Epidemiology
Often present within 1st year of life.
Pathophysiology
Indirect – most hernias are indirect and extend through the internal and external rings. Often on the right hand side.
Signs & Symptoms
– Asymptomatic bulge in the groin or scrotum – above the testicle
– May resolve when calm and supine
– Analgesia needed before reduction
– Gentle traction on the scrotum to help align the hernia sac with the external ring.
– While keeping gentle traction, squeeze distal to proximal
– Apply pressure laterally with the index and thumb along each side of the hernia neck and inguinal canal.
– Imagine you are trying to stretch open the rings.
– Gently add more pressure distally and help reduce the hernia.
– This can take up to 40minutes
— MEHMET TATLI (@DRMEHMETTATLI) March 29, 2015
Incarceration or Strangulation
– Happens in 7 – 30%
– Severe pain, bilious emesis, blood in stool, signs of peritonitis, redness and oedema on affected side of scrotum
References
