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Articles de revues sur le sujet « Hernia, Inguinal, congenital »

Auteur : Grafiati
Publié le 4 juin 2021
Mis à jour le 6 février 2022

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1

Hong, Lih En, Chrismin Tan et Jordan Li. « Obstructive Uropathy Secondary to Uretero-inguinal Hernia ». Journal of Clinical Imaging Science 5 (29 juin 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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Mishra, Baikuntha Narayan, Sadasiba Padhy, Prabin Prakash Pahi et Ranjit Kumar Joshi. « Mesothelial cyst in inguinal hernial sac in a male child : a case report ». International Surgery Journal 8, no 1 (28 décembre 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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Amreen, Saika, et Yawar Yaseen. « Ovarian inguinal hernia ». Journal of Ultrasonography 20, no 82 (28 septembre 2020) : 226–27. http://dx.doi.org/10.15557/jou.2020.0039.

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Indirect inguinal hernia is a common congenital abnormality in children. In female infants, herniation of the ovaries, fallopian tubes and uterus has been reported. Herniation of the ovaries is a rare congenital condition that may be complicated by strangulation, torsion, and infertility. A 6-week-old female infant presented with visible swelling in the right inguinal region. This case highlights the utility of ultrasonography as a cheap and easily available imaging technique that can be used for the characterization of the hernial contents, and guide the management, further accentuated by the use of color Doppler imaging, of this subtle but crucial entity.
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Kappikeri, Vijaykumar S., et Puneeth Thalasta. « Clinical study of hernia in females ». International Surgery Journal 4, no 5 (22 avril 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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Raitio, Arimatias, Nelly Kalliokoski, Johanna Syvänen, Samuli Harju, Asta Tauriainen, Anna Hyvärinen, Mika Gissler, Ilkka Helenius et Ulla Sankilampi. « High incidence of inguinal hernias among patients with congenital abdominal wall defects : a population-based case–control study ». European Journal of Pediatrics 180, no 8 (25 juin 2021) : 2693–98. http://dx.doi.org/10.1007/s00431-021-04172-2.

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AbstractThe aim of this nationwide population-based case–control study was to assess the incidence of inguinal hernia (IH) among patients with congenital abdominal wall defects. All infants born with congenital abdominal wall defects between Jan 1, 1998, and Dec 31, 2014, were identified in the Finnish Register of Congenital Malformations. Six controls matched for gestational age, sex, and year of birth were selected for each case in the Medical Birth Register. The Finnish Hospital Discharge Register was searched for relevant diagnosis codes for IH, and hernia incidence was compared between cases and controls. We identified 178 infants with gastroschisis and 150 with omphalocele and selected randomly 1968 matched, healthy controls for comparison. Incidence of IH was significantly higher in gastroschisis girls than in matched controls, relative risk (RR) 7.20 (95% confidence interval [CI] 2.25–23.07). In boys with gastroschisis, no statistically significant difference was observed, RR 1.60 (95% CI 0.75–3.38). Omphalocele was associated with higher risk of IH compared to matched controls, RR 6.46 (95% CI 3.90–10.71), and the risk was equally elevated in male and female patients.Conclusion: Risk of IH is significantly higher among patients with congenital abdominal wall defects than in healthy controls supporting hypothesis that elevated intra-abdominal pressure could prevent natural closure of processus vaginalis. Parents should be informed of this elevated hernia risk to avoid delays in seeking care. We also recommend careful follow-up during the first months of life as most of these hernias are diagnosed early in life. What is Known:• Inguinal hernia is one of the most common disorders encountered by a pediatric surgeon.• Prematurity increases the risk of inguinal hernia. What is New:• Children with congenital abdominal wall defects have a significantly higher risk of inguinal hernia than general population.• Families should be informed of this elevated hernia risk to avoid delays in seeking care.
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Sinopidis, Xenophon, Antonios Panagidis, Vasileios Alexopoulos, Ageliki Karatza et George Georgiou. « Congenital Spigelian Hernia Combined with Bilateral Inguinal Hernias ». Balkan Medical Journal 35, no 5 (21 septembre 2018) : 402–3. http://dx.doi.org/10.4274/balkanmedj.2017.1306.

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Podoluzhnyi, V. I., S. M. Lesnikov et O. V. Shabalina. « Groin hernias : causes, diagnostics, and surgery ». Fundamental and Clinical Medicine 4, no 3 (2 octobre 2019) : 113–21. http://dx.doi.org/10.23946/2500-0764-2019-4-3-113-121.

