Characteristics of inguinal hernia in adolescents in China and the problems deserving attention in diagnosis and treatment
10.19538/j.cjps.issn1005-2208.2019.08.05
- Author:
Jian-xiong TANG
1
;
Xing-chen HU
1
Author Information
1. Department of General Surgery,Hernia and Abdominal Wall Surgery Center,Huadong Hospital Affiliated to Fudan University Shanghai 200040,China
- Publication Type:Journal Article
- Keywords:
adolescent;
inguinal hernia;
open surgery;
laparoscope;
hernioplasty;
mesh
- From:
Chinese Journal of Practical Surgery
2019;39(08):788-791
- CountryChina
- Language:Chinese
-
Abstract:
There is no authoritative definition of adolescents in the world which is generally believed that the age ranges from 10 to 19. At present, there are few surveys on the prevalence of inguinal hernia among adolescents at home and abroad. Adolescents are in the process of vigorous growth and development, and the diagnosis and treatment of inguinal hernia is special. There is still much controversy in the treatment of inguinal hernia. In view of the special group of inguinal hernia patients, adolescents should formulate corresponding treatment plan according to their specific characteristics. Detailed preoperative evaluation should be done to find out if there were any special cases(such as hydrocele of testis and cryptorchidism). According to preoperative evaluation, reasonable surgical methods and repairing materials should be selected, carefully operate during surgery, and protect spermatic cord vessels and vas deferens to the maximum extent to avoid adverse complications. Tissue repair or patch reinforcement should be considered according to the degree of posterior inguinal canal defect.
