Parent & Patient Information System 06/09/2015 Page8 / 51 The hernia does not frequently cause problem. However, if the intestine segment which moves to the scrotum is squeezed at the neck of the hernia sac, it becomes an emergent case. Intestine cannot be pushed back into its place, the blood source of this intestine segment becomes strangulated, the intestine becomes obstructed, the scrotum of the child becomes reddish, stretched and tender. The child starts to vomit. This situation must be corrected in a very urgent way. Therefore, not to face with this emergent situation, hernias should be repaired as they are diagnosed. The hydroeceles mostly resolve at the end of the first year of life secondary to the closure of connection. Therefore, newborns those were diagnosed with hydroceles should be followed up to 1 years of age. In children whom scrotal swelling persist, surgical correction should be considered. The diagnosis of hernia is a more serious situation that the closure of connection should not be waited. In children with diagnosis of hernia, surgery should be performed at the earliest time when the medical status of child allows an operation. Surgical success is 99%. However, in emergent surgeries, complication rates increase. Another issue is the presence of hernia on the other side. There is a probability of presence of occult hernia on the contralateral side. The surgical exploration of the other side is a controversial subject and depends on the surgeons’ preference.
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