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Femoral hernia

Maria F Nunez, Gezzer Ortega, Lucas G Souza Mota, Olubode A Olufajo, Derek W Altema, Terrence M Fullum, Daniel Tran
BACKGROUND: Hernias represent one of the most common surgical conditions with a high-burden on health expenditures. We examined the impact of socioeconomic-status and complexity of presentation among patients in the Emergency Department (ED). METHODS: Retrospective analysis of 2006-2014 data from the Nationwide Emergency Department Sample, identified adult discharges with a diagnosis of inguinal, femoral, and umbilical hernia. Cases were dichotomized: complicated and uncomplicated...
December 14, 2018: American Journal of Surgery
Bardia Bidarmaghz, Roderick Cyril Borrowdale, Kasra Raufian
BACKGROUND: Femoral hernia accounts for 3% of all the hernias, and in 0.5-5% of cases, the appendix can migrate through the femoral hernia and is called de Garengeot hernia. It is a very rare condition, and the incidence of appendicitis in this type of hernia is as low as 0.08-0.13%. CASE PRESENTATION: We bring into discussion a case of a 47-year-old female who presented to the emergency department with a painful right-sided groin lump for the past 2 days. After initial resuscitation, a CT scan was requested which showed the presence of inflamed appendix inside the femoral canal...
December 13, 2018: Surgical Case Reports
Dongfeng Chen, Nana Su, Weijia Wang, Zhaoyong Zhang, Mingxiao Guo, Chunlei Lu, Haifeng Zhang
Femoral hernias (FHs), predominantly seen in females, require surgery for cure. To date, surgical repair of primary FHs in female patients with either open surgery or laparoscopic operation has been poorly documented. We retrospectively investigated the treatment of female primary FHs with open surgery using the ULTRAPRO Hernia System (UHS procedure) or the laparoscopic procedure, namely, the transabdominal preperitoneal (TAPP) technique. A total of 41 female patients with primary FHs who had undergone UHS or TAPP were included in this study...
December 2018: Medicine (Baltimore)
Taylor George, Eric H Williams, Richard Franklin, A Lee Dellon
BACKGROUND: An estimated 700,000 groin hernia repairs are performed in the United States each year. Studies have shown that up to 50% of patients who undergo groin hernia repair are affected by persistent pain beyond the first few days after surgery. At 2 to 5 years after either open or laparoscopic, mesh or without mesh, 10% to 12% of these patients will have persistent and disabling pain. If the ilioinguinal, iliohypogastric, or genitofemoral nerves are injured below the transversalis muscle layer, the traditional external, open approach to nerve resection will not help these patients...
January 2019: Annals of Plastic Surgery
S Linder, G Linder, C Månsson
PURPOSE: de Garengeot's hernia is a rare entity in which the appendix is located within a femoral hernia and is almost invariably encountered incarcerated in an emergency setting with concomitant appendicitis. In the literature, there are mostly single-case reports. The purpose of the present study was to perform a review of the literature to study the incidence, pathogenesis, demographics, clinical presentation, laboratory and radiological investigations, differential diagnosis, delay in diagnosis and treatment, operative findings, surgical technique, histological findings, the postoperative course, use of antibiotics, and complications regarding de Garengeot's hernia...
December 7, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
D Schizas, I Katsaros, D Tsapralis, D Moris, A Michalinos, D I Tsilimigras, M Frountzas, N Machairas, T Troupis
PURPOSE: A hernia containing Meckel's diverticulum is called a Littre's Hernia. It's a rare entity and its diagnosis is often incidental during routine hernia repair surgery. The objective of this study is the evaluation of the current evidence on Littre's hernias regarding their clinical presentation and optimal treatment approach. METHODS: PubMed and Cochrane bibliographical databases were searched from the beginning of time (last search: August 1st, 2018) for studies reporting on Littre's hernias in adult population...
December 1, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
P Wilson, L Hickey
INTRODUCTION: In a single centre evaluation of a novel hernia repair device, 200 consecutive patients underwent 247 laparoscopic (TAPP) groin hernia repairs (47 bilateral) using n-butyl-2-cyanoacrylate (Liquiband®Fix8™) for mesh fixation and peritoneal closure over a 2-year period by a single experienced laparoscopic surgeon. PATIENTS AND METHODS: All groin hernia patients requiring TAPP repair were included in the study: Inguinal 142, Femoral 14, Spigelian 4, and Inguinal disruption 40...
