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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Is Scheduled For Hernia Repair Surger, Has Hydrocele. Should He Be Given General Anesthesia?

My 3 and a half month old is scheduled for surgery for hernia repair in the morning. The doctor said he has a hydrocele and that he needed hernia repair he didnt do an ultrasound or anything. Also because of my sons age should be be put under? His bowels haven t moved in almost 3 days and he has an intermittent cough . I am really worried because this physician barely examined my son.
Sat, 21 Jul 2012
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Gastroenterologist, Surgical,  's  Response
The type of lesion in young kids is called congenital hernia. The content initially is fluid which is designated as congeinital hydrocele. But if untreated the size continues to increase and then abdominal contents start descending down when it is termed as a congenital hernia.
One needs to scertain that the child does not have to strain while passing urine, so examination of the penis is mandatory.
If there is aproblem then USG of abdomen has to be done to rule out back pressure changes on the kidneys as well as to ascertain normalcy of the other abdominal organs. If the child has respiratory infection then surgery needs to be delayed till the infection is controlled. Same applies to bowel movements. Smooth clearance of bowels prior to surgery is must. If all the aforementioned precautions are taken, can one expect complete cure without recurrence. Failure to clear all these issues can give rise to a recurrence.
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Child Is Scheduled For Hernia Repair Surger, Has Hydrocele. Should He Be Given General Anesthesia?

The type of lesion in young kids is called congenital hernia. The content initially is fluid which is designated as congeinital hydrocele. But if untreated the size continues to increase and then abdominal contents start descending down when it is termed as a congenital hernia. One needs to scertain that the child does not have to strain while passing urine, so examination of the penis is mandatory. If there is aproblem then USG of abdomen has to be done to rule out back pressure changes on the kidneys as well as to ascertain normalcy of the other abdominal organs. If the child has respiratory infection then surgery needs to be delayed till the infection is controlled. Same applies to bowel movements. Smooth clearance of bowels prior to surgery is must. If all the aforementioned precautions are taken, can one expect complete cure without recurrence. Failure to clear all these issues can give rise to a recurrence.