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Search Results: 1 - 10 of 1109 matches for " Inguinal hernia "
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Current Trends in the Management of Inguinal Hernia in Children  [PDF]
Nick Zavras, Alexia Christou, Evangelos Misiakos, Christos Salakos, Anestis Charalampopoulos, Dimitrios Schizas, Anastasios Machairas
International Journal of Clinical Medicine (IJCM) , 2014, DOI: 10.4236/ijcm.2014.513104
Abstract:

Inguinal hernia repairs in one of the most common surgical procedures in the pediatric population. Its diagnosis is made easily and the repair is usually performed by open surgery and with low complications rates. However, a substantial number of topics concerning anesthetic management, the precise time of operation especially in premature and high-risk infants, and the need of contralateral exploration have not yet been resolved. Recently, the introduction of laparoscopic repair seems to play a significant role regarding the safety, the examination and possible simultaneously repair of the contralateral groin, and the better cosmetic results. In this review, the current trends of the above mentioned topics will be discussed.

Abdominal wall hernia in a rural population in India—Is spectrum changing?  [PDF]
Mukesh Sangwan, Vijayata Sangwan, Mahender Garg, Parveen Mahendirutta, Uma Garg
Open Journal of Epidemiology (OJEpi) , 2013, DOI: 10.4236/ojepi.2013.33020
Abstract:

Hernia is a common word that most surgeons are familiar with. A retrospective study was planned to analyse the spectrum of abdominal wall hernias in a rural population inIndia. Majority of the patients were of 40 - 70 yrs. Male to female ratio was 7:1. Incidence of groin hernias showed an increasing trend with advancing age. Out of total 320 cases, inguinal hernias were predominating in 77.81% cases. Ventral hernias were present in about 18% cases. However, femoral hernias were rare. We concluded that spectrum of abdominal wall hernias is almost the same all over the globe despite having differences in their socioeconomic and educational status.

Hernia inguinal. Estudio de 2 a os Inguinal hernia. A two-year study
Carlos A Sánchez Portela,Martha A Oriolo Estrada,Ivanis Ruizcalderón Cabrera,Roberto Sosa Hernández
Revista de Ciencias M??dicas de Pinar del R?-o , 2005,
Abstract: La hernia inguinal representó el 3,42 % de las operaciones del Servicio de Cirugía General del Hospital Universitario "Abel Santamaría Cuadrado" durante los a os 2002 y 2003. De estas operaciones, más de la tercera parte (36%) de los pacientes tenían entre 41 y 50 a os al ser intervenidos quirúrgicamente. El sexo masculino predominó sobre el femenino en una proporción de 16 a 2 y además, se observó en todo el estudio un ligero predominio del lado derecho sobre el izquierdo en proporción de 3 a 2. El 48,5% de los pacientes con hernia inguinal realizaron un esfuerzo físico antes de la aparición de la hernia y el 57% de los estudiados asistió al cirujano antes del a o de haberse presentado la enfermedad. La hernia inguinal indirecta predominó sobre la directa en proporción de 4 a 1. La incarceración fue la complicación más frecuente encontrada. Entre las complicaciones postoperatorias locales encontradas las más destacadas fueron la sepsis de la herida, el hematoma y el seroma. La mortalidad global fue de un 0,39%. Con el objetivo de realizar un estudio del comportamiento de la hernia inguinal en nuestro hospital durante un período de dos a os nos propusimos realizar este trabajo. Inguinal hernia represented 3.42 % of surgeries from the General Surgery Service at Abel Santamaria Cuadrado General Hospital during years 2002 and 2003. in this surgeries, more than the third (36 %) of patients ranged 41 - 50 years of age when being operated on. Masculine sex prevailed over feminine sex with a ratio 16/2 and, moreover, throughout the whole study it was observed a slight predominance of the right side over the left one with a ratio 3/2. 48.5 % of herniated patients performed a physical strain before the ocurrence of the hernia and 50 % of the studied ones went to the surgeon before 1 after the onset tof the disease took place. Indirect inguinal hernia prevailed over the right one with a ratio 4/1. Incarceration was the most frequent complication found. Among local postoperative complicactions found, the most significant were sepsis of the wound, hematoma and seroma. Total mortality was 0.39 %. We decided to carry out this work in order to perform a study of the behaviour of inguinal hernias in our hospital during a period of two years.
The Groin Physiology Revisited  [PDF]
Ljubomir Kovachev, Pencho Tonchev
International Journal of Clinical Medicine (IJCM) , 2014, DOI: 10.4236/ijcm.2014.513101
Abstract:

