What to do about pediatric incarcerated hernias

If you suspect a hernia is incarcerated, you can make a quick judgment based on the child’s condition and local signs. If the local skin color of the hernia is normal, and the child has no special uncomfortable symptoms, you can first put the child in a flat supine position, or head down feet high position, tilted about 30 °, try to persuade the child to stop crying to keep quiet, and at the same time with the hand to gently push the swelling to the abdominal cavity direction, if it is difficult to reset, it is necessary to go to the hospital to ask for doctor’s assistance in the reset. If the child’s hernia cannot be restored and is accompanied by crying or paroxysmal abdominal pain and vomiting, it means that there are already some symptoms of obstruction, and should be sent to the hospital in time for treatment. The doctor will determine whether to perform manipulation or emergency surgery based on the examination, including auxiliary examination. If the above symptoms exist at the same time, the local mass becomes very hard, the skin appears red, swollen or blue-purple, it may suggest that the intestinal tube ischemia, necrosis and these serious complications, in most cases, emergency surgical exploration and appropriate treatment. In most cases, emergency surgical exploration and appropriate treatment are required. If the intestinal tube is judged to be ischemic and necrotic or perforated during the surgery, the necrotic intestinal segment must be resected, and then intestinal anastomosis must be performed.