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Epidemology of Hernias in the Female

  • Chapter
Abdominal Wall Hernias

Abstract

Women are affected by hernias very differently from men. It is well known that, in general, men are remarkably more prone to hernias than women, but the reasons are not well understood. As Bendavid points out (Chapter 93), for every woman with a hernia, at least 19 men require treatment of some type of hernia. The great epidemiological difference between the sexes is relevant to the surgeon’s clinical practice, and it cannot be attributed to chance. It is surprising that females do not develop more hernias than males, given the great increases in intraabdominal pressure seen in pregnancy.

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References

  1. Özbey H, Ratschek M, Shimpl G, et al. Ovary in hernia sac: prolapsed or a descended gonad? J Pediatr Surg. 1999;34:977–980.

    Article  PubMed  Google Scholar 

  2. Ando H, Kaneko K, Ito F, et al. Anatomy of the round ligament in female infants and children with an inguinal hernia. Br J Surg. 1997; 84:404–405.

    Article  PubMed  CAS  Google Scholar 

  3. Arnheim EE, Linder JM. Inguinal hernia of the pelvic viscera in female infants. Am J Surg. 1956;92:436.

    Article  PubMed  CAS  Google Scholar 

  4. McVay CB, Savage LE. Etiology of femoral hernia. Ann Surg. 1961; 154:25.

    Article  PubMed  CAS  Google Scholar 

  5. Rosen A, Nathan H, Luciansky E, et al. The inguinal region: anatomic differences in men and women with reference to hernia formation. Acta Anat (Basel). 1989;136:306–310.

    Article  CAS  Google Scholar 

  6. Malgaigne J. Leçons cliniques sur les hernies. Paris: Germer Baillière; 1841.

    Google Scholar 

  7. Powell TG, Hallows JA, Cooke RWI, et al. Why do so many small infants develop an inguinal hernia? Arch Dis Child. 1986;61:991–995.

    Article  PubMed  CAS  Google Scholar 

  8. Cox JA. Inguinal hernia of childhood. Surg Clin North Am. 1985;65; 1331–1342.

    PubMed  CAS  Google Scholar 

  9. Macready JFCH. A treatise on ruptures. London: Griffin & Co.; 1893.

    Google Scholar 

  10. Watson LF. Hernia, 2nd ed. St. Louis: C.V. Mosby Co.; 1938.

    Google Scholar 

  11. el-Qaderi S. Aligharaibeh KI, Hani IB, et al. Hernia in northern Jordan. Some epidemiological considerations. Trop Geogr Med. 1992;44: 281–283.

    PubMed  CAS  Google Scholar 

  12. McClure RD, Fallis LS. Femoral hernia. Ann Surg. 1939;109:987–1000.

    Article  PubMed  CAS  Google Scholar 

  13. Coley BL. Three thousand consecutive herniotomies. Ann Surg. 1924; 80:242.

    Article  PubMed  CAS  Google Scholar 

  14. Glassow F. Femoral hernia in the female. Can Med Assoc J. 1965;93:1346.

    PubMed  CAS  Google Scholar 

  15. Hagan WH, Rhoads JE. Inguinal and femoral hernias: a follow-up study. Surg Gynecol Obstet. 1953;96:226.

    PubMed  CAS  Google Scholar 

  16. Glassow F. An evaluation of the strength of the posterior wall of the inguinal canal in women. Br J Surg. 1973;60:342–344.

    Article  PubMed  CAS  Google Scholar 

  17. Ponka JL. The hernia problem in the female. In Ponka JL (ed): Hernias of the abdominal wall. Philadelphia: W.B. Saunders; 1980:2–90.

    Google Scholar 

  18. Nordback I. Side incidence of inguinal hernias. Ann Chir Gynaecol. 1984;73:87–90.

    PubMed  CAS  Google Scholar 

  19. Czeizel A. Epidemiologic characteristics of congenital inguinal hernia. Helv Paediatr Acta. 1980;35:57–67.

    PubMed  CAS  Google Scholar 

  20. Arnheim EE, Linder JM. Inguinal hernia of the pelvic viscera in female infants. Am J Surg. 1956;92:436.

    Article  PubMed  CAS  Google Scholar 

  21. Cox JA. Inguinal hernia of childhood. Surg Clin North Am. 1985; 65:1331–1342.

    PubMed  CAS  Google Scholar 

  22. Rescorla FJ, Grosfeld JL. Inguinal hernia repair in the perinatal period and early infancy: clinical considerations. J Pediatr Surg. 1984;19: 832–837.

    Article  PubMed  CAS  Google Scholar 

  23. Ofili OP. Possibilities of the strong posterior wall of inguinal canal in women. Cent Afr J Med. 1990;36:300–304.

    PubMed  CAS  Google Scholar 

  24. Serpell JW, Jarret PE, Johnson CD. A prospective study of bilateral inguinal hernia repair. Ann R Coll Surg Engl. 1990;72:299–303.

    PubMed  CAS  Google Scholar 

  25. Phillips EH, Arregui M, Carroll BJ, et al. Incidence of complications following laparoscopic surgery. Surg Endosc. 1995;9:16–21.

    PubMed  CAS  Google Scholar 

  26. Woodward AM, Choe EU, Flint LM, et al. The incidence of secondary hernias diagnosed during laparoscopic total extraperitoneal inguinal herniorrhaphy. J Laparoendosc Adv Surg Tech A. 1998;8:33–38.

    Article  PubMed  CAS  Google Scholar 

  27. Felix EL, Michas CA, Gonzalez MH. Laparoscopic hernioplasty: why does it work? Surg Endosc. 1997;11:36–41.

    Article  PubMed  CAS  Google Scholar 

  28. Weber A, Garteiz D, Cueto J. Stoppa-type laparoscopic repair of complex groin defects. Surg Laparosc Endosc. 1999;9:14–16.

    Article  PubMed  CAS  Google Scholar 

  29. Abrahamson JH, Grofin J, Hopp C, et al. The epidemiology of inguinal hernia. A survey in western Jerusalem. J Epidemiol Community Health. 1978;32:59–67.

    Article  Google Scholar 

  30. Gong Y, Shao C, Sun Q, et al. Genetic study of indirect inguinal hernia. J Med Genet. 1994;31:187–192.

    Article  PubMed  CAS  Google Scholar 

  31. Harrison PW. Inguinal hernia: a study of the principles involved in the surgical treatment. Arch Surg. 1922;4:680–689.

    Article  Google Scholar 

  32. Liem MS, van der Graaf Y, Zwart RC, et al. Risk factors for inguinal hernia in women: a case-control study. The Coala Trial Group. Am J Epidemiol. 1997;146:721–726.

    Article  PubMed  CAS  Google Scholar 

  33. Verhaeghe P, Warlaumont C, Stoppa R. [Inguinal hernia in women: a complication of pregnancy or labor. A propos of 160 cases of surgically treated hernias.] Rev Fr Gynecol Obstet. 1984;79:101–107.

    PubMed  CAS  Google Scholar 

  34. Flich J, Alfonso JL, Delgado F, et al. Inguinal hernia and certain risk factors. Eur J Epidemiol. 1992;8:277–282.

    Article  PubMed  CAS  Google Scholar 

  35. Jorgensen LN, Kallehave F, Christensen E, et al. Less collagen production in smokers. Surgery. 1998;123:450–455.

    Article  PubMed  CAS  Google Scholar 

  36. Read RC. Cigarette smoking, herniation, and recurrence. Surgery. 1998; 124:942.

    Article  PubMed  CAS  Google Scholar 

  37. Spangen L, Andersson R, Ohlsson L. Non-palpable inguinal hernia in the female. Am J Surg. 1988;54:574–577.

    CAS  Google Scholar 

  38. Herrington JK. Occult inguinal hernia in the female. Ann Surg. 1975; 181:481–483.

    Article  PubMed  CAS  Google Scholar 

  39. Barber HRK, Graber EA. Editorial comments. In Barber HRK, Graber EA (eds): Hernias in pregnancy, surgical disease in pregnancy. Philadelphia: W.B. Saunders; 1974:165.

