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Pediatric ovarian sliding inguinal hernia, is surgical repair urgent?
Saud A Al Jadaan1, Mutaz M Gieballa1, Suliaman M Alaqeel1
1From 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.
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.
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