Legros-Lefeuvre Alexina, Clair Carole, Schwarz Joëlle, Schäfer Markus, Demartines Nicolas, Mantziari Styliani
Unité médecine et genre, Département formation, recherche et innovation, Unisanté, Rue du Bugnon 44, 1011 Lausanne.
Service de chirurgie viscérale, Département de chirurgie et d'anesthésiologie, CHUV, 1011 Lausanne.
Rev Med Suisse. 2020 Jul 1;16(699):1305-1309.
Groin hernia in women is an entity whose clinical manifestations can be quite subtle, and which therefore risks to go unnoticed. Imaging studies by ultrasound or dynamic CT/MRI is strongly recommended in case of a clinical doubt. Optimal treatment consists of laparoscopic surgery, even in oligosymptomatic patients, because the risk of incarceration, and subsequent morbidity and mortality is high especially in cases of femoral hernia, which are frequent and often overlooked in women. During pregnancy, the risk of developing a groin hernia is very low (around 0,1%) and a wait-and-see attitude is to be preferred as much as possible, except in the case of an acute complication (incarceration).
女性腹股沟疝是一种临床表现可能非常隐匿的病症，因此有被忽视的风险。如果临床上存在疑问，强烈建议进行超声或动态CT/MRI影像学检查。最佳治疗方法是腹腔镜手术，即使是症状轻微的患者也适用，因为嵌顿风险以及随之而来的发病率和死亡率很高，尤其是股疝患者，股疝在女性中很常见且常常被忽视。在怀孕期间，发生腹股沟疝的风险非常低（约0.1%），除了出现急性并发症（嵌顿）的情况外，应尽可能采取观察等待的态度。
