OP
Since childhood inguinal hernias are not caused by a weakness of the posterior wall of the inguinal canal or problems with the fascia or muscles, but are always congenital problems with hernias on the inner inguinal ring, the surgical procedure used differs from that of adult patients. The procedure is performed either as an outpatient or inpatient procedure and is performed under general anesthesia to minimize stress for the child. The surgery is performed as an open surgical procedure with small skin incisions in the lower abdominal fold.
In the course of the operation, the hernia sac is removed and the muscles are adapted to the inguinal ligament. The wounds are closed with a self-dissolving suture material. The children are monitored for a few hours after the operation, but can then usually leave the hospital.
A special rest period does not normally have to be observed. Regular wound check-ups and physiotherapeutic follow-up treatment ensure that the affected children quickly get back on their feet. Are you looking for general information about surgery or post-operative treatment? The following articles can help you:
- Surgery for inguinal hernia
- Exercises for inguinal hernia
Physiotherapy before and after surgery
Physiotherapy for inguinal hernia in children is especially important before and after surgery. According to the age of the sometimes very young patients, the physiotherapists should be well trained in the therapy with children in order to be able to adapt to the special needs of the young patients. Before the operation, the most important thing is not to aggravate the condition of the inguinal hernia.
Gentle massages and slight passive movements of the legs, performed by the therapist, as well as light stretching exercises keep the tissues supple, so that the healing process can be optimally supported. After the operation, the most important thing is to get the children mobile again as quickly as possible, otherwise there may be delays in development, especially in infants. Playful movement exercises, which are intended to strengthen the abdominal muscles in particular, are part of the physiotherapy program.Massages for an elastic scar tissue and a good lymph flow also help to accelerate the healing process.
Usually the parents are present during the physiotherapy and can look over the physiotherapist’s shoulder while he is working and learn to perform the exercises themselves, so that good aftercare is also possible at home. The overall goal of physiotherapy is to mobilize the children and to contribute to a faster healing process through gentle stretching and strengthening exercises without the child’s development being interrupted by the hernia. Even in later years, the children can still benefit from the treatment, as they are sensitized to gentle movements and can perform specific exercises to strengthen the supporting tissues. The following articles may also be of interest to you:
- PNF (Proprioceptive Neuromuscular Fasculation)
- Coordination exercises
- Gait training
All articles in this series:
