernioplasty.

This pathology captures the inguinal canals on the right and left. For him, the fallout of the peritoneal organs and part of it is characteristic. In men, one characteristic of the anatomical structure of the inguinal canal is observed. The fact is that it is much longer and thinner than in women. Therefore, the pathology is most often found in representatives of the stronger sex.

Bilateral education is not so common. It is formed during intrauterine growth of the baby. In adulthood, its development is provoked by excessive loads. Everything manifests itself in the form of external signs. As a rule, these are tumorous formations, which are located in the groin on the left and on the right. They do not show themselves and do not bring any discomfort to the child.

Inguinal hernia in children under one year of age

It is a tumor-like formation, represented by the exit of tissues and organs beyond the abdominal cavity. In this case, either a loop of the intestine is meant, or a strand of the omentum that emerges from the abdominal cavity of the baby through the inguinal canal. Most often, inguinal hernia occurs in children up to a year. It manifests itself in the form of a swelling, which is located in the groin area. It is most pronounced with increased activity.

The main danger of this process is associated with the possible development of infringement of the hernia. In this case, the child's condition is significantly deteriorating. If the usual swelling can be corrected, then there can not be no surgical intervention. After all, in the future this can lead to the development of serious problems with the reproductive system.

The main sign of the presence of swelling, is the decrease or complete disappearance of protrusion with the horizontal position of the body. She shows herself most clearly with concern, during laughter and crying. To the touch, the protrusion has an elastic shape. It is very easy to fix, and completely without pain. Often for bulging character oval or round shape.

Inguinal hernia in a premature baby

A pathological process can arise for a number of reasons, including prematurity. The baby's body has not yet managed to adapt to the environment. Moreover, it has not yet been formed properly, so the risk of developing pathological processes is at a high level. Premature birth also creates risks for the spread of many pathologies. One of them is inguinal hernia, which is often diagnosed in a premature baby.

This process is innate. Often it is observed in boys. This pathology is most often found in newborns, but even more often in premature infants. It is characterized by the presence of protrusion, which is clearly visible in the groin. It has the ability to increase under excessive loads. The hernia itself consists of a hernial portal, a sac and its contents. Under the contents are meant the organs of the abdominal cavity.

The main risk factors for such a process are male sex, genetic pathology, prematurity and congenital malformations of the fetus. In any case, the problem is quickly eliminated, but only if there is no infringement.

Effects

The most dangerous complication may be infringement of the hernia, as well as its contents. This process is characterized by the severity of manifestation. The child is pierced by severe pain, flatulence and digestive tract disorders. Often the consequences can be burdensome. Disorder of blood supply can lead to tissue necrosis. It is important to notice the problem in time. Parents can do this themselves, because the kid becomes concerned, he constantly cries and is vomiting.

Maybe another state. So the hernia can not be corrected, this process is characterized by its soreness, temperature increase and hardness of the education itself. Over time, the pain may decrease, but the child still remains sluggish. He has a stool retention. If you find this symptomatology, you should immediately go to the hospital. After all, complications can be more serious. Moreover, they are able to prove themselves in adulthood. If the hernia can not be corrected, an operation is immediately performed. This will avoid the death of the injured organ.

[7], [8], [9], [10]

Complications

If the hernia is not started in time, it is possible to develop severe consequences. In most cases, infringement may develop. For a small patient this is the most terrible complication. If the pathology is not removed, this can lead to the death of the restrained organ. The cause of this condition can serve as an increase in intra-abdominal pressure. Most often it occurs against a background of severe screaming, straining, flatulence and bowel dysfunction.

To determine the complication is quite simple. The baby not only has a clear hernia, but also her soreness. The swelling becomes hard and can not be fixed. At the same time the child is vomiting, he is overexcited, constantly crying and capricious. Over time, the pain syndrome may disappear, but the lethargy and general weakness of the body remains.

When the first signs of the pathological process appear, the baby should be taken to the doctor. After all, if you do not start treatment, the situation may worsen. It is possible to develop problems with the reproductive system. In addition, there is a threat to the life of the child.

[11], [12],

Injured inguinal hernia in children

A loop of the intestine may well be in the hernial sac. If you do not notice the pathology in time, it is possible to pinch it directly in the inguinal canal. As a result, venous outflow is disturbed and edema occurs. This leads to difficulty in the arterial circulation. Ultimately, the restrained inguinal hernia may become dead, thereby maintaining a high risk for the lives of children. The development of peritonitis is not ruled out.

