儿童嵌顿性腹股沟疝

来源 :世界核心医学期刊文摘(儿科学分册) | 被引量 : 0次 | 上传用户:kikwolf
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The inguinal hernia, malformations caused by persistence of peritonea-vaginal duct, is frequent in children.It is a benign affection as long as it is not strangled.During our five-year-retrospective study, we have found 32 cases (30 boys and 2 girls) of strangled inguinal hernia.There are 78,12%of cases under five years old.In 54%, the hernia was on the right side.Malnutrition and inguinoscrotal hernia are very exposed to strangulation.We observed obstruction syndrome in 81,25%of cases.We have to deplore one case of scrotal fistulae by intestinal necrosis and two cases of testicle necrosis.For all of our patients, the peritonea-vaginal duct was closed with ligature, associated with pre-funicular parietal refection.One case of recurrence is found in postoperative time. The inguinal hernia, malformations caused by persistence of peritonea-vaginal duct, is frequent in children. It is a benign affection as long as it is not strangled.During our five-year-retrospective study, we have found 32 cases (30 boys and 2 girls) of strangled inguinal hernia.There are 78,12% of cases under five years old. In 54%, the hernia was on the right side. Malnutrition and inguinoscrotal hernia are very exposed to strangulation .We observed obstruction syndrome in 81, 25% of cases. We have to deplore one case of scrotal fistulae by intestinal necrosis and two cases of testicle necrosis. For all of our patients, the peritonea-vaginal duct was closed with ligature, associated with pre-funicular parietal refection. One case of recurrence is found in postoperative time.
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