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Background <p>Inguinal hernias, when complicated, can lead to obstruction, strangulation, and death unless early surgical intervention is undertaken. We aimed to determine the clinical presentation, short-term surgical outcomes, and their predictors among children undergoing inguinal hernia repair in a low-resource setting.</p> Methods <p>A prospective cohort study of 81 children with inguinal hernia and their caretakers was conducted at a tertiary hospital in southwestern Uganda. Questionnaire administration and clinical examination of the children were performed. Postoperative clinical assessments were conducted on days 7, 14, and 30. Surgical outcomes were determined within the 30-day follow-up period. Logistic regression models were fitted to identify factors associated with poor outcomes.</p> Results <p>Most of the children were male (95.1%), at least 1 year old (86.4%), and had a right-sided inguinal hernia (71.6%) that was indirect (97.5%), reducible (93.8%), and uncomplicated (93.8%). The majority underwent elective surgery (95.1%), and 14.8% had a poor outcome. Prognostic factors included undergoing emergency surgery (<i>p</i> = 0.016), having a sliding or incarcerated hernia, having caregivers aged 18–29 years, and having an irreducible or recurrent hernia.</p> Conclusion <p>Although most children present with uncomplicated inguinal hernias, 1 in 6 still experience poor postoperative outcomes. Predictors include complicated hernias requiring emergency surgery and having a young caregiver. Sensitizing young parents about childhood inguinal hernias could help minimize delayed intervention and reduce poor surgical outcomes.</p>

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Outcomes of pediatric inguinal hernias at a tertiary hospital in South-Western Uganda

  • 期刊论文

  • 发表日期：

    2026年4月17日

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  • Eric Mungai,
  • Felix Oyania,
  • Mvuyo Sikhondze,
  • Hussein Iman,
  • Daniel Atwine

摘要

Background

Inguinal hernias, when complicated, can lead to obstruction, strangulation, and death unless early surgical intervention is undertaken. We aimed to determine the clinical presentation, short-term surgical outcomes, and their predictors among children undergoing inguinal hernia repair in a low-resource setting.

Methods

A prospective cohort study of 81 children with inguinal hernia and their caretakers was conducted at a tertiary hospital in southwestern Uganda. Questionnaire administration and clinical examination of the children were performed. Postoperative clinical assessments were conducted on days 7, 14, and 30. Surgical outcomes were determined within the 30-day follow-up period. Logistic regression models were fitted to identify factors associated with poor outcomes.

Results

Most of the children were male (95.1%), at least 1 year old (86.4%), and had a right-sided inguinal hernia (71.6%) that was indirect (97.5%), reducible (93.8%), and uncomplicated (93.8%). The majority underwent elective surgery (95.1%), and 14.8% had a poor outcome. Prognostic factors included undergoing emergency surgery (p = 0.016), having a sliding or incarcerated hernia, having caregivers aged 18–29 years, and having an irreducible or recurrent hernia.

Conclusion

Although most children present with uncomplicated inguinal hernias, 1 in 6 still experience poor postoperative outcomes. Predictors include complicated hernias requiring emergency surgery and having a young caregiver. Sensitizing young parents about childhood inguinal hernias could help minimize delayed intervention and reduce poor surgical outcomes.