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Groin hernia

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https://www.readbyqxmd.com/read/27898354/vasitis-mimicking-an-amyand-s-hernia-a-case-report
#1
Juan Manuel Romero Marcos, Santiago Baena Bradaschia, José María Muñoz Pérez, José Andrés Cifuentes Ródenas
INTRODUCTION: Amyand's hernia is an inguinal hernia containing the caecal appendix. It is usually an intraoperative finding, although it can be diagnosed preoperatively with radiologic examinations, which would show a tubular structure inside the inguinal canal. PRESENTATION OF CASE: A male patient presented to the emergency department complaining of abdominal pain in the right lower quadrant. He had been orchidectomized during his childhood due to cryptorchidism, and had been under antibiotic treatment a week before due to a suspected gonorrhoea...
November 22, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27896326/preoperative-diagnosis-of-amyand-s-hernia-by-ultrasound-and-computed-tomography
#2
Husam Vehbi, Cagri Agirgun, Ferda Agirgun, Yuksel Dogan
Inguinal hernia is the most common seen groin hernias which mostly contain bowel. The incidence of vermiform appendix in an inguinal hernia is seen in 1% of all inguinal hernia. This is known as Amyand's hernia. Appendix within a hernia can be normal or complicated by appendicitis. Most of these cases are not diagnosed preoperatively and managed during surgery. Preoperative diagnosis of these cases is so rare. Very few cases have been reported so far. In our case, we diagnosed an inflamed appendix in a 49 years old female within right inguinal hernia by using ultrasound and confirmed it by CT scan...
June 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27894423/incarcerated-pediatric-hernias
#3
REVIEW
Sophia A Abdulhai, Ian C Glenn, Todd A Ponsky
Indirect inguinal hernias are the most commonly incarcerated hernias in children, with a higher incidence in low birth weight and premature infants. Contralateral groin exploration to evaluate for a patent processus vaginalis or subclinical hernia is controversial, given that most never progress to clinical hernias. Most indirect inguinal hernias can be reduced nonoperatively. It is recommended to repair them in a timely fashion, even in premature infants. Laparoscopic repair of incarcerated inguinal hernia repair is considered a safe and effective alternative to conventional open herniorrhaphy...
February 2017: Surgical Clinics of North America
https://www.readbyqxmd.com/read/27889845/randomized-trial-comparing-self-gripping-semi-re-absorbable-mesh-progrip-with-polypropylene-mesh-in-open-inguinal-hernioplasty-the-6%C3%A2-years-result
#4
J K M Fan, J Yip, D C C Foo, O S H Lo, W L Law
OBJECTIVES: The use of absorbable polylactic acid hook self-gripping polypropylene mesh in open inguinal hernia may potentially reduce operative time and enhance patient recovery. The objective of this randomized trial is to compare the outcomes following self-gripping mesh repair to polypropylene mesh secured with sutures in open inguinal hernioplasty. METHOD: Eligible patients aged 18-80 years old, who had primary unilateral uncomplicated inguinal hernia, were randomized into either Polypropylene (PL) group or PROGRIP (PG) group just before the placement of mesh intra-operatively by computer generated code...
November 26, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27878458/totally-extraperitoneal-tep-bilateral-hernioplasty-using-the-single-site%C3%A2-robotic-da-vinci-platform-dv-ss-tep-description-of-the-technique-and-preliminary-results
#5
A Cestari, A C Galli, M N Sangalli, M Zanoni, M Ferrari, G Roviaro
PURPOSE: Laparoendoscopic single site totally extraperitoneal (TEP) hernia repair showed to be a feasible alternative to conventional laparoscopic hernia repair; nevertheless single site surgery, with the loss of instruments triangulation can be a demanding procedure. To overcome those hurdles, the Single Site® (SS) platform of the da Vinci (DV) Si robotic system enables to perform surgical procedures through a 25-mm skin incision, with a stable 3D vision and restoring an adequate triangulation of the surgical instruments...
November 22, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27875759/round-ligament-leiomyoma-a-rare-manifestation-of-a-common-entity
#6
Madhvi Deol, Elizabeth Kagan Arleo
A 68-year-old woman with a history of multifocal uterine leiomyomas presented with left groin pain and was referred for cross-sectional imaging to assess for the presence of an inguinal hernia. In this patient, MRI demonstrated a round ligament leiomyoma encased in the proximal left inguinal canal. Leiomyomas are the most common benign gynecologic tumors, however round ligament leiomyomas are very rare. The purpose of this case report is to highlight a rare manifestation of a common entity.
