A study of inguinal hernia in children


  • Rakesh Kumar Department of General Surgery, Nalanda Medical College and Hospital, Patna, Bihar, India
  • Vijay Shankar Prasad Department of General Surgery, Darbhanga Medical College and Hospital, Darbhanga, Bihar, India




Hydrocele, Hernia, Inguinal hernia, Incarceration, Strangulation


Background: Inguinoscrotal swellings are one of the commonest anomalies in infancy and childhood throughout the world. Delay in diagnosis and treatment leads to loss of testis, ovaries or portion of bowel to incarceration or strangulation. This study was undertaken to evaluate the age, sex and sidewise distribution and the complications like incarceration, strangulation and gonadal infarction.

Methods: A total of 50 children were selected ranging in age from new born to 12 years presenting with inguinoscrotal swelling which were examined, followed up and managed.

Results: The inguinal hernia was most common among male children (92%) thereby giving a ratio of M: F=11.5:1. The children were aged new born -12 years and most of the patients presented around 2 to 7(46%) years and prematurity noticed in 10% of cases. Right sided (64%) inguinal hernia was more common than left (28%). In this study indirect hernia is 98% and direct is 2%. In 16 cases of hydrocele, 10 were on the left side and 6 were on the right and 6 cases were encysted hydrocele. High ligation at the level of deep ring was done in all the cases. In this series of 50 children, there were 2 cases of incarceration. But none had strangulation and gonadal infarction.

Conclusions: Inguinal hernia is a common surgical condition in children. Elective surgery is associated with minimal complications. Incarceration is more common in infancy with chances of recurrence if explored in emergency. 


Gray SW, Skandalakis JE. Embryology for Surgeons. W.B. Saunders, Philadelphia;1972:417-22.

Eubanks S. Hernias in Sabiston Text Book of Surgery. Sabiston DC Jr. and Lyerly HK ‘WB Saunders Company. 1999;15:1215-1217.

Okunribido O, Ladipo JK, Ajao OG. Inguinal hernia in paediatric age-group: Ibadan experience. East African medical journal. 1992 Jun;69(6):347-8.

Adesunkanmi AR, Adejuyigbe O, Agbakwuru EA. Prognostic factors in childhood inguinal hernia at Wesley Guild Hospital, Ilesa, Nigeria. East Afr Med J. 1999 Mar;76(3):144-7.

Wright JE, Direct inguinal hernia in infancy and childhood. Pediatr Surg Int. (1994)9:161-3.

Rescorla FJ, Grosfeld JL. Inguinal hernia repair in the perinatal period and early infancy: clinical considerations. J Pediatr Surg. 1984 Dec 1;19(6):832-7.

Davis N, Najmaidin A, Burge DM. Irreducible inguinal hernia in children below two years of age. Br J Surg. 1990;77 (11):1291-2.

Larsen RM. Inguinal hernia in infancy and early childhood. Surgery. 1949 Feb;25(2):307-28.

Kiesewetter WB, Parenzan L. When should hernia in the infant be treated bilaterally?. J Am Med Assoc. 1959 Sep;171(3):287-90.

Rowe MI, Lloyd D. A: Inguinal Hernia in Paed Surgeryedited by Welch’ Judson’ Mark, James and Rowe , IV ed. 1986;2:779-93.

Gilbert M, Clatworthy HW. Bilateral operations for inguinal hernia and hydrocele in infancy and childhood. Am J Surg. 1959 Mar;97(3):255-9.

Salaymeh MT. Complications of inguinal hernia in infants and children. Int Surg. 1969;51:95-8.

Gorsler CM, Schier F. Laparoscopic herniorrhaphy in children. Surg Endosc. 2003;17:571-3.

Ghoroubi J. Ten years study of inguinal hernia in children: Journal of Surgery Pakistan2008;3(4):173-5.

Duckett JW. Treatment of congenital inguinal hernia. Annal Surg. 1952 Jun;135(6):879.

Lynn Hugh B. Inguinal Herniorrhaphy in children. Arch Surg. 1961;83:105-10.

Simons MP, de Lange D; The “Inguinal hernia” guideline of the Association of Surgeons of the Netherlands. Ned Tijdschr Geneeskd. 2003;147(43):2111-7.






Original Research Articles