Pediatric Inguinal Hernia in Brief: Presentation, Workup, Diagnosis, Perioperative Considerations

Inguinal hernia repair is the second most common surgery performed by pediatric surgeons so here, we cover the basics of presentation, diagnosis, surgical approach, and post operative management with Dr. Meera Kotagal and host Dr. Rod Gerardo.

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00:00 Introduction
00:30 Basic inguinal anatomy
00:58 Incidence of inguinal hernias
01:31 Where do indirect hernias come from?
02:20 Risk factors for inguinal hernias in children
03:10 Differential diagnosis for a groin mass in a child
04:38 Presentation of incarcerated inguinal hernia
05:10 How to reduce an inguinal hernia at bedside
06:12 When to operate on an incarcerated inguinal hernia
06:41 When to perform a laparoscopic reduction of an inguinal hernia
07:19 Approach for pediatric inguinal hernia
08:14 Floor repair plus high ligation
08:44 Post operative complications following inguinal hernia repair
09:24 Post operative instructions following inguinal hernia repair
09:35 What if unable to reduce incarcerated inguinal hernia?
10:38 Preoperative workup for inguinal hernia
11:09 What do you do if the patient does not have a vas deferens?
11:25 What do you do if the patient has testicular pain following an inguinal hernia?
11:59 Summary and outro