    Google Scholar 

  40. Altchek A, Ruddick J. Preperitoneal herniorrhaphy: adjunct to cesarean section. Obstet Gynecol. 1987;70:470–471.

    PubMed  CAS  Google Scholar 

  41. Zimmerman JM, Anson BJ. Anatomy and surgery of hernia, 2nd ed. Baltimore: Williams & Wilkins Co.; 1967:15–43.

    Google Scholar 

  42. Glassow F. Femoral hernia. Review of 2,105 repairs in a 17 year period. Am J Surg. 1985;150:353–353.

    Article  PubMed  CAS  Google Scholar 

  43. Ljungdahl L. Inguinal and femoral hernia, personal experience with 502 operations. Acta Chir Scand Suppl. 1973;439:1–81.

    PubMed  CAS  Google Scholar 

  44. Thieme ET. Recurrent inguinal hernia. Arch Surg. 1971;103:238–241.

    Article  PubMed  CAS  Google Scholar 

  45. Peacock EE, Madden JW. Studies on the biology and treatment of recurrent inguinal hernia. II. Morphological changes. Ann Surg. 1974; 179:567–571.

    Article  PubMed  Google Scholar 

  46. Cahlin E, Weiss L. Results of postoperative clinical examination of inguinal hernia after three years. Acta Chir Scand. 1980;146:421–426.

    PubMed  CAS  Google Scholar 

  47. Ijzermans J, Wilt H, Hop W, et al. Recurrent inguinal hernia treated by classical hernioplasty. Arch Surg. 1991;126:1097–1100.

    Article  PubMed  CAS  Google Scholar 

  48. Ponka JL. Hernias of the abdominal wall. Philadelphia: W.B. Saunders Co., 1980;264–273.

    Google Scholar 

  49. Nyhus LM, Condon RE (eds). Hernia, 2nd ed. Philadelphia: J.B. Lippincott; 1978:250–263.

    Google Scholar 

  50. Bendavid R. Femoral hernias: primary versus recurrence. Int Surg. 1989;74:99–100.

    PubMed  CAS  Google Scholar 

  51. Wagh PV, Read RC. Collagen deficiency in rectus sheath of patients with inguinal herniation. Proc Soc Exp Biol Med. 197l;137:382.

    Google Scholar 

  52. Wagh PV, Read RC. Defective collagen synthesis in inguinal herniation. Am J Surg. 1972;124:819–822.

    Article  PubMed  CAS  Google Scholar 

  53. Wagh PV, Leverich AP, Sun CN, et al. Direct inguinal herniation in men: a disease of collagen. J Surg Res. 1974;17:425–433.

    Article  PubMed  CAS  Google Scholar 

  54. Bellon JM, Bujan J, Honduvilla NG, et al. Study of biochemical substrate and role of metalloproteinases in fascia transversalis from hernial processes. Eur J Clin Invest. 1997;27:510–516.

    Article  PubMed  CAS  Google Scholar 

  55. Peacock EE, Madden JW. Studies on the biology and treatment of recurrent inguinal hernia: II. Morphological changes. Ann Surg. 1974; 179:567–571.

    Article  PubMed  Google Scholar 

  56. Read RC. Attenuation of the rectus sheath in inguinal herniation. Am J Surg. 1970;120:610.

    Article  PubMed  CAS  Google Scholar 

  57. Primatesta P, Goldcare MJ. Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol. 1996;25:835–839.

    Article  PubMed  CAS  Google Scholar 

  58. Gallegos NC, Dawson J, Jarvis M, et al. Risk of strangulation in groin hernia. Br J Surg. 1991;78:1171–1173.

    Article  PubMed  CAS  Google Scholar 

  59. Heydorn WH, Velanovich V. A five-year U.S. Army experience with 36,250 abdominal hernia repairs. Am J Surg. 1990;10:596–600.

    Google Scholar 

  60. McVay, CB. Christopher’s textbook of surgery, 7th ed. Philadelphia: W.B. Saunders; 1960:524–560.

    Google Scholar 

  61. Branch CD. Incisional hernia: analysis of three hundred cases. ĂŤ Engl J Med. 1934;211:949.

    Article  Google Scholar 

  62. Rutkow IM, Robbins AW Demographic, classificatory, and socioeconomic aspects of hernia repair in the United States. Surg Clin North Am. 1993;73:413–426.

