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Strangulated inguinal hernia

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https://www.readbyqxmd.com/read/29132477/elective-division-of-ilioinguinal-nerve-in-inguinal-hernioplasty-remedy-for-the-morbid-postoperative-inguinal-pain
#1
Muhammad Danish Muneeb, Mirza Aga Naushad Baig
OBJECTIVE: To compare the postoperative pain in inguinal hernioplasty, by preserving versus wide elective division of ilioinguinal nerve. STUDY DESIGN: Randomized controlled trial. PLACE AND DURATION OF STUDY: Surgical Department, Civil Hospital, Karachi, from January till August 2015. METHODOLOGY: All patients of either gender above 15 years of age, undergoing mesh repair for unilateral, reducible inguinal hernia, were included...
November 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29076691/richter-s-hernia-presenting-as-faecal-fistula-in-female-a-rare-entity
#2
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
#3
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...
October 10, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29052338/laparoscopic-transabdominal-preperitoneal-repair-for-strangulated-inguinal-hernia
#4
Akihisa Matsuda, Masao Miyashita, Satoshi Matsumoto, Nobuyuki Sakurazawa, Youichi Kawano, Sho Kuriyama, Kumiko Sekiguchi, Fumihiko Ando, Takeshi Matsutani, Eiji Uchida
INTRODUCTION: Laparoscopic transabdominal preperitoneal repair (TAPP) is widely accepted in elective inguinal hernioplasty. However, given the scarcity of data, the feasibility and safety of TAPP in strangulated hernia cases have not yet been determined. METHODS: We retrospectively evaluated the data from a consecutive series of 33 patients who had undergone surgery for acute strangulated inguinal hernia associated with suspected visceral ischemic damage by either TAPP (TAPP group, n = 11) or conventional open hernioplasty via the anterior approach (anterior group, n = 22)...
October 19, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29048997/surgical-site-infections-after-inguinal-hernia-repairs-performed-in-low-and-middle-human-development-index-countries-a-systematic-review
#5
Lawrence Z Cai, Deshka Foster, William C Kethman, Thomas G Weiser, Joseph D Forrester
BACKGROUND: Inguinal hernias are a common disorder in low- and middle-human development index countries (LMHDICs). Poor access to surgical care and lack of patient awareness often lead to delayed presentations of incarcerated or strangulated hernias and their associated morbidities. There is a scarcity of data on the baseline incidence of surgical site infections (SSIs) after hernia repair procedures in LMHDICs. METHODS: We performed a systematic review of the literature describing the incidence and management of SSIs after inguinal hernia repair in LMHDICs...
October 19, 2017: Surgical Infections
https://www.readbyqxmd.com/read/28969195/laparoscopic-versus-open-repair-of-para-umbilical-hernia-a-prospective-comparative-study-of-short-term-outcomes
#6
Sreeharsha Korukonda, Anandhi Amaranathan, Vishnu Prasad Nelamangala Ramakrishnaiah
INTRODUCTION: Para-Umbilical Hernia (PUH) is one of the most common surgical problems. Since the prosthetic repair has become the standard of practice for inguinal hernia management, the same has been adapted for para-umbilical hernia management with better outcome. There is still debate going on regarding the optimal surgical approach. There are very few prospective studies comparing the laparoscopic and open method of para-umbilical hernia mesh repair. This study compared the short term outcomes following laparoscopic versus open mesh repair of PUH...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28936440/amyand-s-hernia-presenting-as-an-unusual-inguinal-mass-a-case-report
#7
Jennifer To, Paul Hanna, Ricardo Mohammed, Shauna Trinh, Franklyn Vazquez, Jamshed Zuberi, Robert Madlinger
Accounting for approximately 0.4-0.6% of all inguinal hernias, Amyand's hernia is a rare condition in which a vermiform appendix is found in an inguinal hernia sac. It is most commonly found in males and in the pediatric population. Since Claudius Amyand's first reported case in 1736, there have only been a total of 228 documented cases of the Amyand's hernia. Due to its rarity, the pathophysiology and risk factors of the condition are still unclear. Some theorize that it is secondary to a patent processus vaginalis or perhaps the presence of a fibrous band between the hernia sac and testes...
September 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/28927907/extra-gastrointestinal-anisakidosis-caused-by-pseudoterranova-azarasi-manifesting-as-strangulated-inguinal-hernia
#8
Akari Mitsuboshi, Hiroshi Yamaguchi, Yusuke Ito, Tetsushi Mizuno, Masaharu Tokoro, Masashi Kasai
The incidence of anisakidosis continues to increase worldwide due to increased consumption of undercooked fish. Although anisakidosis can be categorized into four clinical phenotypes (gastric, intestinal, ectopic, and allergic), ectopic forms of the condition are much less common than gastric or intestinal forms when caused by Pseudoterranova spp. We report the case of a 5-year-old patient who presented with a rapidly growing left inguinal mass and was subsequently diagnosed with extra-gastrointestinal anisakidosis caused by Pseudoterranova azarasi...
