Surgical consideration of pediatric inguinal hernia / 中国实用外科杂志

ABSTRACT

Children's pelvic and abdominal wall muscles have not yet matured. The inguinal canal is shorter(can be less than 1 cm), and the ratio of thickness of abdominal wall to length of inguinal canal is almost 11. The distance between the internal ring and the external ring is so close that only requires a high level of ligation at internal ring, lacking of repairing basis. As the growth and development of pelvis, the length of the inguinal canal will also increase. Generally, when the length is more than 3 cm, there is the basic conditions of inguinal hernia repair, therefor under the age of 14 with groin hernia, the patient only need to receive a high ligation of the sac to restore the length and slope of the inguinal canal.Laparoscopic surgery is also in accordance with the basic principle. Mesh repair in primary inguinal hernia in childhood is suspected of overtreatment, at least is academical controversal.