Abnormalities in the scrotum area of children
Inguinal hernia - Testicular hernia - Testicular effusion is the most common abnormality in children who exhibit the same "large scrotum" and unbalanced sides av censored.
All three pathologies are different manifestations of the same condition "Still ductal peritoneum" (Persistance du processus péritoneo-vaginal) because the tube from the abdominal cavity to the scrotum is not completely closed during pregnancy.Manifestations of the disease
Inguinal hernia: Enlargement of the scrotum, imbalance every time a child cries or runs, is usually painless, and then may collapse on its own when lying down. When the palpation palpation touches wide, you can see the bowel loop down the scrotum. Scrotum ultrasound helps to confirm the diagnosis. If the scrotum is large, pain is accompanied by vomiting, abdominal distention ... it is necessary to think of a choked hernia, take emergency care to avoid complications of necrosis of the hernia by pushing the hernia to the abdomen or emergency surgery necessary.
It should be noted that the hernia is also seen in girls with the appearance of a large area of the lips, which enlarges and is unbalanced compared to the other side, often appearing when exerting effort as when babies cry, run and jump ... then collapse when lie. Common is the condition of ovaries and fallopian tubes with large lips. If stuffy, the child will be very painful, need emergency surgery to avoid necrosis.
Testicular effusion: Enlargement of the scrotum frequently, continuously, unbalanced right after birth. No pain Touching testicles with a testicle clamp. Ultrasound helps determine the diagnosis.
Cystic fibrosis: Scrotum often, continuously, imbalanced right after birth, painless, can feel "Three islands". Ultrasound helps determine the diagnosis.
Indications for treatment
Inguinal hernia: Surgery to cut and sew the hernia. Surgery should be scheduled as early as possible to avoid congestion of the intestinal necrosis or hernia.
Hydroceles and testicular cysts: Never perform surgery before 2 years of age because this is the time when the peritoneum is likely to continue. If this tube is closed, the disease will cure naturally in about 65% of cases. After 2 years of age, but the scrotum is still large, completely lost the opportunity to go away, then need surgery to sew the peritoneum tube and drain all the fluid in the cyst or in the sperm membrane.
How surgery?
All 3 pathologies of the condition "This tube of peritoneal canal" have the same method of surgery: Through a small 1cm incision in the abdominal groin along the hernia, where there will be hair covering the scar, doctor Cut and sew up the peritoneum tube. With inguinal hernia can apply laparoscopic surgery. The operating time is about 20 minutes, half-day hospitalization.
In the case of an inguinal hernia, in addition to cutting and stitching the hernia, the doctor must treat the hernia according to the degree of congestion or mildness, pushing the organ to the abdomen or requiring it to be removed. Abort if necrotic.
Be aware that the inguinal inguinal hernia in children is completely different from the inguinal inguinal hernia in the cause and treatment.
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