Complicated Inguinal Hernia in Children: An Experience in a Developing Country

JOURNAL TITLE: The Journal of Medical Sciences

Author
1. Kevin E Chukwubuike
ISSN
2321-354X
DOI
10.5005/jp-journals-10045-00140
Volume
6
Issue
1
Publishing Year
2020
Pages
3
Author Affiliations
    1. Department of Surgery, Pediatric Surgery Unit, Enugu State University Teaching Hospital, Enugu, Nigeria
  • Article keywords
    Case series, Children, Complicated, Developing country, Hernia, Inguinal

    Abstract

    Aim: To determine the demographic characteristics, clinical presentation, and management outcome of children treated for complicated inguinal hernia at a tertiary hospital in Enugu, Nigeria. Materials and methods: This was a retrospective analysis of children who were managed for complicated inguinal hernia. Results: Forty-eight cases of the complicated inguinal hernias had an emergency surgery during the study period. There were 34 males (70.8%) and 14 females (29.2%). The ages of the patients ranged from 1 month to 48 months, with a median age of 7.5 months. Sixty percent of the inguinal hernias were right sided and 40% were left sided. None was bilateral. The median time interval from the time of first clinic visit to incarceration was 6.5 months (range: 1–48). Twenty-one percent of the patients visited the clinic at least once before the incarceration. Pain over the inguinal swelling was present in all the patients. Surgical site infection (10.4%) was the most common postoperative complication. Mortality was 2.1%. Conclusion: Treatment of complicated inguinal hernia is associated with morbidity and mortality especially in developing countries due to late presentation. Clinical significance: The importance of early treatment of inguinal hernia in children to avoid complications that may arise.

    © 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved