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
DOI
10.1542/pir.34-10-457