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Obturator hernia

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https://www.readbyqxmd.com/read/28317613/retrospective-study-2009-2014-perineal-hernias-and-related-comorbidities-in-bitches
#1
Ayne Murata Hayashi, Sandra Aparecida Rosner, Thais Cristine Alves de Assumpção, Angelo João Stopiglia, Julia Maria Matera
Retrospective study based on data extracted from medical records of dogs diagnosed with perineal hernia between 2009 and 2014; medical records of bitches were selected for further analysis to determine the prevalence of perineal hernias in bitches and to investigate potential comorbidities. Perineal hernia was diagnosed in 182 dogs (174 males and 8 females; 96% and 4%, respectively). Surgical correction was performed in 6 bitches. Surgical procedures corresponded to internal obturator muscle transposition with or without polypropylene mesh reinforcement (n = 5) and semitendinosus muscle transposition flap (n = 1)...
December 2016: Topics in Companion Animal Medicine
https://www.readbyqxmd.com/read/28296629/mini-totally-extra-peritoneal-repair-of-inguinal-hernia-with-all-5%C3%A2-mm-ports-an-innovative-555-technique
#2
Manish K Gupta, Kiran Kumar Muley, Murali Krishna Bethanbhatla, Juhil D Nanavati, Kumar Manish, Rathindra Sarangi
BACKGROUND: Totally extra-peritoneal (TEP) repair of inguinal hernia is now a standard surgical technique. A 12 mm incision in infra-umbilical region for Hasson trocar is must for TEP repair of inguinal hernia. This is the only technique known to laparoscopic surgeons. We have innovated a "555 Technique" for completing Mini TEP repair of inguinal hernia by using all three 5 mm ports. METHODS: Sixty-one consecutive patients were subjected for TEP repair of inguinal hernia by our innovative "555 Technique" since October 2014...
March 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28115269/stretching-of-roots-contributes-to-the-pathophysiology-of-radiculopathies
#3
Jean-Marie Berthelot, Jean-Denis Laredo, Christelle Darrieutort-Laffite, Yves Maugars
PURPOSE: To perform a synthesis of articles addressing the role of stretching on roots in the pathophysiology of radiculopathy. METHODS: Review of relevant articles on this topic available in the PubMed database. RESULTS: An intraoperative microscopy study of patients with sciatica showed that in all patients the hernia was adherent to the dura mater of nerve roots. During the SLR (Lasègue's) test, the limitation of nerve root movement occurs by periradicular adhesive tissue, and temporary ischemic changes in the nerve root induced by the root stretching cause transient conduction disturbances...
January 20, 2017: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/28074454/obturator-hernia-should-be-considered-in-the-differential-diagnosis-of-hip-and-knee-pain
#4
Ahmet Korkut Belli, Gündüz Memiş, Özcan Dere, Ulaş Koşan, Okay Nazlı
Obturator hernia is a rare disease usually occurring in debilitated elderly women. Pain radiating down the medial thigh and knee (Howship-Romberg sign) is a specific sign of the disease. Presently described is a case of obturator hernia in a 73-year-old female patient who presented with severe left hip pain radiating down the medial thigh and knee, nausea, and loss of appetite. Initially, vertebral disc herniation was thought to be cause, but abdomino-pelvic computed tomography scan revealed left strangulated obturator hernia...
November 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27993354/-case-report-occlusion-and-intestinal-necrosis-by-obturator-hernia
#5
Jorge Tadeo Palacios-Zertuche, Armando de Jesús Guerrero-Hernández, Rogelio Salinas-Domínguez, Gerardo Enrique Muñoz-Maldonado
BACKGROUND: Obturator hernia is a rare variety of abdominal hernia, it accounts for 0.07%-1.0% of all hernias, and occurs most often in women of advanced age and multiparous. CLINICAL CASE: A 78-year-old female was admitted to the Emergency Department due to nausea, vomiting, complaints of abdominal discomfort and obstipation for the last 7 days. Abdominal CT scan showed dilated small bowel loops and multiple air-fluid levels near to a small bowel loop obturator hernia, between external obturator and pectineus muscle...
December 16, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27938535/coexisting-incarcerated-femoral-and-obturator-hernia-a-case-report
#6
C Santorelli, C A Leo, J D Hodgkinson, Paolo Rossi
BACKGROUND: Obturator hernia is a rare condition associated with a high morbidity and mortality. It is an uncommon cause of bowel obstruction most commonly described in elderly females with comorbidity. Surgical intervention is often delayed as a result of subtle presenting signs. Coexisting ipsilateral femoral hernia is an even rarer condition represented by non-exhaustive series in the literature. CASE PRESENTATION: We report a case of a healthy 36 years old lady, nulliparous, with abdominal pain and swelling in the right groin...