The purpose is to contribute new information to the existing body of knowledge of the physiology of the groin. In a prospective ultrasonographic study, after an informed consent, 10 men and 10 women who were intact in the groin areas of surgery or relevant disease were involved. For a comparison, additional groups of 5 men and 5 women with abdominal wall hernias, but with no groin hernias, and other 5 men with inguinal hernias were included. The distal descent of the internal oblique muscle during the Valsalva’s manoeuvre in men was 0.8 cm ± 0.1 and in women it was 0.3 cm ± 0.1 (p < 0.001); the plate of transversus abdominis muscle changed its initial configurations and took on the characteristics of aponeurosis. During the Valsalva manoeuvre the rectus abdominis muscle demonstrated a distal latero-caudal shift of its lateral margin. In individuals with failed mechanics of the abdominal wall, the rectus abdominus does not realize the protective function. The mobile anatomic structures in the groin are oriented in three frontal planes. It formulated the concept of a synchronous protective function of all myofascial structures in the groin. We established that the anatomic structures transform the inguinal canal into a hermetic entity, which protects both the ingunal canal and the spermatic cord.

 

Inguinal Bladder Hernia: Case Report  [PDF]
Guo Liang Yong, Mun Yee Siaw, Amelia Jia Ling Yeoh, George Eng Geap Lee
Open Journal of Urology (OJU) , 2013, DOI: 10.4236/oju.2013.35040
Abstract:

Sliding inguinal scrotal herniation of the bladder is rare but well-documented in the medical literature. The majority of the patients are asymptomatic and the hernia is usually diagnosed incidentally. Most authors had advocated surgically repair of the hernia with the reduction or resection of the bladder as the definitive management. We present an unusual case of inguinal scrotal herniation of the bladder presented as acute abdominal pain and treated with conservatively with urethral catheterization.

