Article Per Year (5 Year)
p-Index From 2021 - 2026
0.23
P-Index
This Author published in this journals
All Journal Medicinus : Jurnal Kedokteran
Pratama P, Gusti Putu Agung
Unknown Affiliation
Medicine & Pharmacology Public Health

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

 1 
Indirect Right Inguinal Hernia in a Six-Year-Old Girl: A Case Report and Literature Review Pratama P, Gusti Putu Agung
Medicinus Vol. 15 No. 2 (2026): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v15i2.10968

Abstract

Background: Pediatric inguinal hernia is a common surgical problem, yet direct hernias in girls account for fewer than 1.5% of childhood groin defects. Although often painless and reducible, the cumulative risk of incarceration approaches 6%, warranting early repair. Case Description: A healthy six-year-old girl presented with a two-month history of an intermittent, painless right-groin bulge that appeared with crying or coughing. Physical examination revealed a 2.5 × 2 cm fully reducible mass; ultrasonography confirmed a fat-containing herniation medial to the inferior epigastric vessels, consistent with a reducible direct inguinal hernia. After optimization, she underwent an open high ligation herniotomy. The hernia sac was dissected to the internal ring and securely ligated without mesh. Operative time was 25 minutes and blood loss were negligible. The patient was discharged the same day, resumed unrestricted activity within one week, and remained asymptomatic at six-month follow-up with no evidence of recurrence. Conclusions: This case illustrates that open high ligation provides safe, durable closure for the exceedingly rare direct inguinal hernia in pediatric females, mirroring success rates above 98% reported for indirect defects. Early elective repair eliminates the risk of incarceration, avoids mesh-related morbidity, and allows rapid return to normal activity.
Co-Authors