INCARCERATED INGUINAL HERNIAS IN CHILDREN

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Abstract

The issue of surgical treatment of children with incarcerated inguinal hernias is presented. The evolution of views on the incarceration pathogenesis in the presence of a non-obliterated Nuck’s diverticulum with subsequent ischemia and threatening necrosis of internal organs in the hernia sac is reviewed. Authors who are in favor of early correction of inguinal hernias in young children present their arguments. Techniques of the strategy that allows for preliminary conservative invagination and subsequent delayed surgical reconstruction are presented. Detailed advantages of endosurgical interventions and possible complications in the treatment of children with incarcerated inguinal hernias including the reasons for blood flow reduction in the testes following hernioherniorrhaphy are presented.

About the authors

Yu. A. Kozlov

Ivan-Matryona Municipal Children’s Clinical Hospital;
Irkutsk State Medical Postgraduation Academy;
Irkutsk State Medical University

Author for correspondence.
Email: fake@neicon.ru
ORCID iD: 0000-0003-2313-897X

Head of department of neonatal surgery at Irkutsk Municipal Pediatric Clinical Hospital;

professor of the department of pediatric surgery at Irkutsk State Medical Academy of Continuing Education;

Dr Sci. (Med.), professor of the department of pediatric surgery at Irkutsk State Medical University Russia

Russian Federation

V. A. Novozhilov

Ivan-Matryona Municipal Children’s Clinical Hospital;
Irkutsk State Medical Postgraduation Academy;
Irkutsk State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-9309-6691

Head of Irkutsk Municipal Pediatric Clinical Hospital;

Professor of the department of pediatric surgery at Irkutsk State Medical Academy of Continuing Education;

Head of the department of pediatric surgery at Irkutsk State Medical University Russia

Russian Federation

P. Zh. Baradieva

Ivan-Matryona Municipal Children’s Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-5463-6763
Pedaitric surgeon at Irkutsk Municipal Pediatric Clinical Hospital Russian Federation

D. A. Zvonkov

Irkutsk State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-7167-2520
Clinical ordinator of department of pediatric surgery Russian Federation

Ch. B. Ochirov

Ivan-Matryona Municipal Children’s Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-6045-1087
Surgeon of department of neonatal surgery at Irkutsk Municipal Pediatric Clinical Hospital Russian Federation

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Copyright (c) 2018 Kozlov Y.A., Novozhilov V.A., Baradieva P.Z., Zvonkov D.A., Ochirov C.B.

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