Evaluation of Clinico-Epidemiological Profile & Associated Risk Factors in Pediatric Inguinal Hernia

Abstract

Among the most prevalent pediatric surgical issues are inguinal hernias and hydroceles. The causes of both the hernia and the hydrocele are the same. For this reason, most cases of inguinal hernia in children are indirect hernias caused by a patent processus vaginalis. Fluid accumulation in a sac like that of the scrotum may be the consequence of patent processus vaginalis or an abnormality in the secretion and absorption processes of the tunica vaginalis. Yet, despite the prevalence of inguinal hernias and hydroceles in children, there has been a paucity of research on these conditions in Bangladesh. In this study our main goal is to evaluate clinico-epidemiological profile & associated risk factors in pediatric inguinal hernia. The purpose of this research was to observe the frequency with which inguinal hernias and hydroceles occurred in children who were admitted to and treated at the Paediatric Surgery Department of Tertiary Hospital Dhaka between January 2020 and December 2021. Children of any age or gender who were diagnosed with inguinal hernia or hydrocele were included in the research. One hundred kids with inguinal hernia or hydrocele were hospitalised and had surgery over this time period. During the study, 60% were in 11-18 years age group, 55% were male and 35% were in middle income group. 55% children right sided inguinal hernia. 25% patient’s mother had inguinal hernia followed by 21% patient’s mother had connective tissue disorder 41% were preterm babies, 80% cases had right side hydrocele. Moreover, there was significant association were seen among preterm babies, times of presentation and hydrocele by side: with inguinal hernia occurrence in children. Plus 85% gone through open operation procedure and 24% patients had financial constraints. Also 20%,21% treated by homeopathic medicine and traditional healer respectively and 23% relactant to treatment due to fear of surgery. Inguinal hernias and congenital hydroceles are two of the most common conditions that lead to the referral of children for paediatric surgical treatment. The majority of the hydroceles dissolve on their own over the course of time. As a consequence of this, a time period of vigilant waiting is warranted. It is suggested that surgery be performed as soon as possible after the diagnosis of an inguinal hernia in order to reduce the risk of any potential complications.