Title

Hernias and hydroceles

Publication Date

2013

Journal Title

Pediatr Rev

Abstract

Inguinoscrotal abnormalities in children are best understood by understanding the embryology of testicular descent and the failure of the processus vaginalis to properly obliterate. The inguinal hernia, communicating hydrocele, hydrocele of the spermatic cord, and scrotal hydrocele should be differentiated based on a history and physical examination in most cases, with selective use of ultrasonography. The urgency to surgically correct these entities depends on the nature of the hernia or hydrocele and the likelihood of incarceration or spontaneous resolution. Open standard herniorrhaphy remains the most common surgical approach, and concurrent transinguinal laparoscopy allows quick and accurate inspection of the contralateral internal inguinal ring and the need for bilateral repair of an inguinal hernia.

Volume Number

34

Issue Number

10

Pages

457-64; quiz 464

Document Type

Article

EPub Date

2013/10/03

Status

Faculty

Facility

School of Medicine

Primary Department

Urology

Additional Departments

Pediatrics

PMID

24085793

DOI

10.1542/pir.34-10-457