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Taipei City Hospital

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Treatment of hernias for female patients

       For those patients that have received traditional hernia surgeries but still have recurrences, they can consider an endoscopic hernia repair surgeries. Inguinal and obturator hernias mostly occur in elderly females and are hard to diagnose. Common symptoms are presented as unable to eat, poor appetite, and intestinal obstruction. These hernias can also be diagnosed and treated with endoscopic surgeries.

       A 53-year-old female visited the general surgery department due to a left Inguinal mass and pain. Endoscopic examination and treatment were arranged. Endoscopic total extraperitoneal herniorrhaphy was performed.

      A 64-year-old female visited the general surgery department due to a right medial thigh mass. Endoscopic total extraperitoneal herniorrhaphy was performed.

      51-Year-old female; an endoscopic examination revealed that the right ovary is stuck inside the right inguinal hernia sac. The right ovary was repositioned first, followed by endoscopic total extraperitoneal herniorrhaphy.
Guo Zhi-Wei stated that adult hernias usually occur in males are less common in females. Thus when females are diagnosed with hernias, they often wonder, “Aren’t hernias only found in men?” Actually, female laborers who stand for a long time or carry heavy objects can also have hernias.

        Most doctors treat female hernias with traditional surgeries. A small incision approximately 3~5 cm is made at the inguinal area, the hernia sac is ligated and the abdominal wall defect is repaired. The surgery is simpler than with male patients. However, traditional surgeries are unable to predict possible inguinal hernias and obturator hernias in elderly female patients. The diagnoses are often made after intestinal obstruction.

        The endoscopic surgery opens a small wound below the belly button to enter the patient’s abdominal cavity for examination. After the diagnosis, the endoscope enters the abdominal wall, makes two more 0.5 cm wounds, and repairs the hernia with an artificial mesh. The treatment of hernias with endoscopic micro-trauma surgeries is well developed. Males and females alike can have less post-operative pain, faster recovery, and a lower recurrence rate than that of traditional surgeries.