The girls in the hernial pocket have an ovary. If there is an infringement, it is possible to necrosis of a part of the ovary or necrosis of the fallopian tube. As a result, they will have to be removed, which will affect the reproductive function. Correction here does not help, the operation is performed in emergency mode. Diagnosis of a hernia is possible in children of any age. The pathological process occurs as a result of muscle spasm. It is he who prevents the return of the released internal organs.

This condition is characterized by the emergence of acute symptoms. Usually this is a strong pain syndrome, which can eventually calm down. The kid becomes extremely troubled and capricious. At a palpation of a tumescence there are unpleasant sensations. In this case, the problem must be rectified immediately.

Relapse of inguinal hernia in children

The appearance of a hernia repeatedly - is the most terrible postoperative complication. It is not excluded the appearance of bleeding and suppuration. Despite the simplicity that seems at first glance, the recurrence of inguinal hernia is a complex problem, especially in children. Therefore, several decades ago, the search for other ways to remove swelling by surgery was started.

Hernia surgery is performed by surgery surgeons. The problem of developing a recurrent "build-up" is occupied by specialized centers. It's really a serious problem. To avoid the re-development of swelling try to resort to the removal of a hernia without using a reticular implant. With a standard approach, the operation is complex and traumatic. Only specialists should conduct it, because removal is technically difficult. Predict the development of relapse impossible, you just need to monitor the condition of the patient after removal.

Diagnosis of inguinal hernia in children

Can detect a swelling of the parents. To see the presence of protrusion, a child surgeon or pediatrician can also see the child. Thus, the diagnosis of inguinal hernia is based on the collection of anamnesis data, examination and palpation in children. As an additional measure of research, ultrasound is used.

To detect swelling, the child suffers from biting, bending, walking or coughing. When palpation palpable elastic and soft tissue, rounded shape. In the horizontal position, the hernia is almost not probed, but it can be completely corrected. It is desirable that the specialist does this. If the contents of the hernial sac is the intestine, then when you correct it, you can hear a characteristic rumbling. After the process was completed, an enlarged inguinal ring is probed with the help of palpation.

To clarify the analysis, ultrasound of the abdominal cavity is widely used. Girls are advised to have a pelvic ultrasound. If necessary, resort to the help of irrigography.

[13], [14], [15], [16]

Analyzes

A complete examination of the body is necessary before the surgical intervention. In spite of the fact that in most cases the operation should be emergency, it is forbidden to conduct it without analyzes. When pathological process should be resorted to general clinical studies. These include a general blood test. He will allow to see the number of white blood cells in the blood and on the basis of this to diagnose the pathological process. Observe for the indicator of erythrocyte sedimentation, more precisely in the time of this process.

In addition to the blood test, a general urine test is given. If necessary, a blood test for clotting is performed. This will avoid force majeure during the operation.

You do not need to take additional tests. In addition to them, instrumental studies can be assigned. This will confirm the diagnosis and begin prompt treatment. To conduct surgical intervention without special data is by no means impossible.

[17], [18], [19], [20], [21], [22], [23], [24]

Instrumental diagnostics

After the hernia is corrected, it is possible to feel the enlarged inguinal ring. To exclude all possible force majeure, it is necessary to resort to additional instrumental diagnostics. Her main research is the ultrasound of the abdominal cavity. Such a survey is conducted by boys, and girls need to undergo pelvic ultrasound. When acute need resort to the help of irrigography.

Irrigography is a method of X-ray examination of the colon. But before that, it is necessary to fill it with radiopaque substances. As its used barium suspension. Using this technique, it is possible to diagnose anomalies in the development of the colon, as well as colitis and intestinal obstruction. The procedure is performed immediately after cleaning the intestine. In the child, the study will allow to diagnose bowel abnormalities, its size, functionality and other features.

US inguinal hernia in a child

When inguinal hernia resort to ultrasound. The ultrasound examination reveals the contents of the hernial sac. It can be either a loop of the intestine or a liquid. Due to this, it is possible to distinguish the pathological process from the formation of dropsy in the testicle. So, uzi inguinal hernia allows to reveal the localization of swelling and its features in the child.

Boys undergo ultrasound of the abdominal cavity. It allows you to see the pathological processes in the organs by recording on the screen reflected ultrasonic waves. This research is used quite often. It helps to make an accurate diagnosis.

