Management of an inguinal hernia in children

In children, almost all hernias are indirect and appear as an inguinal mass above the inguinal ligament with swelling that may extend up to the internal inguinal ring and down to the scrotum or labia. The hernia may also present as an intermittent bulge in the groin when the infant increases abdominal pressure during crying, coughing, or defecation. All inguinal hernias in children should undergo repair by a surgeon with pediatric expertise. The timing of surgery depends upon the presentation. This algorithm should be used in conjunction with other UpToDate content. Refer to topics on inguinal hernia in children.