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Femoral hernia

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https://www.readbyqxmd.com/read/29451331/sliding-free-transverse-rectus-abdominis-myocutaneous-flap-for-closure-of-a-massive-abdominal-wall-defect-a-case-report
#1
Annika Senghaas, Thomas Kremer, Volker J Schmidt, Leila Harhaus, Christoph Hirche, Ulrich Kneser, Amir K Bigdeli
Despite considerable advances in reconstructive surgery, massive abdominal wall defects continue to pose a significant surgical challenge. We report the case of a 72-year-old morbidly obese female patient with Clostridium septicum-related gas gangrene of the abdominal wall. After multidisciplinary treatment and multiple extensive debridements, a massive full-thickness defect (40 cm × 35 cm) of the right abdominal wall was present. The abdominal contents were covered with a resorbable mesh to prevent evisceration...
February 16, 2018: Microsurgery
https://www.readbyqxmd.com/read/29448983/ruptured-anastomotic-pseudoaneurysm-of-the-common-femoral-artery-after-wrongful-diagnosis-of-inguinal-hernia
#2
Victoria Eugenia García Blanco, Ana Margarita Ruales Romero, María Cristina Galera Martínez, Esther Dóiz Artázcoz, Manuel Rodríguez Piñero
No abstract text is available yet for this article.
February 12, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29423159/pubic-and-inguinal-venous-collaterals-mimic-inguinal-hernia
#3
F Oldhafer, T Alten, J Klempnauer, N Emmanouilidis
Herein we report a case of a 38-year-old men who presented with acute suprapubic pain caused by a tubular, hypoechoic, non-compressible, inguinal mass with no flow evident on color Doppler sonography. The history of the patient, the clinical signs of local inflammation and tenderness on palpation as well as the results of the Doppler ultrasound examination led to the diagnose of an inguinal hernia with bowl incarceration. However, due to a remaining uncertainty whether a bilateral or unilateral hernia was immanent and whether the bowl incarceration was caused by a right or left sided hernia the on-call surgeon initiated a computed tomography (CT) scan...
August 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29411165/proportion-of-femoral-hernia-repairs-performed-for-recurrence-in-the-united-states
#4
B L Murphy, D S Ubl, J Zhang, E B Habermann, D Farley, K Paley
PURPOSE: Recurrence rates after femoral hernia repair (FHR) have not been reliably established in the USA. We sought to determine this trend over time. METHODS: The proportion of primary and recurrent FHRs was determined for patients age ≥ 18 from: ACS-NSQIP (1/2005-12/2014), Premier (1/2010-09/2015), and institutional (1/2005-12/2014) data. Trends were analyzed using a one-tailed Cochran-Armitage test. RESULTS: In the NSQIP database, 6649 patients underwent a FHR...
February 6, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29384275/-femoral-hernia-in-geriatric-patient
#5
Doriane Ischer, Charlotte Renoult, Benjamin Gold, Jean-Marie Mégevand
When facing an elderly patient with cognitive impairment and unspecific digestive symptoms, the physical examination should include the research of a groin hernia. Additional radiological exam may be required to confirm the diagnosis. Femoral hernia is a diagnostic pitfall, as clinical signs are not always obvious. It occurs late in life and is often found to be already complicated when the patient seeks attention. While the elective surgical treatment is simple, it needs an emergency surgical repair when it is incarcerated that is often associated with intestinal resection and post-operative complications including death...
January 31, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29380157/outcomes-of-surgery-on-patients-with-a-clinically-inapparent-inguinal-hernia-as-diagnosed-by-ultrasonography
#6
L van Hout, W J V Bökkerink, M S Ibelings, J Heisterkamp, P W H E Vriens
BACKGROUND: Chronic post-operative inguinal pain (CPIP) is the most significant complication following inguinal hernia repair. Patients without a palpable hernia prior to surgery seemed to report more CPIP. Our aim was to evaluate the effects of surgery on patients with a clinically inapparent inguinal hernia as diagnosed using ultrasonography. METHODS: A total of 179 hernia repairs in patients with a positive ultrasonography but negative physical examination were analysed retrospectively...
January 27, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#7
(no author information available yet)
INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery...
