Inguinal Hernia: Surgery in Children

An Reference inguinal hernia Opens New Window will not go away without surgery. Most hernias in children are indirect (the abdominal tissue has bulged down the Reference inguinal canal Opens New Window). These hernias need to be repaired, because they are likely to become Reference incarcerated Opens New Window.

Prompt surgery is needed for younger children especially, because they may not complain about pain until there is a risk of the intestine becoming tightly trapped and its blood supply being cut off (strangulation).

• Hernias that are incarcerated, even if they can be pushed back into the abdomen, need to be repaired as soon as possible because of the risk of strangulation.
• Surgery may be delayed on premature babies with hernias that are not incarcerated. Premature babies are at risk for complications before and after surgery, because their hearts and respiratory systems are not fully developed.
• Boys who have a Reference hydrocele Opens New Window and an inguinal hernia usually have both problems repaired during the same surgery.

Surgery to repair an inguinal hernia needs to be postponed in infants who have any of the following conditions:

• Any active infection
• A cold or other upper respiratory tract infection
• Presence of a significant rash in the groin area
• Severe heart disease present at birth

© 1995-2011, Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Reference Terms of Use. Reference How this information was developed to help you make better health decisions.