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Inguinal Hernias A paediatric inguinal hernia can occur at any age, but increase during infancy and early childhood with 80-90% occurring in boys. And on right side 60%. A hernia is a protrusion of an organ (usually the small bowel or fatty material) through a weakness or opening in the muscle wall of the tummy It is usually seen as a bulge under the skin.especialy when baby crying . Inguinal hernia should be repair when diagnosed Because incarceration is quite common. However, an incarcerated or irreducible hernia should be seen by a doctor urgently. The symptoms of an incarcerated inguinal hernia can include: • the child appearing ill • pain in the groin • nausea and vomiting • swelling that appears red or dusky in color and is noticeably tender • swelling does not change when crying. risk factors : • were born prematurely • low weight • family history • have other problems like undescended testes. Operation: Operation procedure is simple and consider as day case surgery And child can be discharged to his home in same day. With oral pain killer. Little complications happen if operation done by experience hands. When should call your doctor: In general, contact your child's surgeon or the hospital if: • Your child develops a fever at or above 38.5ºC. • The wound appears red, swollen, or is leaking fluid.