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Groin hernias occur in 27–48% of men and 3–6% of women during lifetime. Among the causes are inherited or age-related connective tissue or muscular dysplasia, lack of diverticular obliteration in fetal parietal peritoneum, pre-peritoneal lipomas migrating into the hernia ring, and congenital, postpartum, or postoperation dilation of the femoral ring. Physical examination and examination of the preperitoneal space reveals hernia in 93% and 100%, respectively, yet ultrasound examination, computed tomographic peritoneography, magnetic resonance imaging are also employed to confirm the diagnosis. An established technique for the treatment of groin hernias includes opening the inguinal canal, high ligation of the hernia sac, and repair of the inguinal canal, altogether termed herniorrhaphy. Suprapubic or inguinal incision permits closure of the hernia sac without involving the inguinal canal (herniotomy). Implementation of synthetic meshes led to the increase in hernioplasty, i.e. reinforcement of the inguinal canal upon the inguinal canal repair. Laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) hernioplasty became widely used along with the development of endoscopic surgery. In these techniques, mesh is placed between the peritoneum and transversalis fascia, closing both inguinal canal and femoral ring. Overall, modern surgical techniques reduced the time of treatment, disability and disease recurrence to 1.4–2%.
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Holcomb, G. W. « Diagnostic Laparoscopy for Congenital Inguinal Hernia ». Surgical Innovation 5, no 1 (1 mars 1998) : 55–59. http://dx.doi.org/10.1177/155335069800500110.

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Ramu, Abhirup H., Priyanka Kenchetty et Aishwarya K. Chidananda. « A curious case of toddler with hernia and much more ». International Surgery Journal 8, no 9 (27 août 2021) : 2826. http://dx.doi.org/10.18203/2349-2902.isj20213628.

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Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we presented a case of a 2 years old patient with left inguino-scrotal swelling associated with pain lasting for 3 days. Clinical examination revealed an empty right hemi-scrotum, a left-sided giant inguino-scrotal swelling. Laboratory tests were normal. Ultrasound imaging (US) of the scrotum demonstrated the presence of both testes in the same left hemi-scrotum with inguinal hernia and enterocele as content. Surgical intervention in suspicion of obstruction was carried out through inguinal incision. There was a congenital inguinal hernia with appendix (type 1-Amyand’s hernia) and cecum as content with two well developed testes on the same side with separate epididymis and vas deferens. Both the testes were united by a mesorchium. Hence, reduction of contents with herniotomy and both the testes were anchored to inner aspect of left thigh one above the other. We reviewed the literature for rare diagnosis of TTE.
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Fan, Chengming, Can Huang, Jijia Liu et Jinfu Yang. « A Child with Lung Hypoplasia, Congenital Heart Disease, Hemifacial Microsomia, and Inguinal Hernia : Ipsilateral Congenital Malformations ». Case Reports in Pediatrics 2015 (2015) : 1–3. http://dx.doi.org/10.1155/2015/741540.

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A 3-year-old Chinese boy was diagnosed with ipsilateral congenital malformations: right lung hypoplasia, dextroversion of heart, atrial septal defect, hepatic vein drainage directly into the right atrium, facial asymmetry, right microtia and congenital deafness, and indirect inguinal hernia. He underwent indirect inguinal hernia repair at the age of 2. Although without any facial plastic surgery performed, he underwent a repair of atrial septal defect and recovered uneventfully. At 6-month follow-up, the patient was free from any symptom of dyspnea; his heart function returned to the first grade.
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Ten, Yury V., A. V. Boyko, I. G. Osetskiy, K. Yu Ten et D. A. Elkova. « APPROACHES TO THE OPERATIONAL TREATMENT OF CONGENITAL INGUINAL HERNIA AT THE PRESENT STAGE OF THE DEVELOPMENT OF CHILDREN’S SURGERY ». Russian Journal of Pediatric Surgery 22, no 1 (28 mars 2018) : 28–31. http://dx.doi.org/10.18821/1560-9510-2018-22-1-28-31.

