Pediatric Hernias Questions & Answers

Updated: Oct 31, 2018
  • Author: Andre Hebra, MD; Chief Editor: Carmen Cuffari, MD  more...
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Questions & Answers

Overview

What are pediatric hernias?

What is the pathophysiology of pediatric hernias?

What is the prevalence of pediatric hernias in the US?

What is the global prevalence of pediatric hernias?

What is the mortality and morbidity associated with pediatric hernias?

What are the racial predilections of pediatric hernias?

What are the sexual predilections of pediatric hernias?

Which age groups have the highest prevalence of pediatric hernias?

Presentation

Which clinical history findings are characteristic of pediatric hernias?

Which physical findings are characteristic of pediatric hernias?

What causes pediatric hernias?

Which conditions increase the risk of inguinal hernia?

DDX

What are the differential diagnoses for Pediatric Hernias?

Workup

What is the role of lab tests in the workup of pediatric hernias?

What is the role of imaging studies in the workup of pediatric hernias?

What is the role of laparoscopy in the workup of pediatric hernias?

Which histologic findings are characteristic of pediatric hernias?

Treatment

How are pediatric hernias treated?

What is the role of surgery in the treatment of pediatric hernias?

How is an open repair of pediatric inguinal hernia performed?

What is a neglected inguinal hernia?

What further treatment is needed when peritoneal fluid is hemorrhagic or cloudy during surgical repair of inguinal hernia incarceration?

How is inguinal hernia surgery performed in girls?

What is the surgical intervention for inguinal hernia with testicular or vas anomalies?

What are the advantages of exploration of the contralateral side at the time of open repair of an inguinal hernia?

What are the disadvantages of exploration of the contralateral side at the time of open repair of an inguinal hernia?

How is diagnostic laparoscopy performed for pediatric hernias?

How are incarcerated hernias treated?

What is manual reduction of incarcerated hernia performed?

How is hernia strangulation treated?

How is an umbilical hernia treated?

What is the role of laparoscopic needle-assisted repair in the treatment of inguinal hernia?

Which specialist consultations are beneficial to patients with pediatric hernias?

Which dietary modifications are used in the treatment of pediatric hernias?

Which activity modifications are used in the treatment of pediatric hernias?

Medications

What is the role of medications in the treatment of pediatric hernias?

Follow-up

What is included in long-term monitoring of pediatric hernias?

When is inpatient care indicated in the treatment of pediatric hernias?

Which medications are used for pain management of pediatric hernias?

When is patient transfer indicated for the treatment of pediatric hernias?

What are the possible complications of pediatric hernias?

What is the prognosis of pediatric hernias?

What is included in patient education about pediatric hernias?