Have you ever noticed a lump in your child’s groin, scrotum or navel that appears when they cry, cough, strain or move actively, then becomes smaller when they are calm? This condition is often considered normal because the lump comes and goes, even though it may be a sign of a hernia.
A hernia occurs when tissue or an internal organ in the abdomen protrudes through an opening or a weak area in the muscle. This condition can be present from birth or develop during childhood.
The most common type of hernia in children is an inguinal hernia, which occurs in the groin area. In boys, the lump can extend down into the scrotum, while in girls, it may appear in the labia. Children can also develop an umbilical hernia, which appears as a lump around the navel.
According to the American Academy of Pediatrics, inguinal hernias occur in approximately 8–50 per 1,000 live births among full-term infants, with a higher risk among premature infants.
“Hernias in children often appear as lumps that come and go. Even though the child may seem active, parents should have the condition examined so that the cause can be confirmed,” explained Dr Kozzy, Sp.BA, a paediatric surgeon at Bethsaida Hospital Gading Serpong.
Characteristics of Inguinal Hernias in Children
An inguinal hernia is generally characterised by a lump in the groin, scrotum or labia. The lump is usually more visible when the child cries, coughs, strains, stands or moves actively.
Several signs to look out for include:
- The lump appears and disappears.
- The lump becomes smaller when the child lies down or is calm.
- The child becomes fussy or uncomfortable, or experiences pain around the lump.
- The area around the lump becomes red, swollen or hard to the touch.
- The lump cannot be pushed back inside.
- The child experiences vomiting, abdominal bloating, fever or weakness, or refuses to eat.
Is an Inguinal Hernia Dangerous?
An inguinal hernia needs to be examined because it generally cannot close on its own. If left untreated, the protruding tissue or intestine can become trapped within the hernia opening. This condition can restrict blood flow and may lead to severe pain, vomiting, abdominal bloating and tissue damage requiring immediate treatment.
“If the lump feels hard, painful, cannot be pushed back inside, or is accompanied by vomiting, the child should be taken to a healthcare facility immediately,” added Dr Kozzy.
Treatment of Inguinal Hernias in Children
Treatment is determined following a doctor’s examination, taking into account the child’s age, the size of the lump, symptoms and any complications. Unlike umbilical hernias, inguinal hernias generally require surgery.
One procedure that may be performed is herniotomy, which involves returning the protruding tissue to its proper position and closing the hernia opening to prevent recurrence.
In certain cases, herniotomy can be performed using a laparoscopic approach. This technique uses small incisions and a camera to allow the surgeon to view the hernia area more clearly.
“A laparoscopic approach can be an option in certain cases. However, every child needs to be assessed individually so that the treatment is appropriate for their condition,” concluded Dr Kozzy.
At Bethsaida Hospital Gading Serpong, children with inguinal hernias can undergo examination and treatment by a paediatric surgeon. This allows them to receive a thorough evaluation to confirm the diagnosis, assess potential risks and determine the most appropriate treatment plan.
Bethsaida Hospital Gading Serpong also provides herniotomy procedures, including laparoscopic approaches for suitable cases. With the support of specialist doctors, medical facilities, operating theatres and an integrated medical team, the treatment process can be managed in a structured manner, from consultation and surgery to postoperative monitoring.
“At Bethsaida Hospital Gading Serpong, we are committed to providing safe and appropriate surgical evaluation and treatment, handled directly by experienced pediatric surgeons. We understand that every child has unique needs, so our approach is always tailored comprehensively and with empathy,” concluded Dr Margareth Aryani Santoso, MARS, Director of Bethsaida Hospital Gading Serpong.
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