How is the surgical procedure performed for the treatment of abdominal inguinal hernias in children?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Exposing and opening the sac before dividing the external ring permits the contained intestine to be controlled with a clamp, preventing unintentional release of the bowel into the abdomen. Once the viability of the incarcerated intestine is ensured, dividing the external ring (and sometimes the internal oblique muscles) laterally will reduce it.

Laparoscopy through the hernia sac can be used to assess visceral viability if incarcerated intestinal contents reduce before visualization. The gangrenous bowel is resected, an end-to-end anastomosis is performed, and the intestine is returned to the abdomen. Repair of the contralateral side, if required, is deferred. An apparently infarcted testis is left in place after a capsulotomy is performed.


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