The Technique of Shouldice in the Treatment of the Inguinal Hernias at the Hospital Sominé Dolo of Mopti (Mali) Subject of 675 Cases  [PDF]
Abdoulaye Kanté, Mamadou Alymami Keita, Idrissa Tounkara, Bréhima Bengaly, Bréhima Coulibaly, Siaka Diallo, Drissa Ouattara, Babou Ba, Drissa Traoré, Souleymane Sanogo, Djibril Traoré, MoustaphaIssa Magané, Mariam Daou, Bakary Keita, Birama Togola, Nouhoum Ongo?ba
Surgical Science (SS) , 2018, DOI: 10.4236/ss.2018.912052
Abstract: The objective was to study epidemiological and therapeutic aspects of the inguinal hernia according to the technique of Shouldice. Methodology: we realized a retrospective study, concerning the patients operated for inguinal hernia according to the technique of Shouldice in the service of general surgery of the hospital Sominé Dolo of Mopti, Mali. All the patients operated during the period of study for inguinal hernia according to the technique of Shouldice were included. The patients operated for hernia by other technique than that of Shouldice were not included. Results: The study has been realized in the service of general surgery of the hospital Sominé Dolo of Mopti (Mali). It was about a retrospective study which concerned 25 years from January, 1987 till December, 2012. 675 patients operated according to the technique of Shouldice were registered. The average age was of 49 years +/17.7. There were 90.7% (612) men. The sex-ratio is 9.7. The farmers, the housewives and the workers represented 51.1% (115). In 75.2% (508) the patients consulted for inguinal tumefaction. In operating meadow, the hernia was complicated to 246 (36.4%) patients among whom 72 cases were of recurrence. The hernia constriction was the main complication operating meadow 58.5% (48/82). The operating suites in one year were simple at 94.2% (636) of the patients; they were marked by 24 cases of recurrence, 12 cases of neuralgia, 6 cases of testicular atrophy, and 3 cases of keloid. Conclusion: The technique of Shouldice is the technique of choice for the cure of the inguinal hernia in developing countries because of the good result and its little expensive cost with compared with the other techniques using medical devices.
Chronic Pain Review Following Lichtenstein Hernia Repair: A Personal Series  [PDF]
Maurice Brygel, Luke J. Bonato, Sam S. Farah
Surgical Science (SS) , 2012, DOI: 10.4236/ss.2012.39086
Abstract: Introduction: Chronic groin pain is both a topical subject and important outcome measurement following inguinal hernia repair. It has been suggested its incidence is related to the management of the nerves of the inguinal canal as well as the type of mesh used and methods of fixation for both open and laparoscopic surgery. The level of pre-operative and post operative pain, its duration as well as complications may all be factors in predicting whether chronic pain could develop. The method of measurement of chronic pain is itself a contentious issue. It is now apparent that the qualitative measurement of activity and functional status as well as quantitative is important. As a result several uniform methods of assessing chronic post-operative pain have been designed, validated and implemented. One of these is used here. Methods: A study reviewing a consecutive series of Lichtenstein repairs performed by a single experienced hernia surgeon was carried out. 248 inguinal hernia patients operated on in 2005 were reviewed. Patients were contacted via telephone at a median of 50 months. Franneby’s recently validated inguinal pain questionnaire was used to assess the incidence of chronic pain. Results: 185 (75%) patients were able to be contacted for follow-up, making a total of 213 inguinal hernia repairs (including bilateral and recurrent hernias). At the time of review 3% of patients reported having pain. No patients reported that pain or discomfort was limiting their work, exercise or activities of daily living. No patients had disabling pain. Conclusion: Chronic pain did not appear to be a major problem within this cohort of patients. The Lichtenstein technique can produce favourable results in terms of chronic pain for unilateral, bilateral and recurrent inguinal hernias in an unselected group of patients with the usual mix of risk factors and complications.
Hernia inguinal. Estudio de 2 a?os
Sánchez Portela,Carlos A; Oriolo Estrada,Martha A; Ruizcalderón Cabrera,Ivanis; Sosa Hernández,Roberto; Humarán Rodríguez,Lisset;
Revista de Ciencias M??dicas de Pinar del R?-o , 2005,
Abstract: inguinal hernia represented 3.42 % of surgeries from the general surgery service at abel santamaria cuadrado general hospital during years 2002 and 2003. in this surgeries, more than the third (36 %) of patients ranged 41 - 50 years of age when being operated on. masculine sex prevailed over feminine sex with a ratio 16/2 and, moreover, throughout the whole study it was observed a slight predominance of the right side over the left one with a ratio 3/2. 48.5 % of herniated patients performed a physical strain before the ocurrence of the hernia and 50 % of the studied ones went to the surgeon before 1 after the onset tof the disease took place. indirect inguinal hernia prevailed over the right one with a ratio 4/1. incarceration was the most frequent complication found. among local postoperative complicactions found, the most significant were sepsis of the wound, hematoma and seroma. total mortality was 0.39 %. we decided to carry out this work in order to perform a study of the behaviour of inguinal hernias in our hospital during a period of two years.
Unusual Contents of Inguinal Hernia Sac. An Approach to Management  [PDF]
Norman Oneil Machado, Nikita Neha Machado
Surgical Science (SS) , 2011, DOI: 10.4236/ss.2011.26068
Abstract: Background-Unusual contents of hernia sac are uncommon, but are likely to be encountered by a surgeon in his career due to the frequency of hernia repair. The aim of this study, is to present our experience of unusual contents in inguinal hernia sac, discuss its management and review the relevant literature with regards to others experience. Patients and methods-Retrospective study of 662 patients who underwent inguinal hernia repair over an 8 year period from 2000 to 2008 was carried out. Results-Seven patients presented with unusual contents in inguinal hernia sac; an incidence of 1.05%. Three of them had vermiform appendix, with acute appendicitis (Amyand’s Hernia) noted in one of them. All patients underwent appendicectomy with repair of hernia, with mesh being employed only in patients with normal appendix. In 2 cases urinary bladder had herniated and there was one case each of ovarian cyst and fallopian tube with ovary as its content. In all these patients hernia repair was carried out after carefully reducing the contents. Conclusion-Unusual contents of hernia may pose a surgical dilemma during hernia repair even to an experienced surgeon. Although rare, a hernia may contain vermiform appendix and exceptionally it may be acutely inflamed. Tubal and ovarian herniation in an inguinal hernia may be found in adult and perimenopausal women, though the incidence is reported to be more common in children. Urinary bladder herniation occurs with similar incidence as tubo ovarian hernia; however it requires special attention because of the risk of iatrogenic bladder injury during inguinal dissection. Though appendix as a content is dealt with by appendicectomy followed by hernioplasty, every effort should be made to preserve other organs found in the hernia sac to achieve an uneventful postoperative period.
A New Alternative Technique for Preperitoneal Inguinal Hernia Repair: Using Groin Innominate Fascial Island Flap  [PDF]
Feyzi Kurt, Musa Abe?
Surgical Science (SS) , 2012, DOI: 10.4236/ss.2012.37071
Abstract: Aim: Despite the fact that reported low recurrence rates and improvement results, optimal surgical technique for in-guinal hernia repair was not found and recurrence was not eliminated. We used firstly groin innominate fascial island flap to reinforce the weak inguinal tissue for the repair. Methods: From the February 2010 to December 2010, 15 patients (13 male and 2 female) with inguinal hernia underwent repair with using island groin innominate fascial flap. The follow-up period ranged from 8 to 12 months (mean, 10 months). Results: Seroma developed in one case. Others had not any complications. Conclusion: Because of our technique avoids from the complications and drawbacks of the prosthetic mesh, autograft and abdominal wall flaps, we think that the groin deep fascial flap can be a good alternative to prosthetic meshes for reconstruction of inguinal hernia repair.
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