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Search Results: 1 - 10 of 1122 matches for " Strangulated inguinal hernia "
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Necrotic Appendix in Amyand’s Hernia: A Case Report  [PDF]
Aybars Ozkan, Mesut Okur, Murat Kaya, Adem Kucuk, Ilyas Sari
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.47A2001
Abstract: A three-month-old boy was admitted by red, firm, painful swelling in the right groin and vomiting. Surgical repair with appendectomy was performed. We want to emphasize that if the patient has an irreducible strangulated inguinal hernia, appendix or bowel necrosis can be found in the hernia sac.
Enteroscrotal Fistula: A Rare Complication of Incarcerated Inguinal Hernia
Muhammad Sharif,Lubna Ijaz,Shahid Iqbal,Afzal Sheikh
APSP Journal of Case Reports , 2010,
Abstract: Inguinal hernia is a frequent surgical condition encountered of pediatric age group. It may get incarcerated and at times strangulated requiring prompt intervention. However if lesion is not treated timely a host of complications may occur. Enteroscrotal fistula is one such rare complication that may follow such discourse. We report a case of 25-days old male neonate who presented with enteroscrotal fistula due to incarcerated right inguinal hernia. Patient was explored through abdomen and the involved part of ileum was resected and ileo-ileal anastomosis performed.
Strangulated Femoral Hernia: A Challenging Surgical Vignette —Case Report and Review of Literature  [PDF]
Ketan Vagholkar
International Journal of Clinical Medicine (IJCM) , 2014, DOI: 10.4236/ijcm.2014.52013

External hernia is one of the commonest causes of intestinal obstruction. Femoral hernia is a relatively uncommon hernia. It has a very high complication rate due to delayed diagnosis caused by deceptive symptomatology and subtle signs. CT scan enables a prompt diagnosis. Rigorous resuscitation followed by prompt surgical intervention is the mainstay of treatment. A case of a strangulated femoral hernia in a patient with complicated co morbid medical disorders is presented to highlight the pitfalls in initial clinical assessment.

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

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

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.

Richter's umbilical hernia: a case report
Iftikhar BAKSHI,Imtiaz WANI,Showkat PARAY,Arif SARMAST
Marmara Medical Journal , 2011,
Abstract: Umbilical hernias are common in infants but usually close with time.Strangulated umbilical hernias are rarely seen and they are unusual complications of umbilical hernias. A delayed diagnosis always increases morbidity. Occurrence of Richter's umbilical hernia is very rare and preoperative diagnosis is difficult. A strangulated Richter's type of umbilical hernia in an 8 month old child is presented. The patient presented with an acute abdomen. A small segment of ileum was impacted in a firm umbilical hernia ring which was gangrenous and was excised.
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

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

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.
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