CLINICAL STUDY OF PATIENTS WITH INGUINAL HERNIA DURING PREGNANCY

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  • 妊娠中に発症した鼠径ヘルニア手術症例の検討

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Introduction : Surgical treatment is an accepted remedy for patients with inguinal hernia ; however the appropriate treatment strategy for patients with inguinal hernia during pregnancy remains obscure. Patients and Methods : Among 1032 patients who had undergone herniorrhapy from 1996 through 2006, a total of 14 patients (1.4%) diagnosed as having inguinal hernia during pregnancy were enrolled in this study. We evaluated retrospectively the clinical characteristics, surgical procedures, and clinical outcomes of patients with inguinal hernia during pregnancy. Results : Inguinal hernias were diagnosed at the median time of 19-weeks of gestation. All 14 patients had a complaint of inguinal bulging or pain. Twelve patients underwent herniorrhaphy during pregnancy (median : 25-weeks of gestation) : one patient underwent herniorrhaphy at the same time as the cesarean section ; and one patient underwent herniorrhaphy eight days after delivery. Marcy's repair herniorrhaphy was performed on eight patients, and Lichtenstein's repair herniorrhaphy was performed on six patients. No patients had complications with the pregnancy or delivery, nor had recurrences of hernia after the herniorrhaphy. Conclusion : We concluded that surgery for patients with inguinal hernia during pregnancy is safe and feasible. Surgery should be considered for patients suffering from the symptoms of inguinal hernia.

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