How is a pediatric inguinal hernia treated?

  Pediatric hernia, or pediatric inguinal hernia, is one of the most common diseases in pediatric general surgery and is associated with both weakness of the abdominal wall and high abdominal pressure. Although a small percentage of children may recover spontaneously within 6 months, the majority of children have recurrent disease, and some may have serious complications such as intestinal necrosis due to prolonged intussusception or untimely medical attention. Therefore, early surgery should be the appropriate treatment for children over 6 months of age. The traditional surgical procedure is a high ligation of the hernia sac. Although these procedures have exact results, the surgical incision is relatively long and the postoperative pain is more pronounced in the sick child. Because the spermatic cord is still immature and very small, and because the normal anatomy of the inguinal region is destroyed during surgery and the spermatic cord is free, these open surgeries are prone to damage the spermatic cord during separation, which is detrimental to recovery.  How to properly treat pediatric hernia: minimally invasive laparoscopic surgery Laparoscopic surgery for pediatric inguinal hernia begins with the incision of two small 3-5 mm eyes in the abdominal wall, followed by the placement of a trocar into the abdominal cavity to establish a channel between the abdominal cavity and the outside world. Using these channels, special laparoscopic surgical instruments, and with the help of a camera device, the surgeon can clearly see the image of the abdominal cavity on the surveillance screen and complete the operation. Laparoscopic surgery allows direct suturing of the internal ring of the hernia without disrupting the anatomy of the inguinal region, thus avoiding damage to blood vessels and nerves. Laparoscopic surgery also allows for the exploration of the contralateral internal ring orifice. If an occult hernia is found on the contralateral side, it can be ligated directly. This not only avoids the pain of secondary surgery but also saves the cost of surgery, so laparoscopy is uniquely superior for the treatment of bilateral hernias and occult hernias. In addition, for children with recurrent hiatal hernia, laparoscopic surgery is preferred because it is not only difficult to find the hernia sac again via traditional surgery, but also easy to damage the spermatic cord and the postoperative recovery is relatively slow.