Girls have ultrasound of the pelvic organs. In pediatric gynecology, it is used to diagnose early pathological processes. The study is carried out in a transabdominal way. The scanning process evaluates the condition of internal organs. Moreover, it becomes possible to view the localization of the hernia and the contents of her pocket.

Differential diagnostics

Before resorting to surgery, a number of general clinical trials should be carried out. Thus, differential diagnosis is an important stage before eliminating the pathological process. It is important to pass a general blood test and track the level of leukocytes, as well as the index of ESR. As an additional measure, an overall urinalysis is performed. If necessary, the blood is given for the definition of coagulability. This will avoid possible bleeding during the operation.

Differentiate the pathological process in a child stands from hydrocele, cysts and cryptorchisms. The latter phenomenon is common among boys. A fine line is made between the hernia and cyst of the round ligament of the uterus, femoral hernia and inguinal lymphadenitis. An important role in differential diagnosis is assigned to diaphanoscopy of the scrotum and ultrasound of the scrotum. Diagnosis and further treatment is based on the findings of differential and instrumental studies.

[25], [26], [27], [28], [29], [30]

Treatment of inguinal hernia in children

Eliminate the congenital pathological process is possible only by surgical removal. The operation is planned, conservative treatment of the inguinal hernia is not able to bring a permanent effect, therefore, the children retain the risk of infringement. Waiting for complications is stupid, you need to fix the problem.

Surgery can be used at the age of 6 months. The duration of the procedure does not exceed 15 minutes. In view of the fact that the inguinal ring is not formed completely, surgeons simply cut off the hernial pocket. As for conservative treatment, it is the use of a bandage. They put it on in the supine position, at first it gives discomfort, after it gets addictive.

Preterm and weakened babies hernia simply correct. For this purpose, solutions of Antropin, Pantopon and Promedol are administered. The main recommendation is the reception of warm baths. If positive dynamics are not observed, it is recommended to resort to an emergency operation.

Treatment without surgery

Conservative treatment can only give an effect if it was started in the early stages. The main thing is to reveal the pathological process in time. In this case, a hernia can be treated without surgery. The earlier the elimination of swelling begins, the higher the likelihood of a favorable outcome.

If, for some reason, no positive dynamics have been achieved, an emergency operation is being carried out. Most often, an ordinary correction of the swelling occurs. This should be done by an experienced specialist. If there was an intestine in the hernial sac, a characteristic sound of rumbling will be heard when the correction is made. If the swelling has become firm and painful, it is no longer possible to fix it, here one should resort to surgical intervention.

You can try to eliminate the hernia with the help of a bandage. He is put on while lying down and is worn exclusively during the waking period. In the absence of positive dynamics also resort to surgical intervention.

Massage for inguinal hernia in children

It is worth noting that a slight swelling disappears on its own. This is possible only if it began to develop immediately after birth. Relax in this case is not necessary, because the relapse can occur within 4 years. If for the first time the inguinal hernia does not cause anxiety and does not pester the child, surgical intervention is not practiced here. You can try massage with inguinal hernia, in children this process is characterized by a positive dynamics.

Treatment can occur through massage and special physical exercises. The main load should strengthen the front wall of the abdomen. Massage should be done in the position on the back. The child is massaged tummy clockwise. It is necessary to slightly compress the muscles of the stomach. Then the child is turned over on the tummy and massage the back. Massage should be done daily, for 7 minutes, until the hernia disappears. If by the age of 5 the swelling has not disappeared, you need to show the baby to the surgeon.

Bandage in inguinal hernia in children

The main indication for the use of a bandage is the presence of inguinal hernia. This pathological process to date is quite common. It arises against the background of genetic predisposition and can occur because of strong physical exertion. This type of swelling is characteristic of males. Help to cope with the problem, help the bandage, it is widely used in children with inguinal hernia. But only if the pathological process does not bring discomfort and is not marked by pain.

To wear a bandage is necessary during the waking period. If a patient coughs and sneezes, it is worth wearing it at night. At least once a day he is removed. At first, the bandage will be discomforting, after it gets addictive. When wearing such a fixer, weakening of the abdominal muscles is observed. They seem to become lazy. Therefore, the bandage is not considered an alternative to surgical removal.

[31], [32]

Medicinal treatment

To eliminate the pathological process, drug therapy is not carried out. There is no effectiveness in it, and in general the drugs are not capable of giving positive dynamics. It can be eliminated only by repositioning or surgically.

