The Incidence of Inguinal Hernia among Children
Alrzoq, R., Alhaji, A., Alolayt, I., Almulhim, A., Althobaiti, S., Alzahrani, I., Alabbas, D., Alraddadi, S., Alhajjam, I., Alrubyyi, M., Altarouti, S., Alhashim, Z. (2018). The Incidence of Inguinal Hernia among Children. EKB Journal Management System, 70(3), 483-486. doi: 10.12816/0043492
Rakan Abdulrahman Alrzoq; Ammar Mustafa A Alhaji; Ibrahim Yousef Ibrahim Alolayt; Abdullah Ibrahim Almulhim; Saad Ahmad Althobaiti; Ismail Atiah Alzahrani; Duaa Ahmed A Alabbas; Shahad Awad Alraddadi; Ibrahim Sulaiman A Alhajjam; Methaq Abdullah Alrubyyi; Sarah Abdullah Altarouti; Zainab Wasel A Alhashim. "The Incidence of Inguinal Hernia among Children". EKB Journal Management System, 70, 3, 2018, 483-486. doi: 10.12816/0043492
Alrzoq, R., Alhaji, A., Alolayt, I., Almulhim, A., Althobaiti, S., Alzahrani, I., Alabbas, D., Alraddadi, S., Alhajjam, I., Alrubyyi, M., Altarouti, S., Alhashim, Z. (2018). 'The Incidence of Inguinal Hernia among Children', EKB Journal Management System, 70(3), pp. 483-486. doi: 10.12816/0043492
Alrzoq, R., Alhaji, A., Alolayt, I., Almulhim, A., Althobaiti, S., Alzahrani, I., Alabbas, D., Alraddadi, S., Alhajjam, I., Alrubyyi, M., Altarouti, S., Alhashim, Z. The Incidence of Inguinal Hernia among Children. EKB Journal Management System, 2018; 70(3): 483-486. doi: 10.12816/0043492

The Incidence of Inguinal Hernia among Children

The Egyptian Journal of Hospital Medicine
Article 23, Volume 70, Issue 3, January 2018, Page 483-486  XML PDF (199.96 K)
Document Type: Original Article
DOI: 10.12816/0043492
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Authors
Rakan Abdulrahman Alrzoq1; Ammar Mustafa A Alhaji2; Ibrahim Yousef Ibrahim Alolayt3; Abdullah Ibrahim Almulhim4; Saad Ahmad Althobaiti5; Ismail Atiah Alzahrani6; Duaa Ahmed A Alabbas7; Shahad Awad Alraddadi8; Ibrahim Sulaiman A Alhajjam8; Methaq Abdullah Alrubyyi2; Sarah Abdullah Altarouti9; Zainab Wasel A Alhashim10
1Imam Muhammad bin Saud Islamic University
2MCH in Dammam
3University of Hail
4King Faisal University
5Umm Alqura University
6King Fahad Hospital in Albaha
7PHC in Al-Ahssa
8King Abdulaziz University
9B.A.U ln lebanon
10Imam Abdulrahman Bin Faisal University
Abstract
Objectives: The aim of this study was to document clinical features of inguinal hernia (IH) in the pediatric populace. It delivers data to assess related risk factors of incarcerated hernia, its reappearance in addition to the occurrence of contra lateral metachronous hernia.
Materials and Methods: We report a retrospective analytic study comprising 230 children presenting with IH and operated from April 2015 to June 2017 in the pediatric surgery department, King Abdulaziz Hospital.
Results: We managed 36 girls (15.6%) and 194 boys (84.4%). The mean age was 3 years; The median age in the studied group was 3 years (range 22 days to 12 years). Males were predominantly affected (84.4%, n = 194). The rate of IH was more important in the youngest group (age < 2 years); thus, we accounted 43.5% (n = 100) infants. The cumulative incidence of hernia in the 2–6-year age group was 34.7% (n = 80). Thirteen percent (n = 31) of these patients presented with an incarceration mostly on the right side (62.6%, n = 154). We recognized that the total rate of incarcerated hernia incidence in premature group was evaluated at 27%. This rate was high, particularly in neonates and infants. Prematurity and hypotrophy were documented in 9% and 7%  respectively. The mean follow-up period was 3.8 years. We think that incarceration can be related to several risk factors such as feminine gender, prematurity, and the initial left side surgical repair of the hernia.
Conclusion: IH occurs mainly in male infants. Prematurity and male gender was identified as risk factors of incarceration. Contralateral metachronous hernia was reported, especially in female infants and after a left side surgical repair of the hernia.
 
Keywords
children; Inguinal hernia; Recurrence; Surgery
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