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inguinal hernias

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https://www.readbyqxmd.com/read/29791981/inguinoscrotal-hernia-containing-the-urinary-bladder-successfully-repaired-using-laparoscopic-transabdominal-preperitoneal-repair-technique-a-case-report
#1
Tatsuya Tazaki, Masaru Sasaki, Mohei Kohyama, Yoichi Sugiyama, Shinnosuke Uegami, Ryuta Shintakuya, Yuji Imamura, Atsushi Nakamitsu
We report herein a patient with an inguinoscrotal hernia containing the urinary bladder. The hernia was safely repaired using the laparoscopic transabdominal preperitoneal repair technique. A 76-year-old man was admitted to our hospital with abdominal pain, vomiting, and diarrhea. His scrotum was swollen to fist size. Abdominal CT showed herniation of the sigmoid colon and the bladder into the right inguinal region, and his abdominal pain was attributed to incarceration of the sigmoid colon; this was manually reduced...
May 23, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29789005/ultrasonography-in-diagnosis-and-analysis-of-chronic-pain-following-anterior-open-inguinal-herniorrhaphy
#2
Z Y Qiu, Y Chen, J X Tang, L Chen
BACKGROUND: Chronic pain as a complication following inguinal herniorrhaphy has attracted increasing attention in recent years. There is evidence that the chronic pain seriously affects patients' quality of life. However, there are few imaging studies and diagnostic techniques of the chronic pain. The aim of this study is to explore the etiology and to analysis ultrasonographic imaging description of chronic pain following anterior open inguinal herniorrhaphy. METHODS: One hundred fifty two patients with the chronic pain following anterior open inguinal herniorrhaphy were performed by ultrasonography to identify the main causes of postoperative chronic pain...
May 22, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29787960/late-presentation-of-ectopia-vesica-with-malignant-transformation-a-case-report-and-review
#3
Sami Eldirdiri, Rehab M Elmushly, Sami G Elazhary
INTRODUCTION: Exstrophy of the bladder is a rare congenital anomaly usually treated in neonatal or childhood period. When combined with renal agenesis and presents for the first time in the adulthood with malignant transformation, is an extreme rarity. CASE PRESENTATION: We present a case of 65 years single male who presented with a right irreducible inguinal hernia and an unreconstructed Ectopia Vesicae with fungating tumor. He was anemic with impaired renal function, left renal agenesis and right sided hydronephrosis, hydroureter and distal ureteric stricture...
May 10, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29785528/a-rare-case-of-ascending-colon-adenocarcinoma-incarcerated-in-an-inguinoscrotal-hernia-case-report-and-literature-review
#4
Tien Yew Chern, Yeng Kwang Tay, Dayashan Shevantha Perera
BACKGROUND: Inguinal hernias and colorectal cancers are common conditions, but the presentation of a loop of bowel containing cancer within a hernia is rare. Principles of surgery include oncological resection of the involved colonic segment as well as lymphatic drainage. Based on case reports of the last several decades, there have been no reports of a case where the reduction of an inguinoscrotal hernia and oncological colectomy were performed completely laparoscopically. We present the first instance of a completely laparoscopically assisted resection and hernia repair on a patient with T4 ascending colon cancer...
May 21, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/29785371/case-report-clitoromegaly-as-a-consequence-of-congenital-adrenal-hyperplasia-an-accurate-medical-and-surgical-approach
#5
Augusto Rafael Fernandez-Aristi, Andre Alonso Taco-Masias, Luis Montesinos-Baca
We present a case of a woman with a history of Congenital Adrenal Hyperplasia (CAH) diagnosed at the age of 12, who was referred to our unit for surgical treatment. Despite the initial diagnosis was an indirect inguinal hernia, it was a misdiagnosis. Once in our service, this was corrected into clitoromegaly secondary to CAH. Physical examination and imaging test discarded other abnormalities, such as secondary effects androgenization. Regarding surgical treatment, the techniques used were Spencer and Allen combined with Kumar, which are the most used for clitoroplasty but also less used in Peru...
May 2018: Urology Case Reports
https://www.readbyqxmd.com/read/29784582/influence-of-inguinal-hernia-repair-on-male-fertility
#6
O Bouchot, J Branchereau, M A Perrouin-Verbe
Male infertility is a rare but certainly underestimated iatrogenic complication of inguinal hernia repair. The use of polypropylene mesh, recommended by the European Hernia Society, either via the traditional, open or laparoscopic approach, is responsible for surrounding inflammation followed by fibrosis, but there is no proven increase in vas deferens obstruction found in the literature. Prevention is essential to reduce the incidence of this complication including screening for patients at risk and mastery of surgical techniques...
