[Children's strangulated inguinal hernia].
The inguinal hernia, malformations caused by persistence of peritonea-vaginal duct, is frequent in children. It is a benign affection as long as it is not strangled. During our five-year-retrospective study, we have found 32 cases (30 boys and 2 girls) of strangled inguinal hernia. There are 78,12% of cases under five years old. In 54%, the hernia was on the right side. Malnutrition and inguinoscrotal hernia are very exposed to strangulation. We observed obstruction syndrome in 81,25% of cases. We have to deplore one case of scrotal fistulae by intestinal necrosis and two cases of testicle necrosis. For all of our patients, the peritonea-vaginal duct was closed with ligature, associated with pre-funicular parietal refection. One case of recurrence is found in postoperative time.
Rantomalala
H Y H
HY
Service d'urologie, CHU-HJRA BP 4150, 101, Antananarivo, Madagascar. rantyoel@caramail.com
Andriamanarivo
M L
ML
Rasolonjatovo
T Y
TY
Rakotoarisoa
A J C
AJ
Rakotoarisoa
B
B
Razafindramboa
H
H
Ranaivozanany
A
A
D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D004630:Emergencies; D005260:Female; D006552:Hernia, Inguinal / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications; D011379:Prognosis; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D016896:Treatment Outcome