Causes of hernia in children, 3 causes of congenital hernia in children

There are two types of hernia in children: congenital and acquired. Congenital causes include incomplete closure of the processus vaginalis, unclosed umbilical ring due to umbilical developmental defects, and poor blood circulation due to congenital physical weakness. Acquired causes include long-term coughing, sneezing, straining during bowel movements, etc., which can also increase abdominal pressure and cause hernia.

Pediatric hernia is a very common pediatric surgical disease in clinical practice, also known as herniated intestine and small intestinal gas. The main manifestation is the appearance of a large or small mass in the umbilicus or groin area from time to time. Especially when standing or crying, the mass will become larger, and it will disappear on its own when lying flat and quiet. What many parents want to know is, what causes pediatric hernia?
1. Congenital causes of hernia in children
1. Incomplete closure of the processus vaginalis <br/>During pregnancy, there is a processus vaginalis of the peritoneum in the abdominal groove of the embryo, which can help fix the round ligament of the uterus or smoothly descend the testicles into the scrotum. However, after some newborns are born, this part is not only incompletely closed, but also becomes a relatively large cavity. At this time, the contents originally in the abdominal cavity will move downward or protrude from the surface, forming an oblique hernia. As a result, organs such as the ovaries, fallopian tubes, and small intestine in the abdominal cavity enter this processus vaginalis, eventually forming a hernia. At this time, if the peritoneal fluid flows downstream into the scrotum, it will cause scrotal edema. However, for some boys, because the right testicle descends later than the left, the processus vaginalis is closed later, so inguinal hernia generally occurs on the right side.
2. Umbilical development defects <br/>Some infants have congenital umbilical development disorders that cause the umbilical ring to not close, or after the umbilical cord falls off, the adhesion between the umbilical cord root tissue and the umbilical ring does not heal well. At this time, if there is an increase in intra-abdominal pressure, umbilical hernia is likely to form in the weak part of the umbilical cord.
3. Poor congenital constitution <br/>Chinese medicine believes that the occurrence of pediatric hernia is directly related to the poor constitution of the child. If the child is underdeveloped or weak, with insufficient qi, once cold, dampness or turbid air enters, it will cause local qi and blood to flow poorly, and then stagnate in the abdominal cavity. At this time, if the negative pressure in the abdominal cavity is too large, it will cause the organs in the abdominal cavity, such as the small intestine, bladder, fallopian tubes, ovaries, greater omentum and other organs to move, and finally lead to the occurrence of hernia.
2. Acquired causes of hernia in children <br/>In addition to the above congenital factors, when children cough or sneeze for a long time, or if they strain too hard to defecate due to dry stool, the abdominal pressure will suddenly increase, leading to hernia in children. In particular, if some babies have some bad living habits after birth, they are prone to high abdominal pressure due to unreasonable diet and strenuous exercise, which in turn induces hernia.