November 30, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Yanyan Xie, Yinghan Song, Dongyang Ma, Fushun Jian, Sen Zhang, Anqing Lu, Wang Yong, Wenzhang Lei
BACKGROUND: Femoral hernia repair has various surgical methods. However, controversy still exists regarding the best method for management. This study aimed to compare the infrainguinal with the inguinal approach in the treatment of femoral hernias. MATERIALS AND METHODS: Eighty patients with primary unilateral femoral hernias were prospectively randomized to either the infrainguinal (n = 40) or inguinal approach groups (n = 40). Patient demographics, operative time, duration of hospital stay, postoperative complications, and recurrence rate were recorded...
January 2019: Journal of Surgical Research
Yogeesan Sivakumaran, Rajnish Duara, Thodur M Vasudevan
Venous aneurysms are a rare vascular anomaly characterised by a solitary area of dilatation containing all three layers of the venous vessel wall. Described throughout the venous system, venous aneurysms can be classified as deep or superficial based on the vein involved. Whilst generally asymptomatic, superficial venous aneurysms can be associated with venous insufficiency or venous thromboembolism and are often confused for soft tissue masses or hernias. In young adults, venous aneurysms are often associated with Klippel-Trenaunay syndrome...
November 27, 2018: Annals of Vascular Surgery
Mehmet Tolga Kafadar, Mehmet Ali Gök
Introduction: Inguinal hernia repair is one of the most common operations of general surgery. In order to avoid complicated and urgent cases, performing such operations electively is generally accepted. Otherwise, unforeseen emergency surgical situations accompanied by incarceration and strangulation may occur. Case presentation: In this article, we present a 45-year-old female patient with strangulated femoral hernia repair that we performed using the laparoscopic transabdominal preperitoneal method, unlike other conventional methods...
December 2018: Annals of Medicine and Surgery
X-M Jiang, R-X Sun, W-H Huang, J-P Yu
OBJECTIVE: Femoral hernias constantly present as incarceration or strangulation and require emergency surgery. Incarcerated and strangulated femoral hernia repair remains challenging and controversial. The aim of our study was to analyze the efficacy of preperitoneal tension-free hernioplasty via lower abdominal midline incision for incarcerated and strangulated femoral hernia. METHODS: Data of 47 patients who underwent emergency surgery for incarcerated or strangulated femoral hernias from January 2009 to December 2017 were retrospectively analyzed...
November 17, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
David Aranovich, Veacheslav Zilbermints, Oleg Kaminsky
Purpose: To report our experience with incarcerated femoral hernia procedure, which allows laparotomy through same inguinal skin incision, inspection and resection of compromised bowel, and preperitoneal tension-free transabdominal repair with Ventralex™ Hernia Patch. Materials and Methods: The suprainguinal laparotomy was performed via same groin incision without compromising iliopubic tract. The femoral ring was sealed with Ventralex™ Hernia Patch pulled through the abdominal cavity and secured outside...
2018: Case Reports in Surgery
W K J Peitsch
Purpose Laparoscopic transperitoneal endoscopic (TAPP) and totally extraperitoneal (TEP) hernia repair have been well established in primary and recurrent inguinal hernias [1]. Only few studies [2-5] evaluate the surgical outcome of patients with inguinal hernias after radical prostatectomy, using the TAPP or TEP procedure. But controversies remain including its feasibility, safety and recurrence rate. The mesh size to be used and the necessity of a complete dissection of the scared retropubic space are discussed controversially...
November 7, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Zhamak Khorgami, Benedict Y Hui, Nasir Mushtaq, Geoffrey S Chow, Guido M Sclabas
PURPOSE: Deciding between surgery and non-operative management of a non-obstructive ventral hernia (VH) in a high-risk patient often poses a clinical challenge. The aim of this study is to evaluate a national series of open and laparoscopic ventral hernia repair (VHR), and to assess predictors of mortality after elective VHR. METHODS: A retrospective analysis of 2008-2014 data from the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample was performed...