February 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29209550/rare-case-of-large-bowel-injury-due-to-direct-blunt-trauma-to-a-preexisting-femoral-hernia
#8
C Tinner, M Odermatt, P Villiger
We report a case of an 85-year-old man with a known asymptomatic left femoral hernia who was admitted to the emergency ward a few hours after falling from a bicycle and suffering from blunt trauma of the handlebar to the left inguinal region. The clinical findings and a computed tomography (CT) scan detecting free air in the femoral hernia sac suggested bowel perforation. Emergency laparotomy 6 hours after the incident confirmed a tear of the sigmoid colon accompanied by free blood and faeces in the left inguinal region of the abdomen...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/29141259/femoral-direct-and-rare-inguinal-hernias-in-children-an-update
#9
Jan Gödeke, Oliver J Muensterer
No abstract text is available yet for this article.
December 2017: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29135610/meralgia-paresthetica-after-spine-surgery-on-the-jackson-table
#10
Nitin Agarwal, Jaydev B Mistry, Preeya V Khandge, David R Hansberry, Ira M Goldstein
Meralgia paresthetica is a non-life-threatening neurological disorder characterized by numbness, tingling, and burning pain over the anterolateral thigh due to impingement of the lateral femoral cutaneous nerve. This disorder has been seen in patients with diabetes mellitus and obesity, but has also been observed in patients after procedures such as posterior spine surgery, iliac crest bone grafts, lumbar disk surgery, hernia repair, appendectomies, and pelvic osteotomies that ultimately lead to compression or damage to the lateral femoral cutaneous nerve...
November 10, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29127919/a-case-report-of-a-de-garengeot-hernia-in-a-nonagenarian-veteran
#11
Luis R Taveras, Sergio Huerta
INTRODUCTION: A hernia containing the vermiform appendix [de Garengeot hernia (DGH)] is an exceedingly rare event. Appendicitis occurring in this setting if further unusual. Most cases of DGH are made during inguinal exploration. In the present report, we discuss a patient who underwent an operation which revealed a DGH with appendicitis. PRESENTATION OF A CASE: A 94-year-old man with a past medical history significant for hypertension and Parkinson's disease was admitted to the hospital for the management of an event of CHF exacerbation...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29083263/fifteen-years-experience-with-laparoscopic-inguinal-hernia-repair-in-infants-and-children
#12
Rafik Shalaby, Mohamed Abd Alrazek, Adham Elsaied, Ahmad Helal, Mohamad Mahfouz, Maged Ismail, Abdelmoniem Shams, Mohamad Magid
BACKGROUND: Laparoscopic inguinal hernia repair (LIHR) is gaining popularity with more studies validating its feasibility, safety, and efficacy. The aim of this work is to review our experience with LIHR in infants and children during the past 15 years, and present and evaluate our innovations of laparoscopic techniques. PATIENTS AND METHODS: A retrospective study of 1284 patients with congenital inguinal hernia (CIH) subjected to different techniques of LIHR from October 2000 to October 2015...
January 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29076691/richter-s-hernia-presenting-as-faecal-fistula-in-female-a-rare-entity
#13
Muhammad Khurram Zia, Hafsa Anwar, Sahira Naz, Hafiz Abdul Wase, Muhammad Saad Usmani, Taha Nafees
Strangulated hernia in quite common in surgical practice and always present with its typical symptoms. In this hardly found unique case, a 76-year's old female with no co morbid presented to us with abdominal pain, vomiting and diarrhoea initially and later developed left groin abscess after 4 days of swelling. It was assumed to be inguinal lymphadenitis leading to abscess formation but after complete evaluation on digital examination, diagnosis of Strangulated Femoral hernia of Richter type was made. This distinguishing presentation among the list of all hernias has to be discussed for the differential diagnosis...
July 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29059610/diagnosis-and-operative-management-of-a-perforated-de-garengeot-hernia
#14
Alexi Bloom, Flavio E Baio, Keemberly Kim, Joseph S Fernandez-Moure, Michael Reader
INTRODUCTION: A de Garengeot hernia, a femoral hernia containing the appendix, is a difficult diagnosis often made intra-operatively when the hernia sac is opened. It is a rare finding, and complications are more frequent with a de Garengeot hernia. PRESENTATION OF CASE: A 92 year-old female presented to the emergency department (ED) complaining of abdominal pain. A computed tomographic (CT) scan of the abdomen and pelvis demonstrated a hernia anterior to the inguinal ligament without strangulation...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28882935/a-case-of-de-garengeot-hernia-and-literature-review
#15
Bardia Bidarmaghz, Chin Li Tee
Femoral hernia accounts for only 3% of all the hernias and in only 0.5%-5% of the events, the appendix can travel through the femoral hernia which is called De Garengeot hernia, and the incidence of appendicitis in this type of hernia is as low as 0.08%-0.13%. We present a case of a 69-year-old healthy woman who was referred to the emergency department by her general practitioner for CT-proven appendicitis in the femoral canal. On initial assessment, she was found to have a hard, tender lump in her right groin below the inguinal ligament, and open appendectomy and herniorrhaphy were performed...
