What should parents do if they find a lump? The inguinal area is the part of the thigh connected to the abdomen, this area, including the scrotum in boys and the labia majora in girls, when a lump appears, if the child has cries, complains of abdominal pain, and the lump persists and does not shrink, it is considered to be an emergency intussusception, commonly known as intestine stuck inside, and needs to be seen as soon as possible, the serious case of intestinal necrosis intestinal obstruction is very dangerous. In girls, sometimes the embedded ovary is less painful, without symptoms of intestinal obstruction, but also need to raise attention. In addition, boys with sudden pain and redness in the scrotum of the testicles need to undergo a physical examination as well as ultrasound to determine if the testicles are torsion, and the disease also requires emergency surgery. The above is an emergency situation. If it is a lump that can be reset by itself or by gentle hand support, it is considered to be an inguinal hernia in children, mostly hiatal hernia, commonly known as hernia. The principle of treatment in this case is that first of all, a doctor needs to make a clear diagnosis, and observation can be considered before one year of age, with attention to avoiding the occurrence of impaction. Syringomyelia in boys or Newk’s cyst in girls has a similar pathogenesis, and the presentation is generally milder than hiatal hernia, and the management is similar. Infections in the inguinal region can also lead to local swelling, enlarged lymph nodes, etc. In addition, there are some neoplastic diseases that can also lead to enlargement of the inguinal region and scrotum. Therefore, parents need to grasp the principle that the emergency must be seen immediately, and if they are not sure whether it is an emergency or not, they should go to a professional to determine, and other cases need to be actively dealt with. The pediatrician will tell you how to handle a general visit. The volume of outpatient visits at the pediatric clinic is extremely high, and sometimes one doctor can see more than 200 patients during the day, so the consultation time is often very short. The inguinal mass in pediatrics is a common condition, and doctors are often too quick to give advice on its management to explain it carefully, so I might as well explain it to you. A typical inguinal hernia can be diagnosed by a physician’s examination and a hospital certificate can be issued to arrange for surgery. In the case of emergency inguinal hernia, the doctor will first reset the hernia manually, depending on the situation, and if the reset is successful, the alarm will be temporarily lifted if the child’s inguinal organ is revitalized. If the embedment is severe, it cannot be reset and the child must be admitted to the hospital for emergency surgery. Admission process. In our hospital, the procedure is done through an inpatient certificate issued by the outpatient clinic, and the doctor in charge of the ward is usually responsible for notifying the patient of the appointment. Pre-operative blood tests, coagulation, biochemical liver and kidney functions, and screening for infectious diseases are required for surgical patients, as well as chest radiographs and heart function tests to ensure the child’s tolerance and safety for surgery. Other common ancillary tests in the groin area are ultrasound, which helps to clarify the diagnosis and differentiate it from other neoplastic diseases, combined with deformities such as testicular descent. After completing the examination, the doctor can arrange the surgery. The laparoscopic technology of our hospital is mature, and the inguinal hernia surgery can be done through a small incision of about one centimeter in the abdomen. We also offer both inpatient and outpatient surgery models. Local children can complete preoperative examinations in the outpatient clinic, make an appointment with the doctor for outpatient surgery, be admitted on the same day of surgery, and be discharged after six to eight hours of postoperative observation without abnormalities. General inpatients can be discharged after being admitted to the hospital to complete the examination and recover well the next morning of surgery. Post-operative management What to expect when a child is discharged from the hospital is a common question asked by parents. How do I treat the wound on my stomach? Most doctors nowadays adopt absorbable sutures, which do not need to be removed. You need to keep it dry and clean to avoid contamination, open the dressing regularly to check the wound and change it with disinfection treatment, usually for about three days. The wound will heal in one to two weeks, and no special treatment is needed after healing. No special restrictions on diet and clothing are needed. Inguinal hernia is generally recommended to reduce strenuous exercise and other conditions that increase abdominal pressure in the near future to reduce the possibility of recurrence. General activities are not affected. Finally, I wish every child a healthy growth! We all need to work together to improve the medical environment!