Does inguinal hernia with ovary and/or fallopian tube in female children after herniotomy affect secondary sexual characteristics and/or fertility? A long-term retrospective study.
Kun Duan, Chao Jin, Rongchao Yang, Wei Zhang, Hui Hui
{"title":"Does inguinal hernia with ovary and/or fallopian tube in female children after herniotomy affect secondary sexual characteristics and/or fertility? A long-term retrospective study.","authors":"Kun Duan, Chao Jin, Rongchao Yang, Wei Zhang, Hui Hui","doi":"10.1007/s10029-024-03237-z","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The risk of injury to the ovary and/or fallopian tube during herniotomy is notably high when these structures are involved in the hernial contents of female children. This study evaluates the impact of herniotomy involving the ovary and fallopian tube on secondary sexual characteristics and fertility.</p><p><strong>Methods: </strong>The medical records for all female children with inguinal hernia who underwent surgery from January 2000 to December 2010 were reviewed retrospectively (n = 1623).</p><p><strong>Results: </strong>A total of 20 female children aged between 2 years and 12 years (mean 5.5years) were diagnosed with ovary and/or fallopian tube contents within their inguinal hernia sacs. Preoperative B-ultrasound confirmed these findings in all 20 patients. Intraoperatively, 14 hernia sacs contained both ovaries and fallopian tubes and 6 contained only ovaries. There were 12 cases on the right side, 7 cases on the left side and 1 case on both sides. All underwent successful hernia reduction and sac repair without any recurrences. Follow-up periods ranged from 12 to 20 years, averaging 15.5 years. During follow-up, 13 patients had normal pregnancy, 7 patients had normal secondary sexual characteristics.</p><p><strong>Conclusion: </strong>Preoperative B-ultrasonography and careful discerning of the hernia contents during herniotomy may help avoid incision or excision of the ovary and/or fallopian tube.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"44"},"PeriodicalIF":2.6000,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hernia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10029-024-03237-z","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The risk of injury to the ovary and/or fallopian tube during herniotomy is notably high when these structures are involved in the hernial contents of female children. This study evaluates the impact of herniotomy involving the ovary and fallopian tube on secondary sexual characteristics and fertility.
Methods: The medical records for all female children with inguinal hernia who underwent surgery from January 2000 to December 2010 were reviewed retrospectively (n = 1623).
Results: A total of 20 female children aged between 2 years and 12 years (mean 5.5years) were diagnosed with ovary and/or fallopian tube contents within their inguinal hernia sacs. Preoperative B-ultrasound confirmed these findings in all 20 patients. Intraoperatively, 14 hernia sacs contained both ovaries and fallopian tubes and 6 contained only ovaries. There were 12 cases on the right side, 7 cases on the left side and 1 case on both sides. All underwent successful hernia reduction and sac repair without any recurrences. Follow-up periods ranged from 12 to 20 years, averaging 15.5 years. During follow-up, 13 patients had normal pregnancy, 7 patients had normal secondary sexual characteristics.
Conclusion: Preoperative B-ultrasonography and careful discerning of the hernia contents during herniotomy may help avoid incision or excision of the ovary and/or fallopian tube.
期刊介绍：
Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery.
Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