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Starting this work, the authors set out to highlight the most subtle moments of the classical surgical treatment of congenital inguinal hernias in children, often overlooked in the daily activities of a pediatric surgeon. The article describes the accumulated experience of treating this pathology for the last 7 years, the necessity of an individual choice of the tactics of the management of a child with inguinal hernia has been substantiated. Also, points on which the authors rely on when choosing an open or endoscopic method of treatment are given. There has been raised the problem of training a new generation of pediatric surgeons in connection with the abolition of classical methods of surgery and the ever growing and widespread introduction of endoscopy. The evolution of not only the endoscopic method of treatment, but also the traditional open herniatomy was shown. By means of a method of the retrospective analysis 1410 case histories of patients of the pediatric surgery clinic of the Altai Territory with the diagnosis of inguinal hernia for the period 2010-2017 there were revealed advantages and disadvantages of the methods of treatment, the correlation of relapses with the technique of correction of the disease was established. The ways of the further development of operative methods of the treatment of the non-obliterated vulvar process of the peritoneum are indicated. The paper emphasizes and proves the success of an operation in any method to be depended more on skills of the operating surgeon than on the chosen method. Endoscopic technique, according to the opinion of authors, is preferable in children under 3 years old, in bilateral inguinal hernia, a combination of inguinal and umbilical hernias.
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Khoo, A. Kate, et Stewart J. Cleeve. « Congenital inguinal hernia, hydrocoele and undescended testis ». Surgery (Oxford) 34, no 5 (mai 2016) : 226–31. http://dx.doi.org/10.1016/j.mpsur.2016.03.017.

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Khoo, A. Kate, et Stewart J. Cleeve. « Congenital inguinal hernia, hydrocoele and undescended testis ». Surgery (Oxford) 37, no 4 (avril 2019) : 225–30. http://dx.doi.org/10.1016/j.mpsur.2019.01.007.

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Sahoo, Prakash Kumar, et Suman Saurav Rout. « Littré’s hernia : a rare complication of Meckel’s diverticulum ». International Surgery Journal 4, no 4 (25 mars 2017) : 1481. http://dx.doi.org/10.18203/2349-2902.isj20171166.

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Littré’s hernia is caused by the protrusion of Meckel’s diverticulum through an orifice in the abdominal wall. Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract that is generally asymptomatic and only manifests in a specific way when complications exist. An unusual complication of Meckel’s diverticulum is known as Littre’s hernia. It comprises less than 1% of all Meckel’s diverticulum. Usual sites of Littre hernia are right inguinal (50% of cases), umbilical hernia (20%), and femoral hernia (20%). We present a case of Littré’s hernia where we found a strangulated Meckel’s diverticulum in an inguinal hernia sac.
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Lee, Sung Ryul. « Laparoscopic Repositioning of Gonads from the Labia Majora or Inguinal Canal into the Abdominal Cavity in Pediatric Complete Androgen Insensitivity Syndrome Patients with Inguinal Hernia ». Sexual Development 14, no 1-6 (2020) : 33–39. http://dx.doi.org/10.1159/000514070.

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Androgen insensitivity syndrome (AIS) is a congenital condition characterized by a 46,XY karyotype but with a female phenotype caused by mutations in the androgen receptor gene located on the X chromosome. In patients with complete AIS (CAIS), preservation of the gonad is recommended until puberty, and gonadectomy can be regarded subsequently. The location of the gonads should be considered, because positions in the labia majora or inguinal canals can cause discomfort. Here, the laparoscopic reposition of gonads into the abdominal cavity in pediatric patients with CAIS is reported. From 2013 to 2019, laparoscopic inguinal hernia repair was performed in 2,061 pediatric patients with inguinal hernias aged <10 years and with female external genitalia. Among them, 11 had CAIS. Gonads located in the labia majora or inguinal canal were repositioned into the abdominal cavity. The mean age was 18.9 months (range 1–110 months). The gonads were located in the inguinal canal in 7 patients, in the labia majora in 3, and in the abdominal cavity in 1. Laparoscopic repositioning of such gonads into the abdominal cavity is feasible in pediatric patients with an inguinal hernia and CAIS.
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Vaja, Khyati, et Mukesh Suvera. « A Clinical Study and Management of Inguino-scrotal Swellings In Children ». Journal of Medical Research and Innovation 2, S1 (10 mai 2018) : e000125. http://dx.doi.org/10.15419/jmri.125.

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Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.
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Bharata, Bagus S., et Gita B. Triarta. « The relationship between obesity and obstruction risk of lateral inguinal hernia at Negara general hospital in 2019-2020 ». International Journal of Research in Medical Sciences 8, no 12 (27 novembre 2020) : 4247. http://dx.doi.org/10.18203/2320-6012.ijrms20205298.

