How to diagnose hernia in children? Check whether there is any abnormality in the inguinal cleft

Pediatric hernia is one of the most common pediatric surgical diseases. The turnout rate is very high. It is clinically called oblique inguinal hernia in children. It is caused by the protrusion of the intestine in the abdominal cavity. It occurs in the protruding mass in the groin, and the scrotum can disappear after lying down. Standing, coughing, and constipation will aggravate it. Generally, there will be a feeling of falling and swelling, without obvious pain, but if there is a mass embedded, there will be pain. Gastrointestinal symptoms such as indigestion and anorexia.

The occurrence of pediatric hernia is mainly related to the development of children during the fetal period. When the mother is in early pregnancy, the testicles of the fetus in the uterus are in the abdominal cavity. At 7 to 9 months of pregnancy, the testicles of the fetus descend to the scrotum. During the descent, there is a tail called "theca process", which is connected to the abdominal cavity. If the tail is not retracted during development, when the child cries and coughs, due to the increase in abdominal pressure, the small intestine protrudes from the abdominal cavity to the eye bag, forming a hernia. Next, let us begin to understand how to diagnose and treat pediatric hernia.
1. Check whether there is any abnormality in the inguinal cleft . Usually, when a child cries, exercises vigorously or has dry stools, there will be a raised lump in the groin, which sometimes extends to the scrotum or labia; when lying flat or pressing with hands, the intestines will return to the abdominal cavity through the sheath, and the lump will disappear on its own. Once the hernia is incarcerated (the hernia becomes larger due to torsion and cannot pass through the smaller sheath back into the abdominal cavity), intestinal obstruction will occur, manifested as abdominal pain, crying, vomiting, abdominal distension, fever, irritability, and even dehydration shock. The above can confirm that the child has a hernia.

2. Treatment precautions <br/>For the treatment of pediatric hernia, it is recommended that children under 1 year old can be temporarily observed or treated with a colon band. When the child is one year old, if the hernia is not cured, it is necessary to go to the general surgery department or pediatric surgery department of the local hospital for surgical treatment. At present, this operation is a very common operation, mainly used for high ligation of the hernia sac. Generally speaking, children can be discharged from the hospital within a week. It should be noted that parents should keep their children from crying for too long. In addition, children also need to keep their bowel movements unobstructed and have bowel movements every day.
3. Inspection method <br/>First, you can observe for six months. If you have a long-term cough or other serious diseases, you can suspend the operation. If the child is over 4 years old or the diameter of the umbilical cord is 2-3 cm or more, you can consider surgery. Generally speaking, umbilical cords with a diameter of less than 3 cm have a tendency to heal on their own, which can be observed. Then carefully check the common sites of hernia. Such as the inguinal area, thigh, umbilicus, linea alba, waist, perineum, etc., to understand whether there is a hernia mass. For hernias in some hidden parts, such as lumbar hernias, the hernia mass is deeper and not easy to touch. You should pay attention to whether there is local tenderness. If necessary, B-ultrasound examination or hernial sac angiography should be performed.
It focuses on the diagnosis and treatment of pediatric hernia. It is impossible for pediatric hernia to heal on its own. The earlier the surgery is performed, the better the effect. Surgery can be performed when the child is between two and four years old.