Demographic Study of Inguino-Scrotal Swellings and Outcome of Their Management in Pediatric Age Group at GMC Ratlam

Background: Inguino-scrotal swellings are among the most common pediatric surgical problems, including hernia, hydrocele, and undescended testes. Objective: To study the demographic pattern and outcomes of management of pediatric inguino-scrotal swellings at a tertiary center in central India. Methods: A prospective observational study was conducted on 90 pediatric patients (<17 years) admitted with inguino-scrotal swellings in GMC Ratlam over 18 months. Demographic details, diagnosis, surgical approach, and postoperative outcomes were analyzed. Results: Male predominance was observed (92.2%). The most common diagnosis was right inguinal hernia (33%), followed by left hernia (19%) and hydrocele (8%). Open herniotomy was performed in 55 (61%) and laparoscopic repair in 25 (27%) cases. 93% underwent elective surgery. Postoperative complications were minimal (6.6%), mostly wound discharge. Conclusion: Pediatric inguino-scrotal swellings are predominantly hernias in males with excellent outcomes following timely surgical intervention. Laparoscopy offers safe and cosmetically superior results.