Herrington J K
Ann Surg. 1975 Apr;181(4):481-3. doi: 10.1097/00000658-197504000-00021.
Inguinal hernioplasty was performed in a series of 14 female patients with occult inguinal hernias over a period of five years. During this time 194 herniorrhaphies were performed and thus the incidence of repair for occult hernia was 8%. These patients represent a definite syndrome which has not been sufficiently documented in the surgical literature. The condition is defined and the anatomic pathology documented photographically. The mean age in this series was 20 years with a range of 15-45 years. Thirteen of the 14 cases were followed a mean of 10 months postoperatively. Ten of these were considered excellent results and were symptom-free. The remaining three cases were judged as good results but objective evaluation was less conclusive. There have been no recurrences. The anatomic basis for this syndrome has been documented by others. The absence of an impulse on clinical examination is explained on the basis of size of the hernias and the difference in the anatomy between males and females. Occult inguinal hernia in the female is clinically recognizable on the basis of intermittency, character, and localization of pain and after the exclusion of other pathologic conditions. This syndrome should be entertained in the differential diagnosis of lower abdominal pain in the female. Hernioplasty is safe and effective therapy and returns the patient to normal activity.
在五年时间里，对14例隐匿性腹股沟疝女性患者实施了腹股沟疝修补术。在此期间共进行了194例疝修补术，隐匿性疝的修补发生率为8%。这些患者代表了一种明确的综合征，外科文献中对此记录不足。对该病症进行了定义，并通过照片记录了解剖病理学情况。该系列患者的平均年龄为20岁，范围在15至45岁之间。14例患者中有13例在术后平均随访了10个月。其中10例被认为效果极佳，无症状。其余3例被判定为效果良好，但客观评估结果不太明确。没有复发情况。其他人已记录了该综合征的解剖学基础。临床检查时无冲动感可根据疝的大小以及男性和女性解剖结构的差异来解释。女性隐匿性腹股沟疝在临床上可根据疼痛的间歇性、特征和定位以及排除其他病理状况来识别。在女性下腹部疼痛的鉴别诊断中应考虑到该综合征。疝修补术是一种安全有效的治疗方法，可使患者恢复正常活动。
