Chawla S
Classified Specialist (Surgery), Military Hospital, Bhopal - 31.
Med J Armed Forces India. 2001 Oct;57(4):306-8. doi: 10.1016/S0377-1237(01)80009-5. Epub 2011 Jul 21.
9 patients of inguinal hernia in females were diagnosed in a total of 50 patients who presented with congenital groin problems, 8 of these were managed surgically. There were 6 small children, 1 young girl and 2 elderly ladies. All children were managed by herniotomy and herniorrhaphy was done in women. 2 patients under one year presented with irreducible hernia, one of them on exploration was found to be having sliding hernia with incarcerated ovary and tube as contents while other one had incarcerated loop of small intestine. Contents were reduced in both the patients after division of external ring as there was no sign of strangulation. One of our patients never turned up for surgery. All the operated patients were asymptomatic during the follow up period of 6 months to one year with no recurrence or wound infection. None presented on the contralateral side on follow up. Repair of inguinal hernia in females should be carried out at the earliest after a diagnosis is made, because incarceration occurs more frequently in the first year of life, as seen in this study.
在总共50例出现先天性腹股沟问题的患者中，诊断出9例女性腹股沟疝，其中8例接受了手术治疗。有6名小儿、1名年轻女孩和2名老年女性。所有儿童均接受疝囊高位结扎术，女性则进行疝修补术。2例1岁以下患者出现难复性疝，其中1例在探查时发现为滑动疝，内容物为嵌顿的卵巢和输卵管，另一例为小肠嵌顿袢。由于没有绞窄迹象，在切开外环后，两例患者的内容物均已还纳。我们的1例患者从未前来接受手术。所有接受手术的患者在6个月至1年的随访期内均无症状，无复发或伤口感染。随访时对侧均未出现问题。女性腹股沟疝一经诊断应尽早进行修补，因为正如本研究所示，在生命的第一年嵌顿更为常见。
