Xiao Ming (alias) is two years old and lives in Hanjiang District. Since last week, Xiao Ming has been crying all the time. His family found a lump the size of a walnut growing in his groin. The clinic doctor initially diagnosed hernia and suggested surgery. However, parents are afraid of the operation. They don't want the young Xiaoming to accept the operation, and think that the child can grow well by himself. However, this delay almost caused a big problem.
Doctors said that children's hernia is often caused by the development problems of some infants, which is like a time bomb in the body. If the "bomb" is not removed in time, it will affect the development of children's reproductive system.
case
Groin mass in boys
Parents delayed treatment, almost delayed illness
On the morning of the 11th, Xiao Ming, who had been a good boy, suddenly cried and coughed slightly after getting up. The parents found that Xiao Ming had a lump the size of a walnut growing in his groin. After seeing a doctor at a nearby clinic, the doctor suspected it was a hernia, and suggested parents take their children to a large hospital for surgery. However, Xiaoming's parents are reluctant to have such a small child operated. "Hernia is not very common. If it can be a big deal, it may be better in a few days."
However, after a few days, Xiao Ming's symptoms did not alleviate, and the whole person's mental state was not very good. The parents then sent him to the hospital.
Upon examination, Li Zhibin, director of general surgery of Yangzhou Oriental Hospital, diagnosed that Xiao Ming was in a serious condition, and part of his small intestine had entered the scrotum, suffering from "right inguinal oblique hernia". "In the development stage of a child, the testis enters the scrotum from a high position down. Xiao Ming's small intestine enters the scrotum because the sheath process is not completely closed, which is a congenital problem," Li Zhibin told reporters.
misunderstanding
Is child hernia a minor disease?
Delayed operation or intestinal necrosis
Like Xiaoming's parents, many parents have a wrong idea that hernia is not a serious disease and they will get well. Li Zhibin said: "Take this child as an example. If the operation is not carried out in time, intestinal compression will affect the development of testicles, and intestinal necrosis may also occur, which is a lifelong thing for children."
It is understood that children's hernia can heal itself to a large extent before half a year old, but if it does not heal after one year old, it is best to have surgery. If the abdominal organs stay for a long time after entering the hernia sac and cannot reset themselves, which causes the blood circulation obstruction of the hernia contents, it is called "incarcerated hernia". If the incarceration time is too long or repeated, it will cause harm to the human body, such as ischemia and necrosis of hernia organs. If a boy's spermatic cord is excessively compressed, his testicles will become necrotic; Girls may have fallopian tube adhesion, blockage, ovarian ischemia and necrosis, causing serious damage to children.
The hospital once received a case: parents did not find the child's hernia incarcerated in time, and the hernia intestinal tract was compressed and compressed testicles for a long time, leading to testicular necrosis of the child. "At the end of the day, only the necrotic tissue can be removed surgically, which has brought irreversible damage to the child, and parents regret it."
Li Zhibin told the reporter: "Now many parents think that the child is still young, and the operation will have a bad impact on the child, so they want to delay. This mood is understandable, but it is recommended to treat as soon as possible to avoid having an impact on the child's development."
remind
Be alert for inguinal mass
It is important to find hernia symptoms in time
Pediatric hernia is the most common disease in pediatric surgery, mainly including congenital indirect inguinal hernia and umbilical hernia. One of the most common is indirect inguinal hernia, which is mainly caused by the unclosed sheath process formed by the descent of testicle or round ligament of uterus. That is to say, the baby is still in the process of embryonic development. After the genitals drop, the small holes left on the peritoneum are not completely closed. Once the baby cries, constipation, cough, etc. excessively, resulting in increased intra-abdominal pressure, the boy's intestinal tract and the girl's ovary are very easy to leak through the peritoneal gap. Especially premature infants and low birth weight infants are more likely to have hernia because their abdominal walls are not strong enough and their growth and development are not complete.
How to judge indirect inguinal hernia? The typical clinical symptom is that there are smooth and protruding localized soft masses in the groin area, and some can extend to scrotal enlargement. The mass appears or increases when crying or exerting force, and it can shrink or disappear or easily return to the abdominal cavity when quiet or sleeping. However, oblique hernia incarceration means that the viscera such as intestines and ovaries that enter the inguinal hernia sac cannot be returned to the abdominal cavity, and after a long time, it will cause intestinal obstruction, organ ischemia, intestinal necrosis, ovarian necrosis, testicular necrosis after testicular compression and other serious consequences. The incidence of oblique hernia incarceration is 17% - 20%.
"The main way for an infant to express discomfort is crying, but parents cannot ignore the child's crying for no reason. If the child is crying incessantly, accompanied by vomiting and abdominal distension, it is necessary to carefully check the child's inguinal position for lumps. Once a lump is found, it is likely to be hernia, and you should go to the hospital as soon as possible."
Doctors remind that in daily life, if a lump appears in the groin when a child is exercising or coughing, and the lump will return when sleeping on his back, he should be alert that it is likely to be a hernia. "If you encounter a hernia in your daily life, you can go to the hospital to ask a doctor to use the incarcerated hernia technique for reduction, but this is not a temporary cure; if you have multiple incarceration, surgery is recommended."
Correspondent Jiang Aihua, Xu Chenhao, reporter Wang Shiyun
