They do not pose a serious threat. Incarcerated hernia. An incarcerated hernia occurs when tissue, such as a loop of small or large intestine, becomes trapped in the groin area.
This could block or slow down the movement of food through the digestive system. Strangulated hernia. A strangulated hernia cuts off the blood supply to the trapped tissue such as intestines or testicles and must be treated immediately to save the affected area. Umbilical hernia. Umbilical hernias form in the bellybutton area. They are caused by an opening in the abdominal muscles at the bellybutton or by weak muscles.
Membranes or intestines can push through the opening. Some umbilical hernias close on their own by age 3. Umbilical hernias often present as reducible and rarely develop into incarcerated or strangulated hernias. The doctor will examine your child and any present bulges or lumps. For a hernia , the doctor will ask your child to sit and stand to see how the bulge moves in different positions. The doctor may also press on the abdomen to check for internal movement.
For a hydrocele , the doctor will do a similar exam as for a hernia, as well as check for swelling in the scrotal sac. If the doctor cannot determine whether the bulge is a hernia or a hydrocele, or if other tissue is trapped in the hernia, he or she will perform a painless ultrasound exam. Ultrasound uses sound waves to create images of internal organs and tissues. The operation is routinely done through one of our day surgical units.
Your child usually does not need to spend the night at the hospital. The incision is usually closed with dissolvable stitches under the skin and a glue seal on the surface that will fall off on its own, requiring no special care.
The majority of children who undergo surgery for hydrocele and hernia do exceptionally well after surgery. Find information to help you prepare for your child's upcoming urology surgery at Children's Hospital of Philadelphia. Hydrocele and Hernia. Appointments, Referrals and Video Visits.
Contact Us Online. This is due to the trauma of the delivery. A hydrocele or hernia is usually not painful; however, some infants do experience pain.
You may notice your infant is more irritable, cries more often and pulls their legs up to their belly. A hydrocele is not serious, but it can develop into a hernia. As long as the stomach contents can be pushed back into the abdomen, the child is not at risk. Keep the area as clean and dry as possible, with frequent diaper changes. Inguinal, direct: This is caused by weakness in the floor of the groin canal; this type of hernia is uncommon in children.
A bulge or swelling will be present in the scrotum or groin, particularly when there is increased abdominal pressure when the child is crying or straining. The swelling may be progressive throughout the day and get smaller during naps or overnight this indicates communication of the hydrocele or inguinal hernia. The doctor will apply gentle pressure to assess if the swelling is reducible. Imaging studies are generally not needed, except in rare circumstances when there is concern for incarcerated hernia, or other acute scrotum pathology.
Noncommunicating hydrocele can be observed until the child is close to 1 year old, as there is a chance of spontaneous resolution meaning he outgrows it. A small incision is made in the groin to gain access to the hernia sac.
The sac is then tied off.
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