Sliding hernias in female children.
BACKGROUND
Articles published in the English language report that 15-20% of the inguinal hernias in female children are sliding hernias. These studies do not specify the age at moment of surgery, neither the age distribution of sliding hernia. We retrospectively evaluated inguinal canal pathologies to answer these questions.


METHODS
We retrospectively evaluated the records of the patients operated on at the Pediatric Surgery Clinics of the Ordu, Usak and Denizli State Hospitals and the Afyon Obstetrics and Gynecology Hospital.


RESULTS
A total of 3105 cases had been operated on for an inguinal hernia between January 2008 and December 2010 and 673 (21.6%) were female. The most common age at surgery was between 0 and 1 years (26.5%). A sliding hernia was found in 22.4% (n = 151) of all cases. The sliding hernia rate was 45.8 (n = 82) and 14.9% (n = 69) in children younger and older than 1 year of age respectively (p < 0.05). The most frequently sliding organ in both groups was the ovary, followed by the fallopian tubes.


CONCLUSIONS
A sliding hernia is more common in female children under the age of 1 year and surgical treatment should be planned within a short period once the diagnosis is made. In addition, this recent statistical value for subjects aged 0 to 1 year and over 1 year can be used in new clinical studies.
Clinic of Pediatric Surgery, Denizli State Hospital, Denizli, Turkey. eturk19@yahoo.de
E
E
Turk
O R
OR
Fescekoglu
C
C
Acari
F
F
Karaca
C M
CM
Bilen
Y
Y
Edirne
E
E
Karakaya
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006552:Hernia, Inguinal / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D015994:Incidence; D007264:Inguinal Canal / Q000473:pathology* / Q000601:surgery; D008297:Male; D015995:Prevalence; D012189:Retrospective Studies; D012737:Sex Factors; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology