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Inguinal Hernia Hydrocele and the Acute Scrotum

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Handbook of Pediatric Surgery


This chapter includes some of the commonest clinical conditions seen by the pediatric surgeon. Repair of the inguinal hernia is an essential part of the surgical repertoire but even today there is still ongoing debate on the value of open versus laparoscopic techniques. Management of the acute scrotum in boys and adolescents, likewise, is an important skill that may not only test the actual operator but obtain good results the actual system bringing the child to an operating theater, expeditiously and efficiently.

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  1. 1.

    Claudius Amyand (1681–1740)—English surgeon working at St George’s Hospital in London. Reported a case of appendix protrusion in a scrotal hernia which had become infected by ingestion of a pin perforating the appendix. He drained the abscess, ligated the appendix and repaired the hernia.

  2. 2.

    Alexis Littre (1658–1726)—French surgeon who described a Meckel’s diverticulum in a hernial sac.

  3. 3.

    August Gottlieb Richter (1742–1812)—German surgeon described the situation where only a part of the intestinal wall becomes trapped within the hernial sac.

  4. 4.

    Mathieu Jaboulay (1860–1913)—French surgeon, also incidentally first person to attempt to graft a animal kidneys onto the circulation of patients dying with renal failure. They did not work!

  5. 5.

    Peter Herent Lord (1925–2017)—Influential English surgeon working in High Wycombe.

  6. 6.

    Giovanni Battista Morgagni (1682–1771)—Italian anatomist who described many anatomical features and curiosities.

  7. 7.

    Joaquim Giraldé (1808–1875)—Portuguese surgeon and anatomist working mainly in Paris.

  8. 8.

    Victor Albrecht von Haller (1708–1777)—German anatomist.

Further Reading

  1. Erez I, Rathause V, Vacian I, Zohar E, Hoppenstein D, Werner M, et al. Preoperative ultrasound and intraoperative findings of inguinal hernias in children: a prospective study of 642 children. J Pediatr Surg. 2002;37:865–8.

    Article  Google Scholar 

  2. Montupet P, Esposito C. Laparoscopic treatment of congenital inguinal hernia in children. J Pediatr Surg. 1999;34:420–3.

    Article  CAS  Google Scholar 

  3. Kantor N, Travis N, Wayne C, Nasr A. Laparoscopic versus open inguinal hernia repair in children: which is the true gold-standard? A systematic review and meta-analysis. Pediatr Surg Int. 2019;35:1013–26.

    Article  Google Scholar 

  4. Kokorowski PJ, Wang HHS, Routh JC, Hubert KC, Nelson CP. Evaluation of the contralateral inguinal ring in clinically unilateral inguinal hernia: a systematic review and meta-analysis. Hernia. 2014;18(3):311–24.

    Article  CAS  Google Scholar 

  5. Monteilh C, Calixte R, Burjonrappa S. Controversies in the management of neonatal testicular torsion: a meta-analysis. J Pediatr Surg. 2019;54:815–9.

    Article  Google Scholar 

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Niyogi, A., Sinha, C.K. (2022). Inguinal Hernia Hydrocele and the Acute Scrotum. In: Sinha, C.K., Davenport, M. (eds) Handbook of Pediatric Surgery. Springer, Cham.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-84466-0

  • Online ISBN: 978-3-030-84467-7

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