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Pediatric Bilateral Indirect Inguinal Herniotomy

Beda Espineda, MD
Philippine Children’s Medical Center

Abstract

An inguinal hernia occurs when an opening is present in the abdominal wall through which a sac and abdominal contents such as the intestines, protrude through the opening. Inguinal hernias may be congenital or acquired. Congenital hernias make up the majority of pediatric hernias, and are the most common surgical problem of childhood. They should be considered developmental defects rather than acquired weaknesses because they are usually caused by failure of the peritoneum to close in the inguinal ring, resulting in a patent processus vaginalis. Hernias present as a soft bulge in either the inguinal area or in the scrotum and can be diagnosed by a thorough medical history and careful physical examination. Pediatric inguinal hernias often require surgery to avoid the risk of abdominal organs becoming incarcerated or strangulated. Surgical correction consists of closing the patent processus vaginalis with high ligation of the hernial sac. Here, we present a 12-year-old boy with bilateral inguinal hernias since birth. A bilateral inguinal herniotomy was performed to correct the congenital defects.

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