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Journal articles on the topic 'Hernia inguinalis'
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1
Amrizal, Amrizal. "Hernia Inguinalis." Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan 6, no. 1 (September 2, 2015): 1. http://dx.doi.org/10.32502/sm.v6i1.1374.
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Hernia berarti penonjolan kantong peritoneum atau suatu organ atau lemak praperitoneum melalui cacat kongenital atau akuisita (dapatan). Hernia inguinalis adalah kondisi prostrusi (penonjolan) organ intestinal masuk ke rongga melalui defek atau bagian dinding yang tipis atau lemah dari cincin inguinalis. Sekitar 75% hernia terjadi di regio inguinalis, 50% merupakan hernia inguinalis indirek dan 25% adalah hernia inguinal direk. Faktor risiko timbulnya hernia inguinalis adalah usia tua, jenis kelamin laki-laki, pekerjaan fisik yang menimbulkan peningkatan tekanan intraabdomen yang dilakukan terus-menerus, batuk kronis, dan obesitas. Gambaran klinis berupa benjolan di lipat paha yang timbul bila mengedan, batuk, atau mengangkat benda berat. Hernia inguinalis ditatalaksana dengan proses operasi, dengan tidak melupakan tatalaksana faktor risiko yang bisa diubah.
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Illés, Kristóf, Judit Tamás, Damján Pekli, Rezső Szlávik, Bálint Kokas, and Attila Szijártó. "Egy ritka sérvtípus kétszeri megjelenése klinikánkon." Magyar Sebészet (Hungarian Journal of Surgery) 73, no. 4 (December 12, 2020): 167–71. http://dx.doi.org/10.1556/1046.73.2020.4.6.
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Összefoglaló. Esetismertetések: 66 éves nő vizsgálatai irreponibilis fájdalmas inguinalis terime miatt kezdődtek. Ultrahangvizsgálat során a panaszok hátterében femoralis sérvben kizárt gangraenás appendix vermiformis igazolódott. Inguinalis metszésből appendectomiát és hernioplasticát végeztünk. Posztoperatív szövődménye nem volt, szövettana appendicitist igazolt. Pár héttel később egy 76 éves, több társbetegséggel rendelkező férfi fájdalmas, sercegő gangraenás, jobb inguinalis terime miatt került átvételre. CT-vizsgálat femoralis sérvbe kizárt abscedáló appendix vermiformist ábrázolt. Inguinalis metszésből, illetve alsó median laparotomiából a féregnyúlványt a hasüregbe reponáltuk, majd appendectomia és inguinalis necrectomia történt. Posztoperatív adhéziós ileus és hasfali disruptio miatt egy alkalommal reoperáltuk, adhaesiolysist és hasfali resuturát végeztünk. Ezt követően lágyéki sebén negatív nyomásos sebkezelést alkalmaztunk, a beteget a 22. napon otthonába bocsájtottuk. Az appendix szövettana low grade mucinosus neoplasiát igazolt. Megbeszélés: A femoralis sérvbe szorult appendix vermiformis de Garengeot-sérvként ismeretes, extrém ritka incidenciájú sérvtípus, ennél is ritkább az appendix mucinosus neoplásiájával szövődő variánsa. E sérv klinikai megjelenése széles spektrumon mozoghat, pontos preoperatív diagnózisa CT-vizsgálat nélkül kifejezetten nehéz. A műtéti megoldásra többféle lehetőség választható, mely nagyban függ az esetleges komplikációktól, a rendelkezésre álló eszközöktől, az intraoperatív lelettől, valamint az operáló sebész jártasságától. Summary. Case reports: a 66-year-old woman was admitted to our Department due to a painful inguinal lump. During examinations an incarcerated femoral hernia was found with an inflamed vermiform appendix inside the hernial sac. Appendectomy and femoral hernioplasty was performed from inguinal approach. The patient was discharged home without complications. Pathological examinations of the specimen showed signs of acute appendicitis. A few weeks later a 76-year-old man with severe comorbidities was admitted to our unit due to painful gangraenous inguinal skin lesion. CT scan showed an incarcerated femoral hernia containing the appendix with subcutaneous abscess. Appendectomy, hernioplasty, and inguinal necrosectomy was performed from an inguinal and low median approach. Another operation was necessary due to postoperative obstruction and subcutaneous dehiscence. After intraabdominal adhaesiolysis and abdominal wall reconstruction negative pressure wound therapy was applied to the inguinal wound, the patient was discharged 22 days after the primary operation. Pathological examinations of the appendix showed low grade mucinous neoplasm. Discussion: The femoral hernia containing the appendix is called de Garengeot’s hernia and is one of the rarest types of inguinofemoral hernias. The clinicopathology of this type of hernia can cover a wide range of symptoms. The definitive preoperative diagnosis is relatively difficult to find without a CT-scan. The surgical approach and treatment depends on the manifestation, clinical findings and on the available equipment and the expertise of the surgeon.
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Tahalli, Tahalli, I. Ketut Anom Dada, and I. Wayan Wirata. "Studi Kasus: Penanganan Hernia Inguinalis pada Anjing Campuran Pomeranian Betina dengan Pembedahan." Indonesia Medicus Veterinus 9, no. 4 (July 31, 2020): 650–61. http://dx.doi.org/10.19087/imv.2020.9.4.650.
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Hernia inguinalis merupakan protursi dari suatu organ atau bagian dari organ, lemak atau jaringan melalui cincin inguinal, yaitu diantara pangkal paha dan otot perut. Tujuan penulisan studi kasus ini adalah untuk mengetahui cara mendiagnosis, penanganan dan pengobatan kasus hernia inguinalis pada anjing. Seekor anjing campuran Pomeranian berumur tiga tahun dengan berat badan 4 kg, dengan warna rambut putih, berjenis kelamin betina, telah didiagnosis menderita hernia inguinalis dengan prognosis fausta. Metode pengobatan yang dipilih adalah tindakan pembedahan. Sebelum dilakukan pembedahan, anjing kasus diberikan premedikasi menggunakan atropin sulfat 0,03 mg/kg BB dan sebagai anestesi digunakan kombinasi ketamin dan xylazin. Dosis ketamin diberikan 13 mg/kg BB dan xylazin 2 mg/kg BB. Anjing ditangani dengan pembedahan, insisi dilakukan pada kulit dan subkutan tepat di atas cincin hernia hingga terlihat isi hernia. Selanjutnya dilakukan reposisi dengan cara memasukkan isi hernia ke dalam rongga abdomen. Setelah reposisi, pada bagian tepi cincin hernia dibuat luka baru untuk memungkinkan terjadinya penyatuan jaringan. Kemudian dilakukan penjahitan pada peritoneum dengan polyglycolic acid 3.0 dengan pola jahitan terputus sederhana, jahitan subkutan menggunakan catgut 3.0 dengan pola jahitan menerus sederhana dan pada kulit dijahit menggunakan pola jahitan terputus sederhana menggunakan benang silk 3.0. Pasca operasi diberikan antibiotik injeksi amoxicillin 1 ml/10 kg BB yang dilanjutkan dengan pemberian obat peroral yaitu antibiotik amoxicillin 500 mg (20 mg/kg BB) selama tujuh hari, pemberian analgesik meloxicam 7,5 mg (0,2 mg/kg BB) selama lima hari. Satu minggu kemudian anjing dinyatakan sembuh berdasarkan keadaan fisik dan klinis.
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TIRANTI, I. N., R. N. GENGHINI, H. GONZÁLEZ QUINTANA, and P. WITTOUCK. "Morphological and karyotypic characterization of intersex pigs with hernia inguinalis." Journal of Agricultural Science 138, no. 3 (May 2002): 333–40. http://dx.doi.org/10.1017/s0021859602001958.
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Three female pigs, one with bilateral and two with unilateral hernia inguinalis, from farms near Río Cuarto, Argentina were studied to assess the hypothesis of intersexuality due to porcine freemartinism. Karyotype analysis of lymphocyte cultures was carried out to look for XX/XY chromosome chimerism. Examination of anatomical and histological characteristics of sexual organs was also performed to describe possible sexual tract abnormalities. The animal with the bilateral hernia inguinalis was shown to be a case of true hermaphroditism. Externally it had female genitalia and inside the abdomen, on the left side, one mature ovary and one testis were located. On the right side of the hernia, a scrotal ovotestis was present. All cytogenetically analysed lymphocytes had the female karyotype. The two animals having unilateral hernia and lymphocyte sexual chromosome chimerism were porcine freemartin.
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Straub, Otto. "Kombination von Hernia scrotalis mit Hernia inguinalis bei einem Schafbock." veterinär spiegel 23, no. 04 (December 17, 2013): 182–83. http://dx.doi.org/10.1055/s-0033-1360124.
