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Non-palpable inguinal hernia in the female
L Spangen1, R Andersson, L Ohlsson
1Department of Surgery, Central Hospital, Karlstad, Sweden.
The American Surgeon
|September 1, 1988
Summary
This study found that nonpalpable inguinal hernias in female patients are clinically identifiable through specific pain patterns and examination findings. Surgical treatment for these hernias yielded good results in 86% of cases.
Area of Science:
- Surgical Science
- Hernia Surgery
- Female Pelvic Health
Background:
- Nonpalpable inguinal hernias in females present diagnostic challenges.
- Clinical presentation often includes intermittent pain, neuralgic pain, and specific tenderness patterns.
Purpose of the Study:
- To evaluate the clinical recognition and surgical outcomes of nonpalpable inguinal hernias in female patients.
- To highlight key diagnostic indicators for this condition.
Main Methods:
- Retrospective analysis of 142 inguinal hernioplasties in 130 female patients over 8 years.
- Postoperative follow-up of 136 cases for 3-51 months.
- Clinical examination focusing on pain characteristics and palpation during Valsalva's maneuver.
Main Results:
- A total of 142 procedures were performed on 130 female patients (mean age 32 years).
- 86% (117 of 136) of followed patients achieved good surgical results.
- Key diagnostic signs included intermittent/neuralgic pain, ilio-inguinal nerve hyperalgesia, and deep inguinal ring tenderness.
Conclusions:
- Nonpalpable inguinal hernia in females is clinically recognizable.
- Early diagnosis and surgical intervention lead to favorable outcomes.
- Awareness of this condition is crucial for timely and effective treatment.