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Delay in Hernia Surgery Could Lead to Testicle and Ovary Damage
Inguinal hernia is a bulge of tissue in the groin area and one of the most common surgical disorders of childhood. The hernia may be present at birth, causing vomiting, lack of bowel movements and other symptoms that send families to emergency rooms.
In Tuesday's issue of the Canadian Medical Association Journal, Dr. Jacob Langer of Toronto's Hospital for Sick Children and his colleagues reported that young children who waited more than 14 days for the surgical repairs showed a doubling of the risk of hernia incarceration where a loop of bowel gets stuck in the opening of the abdominal wall in the groin area, also known as strangled hernia.
The loop starves the bowel of its blood supply, and the testicles or less commonly an ovary may slide down through a hernia and get stuck or damaged.
In the study, Langer and his colleagues looked at nearly 1,100 children under two in Ontario who had surgical repairs for inguinal hernias.
Among the children waiting for the elective surgery, 16.9 per cent were seen in an emergency department at least once and 11.9 per cent developed incarcerated hernias, which if left untreated, can cause serious health problems.
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