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Femoral hernia

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https://www.readbyqxmd.com/read/29643730/transient-femoral-nerve-palsy-following-ilioinguinal-nerve-block-for-inguinal-hernioplasty
#1
Isaac Assam Udo, Kingsley U Umeh, Catherine S Eyo
Background: Elective inguinal hernia repair in young fit patients is preferably done under ilioinguinal nerve block anesthesia in the ambulatory setting to improve throughput, save cost, and increase patient satisfaction. A rare complication of ilioinguinal nerve block is transient femoral nerve palsy (TFNP). Objectives: The aim of this study is to examine the incidence of TFNP among adults undergoing ambulatory inguinal hernia repair under ilioinguinal nerve block...
January 2018: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://www.readbyqxmd.com/read/29592991/de-garengeot-s-hernia-a-rare-presentation-of-the-wandering-appendix
#2
Saad Ikram, Ahmed Kaleem, Deepak Satyapal, Syed Muzaffar Ahmad
A hernia is defined as a protrusion of an organ or its fascia through a sac of its containing cavity. The presentation of an inflamed appendix inside an incarcerated femoral hernia is termed de Garengeot's hernia. Almost exclusively seen in the female patient, this type of hernia like all others can undergo strangulation leading to complications including appendicitis with or without perforation. Management as described in literature usually comprises open or laparoscopic approach, followed by appendectomy and repair of the femoral hernia with or without mesh...
March 28, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29577794/pelvic-ring-fracture-accompanying-traumatic-thrombosis-and-posterior-peritoneum-hernia-in-a-2-year-old-child-a-case-report
#3
Zhiqiang Zhang, Hao Li, Hai Li, Xuan Yang, Zhenkai Wu, Ziming Zhang
A 2-year-old girl who was badly injured by a forklift, was presented to the emergency department with open and comminuted pelvic fracture, dislocation of right sacroiliac jointand femoral neck fracture on the left side. An urgent debridement was performed. However, postoperatively, the girl had apparent abdominal distension. The results of contrast-enhanced CT implied that the intestineherniated through the fissure formed by dislocation of the sacroiliac joint, which was confirmed during the operation. Therefore, hernia repair and reduction of the sacroiliac joint were performed by a Multidisciplinary team...
March 1, 2018: International Journal of Lower Extremity Wounds
https://www.readbyqxmd.com/read/29573102/day-case-hernia-repair-weak-evidence-or-practice-gap
#4
REVIEW
Anje Scarfe, Joanna Duncan, Ning Ma, Alun Cameron, David Rankin, Alex Karatassas, David Fletcher, David Watters, Guy Maddern
BACKGROUND: Analysis of a private insurer's administrative data set revealed significant variation in the length of hospital stay following hernia surgery. OBJECTIVES: This review examined factors influencing the performance of day surgery for inguinal, femoral and umbilical hernia repair in adults. DATA SOURCES: A systematic literature search was conducted in the PubMed, Embase and Cochrane Library databases to identify studies and clinical practice guidelines (CPGs) comparing same day hernia surgery to surgery followed by an overnight stay...
March 23, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29564329/de-garengeot-s-hernia-report-of-a-rare-surgical-emergency-and-review-of-the-literature
#5
Evangelos P Misiakos, Anna Paspala, Anastasia Prodromidou, Nikolaos Machairas, Vasileia Domi, Nikolaos Koliakos, Theodore Karatzas, Nick Zavras, Anastasios Machairas
This is a report of a case who was admitted and operated on for a strangulated femoral hernia. The hernia sac contained a gangrenous appendix, which was excised and the hernia was repaired with sutures without complication. De Garengeot's hernia, although very rare, should be included in the differential diagnosis of cases with strangulated hernia and should receive the optimal treatment.
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29540635/midline-extraperitoneal-approach-for-obturator-hernia-repair
#6
Yuji Otsuki, Hirofumi Konn, Keisa Takeda, Masahiko Koike
Obturator hernia (OH) is a rare condition that accounts for 0.073-1% of abdominal hernias and 0.48% of bowel obstructions. OH frequently occurs in elderly women, with an incidence that increases with age. The only treatment for OH is surgical intervention, and the approaches used vary greatly. Consequently, a well-defined consensus has not yet emerged. We assessed the efficiency and safety of the midline extraperitoneal approach for OH. Six patients with OH repaired using the midline extraperitoneal approach at KKR Sapporo Medical Center between April 2011 and January 2016 were included in the study...
March 14, 2018: Keio Journal of Medicine
https://www.readbyqxmd.com/read/29457698/feasibility-of-a-novel-tacking-method-of-securing-mesh-in-transabdominal-preperitoneal-inguinal-hernia-repair-secure-tacking-against-recurrence
#7
Yoshio Nagahisa, Ryuju Kawashima, Ryu Matsumoto, Masaki Harada, Kazuki Hashida, Michio Okabe, Kazuyuki Kawamoto
INTRODUCTION: Postoperative chronic pain is an important outcome of hernia surgery. In laparoscopic hernia surgery, either fixation outside the trapezoid of disaster or no fixation is recommended to avoid postoperative pain. To avoid recurrence are transabdominal preperitoneal (TAPP) hernia repair, the myopectineal orifice must be covered with mesh during TAPP, but lifting or shrinking of the mesh can lead to recurrence. The aim of this study was to evaluate the feasibility of a novel technique for mesh fixation to prevent the mesh from lifting off...
February 19, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29451331/sliding-free-transverse-rectus-abdominis-myocutaneous-flap-for-closure-of-a-massive-abdominal-wall-defect-a-case-report
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
(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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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