Hernioplasty of complicated and uncomplicated inguinal (umbilical, white line of the abdomen) hernia in children

Inguinal hernia in children is a common issue that occurs when a part of the intestine bulges through a weak spot in the abdominal muscles or the inguinal canal. This condition is especially common among newborns and infants but can also occur in older children. Although inguinal hernias do not always cause symptoms, they can lead to significant discomfort and complications if not treated.

Laparoscopic hernioplasty is a minimally invasive surgical procedure that effectively repairs inguinal hernias in children, providing benefits such as reduced pain, shorter recovery time, and minimal scarring. At "Dobrobut" Medical Center, specialists with extensive experience use modern techniques to ensure optimal results for every child.

When to See a Doctor

It is crucial to seek medical attention urgently if the child exhibits any of the following symptoms that may indicate an inguinal hernia requiring intervention:

• A noticeable bulge in the groin or scrotal area that becomes more pronounced when the child cries, coughs, or strains.
• Pain, discomfort, and increased sensitivity in the groin area, especially if they worsen during movement or upon touching.
• Increase in the size of the bulge.
• Nausea, vomiting, and other signs of gastrointestinal disturbances.
• Fever.

Indications and Contraindications for Surgery to Remove Inguinal Hernia in Children

Laparoscopic hernioplasty may be indicated under the following circumstances:

• Inguinal hernia causing discomfort and other persistent symptoms, including chronic pain. In this case, scheduled surgical treatment is required.
• Complicated hernia: Emergency surgical intervention is necessary if the hernia is incarcerated and cannot be reduced, or if there is compromised blood supply to the protruding tissue.

Contraindications to laparoscopic hernioplasty may be related to the presence of serious illnesses, clotting disorders, or acute infections.

Diagnosis

To determine the necessity of surgical treatment for inguinal hernias in infants and older children, the pediatric surgeon conducts a physical examination, assessing the condition of the groin area, the presence of bulges, their sensitivity, and the possibility of reduction. The surgeon evaluates the patient's medical history and overall health status and may order additional tests. Ultrasound or other imaging methods can help determine the size, nature of the hernia, and any potential complications, while blood tests can indicate the body's response to inflammation or infection.

How the Procedure is Conducted

Laparoscopic hernioplasty at "Dobrobut" Medical Center is typically performed as follows:

1. Preparation: Preoperative consultation with the surgeon and anesthesiologist, including dietary restrictions regarding food and drink the day before the procedure.
2. General anesthesia.
3. The surgeon makes several small incisions in the abdominal wall to introduce the laparoscope (a thin tube with a camera) and other microsurgical instruments.
4. Reduction of the hernia: During the operation, the surgeon uses the laparoscope to visualize the hernia, carefully returning the intestine to its place and removing the hernia sac. The site of the defect is then reinforced using mesh or sutures to support the abdominal wall.
5. After successfully removing the hernia, the small incisions are closed with stitches and a sterile dressing.

Recovery

The recovery process involves close monitoring. After the operation, the child remains under observation for a certain period in the recovery room to ensure that anesthesia has not led to complications and that the patient's condition is stable. Appropriate pain relief medications are administered as necessary.

Feeding gradually resumes with clear liquids, transitioning to regular food based on the child’s condition and recovery speed.

Scheduled follow-up visits allow the doctor to monitor the healing process, check the condition of the stitches, and address any parental concerns regarding the child's status and prevention of recurrence.

Complications

Complications after laparoscopic treatment of inguinal hernias in children are relatively rare. They may include infections, recurrence of the hernia, bleeding, adhesions, and nerve damage, which may lead to numbness or chronic pain in the groin area. However, our surgeons adhere to best practices for performing hernioplasty, keeping risks to a minimum.

Prevention

To reduce the likelihood of developing inguinal hernias and associated complications, parents should pay attention to the following:

• Maintain a healthy weight. A stable, healthy weight reduces the strain on abdominal muscles and helps prevent hernia formation.
• Teach safe lifting techniques for children when handling heavy objects to avoid excessive strain on the abdominal area during physical activities.
• Early recognition of symptoms. Parents should be attentive to signs of hernia development and seek medical help promptly, which can reduce the risk of complications.
• Regular visits to the pediatrician help monitor the child's health and detect potential issues early.

At "Dobrobut," providing a comprehensive approach to the diagnosis and treatment of both complicated and uncomplicated inguinal, umbilical, and abdominal wall hernias in children is prioritized. You can schedule a consultation through the form on our website or by calling our contact center.