When is the best time for pediatric hernia surgery

  Pediatric hernias have the potential to heal on their own within six months, but most inguinal hernias do not heal on their own, especially for larger, more frequent attacks. Moreover, inguinal hernias are prone to entrapment (hernia masses that get stuck and cannot be retracted) and strangulation, even endangering the patient’s life!  Therefore, except for a few special cases, pediatric hernias with prolapse after six months are basically without hope of self-healing and should be treated by surgery as early as possible, in principle without age or seasonal requirements.  In case of failure to reposition an incarcerated hernia manually, emergency surgery should be performed, but of course the surgical and anesthetic risks are greater than those of plain surgery.  The surgery is performed under intravenous general anesthesia. Considering the risk of anesthesia and the convenience of postoperative care, it would be more appropriate to perform the surgery at the age of 2-3 years.