Description

Department of pediatric surgery

Some Common Diseases in Pediatric Surgery

Inguinal hernia, hydrocele, cord’s cyst (inguinal hernia)

Undrown testis

Umbilical hernia (podium hernia)

Hypospadias (prophetic circumcision)

Circumcision

Inguinal hernia (inguinal hernia), hydrocele, cord cyst

Inguinal hernia (inguinal hernia, hernia) in children does not occur as a result of strain as in adults. While babies are developing in the womb, a protrusion like a glove finger from the membrane that covers the inside of the abdomen extends out of the inguinal canal. In one of 50 boys and 250 girls, this protrusion remains open after birth, causing swelling in the groin area. If the relation of this residue with the inside of the abdomen is narrow, the intra-abdominal fluid gradually goes down and creates a fluid-filled swelling. This situation leads to diseases called hydrocele or cord cyst. If the relation of the related residue with the inside of the abdomen is wide, or if the narrow passage expands over time, the intestines inside the abdomen enter this sac and cause an inguinal hernia.

Since the cause of an inguinal hernia in children is a residue, it is not likely to heal spontaneously. Remnants in the form of a cord cyst or hydrocele eventually turn into an inguinal hernia. The main principle in the treatment of all diseases is to remove the relevant residue and to close its relationship with the abdominal cavity. In inguinal hernias, the surgery is performed as soon as possible and the urgent problem known as the strangulation of the hernia is tried not to develop. For the cord cyst, if the baby is a newborn, it is expected to be 3 months old.

In hydroceles, if there is no inguinal hernia together, it can be waited until the age of 1 year. All of the aforementioned surgeries are performed by sending the child home a few hours after the surgery, without hospitalization. If your child has a swelling in the groin, consider that there may be one of the related diseases, consult your doctor. If your child has pain and vomiting, and the swelling in the groin is hard and does not disappear by pressing, consult a physician urgently. Unfortunately, when inguinal hernias are first noticed, they can cause emergency problems by drowning.

Undrown testis

Boys’ testicles (ovaries) are normally located in the scrotum (bag). When the fetus develops in the mother’s womb, the testicles that form in the abdomen and pass through the inguinal canal and descend into the scrotum are referred to as undescended testis.

If you can’t see your son’s testicles in both his scootum, check again at the end of a hot bath. The most confused event with the undescended testicle is the retralty testis (shy testis in Turkish), where the testicles are pulled into the inguinal canal due to a muscle in the groin. This is not a disease and will recover spontaneously as the child grows up. Shy testicles often show themselves in hot environments by descending into the scrotum.

If the testicles do not descend into the scrotum in a hot environment, it will be appropriate to consult your physician. One of the feared consequences in undescended testicles is the loss of the ability of the testicles to produce sperm, that is, infertility. Although infertility does not occur suddenly, its rate gradually increases in untreated testicles after the age of two. For this reason, surgery is currently recommended when the child is 12-18 months old.

If your doctor cannot find the testicle in the inguinal canal, it can be determined by laparoscopy whether there is a testicle in the abdomen. ? Surgery without a knife? In laparoscopy, a small device is inserted into the abdomen to look at the testicle.

All of the aforementioned surgeries are performed by sending the child home a few hours after the surgery, without hospitalization.

Umbilical hernia (Umbilical hernia)

The fetus in the mother’s womb continues its life with the veins extending from the navel to the mother. There is an opening in the abdominal wall for these veins in the umbilical cord to pass after a while. In many newborn babies, intraabdominal organs protrude through this opening and form a swelling in the belly. This condition is called umbilical hernia (umbilical hernia). There is no need for treatment within the first two years of age in babies with umbilical hernia. Even if the external swelling of the hernia grows over time, it will likely heal spontaneously with the development of the abdominal wall. Methods such as sticking a coin to the navel or tying an umbilical cord do not increase the chances of recovery. If there is still an umbilical hernia in a child who is two years old, a physician should be consulted.

Hypospadias (Sunnah of the Prophet)

It is a disease of the penis, which is a male sexual organ. Lack of foreskin; The opening where urine is made is opening back rather than its normal place. The most feared aspect of this situation, also called prophetic circumcision, is the curvature of the penis body in some children.

If you see a malformation in your child’s penis, consult a physician. Even if only the foreskin seems to be missing, do not complete your child’s circumcision without seeking the opinion of a specialist. Today, although different surgeries are performed according to the form of hypospadias, most of these operations can be performed when the baby is six months old. Since it is not psychologically suitable for hypospadias surgeries between the ages of 3 and 6, it is beneficial to perform the repair at a young age and not to remember the sexual organ disease of the child who is directed to the genitals.

Circumcision

The tip of the skin of the penis is referred to as preputium in medical language. The process of removing this skin and revealing the tip of the penis is called circumcision. Circumcision is performed for religious and medical reasons. Circumcision is applied to boys who do not have bleeding diathesis (patients with blood clotting disorder) known in Islam and Judaism. There is a medical need for circumcision in boys with a narrow preputial tip, recurrent urinary tract infection, and an infection at the tip of the penis.

Proper circumcision age is discussed. Jews are circumcised for religious purposes when the baby is 1 week old. In the religion of Islam, a specific time is not specified in terms of religion. In terms of health, circumcision should be avoided between the ages of 3-6, when the child psychologically returns to his sexual organs. Circumcision can be performed before or after these ages, which cause serious psychological injury to the child.

Based on the principle of separating a part from the body, it is most appropriate to perform circumcision, which is a surgical procedure, in hospitals that meet the operating room conditions.