September 7, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28881337/surgical-management-of-a-de-garengeot-s-hernia-using-a-biologic-mesh-a-case-report-and-review-of-literature
#16
Amandine Klipfel, Aïna Venkatasamy, Caroline Nicolai, Marie-Noëlle Roedlich, Francis Veillon, Cécile Brigand, Serge Rohr, Benoît Romain
INTRODUCTION: A De Garengeot hernia is a rare form of femoral hernia, where the appendix is found in the herniated sac. This feature is important to report, as both the diagnosis and the treatment are quite challenging in this particular condition. PRESENTATION OF CASE: We report the case of a 77-year-old female presenting with a femoral hernia, containing an incarcerated necrotic vermiform appendix (De Garengeot hernia). A laparoscopic appendectomy was performed and the herniated defect was repaired according to Rives technique, using a biological mesh...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28812139/groin-hernia-diagnostics-dynamic-inguinal-ultrasound-dius
#17
Henning Niebuhr, Anita König, Maciej Pawlak, Marco Sailer, Ferdinand Köckerling, Wolfgang Reinpold
PURPOSE: Although clinical examination is the gold standard for the diagnosis of groin hernia, imaging procedures can improve the detection of femoral hernias, incipient hernias, and less-common types of hernias (e.g., an obturator hernia). The aim of this study is to evaluate the sensitivity and specificity of dynamic inguinal ultrasound (DIUS). MATERIALS AND METHODS: Between July 2010 and June 2015, 4951 clinical and ultrasound examinations of the groin area were conducted at the Hanse-Hernienzentrum in Hamburg, Germany...
November 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28804904/early-impact-on-outpatients-of-mandatory-adoption-of-the-diagnosis-related-group-based-reimbursement-system-in-korea-on-use-of-outpatient-care-differences-in-medical-utilization-and-presurgery-examination
#18
Seung Ju Kim, Kyu-Tae Han, Woorim Kim, Sun Jung Kim, Eun-Cheol Park
OBJECTIVE: To explore the impact of mandatory adoption of diagnosis-related groups (DRGs) on the use of outpatient care in Korea. DATA SOURCES: National Health Claim data from 2,022 hospitals and 1,029,101 admission cases during 2011-2014: tonsillectomy/adenoidectomy, inguinal/femoral hernia operation, and hemorrhoidectomy. STUDY DESIGN: Outcome variables included probability of outpatient visit, number of outpatient visits, and outpatient medical expenditures within 30 days...
August 14, 2017: Health Services Research
https://www.readbyqxmd.com/read/28752424/factors-associated-with-hernia-recurrence-after-laparoscopic-total-extraperitoneal-repair-for-inguinal-hernia-a-2-year-prospective-cohort-study
#19
L Schjøth-Iversen, A Refsum, K W Brudvik
BACKGROUND: Laparoscopic total extraperitoneal repair (TEP) of inguinal hernia has been associated with higher rates of recurrence compared to open methods. The aim of the present study was to determine independent risk factors for recurrence within 2 years after TEP. METHODS: This was a single-centre prospective cohort study with consecutive inclusion of patients undergoing inguinal hernia repair from 2010 to 2014. Systematic follow-up was conducted 6 months and 2 years postoperatively...
October 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28742711/readiness-of-us-general-surgery-residents-for-independent-practice
#20
MULTICENTER STUDY
Brian C George, Jordan D Bohnen, Reed G Williams, Shari L Meyerson, Mary C Schuller, Michael J Clark, Andreas H Meier, Laura Torbeck, Samuel P Mandell, John T Mullen, Douglas S Smink, Rebecca E Scully, Jeffrey G Chipman, Edward D Auyang, Kyla P Terhune, Paul E Wise, Jennifer N Choi, Eugene F Foley, Justin B Dimick, Michael A Choti, Nathaniel J Soper, Keith D Lillemoe, Joseph B Zwischenberger, Gary L Dunnington, Debra A DaRosa, Jonathan P Fryer
OBJECTIVE: This study evaluates the current state of the General Surgery (GS) residency training model by investigating resident operative performance and autonomy. BACKGROUND: The American Board of Surgery has designated 132 procedures as being "Core" to the practice of GS. GS residents are expected to be able to safely and independently perform those procedures by the time they graduate. There is growing concern that not all residents achieve that standard. Lack of operative autonomy may play a role...
October 2017: Annals of Surgery
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