【Learning points】
  1. Do not eat or drink anything before 8 hours of the surgery,children under 2 years old need fasting for 6 hours.
  2. The patient should not eat or drink anything within 2-4 hours After waking up (by our instructions). You can try a little water. If there is no nausea, vomiting or dizziness after drinking water 30 minutes, the patient could began to eat . There is no special dietary restrictions.
  3. If the wound has not been treated with tissue adhesive:Do not touch water within the first three days. The patient can take showers on the fourth day, but not a bath. Within the transparent dressing, a small amount of blood will be seen. You do not have the change the dressing. Laparoscopic surgery, do not touch the wound with water,don’t remove dressings and keep the wound dry. The wound will be examined one week later at our clinic. No stitches need to be removed.If the wound has been treated with tissue adhesive, avoid external friction or applying lotion during care. It is safe to get the area wet and take showers, but do not scrub the wound with soap or body wash.
  4.  There will be mild fever in the first three days after surgery (temperature about 38℃ by ear thermometer). It is a normal reaction.
  5. Within the first month after surgery, do not carry heavy stuff and avoid excessive exercise.
I. Inguinal hernia:
When abdominal contents (usually intestine) migrate into the hernia sac, the groin will bulge, which is called the inguinal hernia. If intestinal herniations are not reduced, which caused to compromised blood circulation, necrotising intestines may develope. Thus, whenever the diagnosis of inguinal hernia is established, surgical repair is advised
 
II. Hydrocele of scrotum:
Fluid in the abdominal cavity accumulates in the scrotum through an unclosed vaginal process. If the conditions persist up to one year old, surgery is advised.
54f292579a2d123def6a8342d7c304f9.png
III. Pre-operative preparation:
  1. Surgeons and anaesthetist will explain the risks, prognosis, and possible complications of the operation. Please sign the operation consent after understanding the whole information.
  2. Do not eat or drink anything before 8 hours of surgery, children under 2 years old need fasting for 6 hours.
    c90ec3c7d0fd7a1d2e46c4d92034d565.jpg
  3. Report to the operating room on scheduled time and date, and please patiently wait on the ward.
IV. Post-operative care:
  1. After surgery, patients will be transferred to the recovery room. After awakening from anaesthesia with relatively stable vital signs, the patient will return to our ward .Nurse will give analgesics if necessary.
  2. The patient should not eat or drink anything within 2-4 hours after awakening (according to our instructions). You can try a little water. If there is no nausea, vomiting, or dizziness after drinking water for 30 minutes, the patient could start eating. There is no special dietary restrictions.
  3. The wounds are pasted with transparent dressings. Little bleeding of the wound is a normal situation.
  4. Avoid excessive crying so as not to avoid damaging wound healing.
    dbd30a0d4a3aa3c600486b7457ab1e22.jpg
V.Post-operative home care:
  1. There will be mild fever in the first three days after surgery (temperature about 38 ° C on the ear thermometer). It is a normal reaction. You do not have to worry about it. You can take off clothes or reduce cover first when the condition happened and then take the prescribed medications.
  2.  If wound pain or higher body temperature than 38.5 ° C (ear temperature) is noted. You can take prescribed medications, such as acetaminophen. Normally, no antibiotics are required.
  3. IIf the wound has not been treated with tissue adhesive: do not touch water within the first three days. The patient can take showers on the fourth day, but not a bath. Within the transparent dressing, a small amount of blood will be seen. You do not have to change the dressing. Laparoscopic surgery, do not touch the wound with water, do not remove dressings, and keep the wound dry. The wound will be examined one week later at our clinic. No stitches need to be removed.f the wound has been treated with tissue adhesive, avoid external friction or applying lotion during care. It is safe to get the area wet and take showers, but do not scrub the wound with soap or body wash. There is no need to change the dressing; simply observe the wound daily for any signs of abnormality.
  4. If the wound has been treated with tissue adhesive, avoid external friction or application of lotion during care. It is safe to get the area wet and take showers, but do not scrub the wound with soap or body wash. There is no need to change the dressing; simply observe the wound daily for any signs of abnormality.
  5.  If you notice an increase in bleeding or discharge from the wound. Bring patients to our clinic or emergency room immediately.
  6. Within the first month after surgery, do not carry heavy objects and avoid excessive exercise.
    Note: last but not least, if you have any questions. Please feel free to ask us; we would like to help you.
    9b569adb5c2e639f4fb0a2700dcf5154.jpg
VI. Conclusion:
The wound after surgery is small, but should be keep dry. Return to the hospital regularly,do not exercise excessively to promote the wound healing.
 
VII.Reference:
  1. Khan, F. A., Jancelewicz, T., Kieran, K., Islam, S. (2023).Assessment and Management of Inguinal Hernias in Children. Pediatrics, 152(1), 1-9.https://doi.org/10.1542/peds.2023-062510
  2. Lobe, T. E., & Bianco, F. M. (2022). Adolescent inguinal hernia repair: a review of the literature and recommendations for selective management. Hernia : the journal of hernias and abdominal wall surgery, 26(3), 831–837.https://doi.org/10.1007/s10029-021-02551-0
  3. Taverner, F., Krishnan, P., Baird, R., & von Ungern-Sternberg, B. S. (2023). Perioperative management of infant inguinal hernia surgery; a review of the recent literature. Paediatric anaesthesia, 33(10), 793–799.https://doi.org/10.1111/pan.14726
VIII.Image sourse:
  1. https://www.irasutoya.com/

    簡易測驗
    Let's take a test to confirm that you have a thorough understanding.
    評語
    統計結果不開放
    請登入後才可以評分
    位置
    資料夾名稱
    English
    上傳者
    尤怡婷
    單位
    中榮護理衛教
    英文名稱
    Pediatric inguinal hernia & hydrocele: pre- and post-operative care instructions
    分類
    手術
    科別
    英語
    癌症照護
    建立
    2023-12-30 13:09:09
    最近修訂
    2025-09-23 18:31:53
    版本
    2025-09-23
    更多