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STRANGULATED INGUINAL HERNIA IN THE NEONATAL PERIOD
Author(s) -
CARTLEDGE J. McP.
Publication year - 1968
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1968.tb01753.x
Subject(s) - medicine , gangrene , inguinal hernia , hernia , general surgery , inguinal canal , surgery , resection , hydrocele
SYNOPSIS In the course of 11 years, 2,015 children were operated upon for an inguinal hernia at the Alder Hey Children's Hospital. Of these, 140 (7%) were strangulated, and 33 (1.6%) were less than one month old. Reduction of the strangulated hernia by taxis was successful in 14 cases, unsuccessful in 6, and was not attempted in 13 because of signs of intestinal obstruction, or because the inguinal swelling was extremely tender. There was no relationship between length of history and the success or failure of taxis. Gangrene of the intestine requiring resection occurred in only one child, in another the related testicle was infarcted, and in 5 others the testis was engorged but viable. There were 2 deaths, neither of which was directly due to the hernia.