Inguinal hernia in children.

The inguinal hernia repair account among surgical procedures the most frequ ently performed in children, It represents a flawless example of the paedia tric specificity of a common reputed pathology. Its diagnosis especially in the young children can be delicate justifying thus a systematic tracking d uring the clinic examination. The pathology of the vaginalis processus is v aried and the associated anomalies recognition especially the presence of a n undescended testis has to be detected. Inguinal incarceration is often in augural in infants. Consequences concern in the first place the testicular blood supply before to interest the vitality of the incarcerated intestine whose ischemic suffering will be more delayed. Systemic and early herniotom y has become recommended because of improvement of anesthetic and surgical safety in all ages. Risks of abstention today exceed these of a precocious operation with all respects of surgical and anesthetic criteria required ac cording to the age of the child. Despite inguinal hernia repair is one of t he operations on basis in general surgery, its realization in children requ ires to be warned of the specificity of this act. The dissection of the spe rmatic cord exposes to a traumatic damage of vas deferens: which must be av oided by an appropriate technique.