    PubMed  CAS  Google Scholar 

  63. Rutkow I. Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1990s. Surg Clin North Am. 1998; 78:941–956.

    Article  PubMed  CAS  Google Scholar 

  64. Baccari EM, Breiling B, Organ CH Jr. A study of the maturity onset of adult umbilical hernia. Am J Surg. 1971;37:385–388.

    CAS  Google Scholar 

  65. Young BK. Ruptured umbilical hernia in pregnancy. Obstet Gynecol. 1965;26:596–597.

    PubMed  CAS  Google Scholar 

  66. Spangen L., Spigelian hernia. World J Surg. 1989;13:573–580.

    Article  PubMed  CAS  Google Scholar 

  67. Weiss Y, Lernau OZ, Nissan S. Spigelian hernia. Ann Surg. 1974;180: 836–839.

    Article  PubMed  CAS  Google Scholar 

  68. Bjork KJ, Mucha P Jr, Cahill DR. Obturator hernia. Surg Gynecol Obstet. 1988;167:217–222.

    PubMed  CAS  Google Scholar 

  69. Naude G, Bongard F. Obturator hernia is an unsuspected diagnosis. Am J Surg. 1997;174:72.

    Article  PubMed  CAS  Google Scholar 

  70. Skandalakis JE, Gray SW, Burns WB, et al. Internal and external supravesical hernia. Am J Surg. 1976;42:142.

    CAS  Google Scholar 

  71. Pandolfo G, Addeo R. Bilaterally strangulated bilateral obturator hernia. Plastic surgery, using the round ligaments. Minerva Chir. 1979;34: 1555–1556.

    PubMed  CAS  Google Scholar 

  72. Solli P, Bobbio A, Di Gioia MV, et al. The obturator hernia: a diagnostic challenge? Acta Biomed Ateneo Parmense. 1994;65:235–240.

    PubMed  CAS  Google Scholar 

  73. Cueto-Garcia J, Rodriguez-Diaz M, Elizalde-Di Martino A, et al. An incarcerated obturator hernia successfully treated by laparoscopy. Surg Laparosc Endosc. 1998;8:71–73.

    Article  PubMed  CAS  Google Scholar 

  74. Yip AW, Ah Chong AK, Lam KH. Obturator hernia: a continuing diagnostic challenge. Surgery. 1993;113:266–269.

    PubMed  CAS  Google Scholar 

  75. Rutkow I. Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1900s. Surg Clin North Am. 1998; 78:941–951.

    Article  PubMed  CAS  Google Scholar 

  76. Coley WB: Hernia. In Keen WW, Da Costa JC (eds): Surgery, its principles and practice, vol 4. Philadelphia: W.B. Saunders; 1910:23.

    Google Scholar 

  77. Eccles WM (ed). Hernia, its etiology, symptoms and treatment. London: Tindall and Cox; 1908:3.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of General Surgery, Hospital Angeles de las Lomas, Huixquilucan, 52763, Mexico

    Alejandro Weber MD

  2. Department of General Surgery, Hospital Angeles de las Lomas, Huixquilucan, 52763, Mexico

    Salvador Valencia MD

  3. Department of General Surgery, Hospital Angeles de las Lomas, Huixquilucan, 52763, Mexico

    Denzil Garteiz MD

  4. Department of General Surgery, Hospital Angeles de las Lomas, Huixquilucan, 52763, Mexico

    Alfredo Burguess MD

Authors
  1. Alejandro Weber MD
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  2. Salvador Valencia MD
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  3. Denzil Garteiz MD
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  4. Alfredo Burguess MD
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Editor information

Editors and Affiliations

  1. Toronto, Canada

    Robert Bendavid MD

  2. Haifa, Israel

    Jack Abrahamson MD

  3. Indianapolis, IN, USA

    Maurice E. Arregui MD

  4. Reims, France

    Jean Bernard Flament MD

  5. Los Angeles, CA, USA

    Edward H. Phillips MD

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Weber, A., Valencia, S., Garteiz, D., Burguess, A. (2001). Epidemology of Hernias in the Female. In: Bendavid, R., Abrahamson, J., Arregui, M.E., Flament, J.B., Phillips, E.H. (eds) Abdominal Wall Hernias. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-8574-3_90

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  • DOI: https://doi.org/10.1007/978-1-4419-8574-3_90

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-6440-8

  • Online ISBN: 978-1-4419-8574-3

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