Affiliation

• ¹Pediatric surgery, Aswan University hospital, Egypt
• ²Head master of pediatric surgery, Assuit University hospital, Egypt

Corresponding Author

Sarah Magdy Abdelmohsen, Pediatric surgery, Aswan University hospital, Egypt, Tel: +201012069422; E-mail: sosoramily@yahoo.com sara.magdy@aswu.edu.eg

Citation

Abdelmohsen, S.M., et al. Current Trend in the Management of Huge Recurrent Inguinal Hernia in Infants, a Case Series (2017) J Palliat Care Pediatr 2(2): 66-71.

Copy rights

© 2017 Abdelmohsen, S.M. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.

Keywords

Abstract

Introduction
  The most common hernia repairs performed today in the pediatric population are for an inguinal hernia. The incidence of hernia recurrence of children is 1%^[1]. The use of prosthetic cone mesh for repair of a huge recurrent congenital inguinal hernia in infants is still rare. Also, laparoscopic intervention in pediatric necessitates available equipment and well-trained staff^[2]. Here we focus on the ability to use a cone mesh plug for the large internal ring in male infants with recurrent huge congenital inguinal hernia without opening of the inguinal canal.
Patients and methods
  The study included 8 boys with a recurrent huge congenital inguinal hernia, their ages ranged from 2 months to 2 years. The inclusion criteria are any infant with a recurrent large indirect hernia as having disrupted internal ring that is > 3 cm or two finger breadths in width (the tip of the little finger) according to the European Hernia Society (EHS) classification of groin hernia, plus he has a long sac with inguinoscrotal’s presentation. Partial exposure to the large internal ring without opening of the inguinal canal by the assist of mini retractor through the external ring, the mesh plug was inserted to occlude the defect for recurrent huge cases. The mean follow-up period was 2 months.
Discussion
  The application of mesh plug technique in the repair of difficult cases of recurrent indirect inguinal hernia in boys is easily applicable, safe and not expensive. Some surgeon^[3,4] applied the mesh plug by opening the inguinal canal.
   We find that in male infants no need for opening the inguinal canal to avoid more iatrogenic weakness for the groin, as external ring allows partial exposure to the internal ring by the assist of a mini retractor.
Conclusion
  A cone mesh plug technique can be applied easily and safely for male infants with recurrent huge congenital inguinal hernia without the need to opening the inguinal canal.