Dra. Giovanna Amador — Pediatric Surgeon
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Elective Surgery4 min read

Inguinal hernia in children: when is it time for surgery

|Dra. Giovanna Amador

Pediatric inguinal hernia is the protrusion of abdominal tissue through the inguinal canal. It is more common in boys and premature babies, and presents as a lump in the groin that appears with crying, straining, or standing.

How to identify it?

Parents usually notice a bulge in their child's groin area that comes and goes. Some important signs are:

  • Lump in the groin that increases with crying or straining
  • Unexplained irritability in babies
  • Pain in older children, especially during physical activity
  • In boys, the lump may extend into the scrotum

When to operate?

Once diagnosed, pediatric inguinal hernia always requires surgery. Unlike umbilical hernia, it does not close spontaneously. Surgery is scheduled electively as soon as possible to avoid complications such as incarceration (when tissue becomes trapped and cannot return).

What is the surgery like?

The procedure takes approximately 30-45 minutes, is outpatient in most cases, and recovery is quick. Children usually resume their normal activities in 1-2 weeks.

When is it urgent?

If the lump doesn't go away, is hard, the child is vomiting or has severe pain, go immediately to the emergency room. This may indicate an incarcerated hernia that requires emergency surgery.

If you notice any of these signs in your child, don't hesitate to consult. Early evaluation is key to successful treatment.

Have questions about your child's health?

Don't wait. Consult with a pediatric surgery specialist.

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