Are women with pelvic organ prolapse at a higher risk of developing hernias?

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• 作者：Yakir Segev (1)
  Ron Auslender (1)
  Benny Feiner (1)
  Arie Lissak (1)
  Ofer Lavie (1)
  Yoram Abramov (1)
  
• 关键词：Hernia ; Pelvic organ prolapse
• 刊名：International Urogynecology Journal
• 出版年：2009
• 出版时间：December 2009
• 年：2009
• 卷：20
• 期：12
• 页码：1451-1453
• 全文大小：76KB
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• 作者单位：Yakir Segev (1)
  Ron Auslender (1)
  Benny Feiner (1)
  Arie Lissak (1)
  Ofer Lavie (1)
  Yoram Abramov (1)
  
  1. Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Carmel Medical Center, Rappaport Faculty of Medicine, Technion University, 7 Michal St, Haifa, 34362, Israel
  

文摘

Introduction and hypothesis Pelvic organ prolapse and hernia are common disorders which share several pathopysiological and epidemiological features. We therefore aimed to assess whether women with advanced pelvic organ prolapse have a higher prevalence of hernia. Methods We reviewed charts of women undergoing surgery for advanced pelvic organ prolapse and compared them to age-matched controls with mild or no prolapse. Results We identified 60 patients who underwent surgery for advanced pelvic organ prolapse and 60 controls. The total prevalence of hernias was significantly higher among patients with pelvic organ prolapse (31.6% vs. 5%, p--.0002), attributed to hiatal (16.6% vs. 1.6%, p--.004) and inguinal (15% vs. 3.3%, p-/em>=-.04) hernias. Conclusions Patients with advanced pelvic organ prolapse have a higher prevalence of hiatal and inguinal hernias. This finding may be explained by similar pathophysiological mechanisms shared by both disorders.