What are the risks of pediatric hernia surgery?

       Parents of children who need pediatric hernia surgery are often most concerned first and foremost about the risk of anesthesia. Many parents worry that their children will have brain damage after general anesthesia, which is not conclusive internationally: the effect of general anesthetic drugs on children depends on the situation, and for cases where the anesthesia time is less than one hour and the amount of drugs used is minimal, it is generally believed that there will be no effect.  In general, pediatric hernia surgery can be completed in about 15 minutes unilaterally and 20 minutes bilaterally.  There are risks associated with any surgery. The same is true for pediatric hernia surgery, minus some of the risks that exist with any surgery.       The main risk of pediatric hernia is recurrence after surgery.  Pediatric hernia surgery involves ligating the open canal in the child’s groin with a silk thread, but it is not ligated and the disease is cured; rather, it is ligated and the local tissues are allowed to heal, as if the gap were smeared again with cement, sealing the defect completely so that it will not recur.  It takes time for the tissues to heal, one week after surgery is the most critical, and we ask to avoid as much as possible the increase of intra-abdominal pressure (such as jumping, crying, constipation, coughing, etc.) for one month after surgery. The recurrence rate of pediatric hernia surgery is very low, with national statistics of about 1% for open surgery and 0.5% for laparoscopic surgery.  Since surgery is necessary, anesthesia is also necessary. All the doctor can do is to provide you with the best medicine and the best treatment available, but there is really no such thing as a good thing without a bad thing.  As the saying goes, “medicine is three times more toxic”, but we should take medicine when we need to take medicine, not because of the possible side effects of drugs to stop treating the disease. As guardians of our children, we must weigh the pros and cons and not choke on them.  Will hernia surgery, damage the reproductive function of the boy?  Under normal circumstances, there is no damage to reproductive function. We do laparoscopy under a magnified view and it is necessary to protect the vas deferens and spermatic vessels from damage when ligating the unclosed internal ring during pediatric hernia surgery.