Why do I need surgery for inguinal hernia and syringomyelia?

  Inguinal hernias and syringomyelia are collectively referred to as syringomyelia and both result from the failure of the peritoneal syringomyelia to close after birth.  In fact, the unclosed peritoneal sphincter may continue to close after birth, but children with hernias and syringomyelia are rarely likely to heal on their own and, depending on the condition, may have the following complications.  Inguinal hernia: 1. Ingrown inguinal hernia occurs, leading to ischemia and necrosis of the intestinal canal and ipsilateral testis, which can lead to infectious shock and endanger life in severe cases.  2. Repeated herniation of intestinal contents into the scrotum may lead to testicular dysplasia.  3, Non-healing of the hernia leads to the inability of the affected child to do more strenuous exercises.  The complication of syringomyelia is that it affects the blood supply to the testicles and produces testicular dysplasia and even atrophy.  So when is the right time to operate?  For inguinal hernia, if the child does not have frequent herniation of abdominal contents within 1 year of age, the child can be temporarily observed and treated, and surgery can be considered if the child does not heal spontaneously after 1 year of age. In cases of frequent herniation of the abdominal contents, surgery is generally recommended after 6 months of age. In children with recurrent herniation, there is no age limit and surgery should be performed as early as possible.  In the case of syringomyelia, if the syringomyelia is not large and the tension is not high, there is no urgency for surgical treatment, especially in infants within 1 year of age, as it may still subside on its own. If the tension is high, then early surgery is recommended, regardless of age. Syringomyelia that has not yet resolved on its own beyond the age of 1 year is recommended to be operated as early as possible to reduce the impact on testicular blood flow and development.  The child should be in good health during surgery and free from serious diseases such as cyanotic congenital heart disease, malnutrition and general weakness after infectious diseases.  PS: Many parents are concerned about anesthesia. Minimally invasive laparoscopic surgery in children requires general anesthesia, which is safe and reliable and has no negative impact on the child’s body or intelligence. (A professional anesthesiologist will be available to answer specific anesthesia questions)