Direct inguinal hernias in children
- Authors: Svarich V.G.1,2, Kagantsov I.M.2,3, Svarich V.A.4
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Affiliations:
- Republican Children’s Clinical Hospital
- Pitirim Sorokin Syktyvkar State University
- V.A. Almazov National Medical Research Center
- Main Bureau of Medical and Social Expertise in the Republic of Komi
- Issue: Vol 11, No 2 (2021)
- Pages: 161-167
- Section: Original Study Articles
- URL: https://journals.rcsi.science/2219-4061/article/view/123173
- DOI: https://doi.org/10.17816/psaic949
- ID: 123173
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Abstract
AIM: Based on the accumulated clinical material, this study aims to show the possibilities of diagnosing and treating direct inguinal hernias in children.
MATERIALS AND METHODS: During the period from 2000 to 2020, 3221 children with inguinal hernias were treated in the surgical department of the Republican Children’s Clinical Hospital in Syktyvkar. Of the above group of children with inguinal hernias, seven patients (0.22%) had direct inguinal hernias. The above was confirmed by ultrasound examination. In laparoscopic imaging, a rectal hernia was defined as a recess of the peritoneum of a stellate or rounded shape in the projection of the medial umbilical fossa. Two patients underwent the Bassini herniation procedure. Two children underwent laparoscopic hernia repair with intracorporeal suture insertion. In three patients, hernia repair was performed using the PRMS method.
RESULTS: Long-term results were followed up from six months to 15 years. Immediate and postoperative complications were noted. No recurrence of hernia was reported.
CONCLUSIONS: When establishing direct inguinal hernia diagnosis in children is clinically determined in the form of a rounded, soft-elastic formation localized medially and above the Pupart ligament next to the projection of the external (superficial) inguinal ring of the inguinal canal. It is easily set into the abdominal cavity with rumbling and confirmed by ultrasound examination results. The most preferred treatment method for direct inguinal hernia in children, in our opinion, is hernia repair using the percutaneous internal ring suturing (PIRS) method.
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##article.viewOnOriginalSite##About the authors
Vyacheslav G. Svarich
Republican Children’s Clinical Hospital; Pitirim Sorokin Syktyvkar State University
Author for correspondence.
Email: svarich61@mail.ru
ORCID iD: 0000-0002-0126-3190
SPIN-code: 7684-9637
Dr. Sci. (Med.)
Russian Federation, Syktyvkar; 116/6 Pushkin str., Syktyvkar, 167004Ilya M. Kagantsov
Pitirim Sorokin Syktyvkar State University; V.A. Almazov National Medical Research Center
Email: ilkagan@rambler.ru
ORCID iD: 0000-0002-3957-1615
SPIN-code: 7936-8722
Dr. Sci. (Med.), main scientific researcher
Russian Federation, Syktyvkar; Saint PetersburgVioletta A. Svarich
Main Bureau of Medical and Social Expertise in the Republic of Komi
Email: svarich61@mail.ru
ORCID iD: 0000-0003-0858-1463
Deputy Chief Expert on Clinical Expert Work
Russian Federation, SyktyvkarReferences
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