inguinal hernia in children

This pathology is not so common, usually in 2% of cases. An inguinal hernia is nothing more than a protrusion of the abdominal contents through the inguinal canal, in children this process can disappear on its own. A hernia will appear, capable of both on one side and on both at the same time. It is often diagnosed in boys under one year of age.

ICD-10 code

The International Classification of Diseases includes diseases of the digestive system, including hernia. It was marked with the code according to ICD 10 - K00-K93 Diseases of the digestive system. A separate niche here is given directly to hernias - K40-K46. They can be different, including both unilateral and bilateral. The reasons for their development also vary.

K40 Inguinal hernia. This includes abdominal hernias. K40.0 Bilateral inguinal hernia with obstruction, without gangrene. Including intestinal obstruction. K40.1 Bilateral inguinal hernia with gangrene. K40.2 Bilateral inguinal hernia without obstruction or gangrene. K40.3 Unilateral or unspecified inguinal hernia with obstruction, without gangrene. Including intestinal obstruction. K40.4 Unilateral or unspecified inguinal hernia with gangrene.

K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene. Including inguinal hernia.

Causes of inguinal hernia in children

There are several main factors that can cause the development of pathology. A special role is played by the excess weight of the baby, underdevelopment of the abdominal wall, which can be hereditary, and trauma to the abdominal wall. These are the main reasons that can cause the development of inguinal hernia in children. This list also includes physical overexertion.

More often, the pathological change is observed in boys than in girls. This combination of circumstances is associated with some developmental features that occur inside the mother's womb. At their stage of development, the embryo's testicles are located near the kidneys. When they descend into the scrotum, they drag part of the peritoneum with them. This process forms the so-called pocket in the scrotum, which is based on connective tissue. By the time the baby is born, the pocket begins to overgrow and is a cord. Sometimes this does not happen, so the abdominal organs fall into it.

Due to their special structure, girls do not have such a process. Therefore, they do not develop a hernia so often. It can appear both at birth and manifest itself over time. There are several factors that contribute to its development. This is weak connective tissue of the peritoneum, usually occurs immediately after birth. Strong physical overexertion can lead to pathology. It is not necessary to lift weights, coughing and even vomiting can provoke the process. It is not difficult to eliminate congenital pathology, just like acquired one. It is enough to carry out high-quality treatment or remove it surgically.

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Pathogenesis

Before birth, the boy's testicles are located in close proximity to the kidneys. Over time, they begin to descend to their usual place, that is, the scrotum. They exit the abdomen through the internal inguinal ring. This process occurs behind the peritoneal cavity. The testicles begin their passage through the inguinal canal. Thus, they gradually descend to their permanent location, that is, the scrotum. This process is pathogenesis, but sometimes it can be disrupted. So, if the process goes wrong, the testicles take the peritoneal pocket with them and descend in front.

After the testicles have descended, the pocket begins to disappear. If this does not happen, the so-called pocket may remain open. Thus, it participates in the formation of a special hernial sac. An open pocket is observed in most cases. Most often, it occurs in premature babies. Basically, the pocket closes by the age of two. This process is caused by the intestine penetrating into it, which leads to stretching of the inguinal ring. If the pocket is closed from the side of the ring, but is open from the outside, a cavity filled with fluid may form. This is why oblique inguinal hernias are considered congenital defects. This is due to a violation of atrophy.

A protrusion may occur from birth or develop a little later. A hernia that appears much later is the result of a loop penetrating the intestine or sac. Moreover, the hernial pocket itself may have developed before birth. Direct inguinal hernias occur due to weak muscles located at the bottom of the inguinal canal.

Symptoms of inguinal hernia in children

Externally, this pathological process is represented by a small protrusion, triangular in shape. It is located above or outside the pubis. In this case, a direct hernia is diagnosed. If it is located above the scrotum, then it is oblique. When the child cries or screams, the protrusion is pronounced and can become much larger. You can correct the hernia yourself by pressing on it with your hands. But this can only be done if it is reducible. Often, the symptoms of an inguinal hernia in children include a visual increase in the scrotum.