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Background: A hernia is the protrusion of the abdominal contents from the normal cavity through a defect in the fascia and aponeurotic muscle of the abdominal wall, either congenital or acquired. The hole can arise because the embryonic opening does not close or widen, due to high intra-abdominal pressure caused by chronic coughing, heavy lifting, overweight, obesity, and weakness of the abdominal wall muscles. The incidence of inguinal hernias is higher in patients with body mass index (BMI) who are overweight and obese than those with normal body weight. A study that conducted by Sneiders et al stated that each increase of 1 kg/m2 BMI would increase the risk of hernia complications by 1.03 times (p=0.03).Methods: This study used a cross-sectional analytic study. The samples were determined by consecutive sampling. In this study, the sample used was patients with a diagnosis of inguinal hernia who were divided based on the presence or absence of complications and divided according to BMI, then saw whether there was a relationship between BMI in the obesity category and the incidence of complication inguinal hernia. This study uses data from medical records at the Negara General Hospital from 2019-2020.Results: This study used 79 respondents of hernia patients at the Negara General Hospital who met the inclusion criteria and did not meet the exclusion criteria. There were 77 people (97.5%) male respondents and 2 (2.5%) female respondents with a mean age of 53.05 years (SD±19.7 years). As for the underweight body mass index there were 6 people (7.6%), normal as many as 41 people (51.9%), overweight as many as 4 people (5.1%), and obese as many as 28 people (35.4%). The diagnosis of reducible hernia was 52 people (65.8%), 21 people (26.6%) incarcerated hernia, 5 non-reducible hernias (6.3%) and 1 strangulated hernia (1.3%). Conclusions: The conclusion of this study indicates a significant relationship between BMI and the incidence of complicated hernias. Obese hernia patients were 7.2 times more likely to develop hernia complications than non-obese patients.
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Shrestha, Binod Bade, et Sujan Shrestha. « Laparoscopic Needle assisted Repair of Inguinal Hernia in Children in Manipal Teaching Hospital, Pokhara ». Nepal Journal of Medical Sciences 4, no 2 (5 septembre 2019) : 20–24. http://dx.doi.org/10.3126/njms.v4i2.25473.

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Introduction: There are numerous minimally invasive surgical techniques for repair of congenital inguinal hernia (CIH) in children. We present a unique needle-assisted laparoscopic inguinal hernia repair using 20-gauge intravenous cannula. This study aims to evaluate the safety and feasibility of this technique. Methods: This prospective descriptive study was conducted in 50 patients; aged 1-13 years; from February 2018 to May 2019; either admitted with the diagnosis of CIH or detected incidentally when operated for some other surgical conditions. CIH was repaired using single supraumbilical port and 2-0 prolene suture passed through 20-gauge intravenous cannula. Statistical analysis was done using SPSS 20. Results: A total of 56 hernias were repaired in 50 patients out of which five cases were detected incidentally on patients undergoing laparoscopic appendectomy. The bilateral CIH was present in six cases. The mean operative time was 18.20 ± 4.57 minutes; 17.36 ± 3.83 minutes for unilateral hernia and 24.33 ± 5.20 minutes for bilateral hernia. There was no difference in operative time when compared between gender (p=0.26). The complications were recurrence in 1(1.78%) case, hematoma around deep ring in 2 (3.57%) cases and puncture site bleeding in 2 (3.57%) cases. There were 35 (70%) male and 15 (30%) female. The contralateral occult hernias were noted in 5 (10%) cases. Conclusions: Single port laparoscopic repair of inguinal hernia using a 20-gauge intravenous cannula with non-absorbable suture is a safe, effective and feasible in resource poor settings. The postoperative complications are minimal which is similar to past studies.
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S. D., Veershetty, Manjunath K., O. G. Prakash, K. S. Hanumanthaiah et Rajagopalan S. « A case of ectopic testis : an intraoperative enigma instead of a diagnostic enigma ». International Surgery Journal 5, no 3 (26 février 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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SHAHID, NAEEM, et KHALID IBRAHIM. « LITTRE’S HERNIA ». Professional Medical Journal 12, no 04 (31 décembre 2005) : 479–81. http://dx.doi.org/10.29309/tpmj/2005.12.04.5103.

