A study of clinical analysis and management of lnguinoscrotal swelling in paediatric age group


  • Mukesh Suvera Department of General Surgery, Smt. SCL Hospital and Smt. NHL Medical College, Ahmedabad, Gujarat, India
  • Pranay Chaudhari Department of General Surgery, Smt. SCL Hospital and Smt. NHL Medical College, Ahmedabad, Gujarat, India
  • Shreyakumari Patel Department of General Surgery, Smt. SCL Hospital and Smt. NHL Medical College, Ahmedabad, Gujarat, India




Inguinoscrotal swelling, Inguinal hernia, Hydrocele, Clinical analysis


Background: Inguinoscrotal swellings are one of the commonest congenital problems in infancy and childhood. Delay in diagnosis and treatment leads to loss of testis, ovaries or portion of bowel to incarceration or strangulation. This study was undertaken for clinical evaluation of age, sex, sidewise distribution management and management of complications.

Methods: Retrospective observational study done from April 2011 to March 2019. Children with age from 1 month to 12 years presenting with inguinoscrotal swelling

Results: In Total 174 children had inguinoscrotal swelling which include 155 (89%) male children and 19 (11%) female children. Most of the patients presented in 2 to 5 years (41%) age group out of 114 case of inguinal hernia include 63 on right,47 on left and 4 bilateral and 60 case of hydrocele 48  on right,10 on left and 2 bilateral.0ut of 174 children 16 were discharge on same day of surgery. Out of 174 children 1 patient had taken as emergency operation due to irreducible hernia.

Conclusions: Inguinal hernia and hydrocele in children remain one of the most common congenital problems observed by surgeons. The childhood inguinoscrotal swellings are generally more predominant on the right side and this has been attributed to the delay in descent of the right testis. Regarding the sex prevalence, males are more commonly affected. Inguinal herniotomy in children is a safe and effective operation done as day care procedure.


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