Can Hernias In Infants Aged 2 Months Recover Without Surgery?
Good evening doctor r n My baby is 2 months old and has been diagnosed by a doctor with a hernia. R nWhen my baby is active, crying or straining the right side of the scrotum enlarges. R nAnd when sleeping the scrotal is normal, normal. r nBut the baby does not show pain. The baby is ordinary, not fussy or crying. r nYg I am asking whether my baby’s hernia can heal without surgery? r nColor I worry. The baby is still very small doctor. Cannot be told to remain quiet, don’t try to make me not relapse. R nThank you in advance for the doctor’s answer r nGood night
Good evening, thanks for the question
Inguinal / scrotalis hernias in infants caused by failure of closure of the processus vaginalis. Normally the vaginal process closes immediately after birth or when the baby is 4-12 months old. Hernias occur due to failure of the closure of the processus vaginalis.
Inguinal hernias are caused by a portion of the intestine that comes out of the lower abdominal cavity and sticks out to the area around the genitals through the hernia ring. When entering the scrotum in boys is called a scrotal hernia.
Symptoms can be a protrusion in the groin area or scrotum. Usually seen clearly when crying or straining. In cases with complications, intestinal trapping can occur within the hernia ring, causing intestinal movement disorders and severe pain. The diagnosis is made through symptoms, physical examination and supporting examinations such as ultrasound.
Patients with hernias must undergo surgical procedures as a definitive treatment because inguinal / scrotalis hernias cannot close spontaneously. Therefore patients must be referred to pediatric surgeons for surgery.
In cases of inguinal hernias where the lump can still be reinserted, surgery can be postponed but should not be too long given the risk of entanglement. If the lump cannot be re-inserted, surgery is needed as soon as the diagnosis is made. Whereas in the case of a gut that has been squeezed, it is considered an emergency situation so immediate surgery is needed.
For that immediately consult your child's condition with a surgeon for evaluation and further action plans.
So, hopefully it can be useful
Wassalam, Dr. Farah