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Meckel’s diverticulumis the commonest congenital anomaly of thegastrointestinal tract, occurring in approximately 2% ofthe population. Most of the Meckel’s diverticula areentirely asymptomatic, which are incidentally discoveredduring autopsy, exploratory laparotomy, or bariumstudies. The clinical presentation of a Meckel’sdiverticulum can be gastrointestinal bleeding, intestinalobstruction or diverticulitis. Intestinal obstruction mayoccur as a result of a volvulus, intussusception, or, veryrarely, Littres hernia (incarceration of the Meckel’sdiverticulum in an inguinal hernia).
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Ibrahim, Medhat M. « Two Ports Laparoscopic Inguinal Hernia Repair in Children ». Minimally Invasive Surgery 2015 (2015) : 1–5. http://dx.doi.org/10.1155/2015/821680.

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Introduction. Several laparoscopic treatment techniques were designed for improving the outcome over the last decade. The various techniques differ in their approach to the inguinal internal ring, suturing and knotting techniques, number of ports used in the procedures, and mode of dissection of the hernia sac.Patients and Surgical Technique. 90 children were subjected to surgery and they undergone two-port laparoscopic repair of inguinal hernia in children. Technique feasibility in relation to other modalities of repair was the aim of this work. 90 children including 75 males and 15 females underwent surgery. Hernia in 55 cases was right-sided and in 15 left-sided. Two patients had recurrent hernia following open hernia repair. 70 (77.7%) cases were suffering unilateral hernia and 20 (22.2%) patients had bilateral hernia. Out of the 20 cases 5 cases were diagnosed by laparoscope (25%). The patients’ median age was 18 months. The mean operative time for unilateral repairs was 15 to 20 minutes and bilateral was 21 to 30 minutes. There was no conversion. The complications were as follows: one case was recurrent right inguinal hernia and the second was stitch sinus.Discussion. The results confirm the safety and efficacy of two ports laparoscopic hernia repair in congenital inguinal hernia in relation to other modalities of treatment.
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Montupet, Philippe, et Ciro Esposito. « Laparoscopic treatment of congenital inguinal hernia in children ». Journal of Pediatric Surgery 34, no 3 (mars 1999) : 420–23. http://dx.doi.org/10.1016/s0022-3468(99)90490-6.

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Sokratous, Arestis, Johanna Österberg et Gabriel Sandblom. « The Impact of Groin Surgery during Childhood on the Incidence of Inguinal Hernia Repair and Its Postoperative Complications in Adult Life ». European Journal of Pediatric Surgery 29, no 03 (13 avril 2018) : 271–75. http://dx.doi.org/10.1055/s-0038-1641598.

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Background Pediatric inguinal hernia, hydrocele, and cryptorchidism are common congenital anomalies affecting children, and require surgical intervention in some cases. The association between surgical treatment of these conditions and acquired inguinal hernia later in life is poorly understood. The aim of this cohort study was to examine the effect of groin surgery during childhood on the incidence and surgical outcome of inguinal hernia repair in adult life. Materials and Methods Data from the Swedish Inpatient Register and the Swedish Hernia Register were cross-linked using the patient personal identity numbers. The incidence of inguinal hernia repair in patients 15 years or older in the study cohort, as well as postoperative complication rates, were compared with the expected incidence and complication rates extrapolated from the general Swedish population in 2014, stratifying for age and gender. Results Note that 68,238 children aged 0 to 14 years were found to have undergone groin surgery between 1964 and 1998. The median follow-up time after an operation in the groin was 30.8 years (21.0–50.0). Of those, 1,118 were found to have undergone inguinal hernia repair as adults (> 15 years old) between 1992 and 2013. The incidence of inguinal hernia repair in the cohort was significantly higher than that expected (1.43 [1.33–1.53]), both for men (1.32 [1.25–1.41]) and women (4.30 [3.28–5.55]). The incidence was also increased in the subgroup of patients that had undergone more than one procedure during childhood. No significant impact on postoperative complication rate, reoperation rate, or operation time was identified. Conclusion Individuals undergoing surgery in the groin during childhood are at increased risk for acquired inguinal hernia surgery later in life. Inguinal surgery during childhood did not affect the outcome of hernia repair in adult age.
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Helal, Ahmed Abdelghaffar, Mohammad Daboos, Alsayed Othman et Muhammad Abdelhafez. « Single-Incision Percutaneous Closure of Pediatric Inguinal Hernia : A New Modification for Intracorporeal Suture Knotting ». Minimally Invasive Surgery 2020 (6 août 2020) : 1–6. http://dx.doi.org/10.1155/2020/5610513.