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M, Azarabadi, Heydari S, Rouhani S, and Ghane Ezabadi M. "Persistent Mullerian Duct Syndrome in a Man with Unilateral Cryptorchidism : A Case Report." Pakistan Journal of Medical and Health Sciences 15, no. 6 (June 30, 2021): 2037–38. http://dx.doi.org/10.53350/pjmhs211562037.
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Introduction: Persistent Mullerian duct syndrome is a rare form of male pseudo-hermaphroditism characterized by the presence of Mullerian duct structures in an otherwise phenotypically, as well asgenotypically, normal man; only a few cases have been reported in the worldwide literature. A greatvariety of organs have been found in indirect inguinal hernial sacs. Case presentation: We report a case of 28 year old man, father of 2 children with unilateral cryptorchidism on the left side and testis and painful left groin mass. we found uterine tissue extending through the inguinal canal. Conclusions : PMDS is a rare form of male pseudo-hermaphroditism characterized by the presence of Mullerian duct structures in an otherwise phenotypically, as well as genotypically, normal man. Hernia uteri inguinalis is type I of the male form of PMDS, characterized by one descended testis and the herniation of the ipsilateral corner of the uterus and fallopian tube into the inguinal canal. Keywords: mullerian duct syndrome, cryptorchidism
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Mezerová, J., Z. Zert, R. Kabes, and P. Jahn. "Hernia inguinalis incarcerata in horses: 43 cases." Pferdeheilkunde Equine Medicine 19, no. 3 (2003): 263–68. http://dx.doi.org/10.21836/pem20030304.
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Amato,, Giuseppe, Piergiorgio Calò,, Vito Rodolico,, Roberto Puleio,, Antonino Agrusa,, Leonardo Gulotta,, Luca Gordini,, and Giorgio Romano,. "The Septum Inguinalis: A Clue to Hernia Genesis?" Journal of Investigative Surgery 33, no. 3 (October 31, 2018): 231–39. http://dx.doi.org/10.1080/08941939.2018.1497734.
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S. D., Veershetty, Manjunath K., O. G. Prakash, K. S. Hanumanthaiah, and Rajagopalan S. "A case of ectopic testis: an intraoperative enigma instead of a diagnostic enigma." International Surgery Journal 5, no. 3 (February 26, 2018): 1127. http://dx.doi.org/10.18203/2349-2902.isj20180843.
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Author present a case of persistent mullerian duct syndrome with transverse testicular ectopia with bilateral hernia uteri inguinalis in a 17 years old boy. This is a rare congenital anomaly and an uncommon form of male pseudo-hermaphroditism characterized by the persistence of well-developed Mullerian duct structures in an otherwise normal male with a 46 XY karyotype. Transverse testicular ectopia (TTE) is one of the rarest forms of testicular ectopia. In this condition, both testes are located on one inguinal side and the opposite inguinal canal and scrotum are empty. TTE associated with PMDS is much rarer. The exact cause of PMDS is uncertain. However, it is thought to result from the failure of synthesis or release of Mullerian inhibiting factor (MIF), the failure of end organs to respond to MIF, or a defect in the timing of the release of MIF. Patients with PMDS present with unilateral or bilateral cryptorchidism and an inguinal hernia containing a fallopian tube, uterus and testis. The case was diagnosed on doing diagnostic laparoscopy followed by bilateral inguinal herniorrhaphy and right Orchidectomy.
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Taylor, Glenn P. "Pathology of the Pediatric Regio Inguinalis: Mysteries of the Hernia Sac Exposed." Pediatric and Developmental Pathology 3, no. 6 (November 2000): 513–24. http://dx.doi.org/10.1007/s100240010118.
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Inguinal hernia repair is one of the most common surgeries performed on children. However, the value of routine histologic examination of hernia sac tissues continues to be debated. Although the surgical pathology of herniorrhaphy tissues is usually simple, occasional examples have unexpected findings that potentially lead to inappropriate management or that have added clinical implications. These along with surgical-quality assurance issues need to be considered in cost-benefit arguments. This article reviews basic histology, common potential pitfalls, and significant unexpected conditions encountered in the surgical pathology of the inguinal hernia sac in children.
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Utami, Yohana Puji Dyah, Hariatmoko ., Pudji Sri Rasmiati, and Rizaldy Taslim Pinzon. "IMPLEMENTASI CLINICAL PATHWAY HERNIA INGUINALIS LATERALIS REPONIBILIS DEWASA DI RUMAH SAKIT BETHESDA YOGYAKARTA." Berkala Ilmiah Kedokteran Duta Wacana 2, no. 1 (January 7, 2017): 299. http://dx.doi.org/10.21460/bikdw.v2i1.41.
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Pendahuluan: Permenkes 1438 tahun 2010 menetapkan standar
pelayanan kedokteran berupa Panduan Nasional Praktek Kedokteran (PNPK) dan
Standar Prosedur Operasional (SPO). SPO disusun dalam bentuk Panduan
Praktek Klinis (PPK) yang dilengkapi dengan alur klinis (Clinical Pathway).
Dipilihnya hernia untuk dibuat PPK/CP di RS Bethesda karena tingginya jumlah
kasus hernia yang dilakukan operasi. Tujuan dari penelitian ini adalah
membandingkan outcome pelayanan terkait hernia sebelum dan sesudah
implementasi Clinical Pathway.
Metode: Desain penelitian adalah quasi experimental after and before test.
Tempat pengambilan data adalah di RS Bethesda melalui dokumen dalam rekam
medis termasuk Clinical Pathway (CP). Waktu pengambilan data adalah sebelum
implementasi CP hernia dan setelah implementasi CP hernia. Populasi adalah
semua kasus hernia inguinalis lateralis reponibilis dewasa yang dilakukan
herniotomi sebelum implementasi PPK/CP dan setelah implementasi PPK/CP.
Hasil: Diperoleh sampel sebanyak 29 untuk pasien hernia sebelum
implementasi CP dan 29 setelah implementasi CP. Hasil menunjukkan persentase
kepatuhan sebelum dan sesudah implementasi CP pada penggunaan obat injeksi
meningkat (dari 44,82% menjadi 57,69%), pada penggunaan obat oral meningkat
(dari 20,08% menjadi 30,77%), pada penggunaan Spinal Anesthesia Block
meningkat (dari 17% menjadi 84,62%), pada penggunaan obat anestesi (dari 17%
menjadi 76,92%), pada lama rawat inap sebelum operasi kurang dari 24 jam
menurun (dari 93% menjadi 88,46%), dan pada lama rawat inap paska operasi
kurang dari 3 hari meningkat (dari 86% menjadi 88.46%). Rata-rata biaya rawat
inap sebelum dan sesudah implementasi CP pada kelas I sebesar Rp 8.050.350,00
dan Rp 8.231.700,00, pada kelas II sebesar Rp 6.668.580,00 dan Rp
6.139.733,00, dan pada kelas III sebesar Rp 4.542.100,00 dan Rp 4.464.400,00.
Kesimpulan: Clinical Pathway bermanfaat untuk memperbaiki indikator
proses pelayanan terkait hernia di RS Bethesda. Tidak ada perbedaan yang
bermakna dalam hal biaya pada implementasi CP hernia.
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Ulfandi, Devby, and Wifanto Saditya Jeo. "Perbandingan Insiden Komplikasi Pascaoperasi Herniorafi dengan Mesh Teknik Lichtenstein dengan Teknik Laparoskopi Di RSCM." Jurnal llmu Bedah Indonesia 47, no. 1 (June 8, 2020): 97–110. http://dx.doi.org/10.46800/jibi-ikabi.v47i1.23.
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Latar Belakang: Angka komplikasi dan kekambuhan pascaoperasi herniorafi cukup tinggi dan menuntut teknik operasi terbaik. Teknik Lichtenstein merupakan gold standard untuk openherniorafi hernia inguinalis. Saat ini teknik laparoskopi minimal invasive semakin berkembang dan banyak studi menunjukkan hasil lebih baik dibandingkan Lichtenstein. Studi ini bertujuan membuktikan perbedaan insidensi komplikasi pascaoperasi herniorafi dengan mesh teknikLichtenstein dan teknik laparoskopi pada pasien hernia inguinalis di RS dr. Cipto Mangunkusumo dalam 5 tahun (2011-2015).
Metode: Studi ini bersifat potong lintang/cross sectional deskriptif analitik terhadap 62 subjek dewasa yang telah menjalani operasi elektif herniorafi dengan mesh di RS dr. Cipto Mangunkusumo. Dengan stratified random sampling subjek dibagi dua kelompok,Lichtenstein dan laparoskopi, kemudian dilakukan analisis statistik dengan Chi square atau uji Fisher, dan regresi logistik multivariat. Didapatkan hubungan apabila ditemukan nilai p < 0,05 dengan interval konfidensi 95%.
