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An Analytical Study of Pediatric Ingunio- Scrotal Swellings

: Ankur A. Jain, Resident, Department of General Surgery, Smt. B.K. Shah Medical Institute and Research Center, Sumandeep Vidyapeeth, Piparia, Vadodara, Gujarat 391760, India. , Honeypalsinh H. Maharaul1 , Ankur A. Jain2

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New Indian Journal of Surgery 9(6):p 731-734, Nov-Dec 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9618.7

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Abstract

  Background: Inguino-scrotal swellings are one of the commonest anomalies in infancy and childhood throughout the world. Delay indiagnosis and treatment leads to loss of testis, ovaries or portion of bowel to incarceration or strangulation. This study was under taken to evaluate the age, sex and sidewise distribution and the complications like incarceration, strangulation and gonadal infarction. Methodology: Atotalof 50 children were selected ranging in age from 5 months to12 years presenting to the hospital with inguino-scrotal swelling which will be examined, followed up and managed. The data will be used to interpret results. Results: Of the 50 cases, 30 were on
the right side, 16 on the left side, 4 were bilateral. Prematurity was associated in 2 cases. Parents noticed the swelling in 64%, 30% by grandmother, 6% by doctor. Undescended testis, encysted hydrocele of the cord and congenital hydrocele were simultaneously presenting in 2, 6 and 16 cases respectively. There were 2 cases of incarceration. Post-operative complications were noticed 3 cases of wound hematoma, 1 case of wound infection and 1 of stitch granuloma. Conclusion: Childhood inguinalhernias are more common on right side due to delay in descent of right testis and males are more commonly affected. Congenital hydrocele may involutes spontaneously, so we should observe at least up to 2 years of age before considering repair but not inthe case   of congenital inguinal hernia. Parents are usually thefirstpersontonoticetheswelling. 

Keywords: Incarceration; Strangulation; Inguinal Hernia; Hydrocele; Hematoma; Herniotomy; Stitch Granuloma  

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9618.7

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