December 2017: Parasitology International
https://www.readbyqxmd.com/read/28892969/fistulating-richter-s-hernia-of-groin-with-necrotizing-soft-tissue-infection-a-lethal-combination
#9
Shibojit Talukder, Ashish Gupta, Basant Narayan Singh, Lileswar Kaman, P Abhinaya Reddy
Strangulation of groin hernia can result in significant morbidity and mortality. Spontaneous external fistulation following strangulation is rare and typically occurs with Richter's hernia. Spreading Necrotizing Soft Tissue Infection (NSTI) secondary to Enterocutaneous Fistula (ECF) is an ominous sign, further worsening its prognosis. Early diagnosis and prompt surgical treatment is crucial to improve outcome. Herewith the authors are presenting a case of neglected inguinal hernia. It was complicated with ECF formation and rapidly spreading NSTI of flank...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28892783/internal-supravesical-hernia-repaired-via-the-anterior-approach-alone-a-case-report
#10
Masaki Morimoto, Soichiro Honjo, Teruhisa Sakamoto, Naruo Tokuyasu, Yosuke Arai, Masataka Amisaki, Ei Uchinaka, Yasuro Kurisu, Sadamu Takahashi, Hiroshi Watanabe, Satoshi Nagai, Yoshiyuki Fujiwara
INTRODUCTION: Internal supravesical hernia is one of the rarest types of inguinal hernia. The hernial orifice is surrounded by the transverse vesical fold, median umbilical fold, and medial umbilical fold. PRESENTATION OF CASE: A 75-year-old male presented with lower abdominal pain and nausea. Plain abdominal CT showed that the bladder was suppressed by small bowel near the left internal inguinal ring. A part of the small bowel wall seemed to be inlaid, and so the patient was diagnosed with a strangulated left inguinal hernia...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28876575/neonatal-surgery-a-study-of-two-years-at-nelson-mandela-academic-hospital-mthatha-eastern-cape
#11
A Delgado, A Cejas, D Bangasa
BACKGROUND: Advances in diagnostic techniques and perioperative care have greatly improved the outcome of neonatal surgery. Despite this, disparity still exists in the outcome of neonatal surgery between developed and developing countries. METHOD: We performed a prospective study of neonates admitted and treated due to surgical congenital diseases and other conditions in our hospital from April 2015 to April 2017. RESULTS: There were 19 (28,7%) females and 47 (70,3%) males in this group...
September 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28790095/reduction-en-masse-of-inguinal-hernia-a-review-of-a-rare-and-potential-fatal-complication-following-reduction-of-inguinal-hernia
#12
Ashanga Yatawatta
Reduction en masse is reduction of a hernial sac into the pre-peritoneal space with a loop of bowel remaining incarcerated at the neck of the sac, leading to early strangulation. This is a rare complication, usually encountered with inguinal hernias, with a false reassurance to the patient and the treating physician that complete reduction has been achieved. Unless early intervention is carried out, this condition will typically present with worsening pain and absence of an appreciable hernia bulge at the groin, and intestinal necrosis may be encountered on exploration...
August 7, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28716872/the-duari-hernia-and-recognition-of-the-femoral-vein-compression-sign
#13
Ian Y Goh, Anna Louise Sandstrom, Troy Stapleton, Ratna Aseervatham, David A Grieve
Femoral hernias can be difficult to diagnose and are at high risk of strangulation. This report is of a rare case of an irreducible femoral hernia containing caecum and appendix presenting as an emergency. To the authors' knowledge, there have only been three cases reported, the first described by Duari. This case was incorrectly diagnosed preoperatively as an inguinal hernia, so the CT diagnosis of femoral hernias is reviewed, in particular demonstrating the radiological use of the femoral vein compression sign...
July 16, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28664523/a-case-of-incisional-hernia-repair-using-composix-mesh-prosthesis-after-antethoracic-pedicled-jejunal-flap-reconstruction-following-an-esophagectomy
#14
Atsushi Yasuda, Takushi Yasuda, Hiroaki Kato, Mitsuru Iwama, Osamu Shiraishi, Yoko Hiraki, Yumiko Tanaka, Masayuki Shinkai, Motohiro Imano, Yutaka Kimura, Haruhiko Imamoto
BACKGROUND: An incisional hernia in a case of antethoracic pedicled jejunal flap esophageal reconstruction after esophagectomy is a very rare occurrence, and this hernia was distinctive in that the reconstructed jejunum had passed through the hernial orifice; a standard surgical treatment for such a presentation has not been established. Herein, we describe a case of repair using mesh prosthesis for an atypical and distinctive incisional hernia after antethoracic pedicled jejunal flap esophageal reconstruction...
