Basrur Gurudutt Bhaskar
Grant Medical College & Sir J.J. Group of Hospitals , Byculla, Mumbai, India.
Clin Pract. 2015 Mar 30;5(1):708. doi: 10.4081/cp.2015.708. eCollection 2015 Jan 28.
Inguinal hernias are rare in females. The authors report a case of bilateral inguinal hernias in a 10-year-old female. On exploration, the patient was found to be having a sliding hernia containing incarcerated ovary as contents on both sides. Peroperatively the contents were reduced, the sac was transfixed at its base and the redundant sac was excised. The repair of this form of hernias is more difficult because of adhesions between the contents and the wall of the sac and risk of damage during dissection. A description of this clinical presentation in the pre operative assessment and operative management are discussed in this report.
腹股沟疝在女性中较为罕见。作者报告了一例10岁女性双侧腹股沟疝的病例。术中发现患者双侧均为滑动疝,疝内容物为嵌顿的卵巢。术中将疝内容物还纳,在疝囊底部贯穿缝扎,并切除多余的疝囊。由于疝内容物与疝囊壁之间存在粘连以及在分离过程中有损伤风险,这种类型的疝修补更为困难。本报告讨论了术前评估和手术管理中这种临床表现的描述。