1Department of Pediatric Surgery, Raperian Hospital for Children
2Department of Clinical Pharmacy, College of Pharmacy, Al-Mustansiriyah University, Baghdad, Iraq
3Child Center Teaching Hospital, Department of Pediatric Surgery
Surgeons usually perform the inguinal hernia repair procedure for pediatrics; nevertheless, it may be one of the most challenging procedures a surgeon will carry out. All pediatric inguinal hernias need surgical repair to prevent the growth of any later complications. The inclusive incidence of inguinal hernias in childhood ranges from 0.8%-4.4%. Unlike in adults, all hernias in children are repaired at the time they are diagnosed, even if they are asymptomatic.
A prospective study was directed in Baghdad during the period of December 2017 to December 2018. The study involved 70 cases of equivocal inguinal hernias with age range between (1month-12years). Total numbers of 70 cases were sent for U\S examination by one radiologist. After explanation, consent was taken for surgical intervention. Data were analyzed to calculate frequencies, percentages and McNemar test was used when the results of ultrasound were compared with the operative findings.
Clinical examination is an important step in evaluating of equivocal patients of inguinal hernia especially silk glove sign which is highly significant and it helps for the diagnosis and, ultrasound can be used in evaluating these patients especially finding of hernial sac.
Hernial sac, Intra-abdominal pressure, Inguinal hernia, Ultrasound