December 2017: Surgical Case Reports
https://www.readbyqxmd.com/read/28580060/amyand-s-hernia-a-case-report
#15
Haris N Shekhani, Saurabh Rohatgi, Tarek Hanna, Jamlik-Omari Johnson
Amyand's hernia is a rare and atypical hernia characterized by the herniation of the appendix into the inguinal sac. This hernia may be present without symptoms until inflammation of the appendix may lead to incarceration, strangulation, necrosis, perforation or rupture. Early symptoms include tenderness and inguinal swelling which may be misdiagnosed as a strangulated hernia. This condition can be difficult to diagnose clinically. Ultrasound and Computed Tomography may aid in diagnosis. This article presents a rare case of Amyand's hernia followed by a discussion of the epidemiology, diagnosis, imaging details and treatment options for this condition...
December 2016: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28515592/inguinoscrotal-hernia-in-infants-three-case-reports-in-ultrasound-diagnosis
#16
Dharmraj Meena, Richa Jhuria, Sangeeta Saxena, Umesh Saini
An inguinal hernia occurs when an intestinal loop or part of the omentum or genital organs passes into the scrotal cavity or labia through an incompletely obliterated processus vaginalis. Inguinal hernias are most common in preterm neonates, especially at 32-weeks gestation. Content of hernia is mostly bowel and ovary/testicles. Presence of uterus in herniated sac is rare, and only few cases are reported in literature. Hernia is more frequently located on the right side because the right processus vaginalis closes later than the left...
January 2017: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/28468896/emergency-laparotomy-in-infants-born-at-26-weeks-gestation-a-neonatal-network-based-cohort-study-of-frequency-surgical-pathology-and-outcomes
#17
Jonathan Durell, Nigel J Hall, Melanie Drewett, Kujan Paramanantham, David Burge
OBJECTIVE: Identify the proportion of infants born at <26 completed weeks' gestation who require emergency laparotomy, and review the surgical pathology, incidence of subsequent surgical procedures and outcome. DESIGN: Retrospective cohort review. SETTING: Tertiary neonatal surgical unit. PATIENTS: All infants born at <26 weeks' gestation in a neonatal network over an 8-year period. RESULTS: Of 381 infants, laparotomy was indicated in 61 (16%) and performed in 57...
November 2017: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/28381270/a-rare-diaphragmatic-ureteral-herniation-case-report-endoscopic-and-open-reconstructive-management
#18
Frank C Lin, Jamie S Lin, Samuel Kim, Jonathan R Walker
BACKGROUND: Ureteral herniations are a rare occurrence, generally found incidentally on cross sectional imaging or during surgical intervention for unrelated processes. Several locations of ureteral herniations can occur including the inguinal, femoral, sciatic, obturator, and thoracic regions. While few reports of ureteral hernias are reported in the literature overall, the vast majority of those reported are inguinoscrotal herniations found during evaluation and treatment of inguinal hernias...
April 5, 2017: BMC Urology
https://www.readbyqxmd.com/read/28350567/watchful-waiting-versus-surgery-of-mildly-symptomatic-or-asymptomatic-inguinal-hernia-in-men-aged-50-years-and-older-a-randomized-controlled-trial
#19
Barry de Goede, Arthur R Wijsmuller, Gabrielle H van Ramshorst, Bob J van Kempen, Wim C J Hop, Pieter J Klitsie, Marc R Scheltinga, Jeroen de Haan, Walter J B Mastboom, Erwin van der Harst, Maarten P Simons, Gert-Jan Kleinrensink, Johannes Jeekel, Johan F Lange
OBJECTIVE: To compare if watchful waiting is noninferior to elective repair in men aged 50 years and older with mildly symptomatic or asymptomatic inguinal hernia. BACKGROUND: The role of watchful waiting in older male patients with mildly symptomatic or asymptomatic inguinal hernia is still not well-established. METHODS: In this noninferiority trial, we randomly assigned men aged 50 years and older with mildly symptomatic or asymptomatic inguinal hernia to either elective inguinal hernia repair or watchful waiting...
March 27, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28273609/a-rare-case-of-a-strangulated-littre-s-hernia-with-meckel-s-diverticulum-duplication-case-report-and-literature-review
#20
C R López-Lizárraga, M P Sánchez-Muñoz, G E Juárez-López, L Pelayo-Orozco, L F De la Cerda-Trujillo, C F Ploneda-Valencia
INTRODUCTION: The Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract present in approximately 1-4% of the population; the MD duplication is exceedingly rare with only a few reports of it. Here we present the firs case of a strangulated Littre's hernia with MD duplication. PRESENTATION OF CASE: A 30-year-old male presented to the emergency room with clinical signs of small bowel obstruction, at physical examination, a right incarcerated inguinal hernia with erythema was found...
2017: International Journal of Surgery Case Reports
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