Pediatric ovarian sliding inguinal hernia, is surgical repair urgent?

Saudi Med J

From 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.

Published: September 2022

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987660PMC
http://dx.doi.org/10.15537/smj.2022.43.9.20220492DOI Listing

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