Femoral hernia in pediatric population: a diagnostic and surgical challenge.
Hernia
; 28(2): 593-597, 2024 04.
Article
en En
| MEDLINE
| ID: mdl-38270834
ABSTRACT
PURPOSE:
Femoral hernia (FH) is a rare and often misdiagnosed pathology in pediatric population. The aim of our study was to describe the experience of a Tertiary Center in children with FH, underlying diagnostic and surgical details that could improve its management.METHODS:
A retrospective study of pediatric patients who underwent FH repair from January 2010 to June 2023 at our Institution was performed.RESULTS:
In the analyzed period, 31 patients underwent surgical procedure for FH at our institution, of whom 16 (51.6%) were female. The mean age at time of surgery was 5.8 years (range 0.5-17.1 years). The rate of pre-operative misdiagnosis was 35.5% and open approach was adopted in all cases (16.1% with mesh application). Only two patients (6.4%) experienced surgical complications one recurrence (repaired six months later) and one post-operative hematoma (treated successfully with conservative method).CONCLUSION:
Due to the high rate of misdiagnosis, the variety of surgical approaches proposed, and the potential for intraoperative complications, FH poses a challenge for pediatric surgeons and urologists, as confirmed by the literature. It is essential to underline the importance of a proper clinical examination in order to correctly diagnose FH, make the best surgical plan for the patient and prevent post-operative complications.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Laparoscopía
/
Hernia Femoral
/
Hernia Inguinal
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
Límite:
Adolescent
/
Child
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Child, preschool
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Female
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Humans
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Infant
/
Male
Idioma:
En
Revista:
Hernia
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Italia
Pais de publicación:
Francia