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Published on: April 17, 2019
Sliding hernias in female children
E Turk1, O R Fescekoglu, C Acari
1Clinic of Pediatric Surgery, Denizli State Hospital, Denizli, Turkey. eturk19@yahoo.de
Insights
Sliding hernias are more common in female children under one year old. Early surgical intervention is recommended once diagnosed for pediatric inguinal hernias.
Area of Science:
- Pediatric Surgery
- Gynecology
- Anatomy
Background:
- Sliding inguinal hernias affect 15-20% of female children.
- Previous studies lack age-specific data for sliding hernias in pediatric populations.
Purpose of the Study:
- To determine the age distribution of sliding hernias in female children.
- To analyze the incidence of sliding hernias in relation to patient age at the time of surgery.
Main Methods:
- Retrospective analysis of pediatric inguinal hernia cases from multiple state hospitals.
- Evaluation of patient records from January 2008 to December 2010.
Main Results:
- Out of 3105 operated cases, 673 (21.6%) were female.
- Sliding hernias constituted 22.4% of all cases.
- Incidence was significantly higher in children under 1 year (45.8%) compared to those over 1 year (14.9%).
- Ovary and fallopian tubes were the most common sliding organs.
Conclusions:
- Sliding hernias are more prevalent in female children under one year of age.
- Prompt surgical treatment is advised upon diagnosis.
- The study provides current statistical data for pediatric sliding hernias, useful for future clinical research.
Introduction:
Articles published in the English language report that 15-20% of the inguinal hernias in female children are sliding hernias. These studies do not specify the age at moment of surgery, neither the age distribution of sliding hernia. We retrospectively evaluated inguinal canal pathologies to answer these questions.
Material And Method:
We retrospectively evaluated the records of the patients operated on at the Pediatric Surgery Clinics of the Ordu, Usak and Denizli State Hospitals and the Afyon Obstetrics and Gynecology Hospital.
Results:
A total of 3105 cases had been operated on for an inguinal hernia between January 2008 and December 2010 and 673 (21.6%) were female. The most common age at surgery was between 0 and 1 years (26.5%). A sliding hernia was found in 22.4% (n = 151) of all cases. The sliding hernia rate was 45.8 (n = 82) and 14.9% (n = 69) in children younger and older than 1 year of age respectively (p < 0.05). The most frequently sliding organ in both groups was the ovary, followed by the fallopian tubes.
Conclusion:
A sliding hernia is more common in female children under the age of 1 year and surgical treatment should be planned within a short period once the diagnosis is made. In addition, this recent statistical value for subjects aged 0 to 1 year and over 1 year can be used in new clinical studies.
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