If there is a persistent pain syndrome, the baby can be given an anesthetic. But this question is solved individually with the doctor. Paracetamol, Panadol and Ibuprofen will do. You can take them 2-3 times a day for one tablet. The dosage depends on the condition of the child. To resort to the help of anesthetics is not worth it because a painful hernia requires immediate surgical intervention. Wait, that the condition will improve on its own - it's silly.

Sometimes a bandage is used, but in the event that there is no threat of complications. For the baby with a hernia must be carefully monitored. This is to prevent infringement. In general, the swelling should be surgically removed in a planned manner.

Alternative treatment

To eliminate the strangulated hernia, resorting to alternative medicine is by no means possible. This pathological process carries a special danger for the child, it is not worth risking his life. If the hernia is ordinary and it is waiting for a planned elimination, you can try alternative treatment in the waiting period. Doing everything is accurate, because there is a risk of aggravation of the child's condition.

You can try to eliminate the swelling with a compress based on the wormwood decoction. A positive effect promises cabbage and pickle brine. It is enough just to apply these ingredients to the swelling daily.

Place the lesion should be washed with a weak solution of acetic acid. This technique also promises a positive effect. You can make a compress from a decoction based on the bark of oaks, its leaves and acorns. To do this, you need to grind the ingredients and fill them with red wine. Leave the product needed for 21 days, this will be enough for full preparation. The positive effect promises alternation of compresses.

Drink any infusions and decoctions is not recommended. The baby's body is so weakened, it's obviously not worth trying to treat it with untested methods. Hernia needs to be corrected or planned to be removed, without any experiments.

[33], [34], [35], [36]

Conspiracy of inguinal hernia in a child

In the old days many diseases were eliminated with the help of conspiracies. In the last century, people believed in the power of thought. They believed that if you want something and ask for something, it will come true. Based on this, with the help of conspiracies, the inguinal hernia in a child was eliminated. The effect was really positive. Unfortunately, it is not possible to learn about miraculous healing stories, but it's quite possible to try to make a conspiracy.

Wishing her child good, young mothers try to help him in every way. Therefore, not only traditional medicine, but also other methods are resorted to. So, there are certain conspiracies that help to ease the condition of the baby. It can not hurt, in any case, every mother can try it.

The simplest plot. It is necessary to bite the hernia of a child and at the same time begin to repeat a certain text. You can send a hernia over the seas, oceans and wide fields. The main thing during the utterance of the text is to read the prayer. First you need to spit three times over your left shoulder, then read the prayer and repeat the action.

There are not so few texts of conspiracies. But is it worth doing this if there are standard treatment regimens? Do not risk the health of the baby. It is necessary to entrust it to the professionals of their business.

[37], [38]

Herbal Treatment

Anyone can try the treatment with alternative methods. But this risk is not always justified. Certainly, herbal therapy is not capable of causing serious harm to the body. But the desire to eliminate everything in this way can lead to aggravation of the state of the baby and cause serious complications. You can try the treatment with herbs during the waiting period for the operation.

• Recipe number 1. It is necessary to pour dry clover grass with two glasses of boiling water. The main ingredient at the same time you need to take a tablespoon. After that everything is covered with a napkin and left alone for an hour. After the preset time has elapsed, the product is filtered and consumed in a third of the glass before eating.
• Recipe number 2. It is necessary to take 3 teaspoons of crushed cornflower flowers and pour them 500 ml of boiling water. Instill the product should be in the thermos for a day. After that it is cooled, filtered and taken by a third of glass up to 5 times a day.
• Recipe number 3. Grass tavolga poured a glass of boiling water. It is enough to take one teaspoon of the main ingredient. After that everything is covered with a lid and wrapped. Leave the product on for a couple of hours, until completely infused. Then strain it and use it in small portions throughout the day.

Homeopathy

Homeopathic remedies have proved themselves from ancient times. Their effectiveness lies in a special composition based on herbs and natural ingredients. However, this treatment may not be suitable for every person. Infringement of the hernia carries a risk to the life of the child, so homeopathy may not be able to cope with this problem. It requires exclusively surgical removal.

Some doctors resort to a hernia, but this is not always possible and effective. In any case, this process needs to be supplemented by quality treatment. But it is worthwhile to understand that squeezing an injured hernia does not always lead to a positive result. Finally, surgical intervention can also lead to negative consequences.