Hasil: Insidensi terjadinya komplikasi pascaoperasi herniorafi dengan mesh teknik Lichtenstein dan laparoskopi dari 62 subjek secara signifikan berhubungan (p = 0,006 , OR 7,229 , IK 95% 2,33–22,35) sehingga berisiko 7,2 kali menimbulkan komplikasi pada teknik Lichtenstein.Juga didapatkan bahwa variabel lama rawat dan jenis operasi berhubungan secara signifikan dengan terjadinya komplikasi pascaoperasi (p = <0,001). Variabel usia, lama operasi, dan indeks masa tubuh tidak memiliki hubungan secara signifikan dengan komplikasi pascaoperasi kedua teknik tersebut (p = >0,05).
Simpulan: Terdapat perbedaan insidensi komplikasi pascaoperasi herniorafi dengan mesh teknik Lichtenstein dan teknik laparoskopi pada penderita hernia inguinalis di RS dr. Cipto Mangunkusumo, yang menunjukkan insidensi komplikasi lebih banyak muncul pada tindakan Lichtenstein dibandingkan laparoskopi dengan faktor lama rawat dan jenis operasi yang bermakna secara signifikan terhadap insidensi komplikasi pascaoperasi.
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MORITA, Toshihiro, Yasuhiko SUMI, Takashi SUHARA, Shin YAMADA, and Masahiro KATADA. "HERNIA UTERI INGUINALIS IN MALE HERMAPHRODITISM -A CASE REPORT-." Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 59, no. 10 (1998): 2690–94. http://dx.doi.org/10.3919/jjsa.59.2690.
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., Suryanti. "APLIKASI MODEL KONSEP KEPERAWATAN CALISTA ROY PADA TN. N POST OP HERNIA INGUINALIS DI RUANGAN SAFA RS.KOTA BENGKULU PROVINSI BENGKULU." Journal of Nursing and Public Health 5, no. 2 (July 18, 2018): 81–87. http://dx.doi.org/10.37676/jnph.v5i2.579.
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Hernia merupakan prostusi atau penonjolan isi rongga melalui defek atau bagian lemah dari dinding rongga bersangkutan. Hernia disebabkan karena adanya tekanan intra abdomen seperti batuk dan mengejan. Hernia apabila tidak segera ditangani akan menyebabkan terjadinya perlengketan antara isi hernia dengan dinding kantong hernia sehingga isi hernia tidak dapat dikembalikan lagi. Penderita hernia memang kebanyakan laki-laki, kebanyakan penderitanya akan merasa nyeri, jika terjadi infeksi didalamnya. Hernia yang terjadi pada anak – anak lebih disebabkan karena kurang sempurnanya procesus vaginalis untuk menutup seiring dengan turunnya testis atau buah zakar. Sementara pada orang dewasa, karena adanya tekanan yang tinggi dalam rongga perut dan karena faktor usia yang menyebabkan lemahnya dinding otot perut.Teori adaptasi Calista Roy merupakan model keperawatan yang menguraikan bagaimana individu mampu meningkatkan kesehatan dengan cara mempertahankan perilaku adaptif serta mampu merubah perilaku yang inadaptif. Jenis studi kasus ini adalah studi kasus post op hernia inguinalis dengan aplikasi teori Calista Roy dengan menggunakan metode deskriptif yaitu suatu metode yang dilakukan dengan tujuan utama untuk membuat gambaran atau deskripsi tentang suatu keadaan secara obyektif dan memusatkan perhatian pada objek tertentu. Hasil penelitian didapatkan keefektifan dalam teori Calista Roy pada post op hernia inguinalis ini yaitu mengajarkan klien untuk beradaptasi baik adaptasi prilaku maupun fisiologi, dimana Tn. N dapat beradaptasi baik internal dan eksternal, dengan melaksanakan implementasi yang diberikan dengan mengacu pada adaptasi untuk mencapai derajat optimal yang telah disampaikan dapat dilakukan dengan Tn. N secara bertahap. Dimana pelaksanaan tindakan dilakukan selama 6 hari dan pada hari pertama pelaksanaan tindakan cara mengatasi nyeri pada daerah post op saat beraktifitas dan pada hari ke 6 semua implementasi dapat dipahami dan dilakukan untuk memenuhi kebutuhan aktivitas klien dan prilaku pola makan yang baik, lebih memfokuskan untuk mencoba mengubah prilaku klien dalam mengatasi masalah. Secara khusus, perawat harus mampu meningkatkan respon adaptif pasien pada situasi sehat atau sakit. Perawat mampu mengambil tindakan untuk memanipulasi stimuli fokal, kontektual, maupun residual stimuli dengan melakukan analisa sehingga stimuli berada pada daerah adaptasi. Perawat harus mampu bertindak untuk mempersiapkan pasien mengantisipasi perubahan melalui penguatan regulator, kongnator dan mekanisme koping yang lain.
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Vidiastuti, Dian. "Diagnosa Radiografi Kasus Hernia pada Kucing." ARSHI Veterinary Letters 1, no. 2 (August 18, 2017): 17. http://dx.doi.org/10.29244/avl.1.217-18.
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<div data-canvas-width="51.330449979748906">Hernia terjadi akibat kelemahan dinding abdomen sehingga memungkinkan bagian usus atau organ lain melewati celah abdomen mengakibatkan penonjolan. Dua ekor kucing jantan, berumur sekitar 3-4 bulan, menjalani pemeriksaan radiologi di Rumah Sakit Hewan Pendidikan Universitas Brawijaya. Gambaran radiografi kasus 1 gejala <em>dyspnea</em> dengan standar pandang <em>left lateral</em> menunjukkan usus terjepit masuk di dalam rongga <em>thorax</em> dengan diagnosa <em>peritoneo-pericardial diaphragmatic hernia</em> (PPDH). Pada kasus 2 dengan gejala perut kanan membesar, tampilan radiografi standar pandang <em>dorso ventral</em> menunjukkan hernia inguinalis akibat trauma.</div>
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Rumpf, W., T. Mitterer, and N. Kopf. "Hernia Littrica Inguinalis Incarcerata Coli Ascendentis in a Male Foal." Pferdeheilkunde Equine Medicine 3, no. 6 (1987): 293–96. http://dx.doi.org/10.21836/pem19870602.
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Barham, David W., Raffaella DeRosa, Anita M. Pederson, Judy H. Freeman, Veronica J. Rooks, and Leah P. McMann. "Ovotesticular Disorders of Sexual Development: A Case of Hernia Uteri Inguinalis." Urology 93 (July 2016): 194–96. http://dx.doi.org/10.1016/j.urology.2016.02.019.
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Pratama, Anthony, Haryono Yarman, and Bambang A. S. Sulthana. "Kadar Laktat Darah sebagai Prediktor Kontaminasi Bakteri pada Hernia Inguinalis Lateralis Strangulata." Majalah Kedokteran Bandung 45, no. 1 (March 2013): 44–49. http://dx.doi.org/10.15395/mkb.v45n1.205.
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Venkataram, Aniketh, Sadashivaiah Shivaswamy, Rajashekara Babu, and Shivashankar Santhosh. "Hernia Uteri Inguinalis in a Case of Ovotesticular Disorder of Sexual Differentiation." Journal of Pediatric and Adolescent Gynecology 26, no. 1 (February 2013): e17-e19. http://dx.doi.org/10.1016/j.jpag.2012.10.003.
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Agrawal, Akash, and Palak Vora. "Left sided obstructed Amyand’s hernia: a rare case report." International Surgery Journal 6, no. 5 (April 29, 2019): 1806. http://dx.doi.org/10.18203/2349-2902.isj20191915.
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Amyand's hernia is a rare form of an inguinal hernia (less than 1% of inguinal hernias) which occurs when the appendix is a part of hernial sac. Because of anatomical position of the appendix, it is most commonly found in the right sided hernial sac and it can also be accompanied by the caecum and/or right colon. In rare case, Amyand’s hernia can appear on the left side also. Here we report a case of left sided amyand’s hernia with acute perforated appendicitis in a 58 years old male patient at GMERS hospital, Dharpur, Patan, Gujarat, India.
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YOSHIDA, Shuhei, Toshiyuki OKUDA, Yoshitaka DEMURA, Yosuke KATO, Naohiro OTA, and Takuo HARA. "A Case of Hernia Uteri Inguinalis in Persistent M^|^uuml;llerian Duct Syndrome." Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 74, no. 8 (2013): 2321–24. http://dx.doi.org/10.3919/jjsa.74.2321.
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Tamegnon, Dossouvi, Kanassoua Kouliwa Kokou, Amouzou Efoe-Ga Olivier, Kassegne Iroukora, Adabra Komlan, and Dosseh Ekoué David. "Prise En Charge Des Hernies De L’aine Au Chu-Kara (Togo)." European Scientific Journal, ESJ 17, no. 21 (June 30, 2021): 256. http://dx.doi.org/10.19044/esj.2021.v17n21p256.
