J Korean Assoc Pediatr Surg.  1995 Dec;1(2):107-114. 10.13029/jkaps.1995.1.2.107.

Incarcerated Inguinal Hernia in Children

Affiliations
  • 1Department of Surgery, College of Medicine, Hanyang University, Seoul, Korea.

Abstract

Three hundred and twenty-seven patients of 2,046 inguinal hernia cases primarily repaired at Hanyang University Hospital had the history of incarceration or presented as incarcerated inguinal hernia on admission. Incidence of incarceration of all male hernias was 14.2%(234 patients) and 22.7%(93 patients) of all female cases. Incarceration occurred in 17.3% of all right hernia cases and in 13.7% of all left hernia cases. The incarceration occurred 52.6% of the hernia patients in the first month of life, 27.3% in the first year, 26.7% in the second year and 7.8% after 2 years of age. Strangulated inguinal hernia occurred in 8 patients: five patients had ovaries involved, two patients intestines, and one patient omentum. Emergency operations were performed on 66 patients(20.2%) because incarcerated hernia could not be reduced by taxis. At the time of operation, the hernia sacs were empty in 140 of 327 patients and the remainders contained omentum(50), small intestine (44), appendix and/or cecum(28), sigmoid colon(2), ovary and/or tube(66), and omental cyst(l). An elective hernia repair should be performed promptly after presentation of the hernia, especially before 2 years of life because of high incidence of incarceration. In this study, of 327 incarcerated hernia, 187 patients(57.2%) did not have prior history of incarceration and incarceration developed more than 7 days after hernia onset in 95.6%. If the hernia repairs had been performed within 7 days after hernia onset, about half of the incarceration might have been prevented.

Keyword

Inguinal hernia; Incarcerated hernia; Strangulated hernia; Richter's hernia

MeSH Terms

Appendix
Child*
Colon, Sigmoid
Emergencies
Female
Hernia
Hernia, Inguinal*
Herniorrhaphy
Humans
Incidence
Intestine, Small
Intestines
Male
Omentum
Ovary
Full Text Links
  • JKAPS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr