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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 6 No. 2 (2015)

Three Years Experience of Inguinal Hernia in Children in BSMMU

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2015
CONTENTSVolume 06Number 2July 2015
Editorial
Counselling of Parents, attendants, guardians in dealing of Paediatric Surgical Patients
Kazi Habibur Rahman
32
Review Articles
Hemophilia in Children
Shahnoor Islam, AKM Amirul Morshed, Zohora Jameela Khan
54
Original Articles
Three Years Experience of Inguinal Hernia in Children in BSMMU
Shoheli Alam, KM Didarul Islam, Abu Saleh Md Oli Ullah, Md Tosaddeque Hossain Siddiqui, Md Ruhul Amin
34
Outcome of Partial Splenectomy for Hypersplenism in Children with Thalassemia
Mizanur Rahman, Susankar Kumar Mondal, Amin Lutful Kabir, Md Ruhul Amin, Matiur Rahman
39
Abdominal Ultrasonography and Radiography Diagnosis in Preterm Necrotizing Enterocolitis
S Tuya, Ch Battulga, TS Tsogtsolmaa, M Tumennasan, N Davaatseren, Kaniz Hasina
47
Case Reports
Spinal Primitive Neuroectodermal Tumor in Children A rare case report and literature review
AKM Amirul Morshed, Shahnoor Islam, Sayeeda Anwar
64
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Shoheli AlamAssistant Professor, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • KM Didarul IslamAssociate Professor, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Abu Saleh Md Oli UllahAssistant Professor, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Tosaddeque Hossain SiddiquiProfessor, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Ruhul AminProfessor, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka

Keywords

Inguinal hernia Children Outcome

Abstract

Objective: The aim of this study is to evaluate the management of inguinal hernias in children as a day case surgery in elective basis. Methods: From July 2011 to June 2014, 141 infants and children with inguinal hernias were seen, operated on, and followed up as outpatient procedure in the Department of Paediatric Surgery of Bangabandhu Sheikh Mujib Medical University Dhaka, Bangladesh (BSMMU). Age, sex, side of hernia, presence of an associated hydrocele/ undescended testes/ VP shunt, occurrence of contralateral hernia, clinical aspects of these patients, type of surgery, mortality, and morbidity were studied. Results: The ages ranged from 2 months to 14 years (mean age, 6.28 years) with a male-to female ratio of 3:1. There were 59.6% right, 34.8% left, and 5.7% bilateral hernias (all are indirect variety). The most common associated anomaly was hydrocele in 29(20.8%) patients, undescended testis in 9(6.5%) patients and in 4(2.8%) patients had ventriculoperitoneal shunt. The content of the hernial sac in 56(39.7%) patients were omentum and next were intestine in 30(21.3%) patients. Overall, there were 13 (9.2%) sliding hernias. Among them in five case of boys four (80%) patients contents were cecum and one (20%) patient was sigmoid colon. In case of girls, contents were ovaries in all eight patients. Contralateral groin exploration was not done of any patients at the initial hernia repair. There were recurrences in 2(1.4%) patients, 13(9%) patients developed wound infections, and 21(15%) patients had scrotal haematocele. There were no postoperative deaths. A contralateral hernia developed in three (2%) children within one year after the initial repair. Conclusions: Inguinal hernia is a common surgical condition in children. Elective surgery is associated with minimal morbidity. A routine contralateral groin exploration is not done at the initial hernia repair.

Journal of Paediatric Surgeons of Bangladesh (2015) Vol. 6 (2): 34–38

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