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Objectif: Evaluer la prévalence de la hernie de l’aine et d’analyser sa prise en charge au CHU-Kara (Togo). Matériel et Méthode: Il s’est agi d’une étude rétrospective et descriptive qui a été menée du 1er juillet 2014 au 31 décembre 2019 soit 66 mois au CHU Kara. Ont été inclus dans notre étude tous les patients âgés de plus de 15 ans présentant une hernie de l’aine compliquée ou non et ayant été pris en charge pendant la période d’étude. Les patients de moins de 15 ans présentant hernie de l’aine ou les autres formes de hernie de la paroi abdominale ont été exclus de notre étude. Résultats: Au cours de notre période d’étude nous avions opéré 444 hernies de l’aine dont 26 bilatérales sur les 2557 interventions réalisées en chirurgie générale. Parmi les patients opérés de hernie, 371 étaient des hommes et 60 des femmes avec une sex-ratio de 6,1.L’âge moyen était de 48 ans ±17,2.Toutes les professions étaient représentées dominées par les cultivateurs suivies des femmes au foyer. Après examen clinique les formes inguinales et inguino-scrotales prédominaient avec respectivement 60,8% et 37,6%. Parmi ces hernies de l’aine colligées 82 (18,5%) étaient étranglées et 6(1,4%) cas de récidives. Au plan thérapeutique, tous les patients avaient été opérés sous anesthésie loco-régionale. Les techniques opératoires utilisées étaient celle du Bassini dans 355 cas, le Shouldice dans 53 cas, le Lichtenstein dans 26 cas et le Mac Vay dans 10 cas. La durée moyenne du séjour était de 3,7 jours ±4,2. La morbidité a été de 6,5% dominée essentiellement par les hématomes de bourses et les suppurations pariétales. La mortalité est de 0,5%. Conclusion: La hernie de l’aine est très fréquente dans notre pratique. La hernie inguinale est la forme la plus rencontrée. Elle pose le problème de sa prise en charge dans les pays à ressources limitées. Une prise en charge précoce et efficiente permettra de réduire la morbi-mortalité dans nos pays pauvres.
Objective: To assess the prevalence of groin hernia and to analyze its management at Kara Teaching Hospital, Togo. Materials and Method: This was a retrospective and descriptive study that was carried out from July 1, 2014, to December 31, 2019, i.e., 66 months at the Kara Teaching Hospital. All patients over 15 years of age with a complicated or uncomplicated groin hernia who were treated during the study period were included in our study. Patients under 15 years of age with a groin hernia or other forms of abdominal wall hernia were excluded from our study. Results: During our study period, we operated on 444 groin hernias, including 26 bilateral out of the 2557 procedures performed in general surgery. Among the hernia operated patients, 371 were men and 60 were women with a sex ratio of 6.1. The mean age was 48 ± 17.2. All professions were represented dominated by farmers followed by housewives. After clinical examination, the anatomo-clinical varieties found were dominated by inguinal forms (60.8%), followed by inguino-scrotal forms (37.6 %). Among collected groin hernias, 82(18.5%) were strangulated alongside with 6(1.4%) cases of recurrence. Therapeutically, all the patients had been operated on under locoregional anesthesia. All patients had undergone hernia repair by laparotomy. The surgical technique used was that of Bassini in 355 cases, Shouldice in 53 cases, Lichtenstein in 26 cases, and Mac Vay in 10 cases. The associated pathologies were taken care of at the same operating time. The mean length of stay was 3.7 days ± 4.2. Morbidity was 6.5%, which is mainly dominated by bursa hematomas and parietal suppurations. Mortality was 0.5%. Conclusion: Groin hernias are very common in our practice. The inguinal hernia is the most common form. Some countries lack adequate resources to effectively treat groin hernia. Early and efficient treatment will reduce morbidity and mortality in poor countries.
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Mendez, Andriana Teresa Cruz, and Huber Diaz Fuentes. "Amyand’s hernia: a case report and review of the literature." International Journal of Research in Medical Sciences 8, no. 11 (October 28, 2020): 4104. http://dx.doi.org/10.18203/2320-6012.ijrms20204912.
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Amyand´s hernia represents an unusual cause of hernia. It has an incidence of 1% of all inguinal hernias. The clinical presentation depends on the involvement of the hernial sac and the inflammatory state of the appendix. Due to the low frequency of presentation of Amyand's hernia, there is no protocolized treatment. Authors present the case of a 70-year-old patient with the presence of surgically resolved Amyand´s hernia.
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Prodromidou, A., N. Machairas, Z. Garoufalia, ID Kostakis, AV Kyriakidis, E. Spartalis, and GC Sotiropoulos. "Ovarian inguinal hernia." Annals of The Royal College of Surgeons of England 102, no. 2 (February 2020): 75–83. http://dx.doi.org/10.1308/rcsann.2019.0137.
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Introduction Gynaecological structures such as the ovaries, fallopian tubes, ligaments and uterus are rarely encountered inside a hernial sac. The prevalence of groin hernias containing parts of female genitalia remains unknown. The aim of this review was to summarise the existing evidence on inguinal hernias containing ovaries with or without the other female adnexa. Methods A systematic search was conducted for literature published up to February 2018 using the MEDLINE®, Scopus® and Google Scholar™ databases along with the references of the full-text articles retrieved. Papers on observational studies and case reports concerning women who were diagnosed with an ovarian inguinal hernia (pre or intraoperatively) were considered eligible for inclusion in the review. Results Fifteen papers (13 case reports, 2 case series) comprising seventeen patients (mean age 47.9 years) were evaluated. A left-sided hernia was noted in 13 cases (77%) whereas 4 patients had a right-sided hernia. Eight patients underwent preoperative imaging with computed tomography, ultrasonography or both. This was diagnostic in five cases. In 11 patients, hernia contents were repositioned, 2 had a salpingo-oophorectomy and 2 an oophorectomy. Eight patients underwent hernia repair with mesh placement while three had a herniorrhaphy. Conclusions Ovarian inguinal hernias should be considered among the differential diagnoses of a groin mass or swelling. In women of reproductive age, repair of the hernia with the intent to preserve fertility is of critical importance.
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Sazhin, A. V., A. V. Andriyashkin, G. B. Ivakhov, V. A. Mamadumarov, A. S. Nikishkov, K. M. Loban, Andrey V. Teplykh, and K. I. Shadin. "ANALYSIS OF SURGERY FOR INGUINAL HERNIA UNDER HERNIA CENTER." Medical Journal of the Russian Federation 24, no. 4 (August 15, 2018): 176–79. http://dx.doi.org/10.18821/0869-2106-2018-24-4-176-179.
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The purpose of research - to evaluate the spectrum of surgical procedures performed in patients with inguinal hernias, in clinical practice, surgical hospital in Moscow. Material and methods. Cross-sectional study carried out with sequential selection of all patients with inguinal hernias operated in a planned manner in the surgical clinic CCH № 1 named after N.I. Pirogov in Moscow in the period from September 1, 2017 on December 31, 2017 The study was observational in nature, exclusion criteria were not. The study included 175 patients with inguinal hernias. Found 201 inguinal hernia, made 201 hernioplasty. Results. 42 (20.9%) patients underwent “open” alloplastic - Liechtenstein operation (in all cases a one-sided). Videolaparoscopic intervention conducted 133 patients (26 in the hernia observations wore a bilateral nature, only 159 procedures (79.1%)). TAPP hernioplasty performed in 140 cases (69.6% of 118 patients) TER hernioplasty - in 19 (9.5%, 15 patients). Lichtenstein operation performed usually patients with large hernial ring (3 cm). Among patients who underwent intervention Endovideosurgery dominated patients with hernial ring to 1.5 cm. Also, among patients who underwent open surgery, patients are often met with oblique hernias. Furthermore, Liechtenstein operation was performed in patients with severe concomitant therapeutic pathology, inguinal-scrotal hernia, endotracheal failure of anesthesia. Complications in the immediate postoperative period, fixed in 1 (0.5%) patients - after TAPP formed preperitoneal hematoma. The mean hospital stay of 2.6 days. Signs of relapse of the disease, the formation of chronic pain, septic, and venous thromboembolic complications were recorded. Conclusion. The vast majority of operations for inguinal hernia in the CCH № 1 named after N.I. Pirogov during the reporting period 2017 Endovideosurgery satisfied (79.1%). The widespread introduction of minimally invasive technologies endovideosurgical work according to current clinical guidelines, training of employees, the formation of a significant flow profile allows patients to surgical hospital of the city hospital to assist patients with inguinal hernias at the level of the world standards.