November 5, 2016: Clinical Imaging
https://www.readbyqxmd.com/read/27872532/presentation-and-management-of-inguinal-lymphadenopathy-in-ovarian-cancer
#7
Shveta Giri, Swati H Shah, Kanika Batra, Anu-Bajracharya, Vandana Jain, Himanshu Shukla, Rupinder Sekhon, Sudhir Rawal
The symptoms in ovarian cancer are often missed leading to dubious diagnosis and staging. Inguinal lymphadenopathy (ILAP) is reported to be rare and occurring via lymphatic or hematogenous route. The paucity of studies on ILAP in ovarian cancer indicates a scope of refining its staging and management. The present study aims to document the presentation and management of ILAP in ovarian cancer, which may also reflect its incidence and mechanism of spread. All patients of ovarian cancer with inguinal lymphadenopathy presenting to our institute from 1 January 2015 to 31 December 2015 were included...
December 2016: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27871011/multiple-concurrent-bilateral-groin-hernias-in-a-single-patient-a-case-report-and-a-review-of-uncommon-groin-hernias-a-possible-source-of-persistent-pain-after-successful-repair
#8
O Y Matsevych, M Z Koto, J H R Becker
INTRODUCTION: The wide use of laparoscopy for groin hernia repair has unveiled "hidden hernias" silently residing in this area. During the open repair of the presenting hernia, the surgeon was often unaware of these occult hernias. These patients postoperatively may present with unexplained chronic groin or pelvic pain. PRESENTATION OF CASE: Rare groin hernias are defined according to their anatomical position. Challenges in the diagnosis and management of occult rare groin hernias are discussed...
November 15, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27864616/randomized-clinical-trial-comparing-cyanoacrylate-glue-versus-suture-fixation-in-lichtenstein-hernia-repair-7-year-outcome-analysis
#9
M Matikainen, J Kössi, S Silvasti, T Hulmi, H Paajanen
BACKGROUND: Lichtenstein hernioplasty has relatively low recurrence rate, but chronic inguinal pain may cause harm to the patient. The aim of our study was to compare long-term results of cyanoacrylate glue versus absorbable sutures for mesh fixation in Lichtenstein hernioplasty. METHODS: Lichtenstein hernioplasty (n = 302) was performed under local anesthesia in three hospitals. The patients were randomized to receive either 1 ml of butyl-2-cyanoacrylate tissue glue (Glubran(®); 151 hernias) or absorbable polyglycolic acid sutures (Dexon(®); 151 hernias) for mesh fixation (Optilene(®) mesh)...
November 18, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27822094/the-danish-inguinal-hernia-database
#10
REVIEW
Hans Friis-Andersen, Thue Bisgaard
AIM OF DATABASE: To monitor and improve nation-wide surgical outcome after groin hernia repair based on scientific evidence-based surgical strategies for the national and international surgical community. STUDY POPULATION: Patients ≥18 years operated for groin hernia. MAIN VARIABLES: Type and size of hernia, primary or recurrent, type of surgical repair procedure, mesh and mesh fixation methods. DESCRIPTIVE DATA: According to the Danish National Health Act, surgeons are obliged to register all hernia repairs immediately after surgery (3 minute registration time)...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27815571/mesh-removal-and-selective-neurectomy-for-persistent-groin-pain-following-lichtenstein-repair
#11
Willem A R Zwaans, Christel W Perquin, Maarten J A Loos, Rudi M H Roumen, Marc R M Scheltinga
BACKGROUND: Some patients with persistent inguinodynia following a Lichtenstein hernia repair fail all non-surgical treatments. Characteristics of mesh-related pain are not well described whereas a meshectomy is controversial. Aims were to define mesh-related pain symptoms, to investigate long-term effects of a meshectomy and to provide recommendations on meshectomy. METHODS: Consecutive patients undergoing open meshectomy with/without selective neurectomy for chronic inguinodynia following Lichtenstein repair were analysed including a follow-up questionnaire...
November 4, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27785630/single-incision-laparoscopic-transabdominal-preperitoneal-mesh-hernioplasty-results-in-182-japanese-patients
#12
K Tanoue, H Okino, M Kanazawa, K Ueno
BACKGROUND: We introduced single-incision transabdominal preperitoneal (S-TAPP) herniorrhaphy (described herein) at our institution in June 2010. We recently conducted a retrospective study to assess the feasibility and safety of the procedure. METHODS: The study involved 182 patients (159 men, 23 women) who underwent S-TAPP herniorrhaphy between June 2010 and February 2015 for 202 groin hernias (162 unilateral hernias, 20 bilateral hernias). We examined patient characteristics, hernia type and presentation, operation time, conversion to another repair procedure, intraoperative blood loss, postoperative pain, morbidities, and postoperative hospital stay...
October 26, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27774753/preoperative-pain-and-sensory-function-in-groin-hernia
#13
E K Aasvang, J B Hansen, H Kehlet
No abstract text is available yet for this article.
