Inguinal hernia (peds)

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Inguinal Hernia

  • 1-2% of children hve these, 10% become incarcerated, 70% of incarceration occurs ininfants (usu <6 mo), M:F 6:1, 21% of F w/ inguinal hernia contain an ovary!
  • S/S: parents usu report bulge in scrotum or groin that incr w/ crying, lack of transillumination indicates incarcerated hernia vs hydrocele (usu no chng w/ crying), must distinguish btwn hydrocele, torsion, inguinal lymph node, UTZ can help!
  • Rx: 95% can be reduced w/o surgery using gentle FIRM CONTINUOUS pressure, trendelenberg, & analgesics
  • Surgery consult or f/u if can't reduce. Ensure no obstruction
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