eMedicine Specialties > Pediatrics: General Medicine > Gastroenterology

Pediatric Hernias: Multimedia

Author: Andre Hebra, MD, Chief, Division of Pediatric Surgery, Medical University of South Carolina; Professor of Surgery and Pediatrics, Medical University of South Carolina
Contributor Information and Disclosures

Updated: Oct 21, 2009

Multimedia

Typical appearance of an infant with a large righ...
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Media file 1: Typical appearance of an infant with a large right indirect inguinal hernia. The right scrotal sac is enlarged and contains palpable loops of bowel and fluid.
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Typical appearance of an infant with a large righ...

Typical appearance of an infant with a large right indirect inguinal hernia. The right scrotal sac is enlarged and contains palpable loops of bowel and fluid.

A premature baby boy with bilateral giant inguino...
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Media file 2: A premature baby boy with bilateral giant inguinoscrotal hernias. Because of the large size of the hernias, operative repair typically requires repair of the inguinal floor in addition to the high ligation of the indirect hernia sac.
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A premature baby boy with bilateral giant inguino...

A premature baby boy with bilateral giant inguinoscrotal hernias. Because of the large size of the hernias, operative repair typically requires repair of the inguinal floor in addition to the high ligation of the indirect hernia sac.

Illustration of the technique for intraoperative ...
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Media file 3: Illustration of the technique for intraoperative diagnostic laparoscopy to evaluate for the presence of an asymptomatic contralateral inguinal hernia at the time of elective repair of an indirect inguinal hernia.
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Illustration of the technique for intraoperative ...

Illustration of the technique for intraoperative diagnostic laparoscopy to evaluate for the presence of an asymptomatic contralateral inguinal hernia at the time of elective repair of an indirect inguinal hernia.

Laparoscopic view of a left indirect inguinal her...
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Media file 4: Laparoscopic view of a left indirect inguinal hernia at the time of surgery for laparoscopic needle-assisted repair.
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Laparoscopic view of a left indirect inguinal her...

Laparoscopic view of a left indirect inguinal hernia at the time of surgery for laparoscopic needle-assisted repair.

Laparoscopic needle-assisted repair of a left ind...
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Media file 5: Laparoscopic needle-assisted repair of a left indirect inguinal hernia. Note the passage of a Prolene suture through a small 22G spinal needle; this is used for creation of the purse-string suture that closes the open inguinal ring.
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Laparoscopic needle-assisted repair of a left ind...

Laparoscopic needle-assisted repair of a left indirect inguinal hernia. Note the passage of a Prolene suture through a small 22G spinal needle; this is used for creation of the purse-string suture that closes the open inguinal ring.

Laparoscopic view of the repaired left indirect i...
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Media file 6: Laparoscopic view of the repaired left indirect inguinal hernia with the closed Prolene purse-string suture around the internal inguinal ring.
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Laparoscopic view of the repaired left indirect i...

Laparoscopic view of the repaired left indirect inguinal hernia with the closed Prolene purse-string suture around the internal inguinal ring.

More on Pediatric Hernias

Overview: Pediatric Hernias
Differential Diagnoses & Workup: Pediatric Hernias
Treatment & Medication: Pediatric Hernias
Follow-up: Pediatric Hernias
Multimedia: Pediatric Hernias
References
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References

  1. Brandt ML. Pediatric hernias. Surg Clin North Am. Feb 2008;88(1):27-43, vii-viii. [Medline].

  2. Skinner MA, Grosfeld JL. Inguinal and umbilical hernia repair in infants and children. Surg Clin North Am. Jun 1993;73(3):439-49. [Medline].

  3. Deeba S, Purkayastha S, Paraskevas P, et al. Laparoscopic approach to incarcerated and strangulated inguinal hernias. JSLS. Jul-Sep 2009;13(3):327-31. [Medline].

  4. [Guideline] Al-Ansari K, Sulowski C, Ratnapalan S. Analgesia and sedation practices for incarcerated inguinal hernias in children. Clin Pediatr (Phila). Oct 2008;47(8):766-9. [Medline].

  5. Miltenburg DM, Nuchtern JG, Jaksic T, et al. Laparoscopic evaluation of the pediatric inguinal hernia--a meta-analysis. J Pediatr Surg. Jun 1998;33(6):874-9. [Medline].

