Inguinal hernia
When the processus vaginalis remains fully open, the organs in question descend further to form scrotal hernias.
Unlike adults, hernias in the pediatric age group are almost always of the indirect type.
60% of hernias are seen on the right, 30% on the left, 10% are bilateral.
Although it is seen at a rate of 1-2% in the normal child population, it may increase up to 30% in preterm infants. It is more common in boys than girls.
The appearance of an inguinal or scrotal swelling from time to time and its disappearance by pressing on it or lying on the back is sufficient for the diagnosis of hernia.
It usually manifests itself as inguinal swelling that appears with coughing, straining and straining and then disappears.
"Silk glove sign": When the index finger is placed vertically on the inguinal canal and moved to the right and left, the friction of the opposite sides of the hernia sac is felt.
Since the risk of incarceration is high, especially in young children, surgical treatment should be performed as soon as possible after detection.
Signs of strangulation development; fever, edema on the mass and hyperemia.
hydrocele
The presence of only fluid in the tunica vaginalis
It is usually bilateral and appears frequently on the right side.
In the anamnesis, it is learned that a scrotal mass has been present since birth. On physical examination, a cystic mass is palpated.
A special type of hydrocele presents as the entrapment of fluid in the obliterated part of both the proximal and distal part of the processus vaginalis within the inguinal canal.
On physical examination, a 1-2 cm diameter mass is palpated in the inguinal canal. This mass, which moves downwards by pulling down the ipsilateral testis, is called a cord hydrocele (cord cyst).
There is no risk of suffocation as there are no abdominal organs inside.
For this reason, and considering the possibility of spontaneous recovery with fluid resorption, the surgery is left after the end of the first year.
In the surgery, it is sufficient to drain the fluid in the sac and to cut the relationship with the peritoneum with high ligation, as in inguinal hernia repair.
