New method in the treatment of inguinal hernia in children at Vinmec

This is an automatically translated article.

The article was written by Dr. Le Thanh Tuan - Gastroenterologist, Department of General Surgery, Vinmec Nha Trang International General Hospital.
Children's inguinal hernia is a congenital pathology that does not go away on its own, requiring early consultation and surgery to avoid dangerous complications. In the past, inguinal hernias were usually treated with open surgery (brach surgery). Currently, Vinmec International General Hospital pioneers in applying the technique of endoscopic inguinal hernia treatment, which helps children avoid two dangerous complications, namely vasectomy or testicular atrophy, which are possible complications. encountered during open surgery.

1. Dangerous complications of inguinal hernia in children

Children's inguinal hernia is a malformation caused by the peritoneal tube not being completely sealed at birth, manifested by a bulge in the inguinal - scrotal area in boys and near the vulva in girls.
Inguinal hernia accounts for 0.8-4.4% of pathologies in children. In premature infants the frequency is even higher, up to 30% depending on gestational age. Both boys and girls can get the disease, but boys are 3 to 10 times more likely to get it than girls.
Signs of inguinal hernia detection in children is a swollen mass in the groin, appearing when the child is fussy or exerting and then collapsing when lying still. Parents need to take their children to the doctor for proper diagnosis and early and effective treatment.

If the inguinal hernia is not treated in time, in girls, the abdominal organs such as intestines and ovaries can enter the peritoneal canal and become blocked; In boys, in addition to the same progression as girls, the blood vessels supplying the testicles can be compressed, causing a decrease in blood supply to the testicles, causing testicular atrophy.
In some cases, when the intestine enters the peritoneal canal and is blocked, if not operated in time, it will lead to very dangerous bowel necrosis.

2. Laparoscopic surgery for inguinal hernia in children at Vinmec Nha Trang

Previously, the treatment of inguinal hernia in children was usually done by open surgery (brake surgery), but this method has many potential dangers for children. Currently, the Vinmec International General Hospital system has pioneered the application of endoscopic inguinal hernia treatment with many outstanding advantages compared to open surgery.
The biggest advantage of laparoscopic surgery is that the surgeon can clearly see the vas deferens, testicular blood vessels and suture the peritoneal canal (the cause of inguinal hernia in children) without causing damage to the tube. the vas deferens or the blood vessels supplying the testicles.
As a result, laparoscopic inguinal hernia surgery helps children avoid 2 dangerous complications, namely vasectomy or testicular atrophy - complications that can be encountered during open surgery.

In addition, during laparoscopic surgery, if the inguinal hernia is detected on the opposite side, the surgeon can handle it immediately, avoiding the case of omission causing recurrence later.

Especially, Vinmec Nha Trang International General Hospital is applying laparoscopic technique to suture the inguinal hernia, almost no scars after surgery by the technique of SEAL (Subcutaneous endoscopically assisted ligation) - closing technique. laparoscopically assisted subcutaneous hernia sac.
This is a new technique, after surgery, pediatric patients almost feel no pain, can be discharged the same day and quickly return to normal activities; Almost no scars after surgery, no need to change bandages, cut sutures, highly aesthetic.
For detailed advice on laparoscopic surgery for inguinal hernia treatment in children at Vinmec Nha Trang, please contact HOTLINE 0258 3900 168 or book online HERE.