  6. Given JP, Rubin SZ. Occurrence of contralateral inguinal hernia following unilateral repair in a pediatric hospital. J Pediatr Surg. Oct 1989;24(10):963-5. [Medline].

  7. Gonzalez Santacruz M. Low prevalence of complications of delayed herniotomy in the extremely premature infant. Acta Paediatr. 2004;93:94-98. [Medline].

  8. Han BK. Uncommon causes of scrotal and inguinal swelling in children: sonographic appearance. J Clin Ultrasound. Jul-Aug 1986;14(6):421-7. [Medline].

  9. Matsuda T, Muguruma K, Horii Y, et al. Serum antisperm antibodies in men with vas deferens obstruction caused by childhood inguinal herniorrhaphy. Fertil Steril. May 1993;59(5):1095-7. [Medline].

  10. Myers JB, Lovell MA, Lee RS, et al. Torsion of an indirect hernia sac causing acute scrotum. J Pediatr Surg. Jan 2004;39(1):122-3. [Medline].

  11. Othersen HB Jr. The pediatric inguinal hernia. Surg Clin North Am. Aug 1993;73(4):853-9. [Medline].

  12. Rescorla FJ, West KW, Engum SA, et al. The "other side" of pediatric hernias: the role of laparoscopy. Am Surg. Aug 1997;63(8):690-3. [Medline].

  13. Scherer LR 3d, Grosfeld JL. Inguinal hernia and umbilical anomalies. Pediatr Clin North Am. Dec 1993;40(6):1121-31. [Medline].

  14. Stoppa R. About biomaterials and how they work in groin hernia repairs. Hernia: The Journal of Hernias and Abdominal Wall Surgery. 2003;7:57-60. [Medline].

  15. Tesselaar CD, Postema RR, van Dooren MF, et al. Congenital diaphragmatic hernia and situs inversus totalis. Pediatrics. Mar 2004;113(3 Pt 1):e256-8. [Medline].

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Further Reading

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Keywords

pediatric hernias, inguinal hernia, indirect inguinal hernia, groin hernia, umbilical hernia, femoral hernias, incarcerated hernia, strangulated hernia, hydrocele, prematurity, gonadal dysfunction, intestinal necrosis, intestinal perforation, intestinal obstruction, treatment, diagnosis

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Contributor Information and Disclosures

Author

Andre Hebra, MD, Chief, Division of Pediatric Surgery, Medical University of South Carolina; Professor of Surgery and Pediatrics, Medical University of South Carolina
Andre Hebra, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American College of Surgeons, American Medical Association, American Pediatric Surgical Association, Association for Academic Surgery, Society of Laparoendoscopic Surgeons, South Carolina Medical Association, Southeastern Surgical Congress, and Southern Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Jeffrey J DuBois, MD, Consulting Staff, Division of Pediatric Surgery, Kaiser Permanente, North Sacramento Medical Center
Jeffrey J DuBois, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American College of Surgeons, American Pediatric Surgical Association, Association for Academic Surgery, California Medical Association, Society for Surgery of the Alimentary Tract, Society of American Gastrointestinal and Endoscopic Surgeons, and Society of Critical Care Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

CME Editor

Steven M Schwarz, MD, FAAP, FACN, AGAF, Professor of Pediatrics, Children's Hospital at Downstate, SUNY-Downstate Medical Center
Steven M Schwarz, MD, FAAP, FACN, AGAF is a member of the following medical societies: American Academy of Pediatrics, American College of Nutrition, American College of Physician Executives, American Gastroenterological Association, American Pediatric Society, Gastroenterology Research Group, New York Academy of Medicine, North American Society for Pediatric Gastroenterology and Nutrition, and Society for Pediatric Research
Disclosure: TAP Pharmaceuticals Honoraria Speaking and teaching; Curemark, LLC Consulting fee Board membership; Centocor, Inc. Grant/research funds Independent contractor

Chief Editor

Carmen Cuffari, MD, Associate Professor, Department of Pediatrics, Division of Gastroenterology/Nutrition, Johns Hopkins University School of Medicine
Carmen Cuffari, MD is a member of the following medical societies: American College of Gastroenterology, American Gastroenterological Association, North American Society for Pediatric Gastroenterology, Hepatology and Nutrition, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

 
 
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