Laparoscopic hernioplasty complications of inguinal hernia in children

Inguinal hernia in children is a fairly common occurrence. It occurs when a part of the intestine bulges through a weak spot in the lower abdominal wall, and it can become complicated if not treated in a timely manner. At "Dobrobut" clinics, we prefer minimally invasive interventions; therefore, we offer laparoscopic hernioplasty—a modern procedure characterized by minimal tissue trauma and high effectiveness. This technique reduces risks, discomfort, and promotes rapid recovery.

When to See a Doctor

Parents should seek medical assistance if the child exhibits the following symptoms:

• A noticeable bulge in the groin or scrotum, which may be more pronounced during activity or crying, indicating the presence of a hernia and requiring a doctor's evaluation.
• Pain and irritability, signs of discomfort that the child may show, especially after physical exertion or feeding, suggesting potential hernia complications.
• Redness or increased skin temperature around the bulge, which may indicate an associated infection or inflammation.
• Vomiting, constipation, or other gastrointestinal symptoms that may indicate that a portion of the intestine is affected, requiring immediate medical intervention.

Indications and Contraindications for Laparoscopic Hernioplasty

Laparoscopic hernioplasty is recommended in the following cases:

• Incarcerated hernia—a condition where the hernia cannot be reduced back into the abdominal cavity, necessitating immediate surgical intervention to prevent further complications.
• Persistent episodes of pain disrupting normal activity, suggesting ineffectiveness of conservative treatment.

Contraindications:

• Surgical intervention may be contraindicated due to severe comorbidities that increase the surgical risks. Previous abdominal surgeries resulting in scar tissue formation may complicate hernioplasty and require individualized planning.

Diagnosis

To determine the necessity of laparoscopic hernioplasty and identify any possible contraindications, specialists at "Dobrobut" conduct a thorough physical examination to assess the size, mobility of the hernia, and the condition of the surrounding skin. An ultrasound study is also prescribed to provide additional information about the structure and size of the hernia, which may influence the choice of surgical method. Basic laboratory tests for blood and urine are additionally performed to assess the child's overall condition and prepare for surgery.

Preparation

Preparing the child for surgery includes several key points:

• Preoperative consultation with the surgeon and anesthesiologist.
• Instructions for parents with clear guidelines on when the child should stop eating or drinking before surgery to minimize anesthesia-related risks.

How the Procedure is Executed

At "Dobrobut" clinics, laparoscopic hernioplasty is performed according to a protocol that includes the following stages:

1. General anesthesia is administered to ensure the child is comfortable throughout the procedure.
2. Small incisions are made for the introduction of a laparoscope and specialized instruments, ensuring less trauma to surrounding tissues.
3. The hernia is reduced by returning the protruding segment of the intestine to its place, and a durable mesh is placed to reinforce the abdominal wall and prevent recurrence.

Due to the minimally invasive nature of the procedure, small scars remain post-intervention, enhancing cosmetic outcomes and healing.

Recovery

Post-surgery, comprehensive care ensures effective recovery:

• Observation period: Continuous monitoring post-surgery guarantees that the child receives safe pain relief and that wounds begin healing effectively.
• Pain relief medications are provided that are suitable for children.
• Gradual return to activity according to the doctor's recommendations.
• Regular follow-up visits to check the healing progress and provide advice on further care and recurrence prevention.

Complications

Possible complications include an infectious process, recurrence of the hernia prevented by the placement of mesh, and allergic reactions.

Prevention

Preventive measures to avoid complicated inguinal hernias include:

• Regular medical check-ups that help detect hernias timely and avoid complications.
• Monitoring and moderate physical activity to prevent stress on the abdominal area.
• A balanced diet and sufficient fluid intake to prevent constipation and reduce strain on the abdominal wall.

At "Dobrobut," we provide comprehensive care and address any issues related to complicated hernias in children. 

You can schedule a consultation through the form on our website or by contacting our center via phone.