What is a pediatric inguinal hernia?
It usually results from a processus vaginalis that did not close. A groin or scrotal bulge may appear with crying, coughing, running or straining and disappear when the child relaxes.
Will it close on its own?
Pediatric inguinal hernia differs from adult hernia and usually does not close simply as muscles become stronger. Timing of repair considers age, symptoms, prematurity and incarceration risk.
What is incarceration?
The hernia contents are trapped and cannot return to the abdomen. A hard persistent bulge, severe crying, pain, vomiting, abdominal swelling or lethargy requires urgent evaluation.
How is it repaired?
The open channel is closed through a small incision or laparoscopic approach depending on age, health and surgical assessment. Anesthesia, wound care, recovery and risks are discussed beforehand.
Frequently asked questions
Does the bulge need to appear every day?
No. Pediatric hernias may come and go. A clear history, photograph or video can still support surgical assessment.
Should parents push a painful hard bulge back?
Do not repeatedly force a hard painful bulge, especially with vomiting or abdominal swelling. Seek urgent care.