The pathological process is characterized by the manifestation of sharp pain localized in the groin area. It is often accompanied by nausea and vomiting. In this case, the anterior abdominal muscles may be in severe tension. Most often, the latter symptom appears near the protrusion of the hernia. If the pathological process can be eliminated by reduction, then the procedure can suddenly become painful. The pain subsides after a few hours. In this case, the baby is pale, his condition worsens, general malaise and exhaustion are observed.

If there are any suspicions, the baby should be immediately sent to a pediatric surgeon. It is necessary to diagnose the presence of the problem and start eliminating it.

First signs

The most basic symptom is the presence of a protrusion that has an oval shape. If the baby starts crying or screaming, it becomes clearly expressed, this is the first sign of a problem. In a calm state or during sleep, it is almost impossible to see the protrusion. In boys, the pathological process can spread not only in the groin area, but also smoothly move to the scrotum. Usually, the hernia can be reduced, this is done simply. With proper work, a slight rumbling is heard.

There are cases when a hernia is strangulated. Usually, removing such a complication does not pose a danger. This pathology is characterized by the presence of severe pain, which is acute in nature. A swelling may appear that cannot be removed by reduction. This process requires immediate elimination. Straining is most often a complication and can develop without any reason. To alleviate the baby's condition, it is necessary to begin timely treatment.

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Congenital inguinal hernia in children

This condition may occur due to incomplete development of the abdominal wall or diaphragm. In general, congenital inguinal hernia is an anatomical concept, it occurs both in children and adults. A significant increase in pressure inside the abdominal cavity may well cause its development. In turn, it occurs due to severe physical overexertion. In children, this process is exclusively oblique. The viscera enter the inguinal canal and pass obliquely through it. This condition is typical for 3% of all cases. Often, the pathological process occurs at the age of up to 6 months. Localization of the hernia on the right side is much more common, on the left in only 30%.

Boys often suffer from hernia. Premature babies are also susceptible to this disease. This process consists of the exit of internal organs through the lumen. It, in turn, is formed in the peritoneal process. Over time, it should close. If this process does not occur, the abdominal organs begin to fall out into the resulting pocket. A similar phenomenon is observed in girls. Normally, the ovary should remain in the small pelvis. The inguinal canal contains the round uterine ligament. The protruding process closes over time. If this does not happen, a hernia is formed.

It is easy to notice the presence of a pathological process. It is characterized by the presence of a formation or swelling, which can be localized in the groin, scrotum or labia. With strong abdominal pressure, a protrusion occurs. It is enough for the baby to simply cry or scream.

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Inguinoscrotal hernia in children

This condition is characterized by the protrusion of abdominal organs beyond their limits. This is due to the presence of an abdominal pocket. If it does not close in time, negative consequences begin to manifest themselves almost immediately. In most cases, an inguinal-scrotal hernia is a congenital pathology in children.

Most often, it develops on one side, its location is the area on the right. The process mainly occurs in boys. This is due to a violation of the process of testicular descent. Acquired pathology is not so common, mainly in boys over 10 years old. Its development can be caused by excessive physical activity. This is especially dangerous in the presence of a weak anterior abdominal wall.

Mainly classifies two types of pathology: inguinal and inguinoscrotal. The latter type is divided into two subtypes: quantum and testicular hernia. The contents of the abdominal pocket are loops of the small intestine. In older children, there is an ordinary omentum. In girls, the ovary is located in the hernial sac.

Left inguinal hernia in a child

As a rule, there are direct and oblique hernias. Everything depends on how the descent into the inguinal canal occurs. This can be provoked by both the inguinal ring and the presence of a defect in the abdominal wall. According to its localization, an inguinal hernia in a child can be either on the left or on the right. There are cases of bilateral formation. Most often, the pathology forms on the left. Boys most often suffer from inguinal protrusion, and an inguinal-scrotal phenomenon is also often encountered.

