Congenital Inguinal Hernia: Results of 2207 Procedures

Aim of Work: To evaluate the type, prevalence, presentation, and complications of congenital inguinal hernia in children at Assiut University Hospital and South Valley University. Patients and Methods: Between 2000 and 2011, at Pediatric Surgery Unit, Assiut University Hospital and South Valley University, a retrospective study of 1957 patients with congenital inguinal hernia, the medical records were reviewed for patient data including age, sex, type of presentation, side of hernia, operative findings, type of intervention, and postoperative complications. Results: From 2000 to 2011; more than 2207 procedures for 1959 patients with congenital inguinal hernia had been done. The male to female ratio was 1588 (81.1%) to 371 (18.9%); age at presentation was 322 (16.4%) neonates, 975 (49.8%) infants, and 665 (33.7%) children. 1055 right sided hernia, 652 left sided, and 252 bilateral. 345 cases have different type of complications. The sac was complete in 1454. Irreducibility was common complication, and more common in male. Incarceration was the second complication. Conclusion: Congenital inguinal hernia is commonest hernia facing pediatric surgeons. It may have a different demography all over the world.