May 18, 2018: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/29777354/randomized-study-of-the-influence-of-two-dimensional-versus-three-dimensional-imaging-using-a-novel-3d-head-mounted-display-hms-3000mt-on-performance-of-laparoscopic-inguinal-hernia-repair
#7
M Patrzyk, M Klee, T Stefaniak, C D Heidecke, K Beyer
BACKGROUND: 3D laparoscopy has proven to be superior to the 2D approach in experimental settings. The aim of the present study was to investigate the influence of 3D laparoscopy using a novel head-mounted display on the performance of defined steps within a laparoscopic inguinal hernia repair. This effect was investigated both in laparoscopically advanced surgeons and in beginners. METHODS: Patients suffering from symptomatic inguinal hernia were randomly assigned to laparoscopic hernia repair using either a head-mounted 3D display or a conventional 2D laparoscopic approach...
May 17, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29774502/a-12-year-experience-of-using-the-kugel-procedure-for-adult-inguinal-hernias-via-the-internal-ring-approach
#8
R Lin, X Lin, F Lu, H Fang, Y Yang, C Wang, Y Chen, H Huang
PURPOSE: Kugel procedure is a classic preperitoneal herniorrhaphy via the posterior approach for inguinal hernias but it has a steep learning curve. The aim of the study is to evaluate the efficacy of the Kugel procedure via the internal ring approach. METHODS: Kugel procedures via the internal ring approach were performed on 3673 patients with inguinal hernias between September, 2005 and August, 2017. Demographic data, peri-operative data and postoperative data were collected to evaluate of the efficacy of this technique...
May 17, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29766314/metastatic-colon-cancer-derived-from-a-diverticulum-incidentally-found-at-herniorrhaphy-a-case-report
#9
Jiro Kimura, Alan Kawarai Lefor, Shota Fukai, Kentaro Yoshikawa, Shingo Sasamatsu, Takashi Sakamoto, Ken Mizokami, Masaki Kanzaki, Tadao Kubota, Akira Saito, Hiroshi Izumi, Kunpei Honjo, Kunihiko Nagakari, Masaki Fukunaga
BACKGROUND: There are few reports of metastases from colon cancer to an inguinal hernia sac, and few reports of colon cancer originating in diverticula. We report a patient with carcinoma of the sigmoid colon arising in two diverticula, who presented with peritoneal seeding to an inguinal hernia sac, and a review of the literature. CASE PRESENTATION: A 55-year-old male underwent open herniorrhaphy for a left inguinal hernia. At operation, a nodule in the inguinal hernia sac was resected and histologic examination revealed adenocarcinoma, which was suspected to be a metastasis from a distant primary lesion...
May 15, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/29766307/the-laparoscopic-inguinal-and-diaphragmatic-defect-lidd-model-a-validation-study-of-a-novel-box-trainer-model
#10
Damir Ljuhar, Samuel Alexander, Sarah Martin, Ramesh Nataraja
BACKGROUND: Paediatric laparoscopic procedures are now becoming routine practice. Therefore, there is a need for simulated laparoscopic models to acquire part-procedural competency prior to direct patient contact in a safe learning environment. For this reason, we chose two paediatric conditions; inguinal hernia (IH) and congenital diaphragmatic hernia (CDH), which were combined to create the laparoscopic inguinal and diaphragmatic defect (LIDD) model. Our aim was to assess this novel surgical simulation model by determining its construct and content validity...
May 15, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29764448/small-bowel-lymphoma-presenting-as-inguinal-hernia-case-report-and-literature-review
#11
Michele Teodoro, Maurizio Mannino, Marco Vitale, Edoardo Mattone, Valentina Palumbo, Filippo Fraggetta, Adriana Toro, Isidoro Di Carlo
BACKGROUND: Inguinal hernia is one of the most common benign pathologies that primarily affects men. Primary gastrointestinal non-Hodgkin's lymphoma (PGI NHL) is the most common type of extranodal lymphoma. This study reports a rare case in which these two conditions co-exist. CASE PRESENTATION: An 85-year-old male complained of bowel movement pattern change, abdominal distension and loss of weight, without vomiting but with nausea. A computed tomographic scan of the abdomen showed a small bowel obstruction caused by a migration of a small bowel loop in the right inguinal canal, with a clinically non-reducible inguinal hernia...
May 15, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29761361/ultrasonography-in-diagnosing-clinically-occult-groin-hernia-systematic-review-and-meta-analysis
#12
Robert M Kwee, Thomas C Kwee
OBJECTIVES: To provide an updated systematic review on the performance of ultrasonography (US) in diagnosing clinically occult groin hernia. METHODS: A systematic search was performed in MEDLINE and Embase. Methodological quality of included studies was assessed. Accuracy data of US in detecting clinically occult groin hernia were extracted. Positive predictive value (PPV) was pooled with a random effects model. For studies investigating the performance of US in hernia type classification (inguinal vs femoral), correctly classified proportion was assessed...
