[Inguinal hernia in women: a complication of pregnancy or labor. Apropos of 160 cases of surgically treated hernias].
The authors undertook a computerised retrospective study of 10 years of hernia surgery. Analysis of the specific characteristics of hernias in women provided numerical data concerning a number of classical data and in particular revealed the role of multiple gestation (more than 3 pregnancies) in the aetiology of inguinal hernias. Results of different surgical techniques are reported: herniorrhaphy procedures (e.g. the MacVay operation which should perhaps be abandoned to give way to the Shouldice procedure) retain a wide role in women. The Dacron mesh prosthesis, with an additional risk of infection of 0.5 to 3.7% offers long term reliability (98.5% cure rate) which cannot be hoped for with any herniorrhaphy procedure when repairing the most difficult hernias. The authors suggest that gynaecologists and obstetricians should continue the study or physiopathological mechanisms causing hernias since they alone would be capable of undertaking such a prospective study.
D000293:Adolescent; D000328:Adult; D005260:Female; D006552:Hernia, Inguinal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008722:Methods; D007744:Obstetric Labor Complications / Q000601:surgery*; D010298:Parity; D011093:Polyethylene Terephthalates; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D019736:Prostheses and Implants; D012306:Risk
D011093:Polyethylene Terephthalates
Les hernies de l'aine de la femme: maladie de la grossesse ou accident du travail. A propos de 160 hernies opérées.