Inguinal hernias are one of the most common conditions we care for.

An inguinal hernia is a bulge in the groin that can extend down towards the scrotum. It occurs when there is an opening between the abdomen and groin area that doesn’t close properly during development. As the baby grows, parts of the intestine, fluid, or fatty tissue can push through the opening.

If the hernia can be pushed back into the abdomen, it is called a reducible hernia. This will still need surgical repair. If it can’t be pushed in, it is called an incarcerated hernia. Incarcerated hernias need treatment right away because the intestine may be trapped inside the hernia.

Inguinal hernias are often a condition a baby is born with, but also may develop over time. The bulge may not become apparent until several years later. They are more common in boys than in girls.

Would you like to schedule an appointment with Pediatric Surgery?

Schedule

What are the signs and symptoms of an inguinal hernia?

Symptoms of an inguinal hernia may include a swelling or bulge in the groin or scrotum that may seem bigger when the baby is crying, straining, or coughing.

If the hernia is incarcerated, your baby may also have:

  • Pain
  • Vomiting
  • Redness in the area
  • Fever

What causes an inguinal hernia?

Inguinal hernias occur when the canal between the abdomen and groin area does not close during a baby’s development. This opening allows fluid, fat, or part of the intestine to move into the canal, creating the hernia. In girls, an ovary may also become stuck in the opening.

Groin hernias are quite common. Babies who are born prematurely or who have a family history of hernias have a higher risk of having an inguinal hernias. Also children with chronic constipation, chronic cough, or difficulty urinating are at higher risk.

How is an inguinal hernia treated?

Inguinal hernias need to be treated with surgery. In most cases, the surgery is done soon after the hernia is found so the intestine inside does not become stuck or lose blood flow. If the hernia is stuck, your child may need surgery right away. At Connecticut Children’s, our experienced surgeons have multiple techniques for hernia repair, and will discuss the risks and benefits of the different approaches with families, to allow you to make the most informed decision for your child.