What is Not true about hernia in children is: and explain in detail?
Ans. (a) Conservative Management till patient is asymptomatic* Most of the pediatric patients with an inguinal hernia have indirect inguinal hernia.* Inguinal hernias do not spontaneously heal and must be surgically repaired because of the ever-present risk of incarceration.* Only 3 procedures are necessary for the surgical repair of indirect inguinal hernias in children:# High ligation and excision of the patent sac with anatomic closure# High ligation of the sac with plication of the floor of the inguinal canal (the transversalis fascia), and# High ligation of the sac combined with reconstruction of the floor of the canal* In patients with a long-standing history of inguinal hernia, the repeated protrusion of abdominal contents through the inguinal canal enlarges the internal and external rings, reducing the risk of incarceration and strangulation but increasing the likelihood of damage to the posterior inguinal wall. This makes repair more difficult and recurrence more likely