小儿卵巢滑动性腹股沟疝，是否需要紧急手术修复？
Pediatric ovarian sliding inguinal hernia, is surgical repair urgent?
机构信息
From the Department of Pediatric Surgery (Al Jadaan, Gieballa, Alaqeel, Aldaffaa), King Abdullah Specialized Children's Hospital, King Abdulaziz Medical City; from the College of Medicine (Al Jadaan, Gieballa), King Saud bin Abdulaziz University for Health Sciences; and from King Abdullah International Medical Research Center (Al Jadaan, Gieballa, Alaqeel), Riyadh, Kingdom of Saudi Arabia.
出版信息
Saudi Med J. 2022 Sep;43(9):1043-1045. doi: 10.15537/smj.2022.43.9.20220492.
OBJECTIVES
To find if repairing sliding inguinal hernias containing the ovary should be carried out urgently or not.
METHODS
A retrospective chart review carried out at King Abdulaziz Medical City, Riyadh, Saudi Arabia from 2015-2022. All cases with an ovarian inguinal hernia in females aged 0-14 years were reviewed after obtaining approval from the Institutional Review Board.
RESULTS
Female children with inguinal hernia patients were 191. A total of 28 cases were sliding inguinal hernias involving the ovary. All were repaired electively except for 4 cases that had an initial presentation of an incarcerated ovary at age less than 90 days which required urgent reduction and repair.
CONCLUSION
Based on our review, ovarian sliding hernias in female patients can be repaired electively, although newborns are at a higher risk of complications from sliding inguinal hernias.
目的
探讨是否需要紧急修复伴有卵巢的滑动性腹股沟疝。
方法
本研究回顾性分析了 2015 年至 2022 年在沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城进行的病例，获得机构审查委员会批准后，对所有年龄在 0-14 岁的女性中出现卵巢腹股沟疝的病例进行了研究。
结果
共有 191 例女性腹股沟疝患儿，其中 28 例为滑动性腹股沟疝伴卵巢。除 4 例在 90 天内因卵巢嵌顿而表现出初始症状需要紧急复位和修复外，其余均采用择期手术治疗。
结论
根据我们的回顾性研究，女性患者的卵巢滑动性疝可以采用择期手术修复，尽管新生儿患滑动性腹股沟疝时并发症的风险更高。
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