By Dr Jui Mandke, Paediatric Surgeon in Mumbai

Hernias are one of the most common surgical conditions seen in children. While they may appear alarming to parents, hernias are highly treatable with timely diagnosis and expert care.

What is a Hernia in Children?

A hernia occurs when a part of the intestine or tissue pushes through a weak spot in the abdominal wall, creating a visible bulge.

In children, the most common types are:

• Inguinal hernia – appears as a swelling in the groin
• Umbilical hernia – seen around the belly button

Most paediatric hernias are present from birth due to incomplete closure of natural openings during development.

Signs & Symptoms of Hernia in Children

Parents should look out for:

• A bulge or swelling in the groin or abdomen
• Swelling that increases when the child cries, coughs, or strains
• Bulge that disappears when the child is relaxed or lying down
• Irritability or discomfort in infants

When is it an Emergency?

Seek immediate medical attention if:

• The swelling becomes painful, red, or hard
• The bulge does not go back in
• The child has vomiting or fever

These may indicate a trapped hernia (incarceration), which requires urgent surgery.

Causes & Risk Factors

Hernias in children are usually congenital. Common risk factors include:

• Premature birth
• Low birth weight
• Family history
• Male gender (for inguinal hernia)

Treatment Options

1. Observation (Umbilical Hernia)

Many umbilical hernias close on their own by the age of 4–5 years and only require monitoring.

2. Surgery (Inguinal Hernia)

• Inguinal hernias do not resolve on their own
• Surgery is recommended soon after diagnosis
• The procedure involves closing the opening in the abdominal wall

Hernia surgery in children is safe, routine, and typically completed within a short duration under general anaesthesia.

Recovery After Hernia Surgery

Children recover quickly after surgery:

• Discharge usually within 24 hours
• Mild pain for a few days
• Resume normal activities within 1–2 weeks

Long-term outcomes are excellent, and recurrence is rare when performed by an experienced surgeon.

When to Consult a Paediatric Surgeon?

If you notice any swelling in your child’s abdomen or groin, it is best to consult a specialist early. Delaying treatment can increase the risk of complications.

Expert Care by Dr Jui Mandke

Dr Jui Mandke offers specialised care for hernia in children with a focus on:

• Safe and effective surgical techniques
• Minimal discomfort and faster recovery
• Child-friendly, compassionate approach

As an experienced paediatric surgeon in Mumbai, she ensures that every child receives the highest standard of care.

Final Word

Hernias in children are common but completely treatable. Early diagnosis and timely surgery can prevent complications and ensure a smooth recovery.

If you are concerned about your child’s symptoms, seeking expert advice early can make all the difference.