It is easy to notice the presence of a pathological process. When the child cries or is overly active, the hernia protrudes and is very clearly visible. The swelling does not cause any discomfort and is painless. This condition is characterized by the presence of a nagging pain that manifests itself in the lower abdomen. It often radiates to the thigh.

If swelling is not eliminated, it can lead to complications. The most dangerous of them is strangulation. The child is tormented by acute, unbearable pain, and circulatory disorders are observed. Constipation often occurs, intra-abdominal pressure increases, and flatulence is tormenting. Straining can provoke problems with the reproductive system at any age.

Inguinal hernia on the right in a child

The pathological process manifests itself as a common swelling. Its location is the inguinal region. Thus, an inguinal hernia can increase with movement and anxiety in a child, standing out on the right. With proper reduction, it disappears.

If the swelling extends to half of the scrotum, it is an inguinal-scrotal hernia. Sometimes you can hear its second name - hydrocele. Parents themselves may suspect something is wrong when examining the baby. If swelling is detected, you should consult a doctor for further treatment. Left-sided hernia occurs in 60% of cases.

Before complications appear, it does not bother the child in any way. Moreover, it can be corrected without any specific treatment. But if there is an infringement, the condition worsens. The child has acute symptoms, in which case it is necessary to start quality treatment. This will help to avoid problems with the reproductive system in the future.

Bilateral inguinal hernia in children

This condition is characterized by the manifestation of a hernia on both sides. Most often, a pronounced protrusion is visible in the groin area. Much less often, the location changes. It is possible to eliminate a bilateral inguinal hernia in children with the help of surgical intervention. Preference is given to hernioplasty.

This pathology affects the inguinal canals on the right and left. It is characterized by the prolapse of the peritoneum organs and its part. In men, one feature of the anatomical structure of the inguinal canal is observed. The fact is that it is much longer and thinner than in women. Therefore, the pathology is most often found in representatives of the stronger sex.

Bilateral formation is not so common. It is formed during the period of intrauterine growth of the baby. In adulthood, its development is provoked by excessive loads. It all manifests itself in the form of external signs. As a rule, these are tumor-like formations that are located in the groin on the left and right. They do not manifest themselves in any way and do not bring discomfort to the child.

Inguinal hernia in children under one year

This is a tumor-like formation, represented by the exit of tissues and organs beyond the abdominal cavity. In this case, we mean either a loop of intestine or a strand of omentum exiting the baby's abdominal cavity through the inguinal canal. Most often, an inguinal hernia occurs in children under one year old. It manifests itself as a swelling located in the groin area. It is most pronounced with increased activity.

The main danger of such a process is associated with the possible development of strangulated hernia. In this case, the child's condition worsens significantly. If an ordinary swelling can be corrected, then here you cannot do without surgical intervention. After all, in the future, this can lead to the development of serious problems with the reproductive system.

The main sign of the presence of swelling is a decrease or complete disappearance of the protrusion when the body is in a horizontal position. It manifests itself most noticeably during anxiety, laughter and crying. The protrusion has an elastic shape to the touch. It is very easy to adjust, and completely painless. Often the protrusion has an oval or round shape.

Inguinal hernia in a premature baby

A pathological process can arise for a number of reasons, including prematurity. The baby's body has not yet had time to adapt to the environment. Moreover, it has not yet formed properly, so the risk of developing pathological processes is high. Premature birth also creates risks for the spread of many pathologies. One of them is an inguinal hernia, which is often diagnosed in a premature baby.

This process is congenital. It is often observed in boys. This pathology is most often found in newborns, but even more often in premature babies. It is characterized by the presence of a protrusion, which is clearly visible in the groin area. It has the ability to increase with excessive loads. The hernia itself consists of a hernial orifice, a sac and its contents. The contents are the organs of the abdominal cavity.