In order to eliminate possible complications, I resort to homeopathy. In the treatment of the pathological process, well established drugs such as Belladonna and Nux vomica. In the third and the 6th dilution. But even such treatment carries a special risk. Therefore, it is worth giving preference to proven methods.

Surgery to remove inguinal hernia in children

Operative intervention will avoid possible negative consequences. An operation is performed to remove the inguinal hernia after the diagnosis of the affected children. Most often, surgery is used at the age of 6-12 months. In neonatal infants, surgical treatment is not technically difficult. Yes, and at this age, anesthesia is transferred much easier, and carries no danger. To postpone the operation is not necessary, perhaps, the development of infringement. When to do surgery, the doctor decides. The operation is planned and does not require emergency removal. But a prolonged delay is undesirable.

The principle of surgical removal is the dissociation of the abdominal cavity and the hernial sac. It is also necessary to prevent internal organs from getting into it. The operation is delicate and requires special technical skills. It is important to preserve all the anatomical formations of the spermatic cord. For surgical intervention, the kids do not use mesh implants. The operation is always performed under general anesthesia. The duration of hernia removal does not exceed 30 minutes.

Laparoscopy of inguinal hernia in children

The most common way to get rid of hernia, is her plastic. This procedure is called laparoscopy. Apply it for examination of the opposite side in patients suffering from a unilateral hernia. If it is available on the other hand, the plastic is carried out in an open manner. Two-sided inguinal hernia in children is not so common, but it can be eliminated by means of laparoscopy.

There is a risk of a missed hernia or a danger of complications after such an intervention. Possible damage to the structures of the spermatic cord. The safety of the procedure was proved by the removal of a hernia through a hernial sac. In this case, a positive result is observed.

What method to use, the doctor decides on the basis of possible lethality, complexity of a situation, and also supervision at usual audit. Laparoscopy has shown many advantages. Even in spite of the fact that the probability of having a pathological process on the other hand is at a high level.

Postoperative period

Nursing care involves changing the dressing and processing the wound. For the first time after the operation, the bandage often becomes wet. This process is physiological and does not require any additional processing measures. In the postoperative period, you need to provide the baby with decent care.

If the silk suture material was used, the sutures can be removed already on the 7th day after the operation. To date, ketgut samorassasyvayuschiesya yarns are becoming very popular. When using them, the scar is almost invisible.

Postoperative treatment is reduced to taking pain medications. It can be Paracetamol, Panadol and Ibuprofen. Dosage is prescribed depending on the severity of the pain syndrome. During the recovery period, you need to eat right. It is desirable to give the baby rich food for fiber. Exclude products that can lead to increased gas production.

It is often recommended to wear a bandage, it will allow to ensure a uniform distribution of intra-abdominal pressure. In addition, it reduces the compression on the scar, it contributes to its regeneration. The duration of his wearing is determined by the doctor and depends on the complexity of the operation.

Primarily in the postoperative period, it is necessary to eliminate provoking factors. These include physical activity, cough, constipation and excess weight. The baby should be carefully monitored. The probability of recurrence persists for the first 3 years.

Prevention

The best preventive measure is doing exercises of morning exercises. This is real for children who already know how to walk. Moderate activity is sufficient for newborns. The baby should crawl, play, but do not lie still. It should be worn on the hands and entertained in every possible way. Evenings will go for good - this is the basis of any prevention.

The child needs to normalize the sleep regime, avoid overeating. Excess weight contributes to the development of the pathological process. Do not increase intra-abdominal pressure. It provokes its growth of constipation, a strong cough and excessive physical activity. The baby needs to be fed with food rich in fiber, in order to eliminate the possibility of developing constipation. All concomitant diseases must also be eliminated. Including colds and flu.

If you have strange symptoms, you should immediately consult a doctor. This will avoid possible serious consequences. Preventive measures will help to avoid the development of a pathological process.

Forecast

The results after the operation are mostly positive. To date, the operation is carried out in a hospital, where the baby is still some time after the removal of the hernia. Here he is followed by experienced specialists who will not allow the deterioration of the child's condition. In most cases, the outlook is favorable. But only with the condition of timely removal of the hernia.

The risk of complications is still there. It can be lymphostasis in the testicle, high testicular fixation or infertility in the future. If you do not ignore the treatment and do not delay the process of removing the pathological process, the forecast will always be favorable. Its positivity depends on the speed of response of the parents and the operation itself.

Prevention of the development of the pathological process is due to rational nutrition, the exclusion of strong physical exertion and the treatment of constipation.

[39], [40]