Inguinal hernia in boys - this is one of the most common surgical diseases in children. Therefore it is necessary to know why there is this pathology, as well as what it is accompanied by symptoms. In some cases, complications arise. In order to prevent their development, need to see a doctor and treated.
What it is
Inguinal hernia - a pathological condition in which the internal organs (bladder, bowel, greater omentum) are located in the groin area under the skin. In boys, this pathology occurs much more often than girls.
Inguinal hernias can be congenital or acquired. The last of them are divided into direct and oblique.
Causes of an inguinal hernia in boys
The occurrence of congenital inguinal hernias is associated with the process of testicular descent. When the male child is in the womb of a pregnant woman, his testicles are in the abdomen. Until the moment of birth, they fall over time into the scrotum.
The abdomen inside is lined with a thin sheath of connective tissue called the parietal peritoneum. When the egg sinks, it drags the shell and through the internal inguinal ring protrusion of the peritoneum occurs in the inguinal canal.
Normally, the time of birth the testes already in the scrotum, and the resulting pocket of peritoneum grows. If not, then this pocket communicates with the abdominal cavity and internal organs can get through the skin in the inguinal region. These hernias are in an oblique direction and are called oblique inguinal.
Also isolated inguinal-scrotal hernia, and they are the cord and testicular. At the first of these pockets of the peritoneum does not grow in the upper and middle thirds, but is separated from the lower part of which forms the shell eggs. Peritoneal process does not grow along its entire length in the testicular hernia.
Acquired inguinal hernia
Inguinal hernia - dangerous or not?
boys occurs much less frequently it occurs over the age of ten years.
Usually it is formed by a considerable weakness of muscles of the anterior abdominal wall and excessive exercise. If such a hernia passes through the abdominal wall, but bypasses the inguinal canal, it is called a straight line.
Symptoms of inguinal hernia in boys
Symptoms of congenital hernia usually found immediately after birth. The boy in the groin noticeable protrusion, which is easy to feel out, and it has plotnoelasticheskuyu consistency. When inguinal hernia is the protrusion of a rounded shape, and inguinal-scrotal - oval. It is also characterized by the following symptoms:
- Flexing disappear or significantly reduced if the child is lying, and, conversely, increases when the boy is in the upright position;
- If you click on the protrusion, it is often easy to reduce a while you can hear the rumbling;
- At the moment when the hernia is in the reduction state, the finger can be felt through the skin inguinal ring, which will then be expanded;
- When the boy coughs, sneezes or tense, hernial protrusion increases and becomes tight. This can be seen if a hand;
- In cases when lowered into the scrotum hernial sac, the corresponding half of the latter increases in size.
If you purchased a hernia appear the same symptoms. They appear after considerable physical exertion. Usually the boy notices at protrusion in the groin, and is standing and straining increases. When the child is lying, this formation is reduced in size.
If the hernia existed for a very long time, increases in size, and no treatment, there may be additional symptoms. It:
- Constant aching pain in the lower abdomen and bulging. They arise because squeezing the intestine or other organs;
- Constipation;
- Bloating;
- In rare cases where a portion of the bladder
Urinary bladder - structure and function
It falls into the hernia bag joins violation of urination.
Consequences of inguinal hernia in boys
This condition may be a number of complications. These include:
Infringement of an inguinal hernia. At the same time the internal organs, which fell into the hernial sac, squeezed in the external inguinal ring, and their blood supply is disrupted. Flexing becomes very painful and stressful, and it is thus not reduce a into the abdominal cavity. The child appears delayed stool and gas, as well as nausea
Nausea - there may be problems with the nervous system
or vomiting;
- Necrosis (necrosis) of those parts of the internal organs, which are in the hernial sac;
- Peritonitis, i.e. peritonitis;
- Appendicitis;
- Nevpravimost. This occurs when the hernia so large, and it is not possible to straighten the contents back into the abdominal cavity.
Therefore, when the signs of an inguinal hernia it is necessary to consult a doctor. If you suspect an infringement of essential emergency medical care.
Treatment
The only effective treatment at an early age - online. Surgical intervention, if there is no infringement is carried out in a planned manner.
Operation of an inguinal hernia in boys may be performed at any age due to modern methods of pain relief.
The main cause of hernia in children at an early age - there is a message to the abdominal cavity, so the goal of surgical intervention - ligation and removal of the hernia sac. Before that, during the operation, the doctor must make sure that there are no bodies.
The boys in the infringement of inguinal hernia in the early hours doctor can prescribe conservative treatment to self-reduction of a hernia. If this happens, further surgery is performed routinely. When the conservative method would be inefficient for two hours, it held an emergency surgical intervention.
If you experience symptoms of an inguinal hernia, you need to see a specialist. The doctor will examine the child and confirm the diagnosis. After that it will require elective surgery. If the hernia sac is not excised, it increases the risk of infringement, which interferes with the blood supply to organs and may develop necrosis.