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27918980/a-case-of-incarcerated-femoral-hernia-with-intestinal-blood-flow-assessment-by-brightfield-full-color-near-infrared-fluorescence-camera-report-of-a-case
#7
Shunjin Ryu, Masashi Yoshida, Hironori Ohdaira, Nobuhiro Tsutsui, Norihiko Suzuki, Eisaku Ito, Keigo Nakajima, Satoru Yanagisawa, Masaki Kitajima, Yutaka Suzuki
INTRODUCTION: Indocyanine green (ICG) fluorescence has been reported for examining intestinal blood flow (IBF), but not in the case of bowel released from entrapment in a femoral hernia. We report the case of a patient with incarcerated obturator femoral hernia in whom the bowel was preserved after evaluation of IBF with ICG fluorescence using a brightfield full-color near-infrared fluorescence camera. PRESENTATION OF CASE: A woman in her 60s was diagnosed with incarcerated femoral hernia and underwent surgery...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27833981/m%C3%A3-llerianosis-of-the-urinary-bladder-a-rare-case-report-and-review-of-the-literature
#8
Marius Stanimir, LuminiŢa Cristina ChiuŢu, Sébastien Wese, Amelia Milulescu, Răducu Nicolae Nemeş, Ovidiu Gabriel Bratu
The aim of this paper is to report a very rare case of müllerianosis (endosalpinx, endometrium, and endocervix) in a post-menopausal woman. Müllerianosis of the bladder is a very rare disease, which affects mainly the women of the reproductive age group, but with a good prognosis if the transitional bladder carcinoma is resolved. We present the case of a 64-year-old woman complaining of left lower abdomen pain, repeated lower and upper tract urinary infections, emergency urinary incontinence and hematuria...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27818487/richter-s-type-of-incarcerated-obturator-hernia-that-presented-with-a-deep-femoral-abscess-an-autopsy-case-report
#9
Satoru Yonekura, Masaaki Kodama, Shunichi Murano, Hirohisa Kishi, Akihiro Toyoda
BACKGROUND Richter's obturator hernia is a rare abdominal hernia that is difficult to diagnose. The purpose of this case report is to show an unusual presentation of a fatal Richter's obturator hernia that was accompanied by a femoral abscess. CASE REPORT An 89-year-old woman complained of sudden left coxalgia and a gait disorder but no abdominal symptoms. She had no history of trauma or surgery in the inguinal area. Twenty-three days after her first complaint of coxalgia, the patient was admitted in a coma with necrotizing fasciitis in the left inguinal area...
November 7, 2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27780502/a-new-concept-and-classification-of-corona-mortis-and-its-clinical-significance
#10
Waseem Al Talalwah
PURPOSE: The obturator artery and its accessory (aberrant) arising from different origins and crossing the pubic rami are vascular variations. The internal iliac artery usually provides the obturator artery which may communicates with the external iliac artery through either the accessory obturator or inferior epigastric artery. A collateral circulation between the external and internal iliac system is known as corona mortis. The aim of current study is to provide sufficient data of vascular variability crossing the pubic rami for clinical field...
October 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27780090/a-case-of-obturator-hernia-leading-to-right-thigh-abscess-in-china
#11
Zhen Shen, Chen-Yang Zhi, Ruo-Nan Wang, Hai-Cheng Gao
The purpose of this case is to investigate a case of obturator hernia leading to right thigh abscess on 68-year-old woman of China. A 68-year-old Chinese woman was referred to China-Japan Friendship Hospital of Jilin University with abdominal pain, bloating, exhaust, stop defecation in 2011. She had chronic bronchitis, emphysema with a history of 20 years. This patient did not have any bad habits, such as smoking, alcohol consumption, etc. In this surgery, CT was used to diagnose the basic condition of the patient...
October 19, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27763487/obturator-hernia-an-uncommon-cause-of-small-bowel-obstruction
#12
S Shreshtha
A 70 year old lady presented to surgery emergency with small bowel obstruction without any obvious etiology. On exploration she was found to have an obstructed obturator hernia, which is a rare pelvic hernia with an incidence of 0.07-1.4% of all intra-abdominal hernias. Diagnosis is often delayed until laparotomy for bowel obstruction. Strangulation is frequent and mortality remains high (25%). Early diagnosis and surgical treatment contributes greatly to reduce the mortality and morbidity rates. A variety of techniques have been described, however surgical repair has not been standardized...
October 2016: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/27670542/a-rare-cause-of-bowel-obstruction-an-incarcerated-obturator-hernia
#13
John F Vance, Benjamin S Scharfstein
No abstract text is available yet for this article.