The main risk factors for the development of such a process are male gender, genetic pathology, prematurity and congenital malformations of the fetus. In any case, the problem is quickly eliminated, but only if there is no infringement.

Consequences

The most dangerous complication can be strangulation of the hernia, as well as its contents. This process is characterized by the acuteness of the manifestation. The child is bothered by severe pain, flatulence and digestive tract disorders. Often the consequences can be aggravating. Disruption of blood supply can lead to tissue necrosis. It is important to notice the presence of a problem in time. The parents themselves can do this, because the baby becomes restless, he constantly cries and is bothered by vomiting.

Another condition is also possible. So, it is impossible to reduce the hernia, this process is characterized by its pain, fever and hardness of the formation itself. Over time, the pain may decrease, but the child still remains lethargic. He has constipation. If such symptoms are detected, you should immediately go to the hospital. After all, complications can be more serious. Moreover, they can manifest themselves in adulthood. If it was not possible to reduce the hernia, an operation is immediately performed. This will prevent the death of the strangulated organ.

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Complications

If you do not start eliminating the hernia in time, serious consequences may develop. In most cases, strangulation may develop. For a small patient, this is the most terrible complication. If you do not start removing the pathology, this may lead to the death of the strangulated organ. The cause of this condition may be an increase in intra-abdominal pressure. Most often, it occurs against the background of loud screaming, straining, flatulence and intestinal dysfunction.

It is quite easy to determine the complication. Not only is the hernia clearly visible in the baby, but it also becomes painful. The swelling becomes hard and cannot be pushed back. At the same time, the child is bothered by vomiting, he is overexcited, constantly cries and is capricious. Over time, the pain syndrome may disappear, but lethargy and general weakness of the body remain.

When the first signs of a pathological process appear, you should take the baby to see a doctor. After all, if you do not start treatment, the situation may worsen. In this case, problems with the reproductive system may develop. In addition, the threat to the child's life remains.

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Strangulated inguinal hernia in children

A loop of intestine may well get into the hernial sac. If the pathology is not noticed in time, it may become pinched directly in the inguinal canal. As a result, venous outflow is disrupted and edema appears. This leads to difficulty in arterial circulation. Ultimately, the pinched inguinal hernia may die, thereby maintaining a high risk to the life of children. The development of peritonitis is not excluded.

In girls, the ovary is located in the hernial pocket. If there is an infringement, part of the ovary may die or the fallopian tube may become necrotic. As a result, they will have to be removed, which will affect the reproductive function. Reduction will not help here; the operation is performed in an emergency. A hernia can be diagnosed in children of any age. The pathological process occurs as a result of muscle spasm. It is this that prevents the return of the protruding internal organs.

This condition is characterized by the appearance of acute symptoms. Usually, this is a strong pain syndrome, which may subside over time. The baby becomes extremely anxious and capricious. When palpating the swelling, unpleasant sensations arise. In this case, the problem must be eliminated immediately.

Recurrence of inguinal hernia in children

The recurrence of a hernia is the most terrible postoperative complication. Bleeding and suppuration are possible. Despite the simplicity that seems at first glance, a recurrence of an inguinal hernia is a complex problem, especially in children. Therefore, several decades ago, a search began for other ways to remove the swelling surgically.

Hernias are removed by hospital surgeons. The problem of recurrent "growth" is dealt with by specialized centers. After all, this is a really serious problem. In order to avoid recurrent swelling, they try to resort to hernia removal without using a mesh implant. With the standard approach, the operation is complex and traumatic. It should be performed only by specialists, because the removal is technically difficult. It is impossible to predict the development of a relapse; it is simply necessary to monitor the patient's condition after the removal.

Diagnosis of inguinal hernia in children

Parents can detect swelling. A pediatric surgeon or pediatrician examining a child can also see the presence of a protrusion. Thus, the diagnosis of an inguinal hernia is based on collecting anamnesis data, examination and palpation in children. Ultrasound is used as an additional research measure.