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Background. Single-incision percutaneous closure (SIPC) of pediatric inguinal hernia under laparoscopic guidance is a well-developed feasible technique; however, suture knotting remains a major challenge during this technique. Most laparoscopic surgeons prefer extracorporeal subcutaneous suture knotting, which may be associated with consequent formation of stitch sinus and increased recurrence rate. On the other hand, intracorporeal suture knotting necessitates the availability of special devices or homemade instruments with a long learning curve. Therefore, the present study innovates new and simple modification allowing intracorporeal suture knotting during SIPC of pediatric inguinal hernia that does not require any special operating devices or homemade instruments. Patients and Methods. Four-hundred children suffering from inguinal hernia of congenital type, submitted to SIPC using Epidural needle (EN), under laparoscopic guidance with intracorporeal suture knotting. Results. Children ages were 6 months to 10 years (the range). There were 300 boys and 100 girls, and two-hundred children suffered from left side hernia, 150 with right-side hernia, and 50 children with both left- and right-side hernia. 10 ± 2.2 minutes was the recorded operation time in one side hernia repair, while 14 ± 4.3 minutes was recorded for both side repair. Postoperative results reported recurrent hernia in one child and postoperative hydrocele in 3 children which resolved spontaneously after 3 weeks of follow-up. Conclusion. Intracorporeal suture knotting during SIPC of pediatric inguinal hernia allows for the transformation of a formally extraperitoneal procedure to an intraperitoneal procedure. This new modification for intracorporeal suture knotting does not require any special operating devices or homemade instruments. It seems to be an attractive way during SIPC of pediatric inguinal hernia when intracorporeal suture knotting is considered.
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Fakhry, Tamer, Hassan Ibrahim Elhaw et Ahmed Nabil Fawzy. « Comparative study : repair of congenital inguinal hernia with and without opening the inguinal canal ». International Surgery Journal 8, no 2 (29 janvier 2021) : 459. http://dx.doi.org/10.18203/2349-2902.isj20210087.

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Background: Inguinal herniotomy is the most common surgery performed by paediatric surgeons.Methods: 100 Male and female cases with congenital inguinal hernia aging from one month till the age of two years. randomly allocated into two groups for undergoing two types of hernia repair techniques, with and without opening the external oblique muscle fascia. Surgical complications such as fever, scrotal oedema and hematoma, and wound infections classified as early complication. The rates of mentioned early complications and operative time were compared in the two interventional groups. In this study, 100 cases were selected and allocated to the two interventional groups.Results: The prevalence of early complications in two studied groups were not different significantly in two interventional groups. Operation time was significantly shorter in inguinal repair techniques without opening the external oblique muscle fascia than the other studied techniqueConclusions: The findings of our study indicated that though early complications of the two repair methods were similar, but the time of procedure was shorter in herniotomy without opening the external oblique muscle both methods are safe and feasible, choosing one of them depend on surgeon prefer.
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Skandalakis, Panagiotis N., Odyseas Zoras, John E. Skandalakis et Petros Mirilas. « Spigelian Hernia : Surgical Anatomy, Embryology, and Technique of Repair ». American Surgeon 72, no 1 (janvier 2006) : 42–48. http://dx.doi.org/10.1177/000313480607200110.

