Most of the pediatric inguinal hernias are congenital. It is because of processus vaginalis, so called hernia sac, between abdomen and scrotum, could not be ...HygieneEducationHealthEducationHomeHygieneEducationInguinalhernia小兒腹股溝疝氣(英文)HygieneEducationHealthEducationInguinalhernia小兒腹股溝疝氣(英文)文章分享Home分享至FaceBook分享至LineQrcode列印下載A-A+Inguinalhernia小兒腹股溝疝氣(英文)2021/1/27IntroductionPediatricinguinalherniaisthemostcommondiseaseinpediatricsurgeon.InTaiwan,accordingtotheinvestigationofschoolagechildren,theincidenceis3%.Themaletofemalerationis4:1.Theprevalenceishigherinprematurity,andcanbebilateral.DefinitionTheabdominalcavityandscrotumareconnectedinfetus.Undergeneralcondition,theconnectionisclosedspontaneouslybeforebirth.Ifitdidnotclose,theintestineintheabdominalcavitycouldslideintoherorhisscrotumoringuinalarea,whichisthehernia.EtiologyMostofthepediatricinguinalherniasarecongenital.Itisbecauseofprocessusvaginalis,socalledherniasac,betweenabdomenandscrotum,couldnotbeclosedduringdevelopment.Itcausestheintestineintheabdomentoslideinthescrotum,especiallywhencrying,defecationandothersituationswhenabdominalpressureelevated.Somepeoplecallthissituation“intestinedrop”.Theherniasacoffemaleisfromabdominalcavitytolabiummajor.ClinicalsymptomsHerniacoulddevelopseveraldays,months,oryearsafterbirth.Itlookslikeapainlessmass,appearingintheinguinalareaorscrotum.Itoccurredwhenachildcryingorcoughing,notedasabulgingmassintheinguinalarea.Itslidesbacktoabdominalcavitywhenlyingonbedorresting.Sometimestheintestinecouldnotslidebackafterenteringscrotum.Inthemoreseriouscondition,theintestineisresultedinstrangulationandcouldbelifethreatening.Thespeechlessnewbornorinfantoftenarenotedwithirritablecryingorvomiting.Childrenwhocanspeakwillcomplainaboutabdominalpain.DiagnosisThedifferentialdiagnosiscouldbemadebyusingflashlight.Ifitistranslucent,themassishydrocele.Iftheherniaispalpatedlikeairinside,itisbettertovisitadoctortomakesurethecause.TreatmentSurgeryisthebestsolutionforpediatrichernia.Othermedicationorher