To detect swelling, the child only needs to strain, bend over, walk or cough. When palpating, elastic and soft tissue of a rounded shape is felt. In a horizontal position, the hernia is almost not felt, but it can be easily reduced. It is desirable that this is done by a specialist. If the contents of the hernial sac are intestines, then during reduction, a characteristic rumbling can be heard. After the process is completed, the expanded inguinal ring is felt by palpation.

To clarify the analysis, ultrasound of the abdominal organs is widely used. Girls are advised to undergo ultrasound of the pelvis. If necessary, irrigography is used.

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Tests

A full examination of the body is necessary before performing surgical intervention. Despite the fact that in most cases the operation must be urgent, it is prohibited to perform it without tests. In case of a pathological process, general clinical studies should be used. These include a general blood test. It will allow you to see the number of leukocytes in the blood and, based on this, diagnose the pathological process. They also monitor the erythrocyte sedimentation rate, or more precisely, the time of this process.

In addition to a blood test, a general urine test is taken. If necessary, a blood coagulation test is performed. This will help avoid force majeure situations during the operation.

There is no need to take additional tests. In addition, instrumental studies may be prescribed. This will confirm the diagnosis and begin immediate treatment. Under no circumstances should surgical intervention be performed without special data.

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Instrumental diagnostics

After the hernia is reduced, it is quite possible to palpate the expanded inguinal ring. To exclude all sorts of force majeure, it is necessary to resort to additional instrumental diagnostics. Its main study is an ultrasound of the abdominal organs. Such an examination is carried out for boys, and girls need to undergo an ultrasound of the pelvic organs. In case of urgent need, they resort to the help of irrigography.

Irrigography is a method of X-ray examination of the colon. But before this, it is necessary to fill it with a radiopaque substance. Barium suspension is used as it. With the help of this method, it is possible to diagnose anomalies in the development of the colon, as well as colitis and intestinal obstruction. The procedure is carried out immediately after cleaning the intestines. In a child, the study will allow diagnosing intestinal anomalies, its size, functionality and other features.

Ultrasound of inguinal hernia in a child

In case of inguinal hernia, ultrasound is used. Ultrasound examination allows to identify the contents of the hernial sac. This can be either a loop of intestine or liquid. Thanks to this, it is possible to distinguish the pathological process from the formation of hydrocele in the testicle. Thus, ultrasound of inguinal hernia allows to identify the localization of swelling and its features in a child.

Boys undergo ultrasound examination of the abdominal organs. It allows pathological processes in the organs to be seen by recording reflected ultrasound waves on the screen. This examination is used quite often. It helps to make an accurate diagnosis.

Girls undergo ultrasound examination of the pelvic organs. In pediatric gynecology, it is used to diagnose early pathological processes. The examination is performed transabdominally. During the scanning process, the condition of the internal organs is assessed. Moreover, it becomes possible to view the localization of the hernia and the contents of its pocket.

Differential diagnostics

Before resorting to surgical intervention, a number of general clinical studies should be carried out. Thus, differential diagnostics is an important stage before eliminating the pathological process. It is important to take a general blood test and monitor the level of leukocytes, as well as the ESR indicator. As additional measures, a general urine test is taken. If necessary, blood is taken to determine coagulability. This will help to avoid possible bleeding during the operation.

The pathological process in a child should be differentiated from hydrocele, cysts and cryptorchidism. The latter phenomenon is common among boys. A fine line is drawn between a hernia and a cyst of the round ligament of the uterus, a femoral hernia and inguinal lymphadenitis. An important role in differential diagnostics is given to diaphanoscopy of the scrotum and ultrasound of the scrotum. The diagnosis and further treatment are based on the data obtained from differential and instrumental examination.

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Treatment of inguinal hernia in children

The only way to eliminate a congenital pathological process is by surgical removal. The operation is planned, conservative treatment of inguinal hernia is not able to bring a permanent effect, therefore, children remain at risk of strangulation. It is stupid to wait for complications, it is necessary to eliminate the problem.