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Rai, Vijeth, Ranadheer Raju Cholaraju Siva, and Gagan Deep. "Incarcerated Amyand hernia: a rare entity." International Surgery Journal 7, no. 8 (July 23, 2020): 2748. http://dx.doi.org/10.18203/2349-2902.isj20203269.
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Right sided inguinal hernia containing vermiform appendix in its sac is called as amyand’s hernia. It accounts for ∼1% of all inguinal hernias. It is an intra operative finding during an inguinal hernia repair. A 64 years old male patient came with complains of swelling in the right inguinal region, associated with pain and vomiting. On examination of the right inguinal region there was a tender irreducible swelling palpable. Based on the characteristic finding it was diagnosed clinically as right sided irreducible obstructed inguinal hernia. Ultrasound abdomen was done which was suggestive of right inguinal hernia with herniation of bowel and omentum with features of strangulated/ obstructed hernia. Patient was taken up for right inguinal hernia repair and appendix was noted in the hernial sac intra-operatively. Although occurrence of amyand’s hernia is rare. The attendant surgeon should be vigilant about the presence of it. Preoperative diagnosis of amyand’s hernia is not common because in majority of cases objective of imaging is to exclude conditions that predispose to inguinal hernia formation. The Losanoff and Basson’s criterion is used as a guide for deciding whether to perform appendectomy and type of repair, depend on the clinical scenario.
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Cabello Calle, G., MÁ García Martínez, T. Gallart Aragón, AL Romera López, and B. Mirón Pozo. "Progressive pneumoperitoneum in giant bilateral inguinal hernia." Cirugía Andaluza 32, no. 1 (February 5, 2021): 67–69. http://dx.doi.org/10.37351/2021321.13.
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Resumen Las hernias inguinales gigantes son un problema quirúrgico exigente, ya que en ocasiones la reintroducción del contenido herniario en la cavidad abdominal puede causar un aumento de la presión intraabdominal. Se han descrito varias técnicas que disminuyen este riesgo, entre ellas el neumoperitoneo progresivo que presentamos a continuación, así como el uso de toxina botulínica o la necesidad de resección visceral. Presentamos el caso de un paciente varón de 50 años con hernia inguinal bilateral gigante. Aplicamos el uso del neumoperitoneo progresivo en nuestro hospital y hernioplastia mediante un abordaje inguinal anterior y reparación según Rutkow-Robbins. Esta técnica hace posible el tratamiento exitoso de hernias inguinales gigantes sin necesidad de resección visceral.
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Belokonev, V. I., S. Yu Pushkin, B. D. Grachev, A. V. Zharov, N. S. Burnaeva, and R. S. Ryzhkov. "Options for the treatment of the femoral hernia with atrophy of the public bone in the formed femoral canal." Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH) 11, no. 4 (August 28, 2021): 71–78. http://dx.doi.org/10.20340/vmi-rvz.2021.4.clin.5.
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Femoral hernias make up 2–4 % of the total number of patients with hernias [1], the results of their treatment do not tend to improve [2–6].The aim of the study was to establish the incidence of atrophy of the pubic periosteum in patients with femoral hernia and to analyze the possible methods of surgery in their treatment.Material and methods. The analysis of the treatment of 249 patients with femoral hernias for the period from 1996 to 2021 was carried out. There were 61 men (24.5%), women – 188 (75.5%). in 14 (5.6%), atrophy of the pubic periosteum was revealed during operations. Since 2009, patients with femoral hernia and atrophy of the pubic periosteum began to use the "Method for the treatment of inguinal and femoral hernias" (patent for invention No. 2445002, authors V.I. Belokonev, A.V. Vavilov, A.V. Zharov, Yu. V. Ponomareva, A.G. Nogoga) [11], which was performed by inguinal access.Conclusions. In 5.6% of patients with femoral hernia and a long history, under the influence of the hernial sac, atrophy of the pubic periosteum occurs.A method of treating femoral and inguinal hernias by closing the hernial orifice with an elastic mesh with a protrusion at the medial edge of the mesh corresponding to the distance from the medial edge of the pupar ligament at the level of the femoral vein to the lower edge of the superior horizontal branch of the pubic bone (patent for invention No. 2445002) is an effective method of treating patients with hernias with destruction of the pubic bone periosteum in the femoral canal.
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Koshariya, Mahim, and Rakesh Pandey. "A prospective and retrospective study of Stoppa procedure (giant prosthetic reinforcement of visceral sac) for recurrent, complex and bilateral inguinal hernias." International Surgery Journal 5, no. 9 (August 25, 2018): 3023. http://dx.doi.org/10.18203/2349-2902.isj20183410.
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Background: Managing complex inguinal hernia is always a challenge for surgeons. When recurrent or complex hernia is present it is mandatory to adopt an alternative and different approach for the repair of inguinal hernia to avoid any further complication and recurrence. Primary aim of this study is to assess the usefulness of Stoppa procedure in current situation for treatment of bilateral, complex and recurrent hernias.Methods: A prospective and retrospective study of Stoppa procedure (giant prosthetic reinforcement of visceral sac [GPRVS]) for recurrent, complex and bilateral inguinal hernias was conducted in Department of General Surgery Hamidia Hospital from January 2016 to October 2017 , 30 patients with 27 bilateral and 3 unilateral hernias making total 57 hernial sites including five recurrent hernias (after Lichtenstein repair) were operated by GPRVS for bilateral, recurrent and complex inguinal hernias, were included in study.Results: Four complications were seen. One patient developed seroma which resolved spontaneously, one patient developed superficial wound infection. One patient developed right testicular pain which was relieved after medication. One patient developed pain in groin and right thigh which was present preoperatively also but increased after surgery and was relieved on medication. Risk for recurrence present in 18 patients. No recurrence was observed.Conclusions: Because of the excellent results, ease of the procedure and low complication rate, GPRVS is an effective and good option for bilateral, complex and recurrent inguinal hernias.
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Pavlushin, Pavel M., Alexey V. Gramzin, Nikolai V. Krivosheenko, Yuri Y. Koinov, and Yuri V. Chikinev. "Video-assisted percutaneous hernia sac suturing: a new technique of inguinal hernia repair in children." Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care 10, no. 4 (December 29, 2020): 411–18. http://dx.doi.org/10.17816/psaic704.
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Background. Inguinal hernias are very important problem in pediatric surgery. It appears in 520 cases in every 1000 newborns, approximately 10 times prevalence in males. However, the incidence of inguinal hernia is bigger by 1.52 times in group of premature infants.
Materials and methods. In prospective study, that was performed in 20192020, 90 pediatric patients diagnosed inguinal hernia were included. All patients had open herniotomy (Duhamel method), subcutaneous endoscopic-assisted ligation of inguinal hernia using Tuohy needle, or video-assisted percutaneous hernial sac suturing (VIPS).
Results. The mean operating time in VIPS group was 13 13.46 min in patients with unilateral inguinal hernia and 20 6.12 min in patients with bilateral variant. In the 6-month follow-up period, any complications or recurrences were not observed. VIPS group included two extremely premature infant with uni- and bilateral inguinal hernia. Minimally invasive herniotomy was performed in 50 weeks post-conceptual age, with unremarkable postoperative period. A difference was found in the operating time between groups of minimally invasive herniotomy and group of Duhamel repair. No difference was found in the operating time of bilateral hernia between all groups.
Conclusion. Considered all things, assuming that announced method of video-assisted percutaneous hernial sac ligation to be a perspective minimal invasive way of treatment for inguinal hernia in children is reasonable. However, for final conclusions, further study of this surgical technique, also in a cohort of premature infants, is required, with the possible organization of multicenter clinical trials.
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Larissa, Septry, Jon Efendi, and Budi Pratama Afnoyan. "Evaluasi Rekurensi Laparoskopi-assisted Ligasi Ekstraperitoneal dengan Penggunaan IV Catheher 18G pada Pengobatan Hernia Inguinalis Anak." Jurnal Kesehatan 11, no. 3 (December 8, 2020): 345. http://dx.doi.org/10.26630/jk.v11i3.2205.
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Ponnatapura, Janardhana. "Hernia uteri inguinalis in ovotesticular disorder of sexual differentiation: A rare complication and role of imaging." Indian Journal of Radiology and Imaging 28, no. 1 (2018): 41. http://dx.doi.org/10.4103/ijri.ijri_178_17.
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Alam, Shoheli, KM Didarul Islam, Abu Saleh Md Oli Ullah, Md Tosaddeque Hossain Siddiqui, and Md Ruhul Amin. "Three Years Experience of Inguinal Hernia in Children in BSMMU." Journal of Paediatric Surgeons of Bangladesh 6, no. 2 (May 15, 2016): 34–38. http://dx.doi.org/10.3329/jpsb.v6i2.27747.
