If you have a son, don’t ignore the little thing of “hernia”

Being a parent is a very magical experience. You don\’t know how your heart, which used to be \”wider than the ocean,\” can suddenly become \”thinner than a needle.\” All of them are possessed by Conan and the reincarnation of Sherlock Holmes, and they can always find the slightest abnormality in the baby in a \”timely and natural way\” – a pimple suddenly pops up somewhere, and a bump suddenly pops up somewhere. For example: Dad C, the baby is now 1 year old. After crying a few days ago, he suddenly found a bulge at the bottom of his belly near the root of his thigh. It was gone the next morning. His grandma said it was an \”air bag\”. Is there any danger in this? ? Dad C, my son has had a hernia since birth. He is now 6 months old. Should he wait for spontaneous healing or undergo surgery? It scares me to think about surgery on such a young child. I really don’t want to let him have surgery. Today’s article is about male babies. Of course, a small number of female babies may also need it. Suddenly I feel that, mothers of boys, you have a long way to go. What the hell is a hernia? \”Hernia\” – in medicine mainly refers to \”indirect inguinal hernia\”. We all know that the groin is the junction between the belly and the thigh. If there is a bulge in the baby\’s groin or scrotum, it will appear or increase in size when the baby cries, stands or exerts force, and will gradually shrink until it disappears when the baby is lying down. Sometimes it is as small as a small protrusion, and sometimes it is obviously swollen like a pear, which may be an inguinal hernia. Inguinal hernia is a congenital developmental abnormality that most of the time causes no obvious pain to the baby. Why do some babies develop inguinal hernia? The occurrence of inguinal hernia is generally related to the growth and development of the fetus. Take a baby boy as an example: We have written before in \”Must-read if you have a baby boy: Big events hidden in the little \”balls\”\” that the baby\’s testicles are initially in the belly. As the months go by, the testicles It presses against the lining of the abdominal wall and descends along the inguinal canal into the scrotum. You can imagine how the golf ball will fall into the hole. Then the layer of peritoneum that comes down will form a tubular channel, which is called the sheath. In a baby that develops normally, the sheath will gradually close before and after birth and is no longer connected to the abdominal cavity. But if the closed channel is not closed, it becomes the basic factor in the formation of inguinal hernia. If there is also weak abdominal wall muscle development or persistent increase in abdominal pressure (such as crying, constipation, chronic long-term cough, etc.), then under the action of abdominal pressure, the tissues or organs in the abdominal cavity (most commonly the small intestine, occasionally The cecum, appendix, ovary or greater omentum) may enter this channel or even enter the scrotum, causing the groin or scrotum to bulge, forming an inguinal hernia. To put it simply, because of the existence of the channel, the organs and tissues in the stomach leave the place where they should be and go to places they should not go due to pressure. Sometimes after sleeping or lying down for a while, these tissues or organs return to the abdominal cavity through the channels, and the bag disappears again. This is also the reason why many people call hernia \”gas bags\”. When you are angry and cry, a bag will appear in your scrotum, and then disappear when you stop crying. If the channel is small and only fluid (water) enters the channel, it is called a hydrocele. Many mothers are confused about hernia and hydrocele. Does this explanation make it clear?White point? In particular, some channels are thin, and the small intestine and other entrance channels are prone to incarceration. Simply put, if it gets stuck, the baby will suffer pain and the \”bag\” will not be able to return. At this time, you need to go to the hospital quickly to try to reset it, or even need surgery. If it is stuck for a long time, necrosis will occur in the intestines or ovaries, and even symptoms of systemic poisoning will occur. If the \”bag\” that usually comes and goes suddenly cannot come back, and the child starts to have pain, cry, vomit, or stop defecation, the child should be taken to the doctor immediately. Never try to reposition the intestines yourself as this may worsen the condition. It is up to the doctor to determine whether the intestines are necrotic and whether certain techniques are needed to reset the intestines. Generally, even if the reduction is successful, surgery is still required to close the channel. If the small intestine is necrotic, surgery may be needed to remove the necrotic bowel. Inguinal hernia occurs in 1 to 4 out of 100 children. The majority of babies are boys, with a male to female ratio of 15:1. It often occurs on the right side, accounting for 60%, left side 25%, and bilateral 15%. Treatment of inguinal hernia Unless the above-mentioned \”incarcerated hernia\” emergency occurs, inguinal hernia is not a very urgent disease under normal circumstances, and most hernias will not cause pain to the baby, nor will they affect the development. Inguinal hernia may heal on its own within 6 months after birth. During this period, it can be observed or treated with a hernia belt, also called a hernia belt. In addition, surgery is still the best way to treat inguinal hernia, and the minimum age for surgery is 6-12 months. The purpose of the operation is to ligate this channel. The main surgical methods are high ligation of the hernia sac and laparoscopic internal ring ligation.