Oma E, Bay-Nielsen M, Jensen K K, Jorgensen L N, Pinborg A, Bisgaard T
Digestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark.
Department of Surgery, Nykoebing Falster Hospital, Nykøbing Falster, Denmark.
Hernia. 2017 Jun;21(3):335-339. doi: 10.1007/s10029-017-1618-7. Epub 2017 Apr 22.
Prevalence, management, and risk of emergency operation for primary ventral or groin hernia in pregnancy are unknown. The objective of this study was to estimate the prevalences of primary ventral or groin hernia in pregnancy and the potential risks for elective and emergency repair.
This single-institutional retrospective study included all pregnant women attending one or more prenatal consultations at Hvidovre Hospital, Denmark, during a 3-year period. Patients' medical records were electronically retrieved. A free-text search algorithm and subsequent manual review was conducted to identify patients registered with a primary ventral or groin hernia in pregnancy. Follow-up was conducted by review of medical record notes within the Capital Region of Denmark supplemented with structured telephone interviews on indication.
In total, 20,714 pregnant women were included in the study cohort. Seventeen (0.08%) and 25 (0.12%) women were registered with a primary ventral and groin hernia, respectively. None underwent elective or emergency repair in pregnancy, and all had uncomplicated childbirth. In 10 women, the groin bulge disappeared spontaneously after delivery. During postpartum follow-up of median 4.4 years (range 0.2-6.0 years), five (0.02%) and four (0.02%) underwent elective primary ventral and groin hernia repair, respectively.
Primary ventral or groin hernia seems rare in pregnancy, and the incidence of emergency repair is extremely low. Watchful waiting strategy is recommended during pregnancy in women suspected for a primary ventral or groin hernia.
妊娠期间原发性腹股疝的患病率、处理方法及急诊手术风险尚不清楚。本研究的目的是评估妊娠期间原发性腹股疝的患病率以及择期和急诊修补的潜在风险。
这项单机构回顾性研究纳入了丹麦Hvidovre医院在3年期间接受一次或多次产前检查的所有孕妇。通过电子检索患者的病历。采用自由文本搜索算法并随后进行人工审核，以识别妊娠期间登记患有原发性腹股疝的患者。通过查阅丹麦首都地区的病历记录并辅以关于手术指征的结构化电话访谈进行随访。
研究队列共纳入20714名孕妇。分别有17名（0.08%）和25名（0.12%）妇女登记患有原发性腹疝和腹股沟疝。所有患者在妊娠期间均未接受择期或急诊修补，且均顺利分娩。10名妇女的腹股沟肿物在产后自行消失。在中位时间为4.4年（范围0.2 - 6.0年）的产后随访中，分别有5名（0.02%）和4名（0.02%）妇女接受了原发性腹疝和腹股沟疝的择期修补。
妊娠期间原发性腹股疝似乎罕见，急诊修补的发生率极低。对于疑似患有原发性腹股疝的孕妇，建议在妊娠期间采取观察等待策略。