September 2016: American Surgeon
https://www.readbyqxmd.com/read/27631421/robotic-and-laparoendoscopic-single-site-utero-sacral-ligament-suspension-for-apical-vaginal-prolapse-evaluation-of-our-technique-and-perioperative-outcomes
#14
Hugo H Davila, Taryn Gallo, Lindsey Bruce, Christopher Landrey
The objective of this study was to evaluate our technique and steps of robotic and laparoendoscopic single-site utero-sacral ligament suspension in the treatment of patients with symptomatic apical vaginal prolapse. A retrospective analysis was done using the data in 2 community hospital. Eighteen women presented with vaginal apex prolapse and desired minimally invasive surgery (video): (a) Laparoendoscopic single-site utero-sacral ligament suspension (LESS-UTSLS) (n = 13) or (b) robotic-assisted single-site utero-sacral ligament suspension (RASS-UTSLS) (n = 5) were eligible to participate...
September 8, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27606118/variation-in-the-obturator-vasculature-during-routine-anatomy-dissection-of-a-cadaver
#15
Vishwajit Deshmukh, Seema Singh, Neerja Sirohi, Divya Baruhee
The obturator artery normally originates from the internal iliac artery while the obturator vein drains into the internal iliac vein. During a routine gross anatomy dissection class for undergraduate students at the All India Institute of Medical Sciences, New Delhi, India, in 2016, a rare unilateral variation in the obturator vasculature was found in a female cadaver of approximately 55 years of age. In this case, the left obturator artery originated from the superior gluteal artery and the left obturator vein drained into the external iliac vein...
August 2016: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/27598598/challenging-management-of-obturator-hernia-a-report-of-three-cases-and-literature-review
#16
Kazım Şenol, Mehmet Emrah Bayam, Uğur Duman, Evren Dilektaşlı, Muhammed Doğangün, Abdullah İnal, Deniz Necdet Tihan
Obturator hernia (OH) is a rare condition with high rates of morbidity and mortality. While diagnosis is difficult, surgery is the definitive treatment. Intestinal obstruction is the most common symptom upon admission. In addition, small-bowel obstruction is documented in more than half of OH patients. Advanced age, intestinal obstruction, bowel perforation, comorbid diseases, and clinical deterioration are risk factors for higher rates of mortality. The aim of the present report was to document clinical and surgical management of 3 female patients, each over 80 years of age, admitted to the emergency surgery department with intestinal obstruction and OH...
May 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27506814/computed-tomography-in-the-investigation-and-management-of-obturator-hernia
#17
Duncan Light, Kasra Razi, Liam Horgan
INTRODUCTION: Obturator hernias are a rare groin hernia. They are most commonly found incidentally during laparoscopic inguinal hernia repair. We investigated our experience with obturator hernias in the elective and emergency setting. METHODS: Cases of obturator hernia were identified from a hospital database and reviewed retrospectively over the last 10 years. There were no exclusions. There were a number of surgeons involved with an interest in groin hernia surgery...
May 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/27399109/obturator-hernia-as-a-frequent-finding-during-laparoscopic-pelvic-exploration-a-retrospective-observational-study
#18
Sergio Susmallian, Oleg Ponomarenko, Royi Barnea, Haim Paran
Hernia through the obturator canal is usually unsuspected and hence undiagnosed. Patients with obturator hernias present as acute cases of intestinal obstruction secondary to strangulation or incarceration, with high rate of morbidity and mortality due to delayed diagnosis and treatment. The know incidence of obturator hernia is low, representing 0.073% (11 of 15,098) of all hernias repaired at the Mayo Clinic in a retrospective study of 15 years. In this study, we conducted a retrospective analysis of laparoscopic extraperitoneal hernia repairs that were performed between the years 2003 and 2007...
July 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27358098/difficult-diagnosis-strangulated-obturator-hernia-in-an-88-year-old-woman
#19
REVIEW
Megan Kathleen Leitch, Michael Yunaev
The obturator hernia is a rare type of hernia that can present a diagnostic challenge for the clinician. We report a case of an 88-year-old woman who presented with a history of right iliac fossa pain, bilious vomiting and diarrhoea. Non-specific findings on examination and blood tests made the diagnosis difficult, however, a CT scan of her abdomen revealed the site of the obstruction and the patient was taken to theatre for emergency surgery. We review the literature with focus on the diagnosis of obturator hernias and the different surgical approaches used...
June 29, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27190878/strangulated-groin-hernia-repair-a-new-approach-for-all
#20
Bapurapu Raja Ram, Vallabhdas Srinivas Goud, Dodda Ramesh Kumar, Bande Karunakar Reddy, Kumara Swamy Boda, Venkanna Madipeddi
INTRODUCTION: The available classical approaches for Groin hernia are multiple. The change of approach with change of incision is needed with these approaches when the bowel is gangrenous. AIM: To evaluate the efficacy and safety of a new approach for all strangulated groin hernias (inguinal, femoral and obturator), in terms of change of approach/complications. MATERIALS AND METHODS: It was conducted in surgical unit-2 of MGM Hospital, Kakatiya Medical College Warangal, Telangana State, India, from Nov 2000 to Oct 2010...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
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