Analysis of Risk Factors for Ovarian Necrosis with Ovarian Incarcerated Hernia

Hang YANG; Hao ZOU; Zhao NA; Li CHEN; Hui FANG

doi:10.12259/j.issn.2095-610X.S20230221

Volume 44 Issue 2

Feb. 2023

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Hang YANG, Hao ZOU, Zhao NA, Li CHEN, Hui FANG. Analysis of Risk Factors for Ovarian Necrosis with Ovarian Incarcerated Hernia[J]. Journal of Kunming Medical University, 2023, 44(2): 120-124. doi: 10.12259/j.issn.2095-610X.S20230221

Citation:

Hang YANG, Hao ZOU, Zhao NA, Li CHEN, Hui FANG. Analysis of Risk Factors for Ovarian Necrosis with Ovarian Incarcerated Hernia[J]. Journal of Kunming Medical University, 2023, 44(2): 120-124. doi: 10.12259/j.issn.2095-610X.S20230221

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Analysis of Risk Factors for Ovarian Necrosis with Ovarian Incarcerated Hernia

doi: 10.12259/j.issn.2095-610X.S20230221

Hang YANG¹,
Hao ZOU^{1
,
,},
Zhao NA²,
Li CHEN²,
Hui FANG²

1.
Second Department of Hepatobiliary and Pancreatic Surgery，The Second Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101
2.
General Surgery and Neonatal Surgery，Kunming Children’s Hospital，Kunming Yunnan 650228，China

Received Date: 2022-12-15
Available Online: 2023-02-01
Publish Date: 2023-02-25

Abstract

Abstract

Objective To explore the risk factors of ovarian necrosis caused by ovarian incarcerated indirect inguinal hernia in female infants. Methods This retrospective study enrolled 57 female infants of incarcerated inguinal hernia （referred to as incarcerated hernia of ovary）who underwent surgery at Children’s Hospital of Kunming from June 1, 2018 to June 1, 2021. And the age, clinical characteristics, laboratory tests, whether there was ovarian torsion during operation, were analyzed. The risk factors of ovarian necrosis were identified by univariate and multivariate Logistic analysis. Results 57 female infants were included in this study, with a median age of 46 days, a minimum age of 19 days, and a maximum age of 2 years and 5 months. All 57 children underwent surgical treatment, and all of them were confirmed to have ovarian incarceration. Univariate analysis showed that white blood cells, CRP, and ovarian torsion were associated with ovarian necrosis （P < 0.05）. Multivariate analysis indicated that ovarian torsion was an independent risk factor for intraoperative ovarian necrosis （OR = 1.390, 95% CI1.056-1.829, P = 0.019）. Conclusion Ovarian torsion is an independent risk factor for ovarian necrosis in infants with ovarian incarcerated inguinal hernia.
- Ovarian incarcerated inguinal hernia,
- Ovarian torsion,
- Ovarian necrosis,
- Infants,
- Risk factors

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References(16)

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