Surgical intervention can be used at the age of 6 months. The duration of the procedure does not exceed 15 minutes. Due to the fact that the inguinal ring is not fully formed, surgeons simply cut off the hernial pocket. As for conservative treatment, it is the use of a bandage. It is put on in a lying position, at first it causes discomfort, then addiction occurs.

In premature and weakened children, the hernia is simply reduced. For this, solutions of Antropin, Pantopon and Promedol are administered. The main recommendation is to take warm baths. If there is no positive dynamics, it is recommended to resort to emergency surgery.

Treatment without surgery

Conservative treatment can be effective only if it is started early. The main thing is to detect the pathological process in time. In this case, it is possible to treat the hernia without surgery. The sooner the swelling is eliminated, the higher the probability of a favorable outcome.

If for some reason it is not possible to achieve positive dynamics, an emergency operation is performed. Most often, a simple reduction of the swelling is enough. This should be done by an experienced specialist. If there was an intestine in the hernial sac, a characteristic rumbling sound will be heard during reduction. If the swelling has become hard and painful, it is no longer possible to reduce it, here you should resort to surgical intervention.

You can try to eliminate the hernia with a bandage. It is put on in a lying position and worn only during wakefulness. In the absence of positive dynamics, they also resort to surgical intervention.

Massage for inguinal hernia in children

It is worth noting that a slight swelling disappears on its own. This is possible only if it began to develop immediately after birth. In this case, you should not relax, because a relapse can occur within 4 years. If the inguinal hernia does not cause any discomfort and does not bother the child in any way during the first years of life, surgical intervention is not practiced here. You can try massage for inguinal hernia; in children, this process is characterized by positive dynamics.

Treatment can be done through massage and special physical exercises. The main load should strengthen the front wall of the abdomen. Massage should be done in the supine position. The child's tummy is massaged clockwise. In this case, it is necessary to slightly squeeze the abdominal muscles. Then the child is turned over onto his tummy and the back is massaged. Massage should be done daily, for 7 minutes, until the hernia disappears. If the swelling has not disappeared by the age of 5, you need to show the child to a surgeon.

Bandage for inguinal hernia in children

The main indication for the use of a bandage is the presence of an inguinal hernia. This pathological process is quite common today. It occurs against the background of a genetic predisposition and can occur due to intense physical exertion. This type of swelling is typical for males. A bandage can help cope with the problem; it is widely used in children with an inguinal hernia. But only if the pathological process does not cause discomfort and is not painful.

The bandage must be worn during waking hours. If the patient is bothered by coughing and sneezing, it is worth wearing it at night. It is removed at least once a day. At first, the bandage will cause discomfort, but then you will get used to it. When wearing such a retainer, the abdominal muscles weaken. They seem to become lazy. Therefore, the bandage is not considered as an alternative to surgical removal.

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Drug treatment

Drug therapy is not used to eliminate the pathological process. It is not effective, and in general, drugs are not able to provide positive dynamics. It can be eliminated only by reduction or surgical method.

If there is persistent pain, the baby can be given a painkiller. But this issue is decided individually with the doctor. Paracetamol, Panadol and Ibuprofen will do. They can be taken 2-3 times a day, one tablet at a time. The dosage depends on the child's condition. You should not resort to painkillers because a painful hernia requires immediate surgical intervention. Waiting for the condition to improve on its own is stupid.

Sometimes a bandage is used, but only if there is no risk of complications. A baby with a hernia must be carefully monitored. This will prevent strangulation. In general, the swelling should be surgically removed on a planned basis.

Folk remedies

In no case should you resort to folk medicine to eliminate a strangulated hernia. This pathological process is especially dangerous for a child, and you should not risk his life. If the hernia is ordinary and is scheduled for elimination, you can try folk treatment during the waiting period. Everything should be done carefully, because there is a risk of worsening the child's condition.

You can try to eliminate the swelling with a compress based on a decoction of wormwood. Cabbage and sauerkraut brine promise a positive effect. It is enough to simply apply these ingredients to the swelling daily.

The affected area should be washed with a weak solution of acetic acid. This method also promises a positive effect. You can make a compress from a decoction based on oak bark, its leaves and acorns. To do this, you need to grind the ingredients and pour red wine over them. Leave the remedy for 21 days, this will be enough for complete preparation. Alternating compresses promises a positive effect.

It is not recommended to drink any infusions or decoctions. The baby's body is already weakened, and it is clearly not worth trying to treat it with untested methods. The hernia needs to be repositioned or removed on a planned basis, without any experiments.

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Conspiracy of inguinal hernia in a child

In the old days, many diseases were eliminated with the help of spells. In the last century, people believed in the power of thought. They believed that if you strongly wish and ask for something, then it will definitely come true. Based on this, inguinal hernias in children were eliminated with the help of spells. The effect was really positive. Unfortunately, there is no way to learn about miraculous stories of healing, but you can try to make a spell.

Wishing their child well, young mothers try to help him in every possible way. Therefore, they resort to the help of not only traditional medicine, but also other methods. Thus, there are certain spells that help alleviate the baby's condition. It cannot harm, in any case, every mother can try its effect.

The simplest conspiracy. You need to bite the child's hernia and start repeating a certain text. You can send the hernia beyond the seas, oceans and wide fields. The main thing is to read a prayer while pronouncing the text. First, you need to spit three times over your left shoulder, then read the prayer and repeat the action.

There are quite a few spell texts. But is it worth doing this if there are standard treatment regimens? There is no need to risk the baby's health. It is necessary to entrust it to professionals in their field.

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Herbal treatment

Anyone can try folk remedies. But such a risk is not always justified. Of course, herbal treatment cannot cause serious harm to the body. But the desire to eliminate everything in this way can lead to a worsening of the baby's condition and cause serious complications. You can try herbal treatment while waiting for surgery.

• Recipe #1. Pour two glasses of boiling water over dry clover grass. Take a tablespoon of the main ingredient. Then cover everything with a napkin and leave it alone for an hour. After the specified time, strain the mixture and take a third of a glass before meals.
• Recipe #2. Take 3 teaspoons of crushed cornflower flowers and pour 500 ml of boiling water over them. Leave the remedy in a thermos for 24 hours. Then cool, strain and take a third of a glass up to 5 times a day.
• Recipe #3. Meadowsweet is poured with a glass of boiling water. It is enough to take one teaspoon of the main ingredient. After that, everything is covered with a lid and wrapped up. The remedy should be left for a couple of hours, until it is completely infused. Then strain it and consume in small portions throughout the day.

Homeopathy

Homeopathic medicines have proven themselves since ancient times. Their effectiveness lies in a special composition based on herbs and natural components. However, such treatment may not be suitable for everyone. A strangulated hernia poses a risk to the child's life, so homeopathy may not cope with this problem. Only surgical removal is necessary here.

Some doctors resort to hernia reduction, but this is not always possible and effective. In any case, this process should be supplemented with quality treatment. But it is worth understanding that pressing in a strangulated hernia does not always lead to a positive result. Finally, surgical intervention can also entail negative consequences.

In order to eliminate possible complications, I resort to homeopathy. In the treatment of the pathological process, such drugs as Belladonna and Nux vomica have proven themselves well. In the third and sixth dilution. But such treatment also carries a special risk. Therefore, it is worth giving preference to proven methods.

Inguinal Hernia Surgery in Children

Surgical intervention will help to avoid possible negative consequences. An operation to remove an inguinal hernia is performed after the diagnosis is established in affected children. Most often, surgical intervention is resorted to at the age of 6-12 months. In newborn babies, surgical treatment is not technically difficult. And at this age, anesthesia is much easier to tolerate and does not pose any danger. It is not worth postponing the operation, as strangulation may develop. The doctor decides when to perform the operation. The operation is planned and does not require emergency removal. But a long delay is undesirable.

