Inguinal

• present 1st 3-4mo

• incidence 1:50M, 1:500F

• referred urgently

• early surgery

  • 6-2 rule:

    • birth - 6wk: surgery 2d

    • 6wk - 6mo; surgery within 2wk

    • over 6,o; surgery within 2mo

Umbilical hernia

• not usually require

• most close naturally by 4yo

• refer if still presnet @ 4yo

• if hernial orifice >1cm at 12mo then intervention is posibillity

para-umbilical

• defect in linea alba

  • adjacent to umbilicus proper

• most lie just above umbilicus

• elliptical slit with firm edges

• spont. closure rarely occurs

  • more likley to incarecerate

• refer 6-12mo

Epigastric hernia

• umbilicus and xiphisternum

• unlikely to close

• likley incarcerate

• causes pain by strangulation of herniated fat