关键词: 老年女性, 腹股沟疝, 股疝, 疝修补术

Abstract:

Diagnosis and treatment options of inguinal hernia in elderly women        CHEN Si-meng. Department of General Surgery，the First Affiliated Hospital of Nanjing Medical University，Nanjing 210029，China
Abstract    The proportion of females in the aged groin hernia is higher than that in the total adult groin hernia. The proportion of emergency surgery for groin hernia and mortality rate of hernia surgery in older women are higher than those of older men. The performance of groin hernia with only inguinal region or pelvic pain is not uncommon in elderly female. For the diagnosis of those hidden hernias, that sonographic imaging examination and other methods, can be used, even laparoscopic exploration. Therefore, for the elderly female groin hernia, it is recommended to choose elective surgery as soon as possible, so as to reduce the risk of more morbidity and mortality of emergency surgery. Preperitoneal hernia repair is recommend to those patients, including totally extraperitoneal prosthetic (TEP) and transabdominal preperitoneal prosthetic (TAPP). For some frail elderly, or surgeon whose skill is limited, plug hernia repair or mesh-plug hernia repair is also a good choice.

Key words: elderly female, inguinal hernia, femoral hernia, hernia repair