May 14, 2018: European Radiology
https://www.readbyqxmd.com/read/29761278/laparoscopic-totally-extraperitoneal-tep-inguinal-hernia-repair-in-patients-with-previous-lower-abdominal-surgery
#13
Toru Zuiki, Jun Ohki, Masanori Ochi, Alan Kawarai Lefor
BACKGROUND: We have performed laparoscopic totally extraperitoneal (TEP) repair for inguinal hernia repair for the last 20 years. We use two balloon dilators (sphere and kidney type) to dissect the preperitoneal space for the TEP repair. It may be difficult to obtain exposure in patients who previously underwent lower abdominal surgery, because of adhesions to the abdominal wall. We reviewed our experience with inguinal hernia repairs to retrospectively analyze factors that limit the laparoscopic TEP approach...
May 14, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29756096/an-overlooked-complication-of-the-inguinal-hernia-repair-dysejaculation
#14
REVIEW
İlhan Ece, Hüseyin Yılmaz
The objective of this study was to investigate the rate of post-herniorrhaphy dysejaculation in the current literature. A comprehensive search of PubMed, Medline, Google Scholar, and Google databases was performed using the keywords "groin hernia and chronic pain," "inguinal hernia and chronic pain," "dysejaculation," and "ejaculatory pain." The eligible studies were evaluated in terms of ejaculatory pain and surgical technique used. Ten studies with 122 patients were eligible for the analysis...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29754628/approach-to-the-patient-with-chronic-groin-pain
#15
REVIEW
Q Lina Hu, David C Chen
Chronic postoperative inguinal pain has become a primary outcome parameter after elective inguinal hernia repair with significant consequences affecting patient productivity, employment, and quality of life. A systematic and thorough preoperative evaluation is important to identify the etiologies and types of pain. Owing to the complex nature of chronic pain, a multimodal and multidisciplinary treatment approach is recommended. Patients with chronic pain refractory to conservative measures may be considered for surgical intervention...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754627/minimally-invasive-approaches-to-inguinal-hernias
#16
REVIEW
Charlotte M Horne, Ajita S Prabhu
Both the transabdominal preperitoneal approach and the total extraperitoneal approach to inguinal hernias provide an effective means of repairing inguinal hernias. The robotic platform can be used and may help to decrease immediate postoperative pain; however, as this is a fairly new technique, more research will help further determine long-term outcomes. In all methods of fixation, we ensure adequate fixation medially with tacks placed on the Cooper ligament. Awareness of the nerves and vessels helps to guide dissection as well as prevent inadvertent injury during mesh fixation...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754626/inguinal-hernia-four-open-approaches
#17
REVIEW
Shirin Towfigh
Open inguinal hernia approaches are varied. The best studied approaches are reviewed herein. The common factor among them is the imperative anatomy knowledge of the surgeon. This knowledge is key to improved outcomes. A tailored approach is best to determine which open technique, if any, is most appropriate for the patient. Although the anterior mesh approach is the most commonly applied, there is support in using the posterior approach or a tissue repair for subsets of patients, such as women.
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754625/inguinal-hernia-mastering-the-anatomy
#18
REVIEW
Heidi J Miller
The success of an inguinal hernia repair is defined by the permanence of the operation while creating the fewest complications at minimal cost and allowing patients an early return to activity. This success relies and depends on the surgeon's knowledge and understanding of groin anatomy and physiology. This article reviews relevant anatomy to inguinal hernia repair and technical steps to open tissue and mesh repairs as well as minimally invasive approaches.
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29753277/amyand-s-hernia-a-case-report-and-review-of-the-literature
#19
Youssef Shaban, Adel Elkbuli, Mark McKenney, Dessy Boneva
INTRODUCTION: An Amyand hernia is a rare disease where the appendix is found within an inguinal hernia sac. This rare entity is named after the French born English surgeon, Dr. Claudius Amyand. Inguinal hernias are one of the most common surgeries that a general surgeon performs with more than 20 million inguinal hernia repairs performed yearly worldwide. The incidence of finding an appendix within the hernia sac is rare, occurring in less than 1% of inguinal hernia patients and when complications arise such as inflammation, perforation, or abscess formation it becomes exceptionally rare with an incidence of about 0...
May 7, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29750327/do-nano-crystalline-silver-coated-hernia-grafts-reduce-infection
#20
Elif Nergiz Adıgüzel, Ebru Esen, Gökçe Aylaz, Betül Keskinkılıç Yağız, Mehmet Kıyan, Aydın Doğan, Ali Ekrem Ünal
PURPOSE: Inguinal hernia repairs are the most common interventions in adults in general surgery clinics. Depending on the type of mesh and repair, the incidence of mesh-related infection ranges from 0.6 to 8%. Methicillin-resistant Staphylococcus aureus is the most common microorganism causing graft infection. The aim of this study was to investigate the efficacy of nano-crystalline silver-coated polypropylene grafts against graft infection created with MRSA in rats. METHODS: A total of 60 female, Wistar albino rats were used in the study...
May 10, 2018: World Journal of Surgery
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