Volgograd state medical university department of paediatric surgery

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VOLGOGRAD STATE MEDICAL UNIVERSITY DEPARTMENT OF PAEDIATRIC SURGERY

Prepared by : Ravi Rithanyaa

Faculty of general medicine

Group 41

Curator : Вербин Олег Иванович

1. Inguinal hernia and hydrocele in children.

Hydrocele and Inguinal (Groin) Hernia

Hydrocele is a collection of fluid within a pouch that produces swelling in the groin region or scrotum. An inguinal hernia occurs when abdominal organs protrude into the inguinal canal or scrotum. About 1-5% of children will have a hernia or hydrocele, including newborns. Boys are about 8-10 times more likely than girls have this condition, and it occurs about twice as often on the right side of the groin as the left.

Premature infants, small for gestational age infants, and twins have a higher rate hydrocele and inguinal hernia. a family history of hernia also leads to an increased incidence rate.

Symptoms & Types

Hydrocele is accumulation of fluid around the testicle. There are 2 types:

· Communicating: This is a defect children are born with where a channel runs from the abdomen to the scrotum, allowing fluid to move back and forth. The amount of fluid and swelling often gets larger and smaller throughout the day.

· Noncommunicating: In this type of hydrocele, fluid comes from the lining of the scrotum and is often a result of inflammation; these are common within the newborn period but tend to improve during the first several months of life. The amount of fluid remains constant throughout the day.

There are 2 primary types of hernia:

· Inguinal, indirect: This is the same as a communicating hydrocele but can include cases with abdominal structures in the scrotum. If abdominal organs, such as small intestine or omentum, cannot be reduced back into the abdomen, the blood flow may be cut off.

· Inguinal, direct: This is caused by weakness in the floor of the groin canal; this type of hernia is uncommon in children.

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