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Objective: The aim of this study is to evaluate the management of inguinal hernias in children as a day case surgery in elective basis.Methods: From July 2011 to June 2014, 141 infants and children with inguinal hernias were seen, operated on, and followed up as outpatient procedure in the Department of Paediatric Surgery of Bangabandhu Sheikh Mujib Medical University Dhaka, Bangladesh (BSMMU) Age, sex, side of hernia, presence of an associated hydrocele/ undescended testes/ VPshunt, occurrence of contralateral hernia, clinical aspects of these patients, type of surgery, mortality, and mobidity were studiedResults: The ages ranged from 2months to 14 years (mean age, 6.28 years) with a male-to female ratio of 3:1. There were 59.6% right, 34.8% left, and 5.7% bilateral hernias (all are indirect variety).The most common associated anomaly was hydrocele in 29(20.8%)patients, undescended testis in 9(6.5%) patients and in 4(2.8%) patients had ventriculoperitoneal shunt. The content of the hernial sac in 56(39.7%) patients were omentum and next were intestine in 30(21.3%) patients. Overall, there were 13 (9.2%) sliding hernias. Among them in five case of boys four (80%) patients contents were cecum and one (20%) patient was sigmoid colon. In case of girls, contents were ovaries in all eight patients. Contralateral groin exploration was not done of any patients at the initial hernia repair. There were recurrences in 2(1.4%) patients, 13(9%) patients developed wound infections, and 21(15%) patients had scrotal haematocele. There were no postoperative deaths. A contralateral hernia developed in three (2%) children within one year after the initial repair.Conclusions: Inguinal hernia is a common surgical condition in children. Elective surgery is associated with minimal morbidity. A routine contralateral groin exploration is not done at the initial hernia repairJ. Paediatr. Surg. Bangladesh 6(2): 34-38, 2015 (July)
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Velásquez-Bueso, Andrés Eduardo, Luis Enrique Sánchez-Sierra, Sergio David Villeda-Rodríguez, and Roberto Antonio Martínez-Quiroz. "Simultaneous Presentation of a Right Littre’s Hernia and a Left Amyand’s Hernia in a School-Aged Patient." Case Reports in Surgery 2019 (June 10, 2019): 1–5. http://dx.doi.org/10.1155/2019/4217329.
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Introduction. Inguinal hernia is the most common condition in both male and female subjects. Amyand’s hernia is characterized by the presence of the cecal appendix, swollen or not, inside the inguinal hernia sac. It is a rare condition and represents 1% of all the inguinal hernia pathology. Littre’s hernia (LH) is a condition defined by the presence of a Meckel diverticulum (MD) inside a hernial sac. It is an extremely rare condition, with less than 50 cases reported in the last three hundred years, present in only 1% of all diagnosed MD. Case Presentation. A six-year-old male patient presented with a history of two bilateral protruding masses in the inguinal-scrotal region that have continued to grow since birth. No gastrointestinal symptoms were reported. Physical examination showed a bilateral inguinoscrotal mass which increased in size during the Valsalva maneuver. Surgical intervention was carried out with a bilateral hernia repair being performed under an anterior method, the surgical invagination of the MD within the small intestine and the appendix within the caecum. Conclusion. Both entities should be considered as a differential diagnosis when it comes to a pediatric patient with unilateral or bilateral inguinal hernias with an uncertain etiology, allowing an early diagnosis and prompt treatment. We present here the first recorded case of both Amyand’s hernia and Littre’s hernia presenting simultaneously in a pediatric patient.
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De Angelis, Michela, Guido Mantovani, Francesco Di Lecce, and Luigi Boccia. "Inguinal Bladder and Ureter Hernia Permagna: Definition of a Rare Clinical Entity and Case Report." Case Reports in Surgery 2018 (September 30, 2018): 1–4. http://dx.doi.org/10.1155/2018/9705728.
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Background. Inguinoscrotal herniation of the bladder is a rare clinical entity, with a frequency between 0.5% and 4% of all inguinal hernias. The bladder can partially or entirely herniate into the inguinal canal; when the whole bladder and ureters migrate into the scrotum, it may cause urinary disorders. Case Presentation. A 62-year-old male patient presented with urinary disorders and right-sided inguinoscrotal hernia. Under clinical suspicion of bladder involvement in the inguinal canal, abdominal and pelvic computed tomography (CT) scan with endovenous contrast was performed, revealing a right inguinoscrotal hernia, containing the whole urinary bladder and the right pelvic ureter. Without violating the urinary bladder wall integrity, the content of the hernial sac was reduced into the abdominal cavity. Hernioplasty was performed by means of Lichtenstein’s method. Conclusions. Ureteral involvement should be suspected when a clinical inguinal hernia is diagnosed concurrently with unexplained hydronephrosis, renal failure, or urinary tract infection, as in the case described. When suspected, the preoperative diagnosis, particularly with CT scan, is essential to avoid complications and to reduce risk of bladder and ureter injuries during hernia repair.
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Hong, Lih En, Chrismin Tan, and Jordan Li. "Obstructive Uropathy Secondary to Uretero-inguinal Hernia." Journal of Clinical Imaging Science 5 (June 29, 2015): 33. http://dx.doi.org/10.4103/2156-7514.159448.
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Uretero-inguinal hernia in patients with native kidneys is rare. We report a case of an 84-year-old man who was diagnosed with obstructive uropathy secondary to uretero-inguinal hernia, with no past history of herniorrhaphy or congenital genitourinary malformation. Uretero-inguinal hernias are predominantly indirect inguinal hernias and may be paraperitoneal or extraperitoneal. Computed tomography (CT) is a non-invasive diagnostic tool for uretero-inguinal hernia. Herniorrhaphy is indicated in all cases of uretero-inguinal hernia to prevent obstructive uropathy.
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Cobani, Dritan, Agron Dogjani, Arben Gjata, Kastriot Haxhirexha, and Hysni Bendo. "Management of Inguinal Hernia in a Tertiary Center, a two-year Retrospective Study." Albanian Journal of Trauma and Emergency Surgery 5, no. 2 (July 20, 2021): 854–58. http://dx.doi.org/10.32391/ajtes.v5i2.243.
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Background: Inguinal hernia repair remains the most common surgery performed by general surgeons worldwide. There is a lot of published data on the surgical management of inguinal hernias in our country. This study aims to describe our experiences in the surgical management of inguinal hernias and compare our results with those reported in the literature. Material and Method: A descriptive retrospective study was conducted at the University Hospital of Trauma in Albania. From April 2016 - March 2018 were recorded all the data for patients who presented to our hospital and underwent inguinal hernia repair in our hospital, under the conditions of elective surgery. Statistical data analysis was done using SPSS software version 17.0. Results: In this period had a total of 542 patients with inguinal hernias were enrolled in the study. The median age of patients was 46,12 years (range 14 to 92 years old). Males outnumbered females by a ratio of 18.3:1. This gender difference was statistically significant (p = 0.004). Most patients 130 (23.9%) presented late (more than one year of onset of hernia). At presentation, 208 (38.4%) patients had a reducible hernia, 101(18.6%) had an irreducible hernia. The majority of patients 303(55.9 %) had a right-sided inguinal hernia, and 156(28.7 %) had left-sided inguinal hernia with a right-to-left ratio of 1.94: 1. Eighty-three 83(15.3%) patients had bilateral inguinal hernias. 319 (58.8%) patients had an indirect hernia, Conclusion: Inguinal hernias continue to be a source of morbidity and mortality in our center. Early presentation and elective repair of inguinal hernias is pivotal in order to eliminate the morbidity and mortality associated with this very common problem.
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Mishra, Baikuntha Narayan, Sadasiba Padhy, Prabin Prakash Pahi, and Ranjit Kumar Joshi. "Mesothelial cyst in inguinal hernial sac in a male child: a case report." International Surgery Journal 8, no. 1 (December 28, 2020): 395. http://dx.doi.org/10.18203/2349-2902.isj20205912.
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Mesothelial cysts of inguinal area are extremely rare and few cases have been reported in females, arising from round ligament of uterus. Inguinal hernias are a common surgical problem in children presenting as an inguinal or inguino scrotal swelling. Usually the contents of hernial sac in a male child are intestine or omentum and in females it may contain ovary. Mesothelial cyst of round ligament may present as an inguinal mass in females, but it is very rare to find in side inguinal hernial sac of a male child. Here in we report a case of 2 year 9-month-old male child, who was operated for irreducible right congenital inguinal hernia. A pedunculated cystic mass was found to be the content and was removed. Histopathology confirmed the diagnosis of mesothelial cyst. Because of rarity, we report this case.
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Matsutani, Takeshi, Tsutomu Nomura, Nobutoshi Hagiwara, Akihisa Matsuda, Yoshimune Takao, and Eiji Uchida. "Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair Using Memory-Ring Mesh: A Pilot Study." Surgery Research and Practice 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/9407357.
