Carmichael D H, Vorse H B
South Med J. 1981 Jun;74(6):772-3. doi: 10.1097/00007611-198106000-00039.
Surgeons and clinicians should be aware of testicular feminization and its implications in performing inguinal hernia repairs on female patients of any age. Removal of the gonads is probably indicated only after pubertal growth is complete. Other intersex conditions usually require prepubertal gonadectomy, but in these patients diagnosis is often made before any planned hernia repair. Incisional biopsy of abnormal gonads is important, but the diagnosis of testicular feminization must be confirmed by appropriate laboratory tests. Corticosteroids should be given to cover the immediate postoperative period so that patients with biochemical defects will not have hypoadrenalism.
外科医生和临床医生应了解睾丸女性化及其在对任何年龄的女性患者进行腹股沟疝修补术中的影响。可能仅在青春期生长完成后才建议切除性腺。其他两性畸形情况通常需要在青春期前进行性腺切除术，但在这些患者中，诊断往往在任何计划性疝修补术之前就已做出。对异常性腺进行切开活检很重要，但睾丸女性化的诊断必须通过适当的实验室检查来确认。应给予皮质类固醇以覆盖术后即刻阶段，以便有生化缺陷的患者不会出现肾上腺皮质功能减退。