The principle of surgical removal is to separate the abdominal cavity and the hernial sac. It is also necessary to prevent internal organs from getting into it. The operation is delicate and requires special technical skills. It is important to preserve all the anatomical structures of the spermatic cord. Mesh implants are not used for surgical intervention in children. The operation is always performed under general anesthesia. The duration of hernia removal does not exceed 30 minutes.

Laparoscopy of inguinal hernia in children

The most common way to get rid of a hernia is its plastic surgery. This procedure is called laparoscopy. It is used to examine the opposite side of patients suffering from a unilateral hernia. If it is present on the other side, then the plastic surgery is performed openly. Bilateral inguinal hernia in children is not so common, but it can also be eliminated by laparoscopy.

There is a risk of a missed hernia or a risk of complications after such an intervention. Damage to the spermatic cord structures is possible. The safety of the procedure has been proven when removing a hernia through a hernial sac. In such a case, a positive result is observed.

The doctor decides which method to use based on the possible mortality, the complexity of the situation, and observation during a routine revision. Laparoscopy has shown many advantages. Even though the probability of a pathological process on the other side is high.

Postoperative period

Nursing care involves changing the dressing and treating the resulting wound. The dressing often gets wet during the first day after the operation. This process is physiological and does not require any additional treatment measures. In the postoperative period, the baby must be provided with proper care.

If silk suture material was used, the stitches can be removed on the 7th day after the operation. Today, catgut self-absorbable threads are becoming increasingly popular. When using them, the scar is almost invisible.

Postoperative treatment is limited to taking painkillers. These may be Paracetamol, Panadol and Ibuprofen. The dosage is prescribed depending on the severity of the pain syndrome. During the recovery period, it is necessary to eat properly. It is advisable to give the baby food rich in fiber. You should exclude products that can lead to increased gas formation.

It is often recommended to wear a bandage, it will ensure uniform distribution of intra-abdominal pressure. In addition, it reduces compression on the scar, this promotes its regeneration. The duration of wearing it is determined by the doctor and depends on the complexity of the operation.

Mainly in the postoperative period, it is necessary to eliminate provoking factors. These include physical activity, cough, constipation and excess weight. The baby must be closely monitored. The probability of relapse remains during the first 3 years.

Prevention

The best preventive measure is to do morning exercises. This is realistic for children who can already walk. Moderate activity is sufficient for newborns. The baby should crawl, play, but not lie motionless. It is worth carrying him in your arms and entertaining him in every possible way. Evening walks will be beneficial - this is the basis of any prevention.

The child needs to normalize his sleep pattern and avoid overeating. Excess weight contributes to the development of the pathological process. Do not allow intra-abdominal pressure to increase. Constipation, severe coughing and excessive physical activity provoke its growth. The baby needs to be fed food rich in fiber in order to eliminate the likelihood of constipation. All associated diseases must also be eliminated. Including colds and flu.

If strange symptoms appear, you should immediately consult a doctor. This will help avoid possible serious consequences. Preventive measures will help avoid the development of a pathological process.

Forecast

The results after the operation are mostly positive. Today, the operation is performed in a hospital setting, where the baby stays for some time after the hernia is removed. Here, he is followed by experienced specialists who will not allow the child's condition to worsen. In most cases, the prognosis is favorable. But only if the hernia is eliminated in a timely manner.

The risk of complications still remains. This could be lymphostasis in the testicle, high fixation of the testicle or infertility in the future. If you do not ignore treatment and do not delay the process of removing the pathological process, the prognosis will always be favorable. Its positivity depends on the speed of the parents' response and the operation itself.

Prevention of the development of the pathological process occurs through rational nutrition, exclusion of heavy physical exertion and treatment of constipation.

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