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Purpose.To evaluate the feasibility, safety, and effectiveness of laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair using a memory-ring patch (Polysoft™mesh).Patients and Methods.Between April 2010 and March 2013, a total of 76 inguinal hernias underwent TAPP repair using Polysoft mesh in 67 adults under general anesthesia. Three different senior resident surgeons performed TAPP repair under the instruction of a specialist surgeon. Nine patients had bilateral hernias. The 76 hernias included 37 indirect inguinal hernias, 29 direct hernias, 1 femoral hernia, 1 pantaloon hernia (combined direct/indirect inguinal hernia), and 8 recurrent hernias after open anterior hernia repair. The immediate postoperative outcomes as well as the short-term outcomes (mainly recurrence and incidence of chronic pain) were studied.Results.There was no conversion from TAPP repair to anterior open repair. The mean operation time was 109 minutes (range, 40–132) for unilateral hernia repair. Scrotal seroma was diagnosed at the operation site in 5 patients. No patient had operation-related orchitis, testicle edema, trocar site infection, or chronic pain during follow-up.Conclusions.The use of Polysoft mesh for TAPP inguinal hernia repair does not seem to adversely affect the quality of repair. The use of this mesh is therefore feasible and safe and may reduce postoperative pain.
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Yepez, Fabian Eduardo, Iván Loaiza, Verónica Toro, Cintya Llerena, Ibeth Ramos, and Alex Montes de Oca. "Hernia de Amyand, presentación de un caso." Mediciencias UTA 3, no. 3 (September 11, 2019): 67. http://dx.doi.org/10.31243/mdc.uta.v3i3.194.2019.
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Introducción: Hernia de Amyand es un hallazgo donde el apéndice con o sin inflamación se encuentra en el saco de una hernia inguinal. La prevalencia es muy baja se describe entre el 0.4% y 0.13% de todas las hernias inguinales, mientras que en los niños podría alcanzar el 1%.
Objetivo: Describir un caso clínico de de hernia de Amyand.
Material y métodos: Se realizó un estudio descriptivo, retrospectivo, presentación de caso clínico sobre de hernia de Amyand.
Resultados: Se describe el caso de un paciente masculino de 54 años de edad con antecedentes de masa en región inguinal derecha, que ha ido aumentando de tamaño, desde aproximadamente 1 año de evolución, acompañado de dificultad a la deambulación, al acudir a consulta externa de cirugía en la exploración física en región inguinal derecha se evidenció masa de más o menos 3 centímetros de diámetro, reductible, en la paraclínica rangos normales, fue llevado al quirófano para reparación laparoscópica con diagnóstico de hernia inguinal derecha, donde se evidenció hernia inguinal derecha con saco herniario con contenido de apéndice cecal, condición que se conoce con el nombre de hernia de Amyand.
Conclusiones: Al evidenciar un paciente con hernia de Amyand que no es un caso común, cuando se asocia a apendicitis la prioridad es la realización de la apendicetomía y en segundo lugar la reparación del defecto herniario de la pared, con malla protésica, aunque sigue siendo controversial ante la posibilidad de infección local por apendicitis aguda, a pesar de ello se implementó esta opción terapéutica con éxito
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Wang, Tao, and Rajkumar Vajpeyi. "Hernia sacs: is histological examination necessary?" Journal of Clinical Pathology 66, no. 12 (June 22, 2013): 1084–86. http://dx.doi.org/10.1136/jclinpath-2013-201734.
Full textAbstract:
The hernia sac is a common surgical pathology specimen which can occasionally yield unexpected diagnoses. The College of American Pathologists recommends microscopic examination of abdominal hernias, but leaves submission of inguinal hernias for histology to the discretion of the pathologist. To validate this approach at a tertiary care centre, we retrospectively reviewed 1426 hernia sacs derived from inguinal, femoral and abdominal wall hernias. The majority of pathologies noted were known to the clinician, including herniated bowel, lipomas and omentum. A malignancy was noted in three of 800 inguinal hernias and seven of 576 abdominal wall hernias; five of these lesions were not seen on gross examination. Other interesting findings in hernia sacs included appendices, endometriosis, a perivascular epithelioid cell tumour, and pseudomyxoma peritoneii. All hernia sacs should be examined grossly as most pathologies are grossly visible. The decision to submit inguinal hernias for histology may be left to the discretion of the pathologist, but abdominal and femoral hernias should be submitted for histology.
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WEBER SÁNCHEZ, Alejandro, José A. VAZQUEZ, Percy MANSILLA DORIA, and Jorge CUETO GARCÍA. "La hernia inguinal en la era laparoscópica." Revista Medica Herediana 10, no. 1 (May 13, 2013): 9. http://dx.doi.org/10.20453/rmh.v10i1.652.
Full textAbstract:
Objetivo: Describir los resultados de 327 reparaciones via laparoscópica de hernias inguinales. Material y métodos: Estudio descriptivo de 327 reparaciones vía laparoscópica de hernias inguinales practicadas en 257 pacientes, realizadas entre 1992 y 1996 en el Servicio de Cirugia del American British Cowdray Medical Center, en México Distrito Federal. Resultados: El sexo fue predominantemente masculino (77.4 %); las edades oscilaron entre 9 y 89 años. En 85 pacientes se trató de hernia inguinal bilateral y de ellas se trataron en 35 casos según la técnica de Stoppa. Tres de los casos se desarrollaron como cirugía de urgencia por el compromiso intestinal concomitante. Las complicaciones representaron el 8.8 % y se resolvieron espontáneamente; constituidas por meralgia parestésica, retención urinaria, hematomas inguino escrotales. Las recidivas constituyeron el 1.2 %. Conclusiones: Los autores establecen el manejo de las hernias bajo una propuesta de clasificación laparoscópica de los defectos herniarios basada en la de Nyhus.
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Mankar, Kishor, Nandkishor Shinde, Mohammed Moinuddin, and Ashfaq Ahmed. "Study of contents of inguinal hernia in girls." International Surgery Journal 6, no. 4 (March 26, 2019): 1301. http://dx.doi.org/10.18203/2349-2902.isj20191266.
Full textAbstract:
Background: Inguinal hernia in females is relatively uncommon as compared to males. In female patients, the hernial sac contains one ovary in approximately 15–20% of cases, and some also contain a fallopian tube. This study was done to know the contents in inguinal hernia in girls.Methods: A prospective study on eight girls with inguinal hernia presenting between January 2016 to December 2018, presented with swelling in inguinal region. Physical examination in all girls was done followed by ultrasonogram to know the content of inguinal hernia. All patients underwent surgical exploration.Results: Among 8 girls with inguinal hernia, 2 (25%) girls had bilateral inguinal hernia, 4(50%) girls had right and 2 (25%) girls had left sided inguinal hernia. Ultrasonogram showed 2 girls with bilateral inguinal hernia had intestines as content on both sides. 3 girls had intestines, one (10%) girl had omentum and 2 (20%) girls had ovary as content of hernia sac. On surgical exploration one girl had omentum, one had ovary, two had intestine as hernial sac content. Two girls with irreducible hernia had omentum and ovary respectively as hernial content. In all girls after reduction of content, herniotomy was done.Conclusions: Surgical repair should be done at diagnosis in all girls presenting with inguinal hernia in view of high incidence of incarceration of ovary and tubes. Sac must be opened and its contents examined before it is tied off and excised.
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Chitrambalam, Tharun Ganapathy, Pradeep Joshua Christopher, Jeyakumar Sundaraj, and Sundeep Selvamuthukumaran. "Diagnostic difficulties in obturator hernia: a rare case presentation and review of literature." BMJ Case Reports 13, no. 9 (September 2020): e235644. http://dx.doi.org/10.1136/bcr-2020-235644.
Full textAbstract:
Hernia arising from obturator canal is rare and it contributes to about less than 1% of incidence of all hernias. Diagnosing an obturator hernia clinically is a challenging one and nearly impossible. These hernias usually present as an intestinal obstruction as more than 50% of obturator hernias goes in for strangulation. Here, we report an unusual presentation of an obturator hernia in a 70-year-old woman who presented to emergency room with acute abdomen and uncomplicated reducible inguinal hernia. Radiological imaging showed obstructed inguinal hernia while on diagnostic laparoscopy, a strangulated and perforated obturator hernia of Richter’s type was seen in addition to an uncomplicated inguinal hernia. Obturator hernia, although very rare, is associated with high morbidity and mortality as it is often underdiagnosed as in our case. Laparoscopy bailed us out from missing out a perforation from an occult obturator hernia.
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Kulchenko, N. G. "INGUINAL HERNIA REPAIR AND MALE HEALTH." Research and Practical Medicine Journal 6, no. 3 (September 5, 2019): 65–73. http://dx.doi.org/10.17709/2409-2231-2019-6-3-6.
