Emphasizing that hernia is a condition that can be seen and treated in babies, Medical Park Gebze Hospital Pediatric Surgery Specialist Op. Dr. Tural Abdullayev stated that there may be family transition in these disorders. Kiss. Dr. Abdullayev stated that a very simple procedure was performed with a small surgical incision or laparoscopic method (closed surgeries) in the treatment, and said that children could return to their homes during the day.
Stating that inguinal hernia and water hernia are seen 1-3 percent in term babies and 3 times more in premature babies (preterm babies), Medical Park Gebze Hospital Pediatric Surgery Specialist Op. Dr. Tural Abdullayev, “As the right testicle descends later, inguinal hernia is more common on the right side. "There is a familial transition rate of 10 percent in the disease."
"It is important to understand the condition of the inguinal canal for diagnosis"
Underlining that in order to understand inguinal hernia and water hernia, we need to get information about the inguinal canal first, Pediatric Surgery Specialist Op. Dr. Tural Abdullayev shared the following information:
“The inguinal canal is a channel that connects the abdominal cavity with the groin area and normally both ends should be closed. The vessels feeding the testicles and the sperm canal pass through this channel in men, and the round ligament of the uterus, which keeps the uterus in a certain position in women. While babies are still in the womb, both ends of the inguinal canal are open to allow these structures to pass. After these structures pass through the inguinal canal, both ends are closed and the relationship with the abdominal cavity is cut. If these structures pass through the inguinal canal, the ends of the canal do not close and if an organ (often the intestines) enters here, inguinal hernia, if the peritoneal fluid between the intestines (the fluid that normally exists between the intestines) passes, a water hernia occurs.
"Two types of water hernia can be seen in babies"
Emphasizing that water hernia is divided into two according to whether it is related to the abdominal cavity or not, Op. Dr. Tural Abdullayev continued as follows: “If the end that creates contact with the abdominal cavity after the peritoneal fluid passes into the inguinal canal closes later, or if the fluid secreted from the inner layers of the testicle accumulates here after the closure of the inner ring and forms a water hernia, we call it the 'form not associated with the abdominal cavity'. This type of water hernia heals spontaneously in most children up to the age of 2 without the need for surgery.
"If it does not heal spontaneously, surgery should be done until the age of 1"
He also pointed out that if the tip that creates a relationship with the abdominal cavity in the patient does not close and continues, it is called the form associated with the abdominal cavity. Dr. Tural Abdullayev made the following suggestions, stating that the scrotum is filled and emptied within days like an hourglass in such hydroceles:
“With the movements of the child, pooping and crying, the fluids flow into the bag and increase the swelling in the bag; With lying down and sleeping, the fluids flow into the abdominal cavity and reduce the swelling in the bag. Increasing and decreasing swelling in the bag is the most valuable finding in making the decision of surgery. Since this type of hydrocele does not heal spontaneously, it should be operated frequently towards the age of 1. During the operation, the hernia sac filled with water should be removed and the connection with the abdominal cavity should be closed.
"If an inguinal hernia is not operated on time, organ damage will occur"
In inguinal hernia, also known as 'intestinal hernia', Op. Dr. Tural Abdullayev said, “Since the organs entering the canal may become squeezed in the canal and gangrene may develop or the testicles (eggs) or ovaries may be damaged as a result of the compression, they should be operated at the earliest time (as soon as they are diagnosed). Otherwise, organ damage is inevitable. The swelling that occurs in inguinal hernia may be limited only in the groin area or extend to the bags. This is a situation related to the size of the hernia sac, ”he said.
"It is not necessary for babies born on time to stay in the hospital"
Underlining that treatments for inguinal hernia and water hernia can be performed with a small surgical incision made from the inguinal region or laparoscopic method (closed surgeries), Op. Dr. Tural Abdullayev said, “These surgeries are daily operations with a high success rate. Only preterm babies need to stay in the hospital for 1 night and be followed closely. Babies and children born on time do not need to stay in the hospital ”.
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