A male pt.2yrs suffering from rt.inguinal hernia. Patient is

a male Pt.2yrs suffering from rt.inguinal hernia. Patient is anemic hb-9.4 .Take general Surgeons opinion. suggest treat anemia first.inj.vitcofol 1cc a/d.st.orofer-st 5mlbd.advise further management sir

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Surgery as early as possible to prevent the strangulation under GA. The anaemia is not so severe that can not allow to surgery with minimal blood loss. The anaemia can be corrected later on.

After correction of anaemia, right sided herniotomy for right inguinal hernia

Thanks sir for your valuable opinion
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Herniotomy can be carried out soon . Theres alwayas a risk of strangulation . Most probably its iron deficiency anemia .

Rule out hemolytic anaemia, chronic infections Do HPLC, complete hemogram with peripheral smear & reticulocyte count, iron studies Albendazole Iron 4-6 mg/kg/day 3 months

If other parameters are normal,do a semi emergency herniotomy
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Inguinal hernia possibly with hydrocele

In addition give scortal support

2 years child with INGUINAL HERNIA, ass with Anemia. With HB : 9.4 Grams, suppose if Hernia gets STRANGULATED, THEN ALSO ONE HAS TO GO FOR EMERGENCY SURGERY. ANEMIA IS SEVERE, HENCEFORTH BETTER TO GO FOR SURGICAL INTERVENTION. EVALUATION OF ANEMIA IS MANDATORY FOR TYPE OF ANEMIA.

Thanks sir.
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Surgery as early as possible to prevent gangrene

This child appears to have uncomplicated Rt side congenital inguinoscrotal hernia. It needs only herniotomy operation which is a very simple one and can be done with the present Hb level. But in case the surgery is deferred for some reason ,continue the said treatment till the operation is executed.

To avoid strangulation and gangrene do surgery early Can be operated under neuraxial block Bupivacain 0.4 mg/kg

Repair of hernia as early as possible to prevent the strangulation under GA. The correction of anaemia can be done after the surgery as the anaemia is not severe that can prevent the surgery with minimal blood loss.
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