Full textAbstract:
Inguinal hernia is a common disease affecting about 5-10% of the population. About 370 000 inguinal hernia repair per year is registered in Russia. Surgeons have reduced recurrence of hernias to a minimum after the widespread introduction of non-tension hernia repair. However, today other complications of inguinal hernias have become prevalent: infection, pain and paresthesia in the scrotum, pathospermia. Opinion about the negative impact on spermatogenesis of both herniation and surgery for hernia is still controversial. This article provides an overview of modern foreign and Russian literature on the аssociation of different types of inguinal hernia repair with pathospermia.
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Ghimire, Pradeep, and Bishowdeep Timilsina. "Pattern of abdominal wall hernia attended in Fishtail Hospital, Pokhara, Nepal." Journal of Chitwan Medical College 8, no. 2 (June 30, 2018): 32–36. http://dx.doi.org/10.3126/jcmc.v8i2.23735.
Full textAbstract:
Introduction: All hernias are caused by a combination of pressure and an opening or weakness of muscle or fascia. The pressures push an organ or tissue through the opening or weak spot. Sometimes muscle weakness is present at birth; more often it occurs later in life. Abdominal wall hernias occur only at sites at which the aponeurosis and fascia are not covered by striated muscle. The aim of the study was to know different pattern of abdominal hernias, to analyze various clonal and demographic profiles of various abdominal wall hernias presenting to the mid-western part of Nepal and to evaluate different types of operation and complication performed in hernias patients.
Methods: Hospital based retrospective descriptive study performed in Fishtail Hospital and Research Centre, Pokhara Nepal in October 2012 to July 2017. Ethical clearance was taken from institute and written consent was taken from all the patients who are involved in the study. All sociodemographic data were collected and analyzed by using SPSS 20 statistical software.
Results: In this study period, 492 patients of various types of hernias were operated by various methods. Most common type of hernia is indirect inguinal hernia (94.39%) and one rare spigelian hernia was also there. Right inguinal hernia was more common (58.42%).
Conclusion: Inguinal Hernia was the commonest type of hernia (394, 90.3%). Among inguinal hernia right side was more common (58.42%). Among inguinal hernias, most of the hernias were found in 0-9 years (38.21%). In this study we found recurrence rate 1.4%.
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Kappikeri, Vijaykumar S., and Puneeth Thalasta. "Clinical study of hernia in females." International Surgery Journal 4, no. 5 (April 22, 2017): 1632. http://dx.doi.org/10.18203/2349-2902.isj20171611.
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Background: Abdominal wall hernia is the most commonly encountered clinical problem in the surgical setting and also the incidence of various types of hernias are known to have gender variations. This study was done to analyse the pattern of different types of hernia and their incidence in female patients.Methods: This was a retrospective study done at Basaveshwara Teaching and General Hospital, Kalaburagi, Karnataka, India from January 2012 to December 2014. All the female patients who presented with different types of hernia like inguinal, umbilical, ventral, congenital and diaphragmatic hernias irrespective of the age have been included in the study from January 2012 to December 2014.Results: In this study total of 87 cases of different types of hernias were studied including ventral, inguinal, umbilical and diaphragmatic hernias. Among which ventral hernias were the most common including 42 cases and among them one case presented as obstructed hernia and the most common age of incidence was 31-40 years. The next most common presentation was inguinal hernia with total of 29 cases and the paediatric age group (0-10 years) was the most common presentation. The next common hernia was umbilical hernia and the most common age of presentation was 21-40 years. The least common presentation was that of diaphragmatic hernia with only 4 cases, age of the patients being 60 and above.Conclusions: In present study, most commonly encountered hernia was ventral hernia followed by inguinal, then umbilical and lastly diaphragmatic hernias.
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Old, OJ, SR Kulkarni, TJ Hardy, FJ Slim, LG Emerson, RA Bulbulia, MR Whyman, and KR Poskitt. "Incidental Non-Inguinals Hernias in Totally Extra-Peritoneal Hernia Repair." Annals of The Royal College of Surgeons of England 97, no. 2 (March 2015): 120–24. http://dx.doi.org/10.1308/003588414x14055925058959.
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Introduction Totally extra-peritoneal (TEP) inguinal hernia repair allows identification and repair of incidental non-inguinal groin hernias. We assessed the prevalence of incidental hernias during TEP inguinal hernia repair and identified the risk factors for incidental hernias. Materials and Methods Consecutive patients undergoing TEP repair from May 2005 to November 2012 were the study cohort. Inspection for ipsilateral femoral, obturator and rarer varieties of hernia was undertaken during TEP repair. Patient characteristics and operative findings were recorded on a prospectively collected database. Results A total of 1,532 TEP repairs were undertaken in 1,196 patients. Ninety-three patients were excluded due to incomplete data, leaving 1,103 patients and 1,404 hernias for analyses (1,380 male; 802 unilateral and 301 bilateral repairs; median age, 59 years). Among the 37 incidental hernias identified (2.6% of cases), the most common type of incidental hernia was femoral (n=32, 2.3%) followed by obturator (n=2, 0.1%). Increasing age was associated with an increased risk of incidental hernia, with a significant linear trend (p<0.01). The risk for patients >60 years of age was 4.0% vs 1.4% for those aged <60 years (p<0.01). Incidental hernias were found in 29.2% of females vs 2.2% of males, (p<0.0001). Risk of incidental hernia in those with a recurrent inguinal hernia was 3.0% vs 2.6% for primary repair (p=0.79). Conclusions Incidental hernias during TEP inguinal hernia repair were found in 2.6% of cases and, though infrequent, could cause complications if left untreated. The risk of incidental hernia increased with age and was significantly higher in patients aged >60 years and in females.
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Svarich, Vyacheslav G., Ilya M. Kagantsov, and Violetta A. Svarich. "Direct inguinal hernias in children." Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care 11, no. 2 (July 7, 2021): 161–67. http://dx.doi.org/10.17816/psaic949.
Full textAbstract:
AIM: Based on the accumulated clinical material, this study aims to show the possibilities of diagnosing and treating direct inguinal hernias in children.
MATERIALS AND METHODS: During the period from 2000 to 2020, 3221 children with inguinal hernias were treated in the surgical department of the Republican Childrens Clinical Hospital in Syktyvkar. Of the above group of children with inguinal hernias, seven patients (0.22%) had direct inguinal hernias. The above was confirmed by ultrasound examination. In laparoscopic imaging, a rectal hernia was defined as a recess of the peritoneum of a stellate or rounded shape in the projection of the medial umbilical fossa. Two patients underwent the Bassini herniation procedure. Two children underwent laparoscopic hernia repair with intracorporeal suture insertion. In three patients, hernia repair was performed using the PRMS method.
RESULTS: Long-term results were followed up from six months to 15 years. Immediate and postoperative complications were noted. No recurrence of hernia was reported.
CONCLUSIONS: When establishing direct inguinal hernia diagnosis in children is clinically determined in the form of a rounded, soft-elastic formation localized medially and above the Pupart ligament next to the projection of the external (superficial) inguinal ring of the inguinal canal. It is easily set into the abdominal cavity with rumbling and confirmed by ultrasound examination results. The most preferred treatment method for direct inguinal hernia in children, in our opinion, is hernia repair using the percutaneous internal ring suturing (PIRS) method.
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Ben Dhaou, Mahdi, Mohamed Zouari, Saloua Ammar, Amira Bouraoui, Imene Gassara, Ines Feki, Hayet Zitouni, et al. "Is there a Place for Prebiotics in the Management of Neonatal Inguinal Hernia? A Preliminary Study." Journal of Neonatal Surgery 6, no. 1 (December 31, 2016): 7. http://dx.doi.org/10.21699/jns.v6i1.488.
Full textAbstract:
The objective of this study was to assess the place of prebiotics in the management of neonatal inguinal hernia. Boys with a diagnosis of unilateral non-complicated inguinal hernia, aged less than 40 days, were prospectively followed from January 2012 to December 2014. Clinical and psychiatric data and outcomes were collected before and after prebiotics (Primalac AC) administration. Ninety-eight patients were included. There were 75 inguinal hernias and 23 inguino-scrotal hernias. Before prebiotics administration 72.2% of infants had abdominal distention and 98% had colic. After prebiotics, abdominal distention and colic regressed in 85.2% and 73.2% of patients, respectively. Hernias disappeared clinically in 66.3% of cases. The factors associated with the disappearance of hernias were the type of the hernia (p<0.001), colic (p<0.001), and abdominal distention (p<0.001). Prebiotics would be a new adjunct in the management of neonatal inguinal hernia. They decrease colic and abdominal distention, which seems helpful to prevent strangulation and probably get spontaneous resolution of small hernias.