November 3, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Line Schmidt, Stina Öberg, Kristoffer Andresen, Jacob Rosenberg
Importance: To our knowledge, a systematic review has not yet been performed that specifically addresses the management of inguinal hernia in women. Recurrence after repair of inguinal hernia is not unusual in women and may be a previously undiagnosed femoral hernia, which is rarely seen in men. Objective: To investigate rates and types of recurrences in women who had undergone repair of primary inguinal hernia. Evidence Review: PubMed, Embase, and the Cochrane databases were searched in September 2017 for studies reporting recurrences after repair of primary inguinal hernia in women...
October 31, 2018: JAMA Surgery
R Sharma, N Fadaee, E Zarrinkhoo, S Towfigh
PURPOSE: As more mesh is implanted for hernia repairs, mesh-related complications may increase, with some requiring mesh removal. We describe our experience as to indications and perioperative factors that surround hernia mesh removal. METHODS: All patients who underwent hernia mesh removal from the abdomen (ventral, flank) and pelvis (inguinal, femoral, obturator, perineal) were captured from a single hernia center database. RESULTS: Over 4...
December 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Kentaro Fukushima, Takahide Yokoyama, Shiro Miwa, Hiroaki Motoyama, Takuma Arai, Noriyuki Kitagawa, Akira Shimizu, Tsuyoshi Notake, Toshiki Kikuchi, Akira Kobayashi, Shin-Ichi Miyagawa
BACKGROUND: How increasing age affects the characteristics of groin hernia remains uncertain. This study evaluated the association between age and the type of groin hernia, especially with respect to its multiplicity, observed during laparoscopic transabdominal preperitoneal (TAPP) hernia repair. METHODS: We retrospectively evaluated 634 consecutive patients with primary groin hernia who underwent laparoscopic TAPP repair between October 2000 and June 2017. Patients were stratified into 4 age groups: < 60 years, 60-69 years, 70-79 years, and 80 years or older...
October 24, 2018: Surgical Endoscopy
Fenglin Zhao, Min Liu, Jie Chen, Cuihong Jin, Fuqiang Chen, Jinxin Cao, Yuchen Liu
BACKGROUND: Incarceratedgroin hernias are a common presentation as surgical emergencies. Other surgical treatment modalities are becoming more widely accepted including the use of prosthetic mesh and laparoscopy for assessment of hernia content viability and for repair. Our study were to report our current experience with the use of prosthetic mesh in the treatment of incarcerated hernias and to compare the effects of different operative approaches. METHODS: This retrospective study included 219 consecutive patients who underwent herniorrhaphy for incarcerated hernia between January 2013 and December 2017 in Beijing Chao-Yang Hospital...
October 18, 2018: Minerva Chirurgica
Zirui He, Xiaohui Hao, Bo Feng, Jianwen Li, Jing Sun, Pei Xue, Fei Yue, Xialin Yan, Ji Wang, Minhua Zheng
BACKGROUND: Our objective was to investigate the clinical characteristics of laparoscopic repair for groin hernias in female patients. STUDY DESIGN: The clinical data of 316 female patients (341 hernias) who underwent laparoscopic inguinal hernia repair at Shanghai Minimally Invasive Surgery Center between January 2001 and December 2015 was analyzed retrospectively. The operation-related data were to provide an overview of female groin hernias, preferred surgical approach, and the management of round ligament of uterus...
October 9, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Daniel Roadman, Melissa Helm, Matthew I Goldblatt, Andrew Kastenmeier, Tammy L Kindel, Jon C Gould, Rana M Higgins
BACKGROUND: Postoperative urinary retention (POUR) after laparoscopic inguinal hernia repair has an incidence of 2%-30%. POUR can lead to increased length of stay, decreased patient satisfaction, and increased health-care costs. The objective of this study was to determine the patient risk factors at our institution contributing to POUR after laparoscopic total extraperitoneal (TEP) inguinal hernia repair. METHODS: A retrospective chart review of patients who underwent a laparoscopic TEP inguinal hernia repair at our institution from 2009 to 2016...
November 2018: Journal of Surgical Research
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