November 2016: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/27761289/canal-of-nuck-hernia-in-a-female-infant-containing-uterus-bilateral-adnexa-and-bowel
#14
Betül Emine Derinkuyu, Mohammad Reza Affrancheh, Didem Sönmez, Meltem Bingöl Koloğlu, Suat Fitoz
BACKGROUND: The canal of Nuck is a fold of peritoneum that invaginates into the inguinal canal and closes at or just before birth. If the canal of Nuck remains open in female infants, herniation of the uterus, adnexa and/or bowel loops may arise through the inguinal canal into the labia majora. CASE REPORT: The present case is a 12-week-old female infant with complaints of left groin swelling and discomfort. Ultrasonographic examination revealed a left inguinal hernia containing both adnexa (ovaries and fallopian tubes), uterus and small bowel loops with fluid...
September 2016: Balkan Medical Journal
https://www.readbyqxmd.com/read/27744258/boerhaave-s-syndrome-secondary-to-an-incarcerated-inguinal-hernia-a-case-report
#15
Ahmad S Ashrafi, Michael J Horkoff, Waleed M Mohammad, Shaheer Tadros, Sudhir Sundaresan
INTRODUCTION: Boerhaave's syndrome is defined as the spontaneous perforation of the esophagus. Although it has been reported in association with different gastrointestinal pathologies, there are no previous reports in association with an incarcerated inguinal hernia containing ischemic small bowel. PRESENTATION OF CASE: We present an unusual case of a gentleman who presented with severe chest pain after a 24-h period of emesis. He was found to have developed an esophageal perforation presumed secondary to an incarcerated inguinal hernia causing small bowel obstruction...
September 29, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27743897/is-contralateral-exploration-justified-in-endoscopic-total-extraperitoneal-repair-of-clinical-unilateral-groin-hernias-a-prospective-cohort-study
#16
Chao-Chuan Wu, Shih-Chieh Chueh, Yao-Chou Tsai
BACKGROUND: Laparoscopic adult hernia repair has the clinical advantage of allowing the surgeon to explore asymptomatic contralateral inguinal hernia. We conduct a retrospective study to compare the occurrence of contralateral metachronous inguinal hernia (CMIH) after laparoscopic total extraperitoneal (TEP) repair with or without contralateral exploration. METHODS: One hundred and fifty-one consecutive patients undergoing unilateral laparoscopic TEP repair during November 2007 to November 2012 were enrolled into groups with contralateral or no contralateral exploration...
October 12, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27743212/repair-of-recurrent-hernia-is-often-performed-at-a-different-clinic
#17
A Nolsøe, K Andresen, J Rosenberg
PURPOSE: The aim of this study was to assess the extent of reoperations after hernia repair in Denmark that are being performed at a different facility than the primary repair and thereby investigate whether or not reoperation is a reliable basis for assessment of personal- or facility recurrence rates. METHODS: On a national level, we included all groin hernia repairs that had been reoperated a least once from January 1, 1998, to August 19, 2015. RESULTS: A total of 14,264 hernia repairs were included comprising a total of 7371 reoperations...
October 14, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27706276/understanding-athletic-pubalgia-a-review
#18
Brian Cohen, Dominic Kleinhenz, Jonathan Schiller, Ramin Tabaddor
Athletic Pubalgia, more commonly known as sports hernia, is defined as chronic lower abdominal and groin pain without the presence of a true hernia. It is increasingly recognized in athletes as a source of groin pain and is often associated with other pathology. A comprehensive approach to the physical exam and a strong understanding of hip and pelvic anatomy are critical in making the appropriate diagnosis. Various management options are available. We review the basic anatomy, patholophysiology, diagnostic approach and treatment of athletic pubalgia as well as discuss associated conditions such as femoroacetabular impingement...
October 4, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27697133/cumulative-incidence-and-registry-validation-of-groin-hernia-repair-in-a-34-year-nationwide-cohort
#19
Jakob Burcharth, Mads Svane Liljekvist, Hans-Christian Pommergaard, Jacob Rosenberg
INTRODUCTION: The purpose of this study was to present a nationwide cumulative incidence and an age-specific incidence rate of groin hernia repair as well as to evaluate the validity of inguinal and femoral hernia operation codes in the Danish National Patient Registry (DNPR). METHODS: All persons born in Denmark from 1977 to 2010 were investigated for groin hernia operations registered in the DNPR with respect to date of admission, operation, discharge and specific operation codes...
October 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27650564/-supravesical-hernia-as-a-rare-cause-of-inguinal-herniation-and-its-laparoscopic-treatment-with-tapp-approach
#20
M Lindovský, V Kameníček
INTRODUCTION: Supravesical hernia is a rare cause of hernias in the groin; the authors describe its surgical treatment using a laparoscopic technique - TAPP. METHOD: From 2003 to 2015, laparoscopic hernioplasty of inguinal hernia using TAPP was performed at our clinic in 1227 patients; this patient group included 12 patients with the diagnosis of supravesical hernia. Clipped polypropylene mesh was used to cover the defect in all patients. RESULTS: All patients were operated on with this technique...
2016: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
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