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Inguinal Hernias in Babies and Children

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Management of Abdominal Hernias

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Abstract

Inguinal hernias in babies and children predominantly develop secondary to the underlying abnormality of a patent processus vaginals. This leads to the development of a congenital (indirect) inguinal hernia or hydrocele. The treatment of these hernias has been descried for centuries. Open approaches are well established. However, management options continue to evolve with recent advances in minimally invasive techniques, which are discussed in this chapter. Ultimately, the approach used depends on the competencies of the surgeon performing the procedure and the available resources. All inguinal hernias in babies and children should be managed operatively and there is no role for conservative management. Incarceration is the predominant complication and if present the hernia requires urgent reduction and, if achieved, expedited surgical management. If reduction is not possible, they require emergency surgical intervention.

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Acknowledgement

We would like to acknowledge the authors of the original edition of this chapter: J. Curry and A. Shalaby. This is a re-write and update of their original chapter.

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  1. Chelsea and Westminster Hospital, London, UK

    R. Miller

  2. Department of Pediatric Surgery, Chelsea and Westminster Hospital, London, UK

    S. Clarke

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  1. R. Miller
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  1. Surgeons Group of Baton Rouge of Our Lady of the Lake Physician Group, Baton Rouge, Louisiana, USA

    Karl A. LeBlanc

  2. Peninsula College of Medicine and Dentistry (Emeritus), Plymouth, United Kingdom

    Andrew Kingsnorth

  3. North Devon District Hospital, Barnstaple, United Kingdom

    David L. Sanders

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Miller, R., Clarke, S. (2018). Inguinal Hernias in Babies and Children. In: LeBlanc, K., Kingsnorth, A., Sanders, D. (eds) Management of Abdominal Hernias. Springer, Cham. https://doi.org/10.1007/978-3-319-63251-3_21

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