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Spigelian hernia (1–2% of all hernias) is the protrusion of preperitoneal fat, peritoneal sac, or organ(s) through a congenital or acquired defect in the spigelian aponeurosis (i.e., the aponeurosis of the transverse abdominal muscle limited by the linea semilunaris laterally and the lateral edge of the rectus muscle medially). Mostly, these hernias lie in the “spigelian hernia belt,” a transverse 6-cm-wide zone above the interspinal plane; lower hernias are rare and should be differentiated from direct inguinal or supravescical hernias. Although named after Adriaan van der Spieghel, he only described the semilunar line (linea Spigeli) in 1645. Josef Klinkosch in 1764 first defined the spigelian hernia as a defect in the semilunar line. Defects in the aponeurosis of transverse abdominal muscle (mainly under the arcuate line and more often in obese individuals) have been considered as the principal etiologic factor. Pediatric cases, especially neonates and infants, are mostly congenital. Embryologically, spigelian hernias may represent the clinical outcome of weak areas in the continuation of aponeuroses of layered abdominal muscles as they develop separately in the mesenchyme of the somatopleura, originating from the invading and fusing myotomes. Traditionally, repair consists of open anterior herniorraphy, using direct muscle approximation, mesh, and prostheses. Laparoscopy, preferably a totally extraperitoneal procedure, or intraperitoneal when other surgical repairs are planned within the same procedure, is currently employed as an adjunct to diagnosis and treatment of spigelian hernias. Care must be taken not to create iatrogenic spigelian hernias when using laparoscopy trocars or classic drains in the spigelian aponeurosis.
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Orfi, Fayyaz Ahmad, Saira Shakeel et Farrukh Shahzad. « TRANSVERSE TESTICULAR ECTOPIA ». Professional Medical Journal 23, no 05 (10 mai 2016) : 627–29. http://dx.doi.org/10.29309/tpmj/2016.23.05.1595.

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Crossed testicular ectopia (CTE) is a rare congenital anomaly14. It is also knownas transverse testicular ectopia (TTE). In this condition both testis descend/migrate towardsthe same hemi-scrotum. About 100 cases have been reported so far. It may be associatedwith other congenital anomalies which include persistent Mullerian Duct Syndrome, truehermaphroditism, pseudo-hermaphroditism, inguinal hernia, hypospadias and scrotalanomalies. We are reporting one such case in 6 years old boy who presented to CMH Malir inMarch 2014 with left inguinal hernia and per-operatively found to have right testis in left inguinalcanal. Left testis had descended into left upper scrotum. Vasa were tethered together in upperportion by fibrous tissue. Right testis and vas was separated, mobilized extra-peritonially anddone in right scrotum (ipsilateral). Left orchiopexy was done in left scrotum. Hernia repair wasthen preformed. Post-op u/s scan was done to detect any other associated pathology whichwas negative. In most of the published reports diagnosis was made per-operatively as was thecase in this patient.
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HISHAM A. ALMETAHER, M.D., MAHMOUD E. BADAWY, M. D. ;., ABDEL MOTTALEB E. EBEID, M. D. ;. MOHAMED A. SHEHATA, M.D. et ESSAM A. ELHALABY, M.D. « Evaluation of Laparoscopic Management of Incarcerated Congenital Inguinal Hernia ». Medical Journal of Cairo University 87, September (1 septembre 2019) : 3549–54. http://dx.doi.org/10.21608/mjcu.2019.65653.

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Oak, Aditya C., Vishakha R. Kalikar, Ankur K. Patel et Roy V. Patankar. « Laparoscopic transabdominal preperitoneal repair of concurrent spigelian and groin hernias : a rare case ». International Surgery Journal 8, no 7 (28 juin 2021) : 2244. http://dx.doi.org/10.18203/2349-2902.isj20212749.

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Spigelian hernia is a rare type of abdominal wall hernia due to congenital defect in the transversus aponeurosis fascia. It has a prevalence of 2%. Traditionally, an anterior hernioplasty was used to repair these defects. Only a few cases have been reported in the literature. Here we discuss a case of a 66 year old female with chronic lower abdominal pain with swelling in left inguinal area diagnosed with spigelian hernia on ct scan along with left direct hernia as well as left femoral hernia found incidentally and repaired using totally extra peritoneal single mesh repair.
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Molcan, J., A. Dobrovanov, R. Koren, K. Kralinsky et V. Balaz. « UNILATERAL SCROTAL HERNIA WITH DUAL URETER HERNIATION : THE FIRST EXPERIENCE OF SUCCESSFUL SURGICAL CORRECTION ». Pediatria. Journal named after G.N. Speransky 100, no 4 (6 août 2021) : 171–75. http://dx.doi.org/10.24110/0031-403x-2021-100-4-171-175.

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Objective of the study: the purpose of the research, based on the example of a specific clinical case, is to draw the attention of specialists to a specific approach to the diagnosis and treatment of the inguinal hernia with atypical contents. A rare, unpublished in the Slovak Republic, observation of the left-sided scrotum hernia with dual ureter herniation in combination with congenital kidney pathology in a 3-month-old boy is presented. The diagnosis was based on physical examination, ultrasound examination, radiography, scintigraphy, and urethrocystoscopy. This anomaly has been successfully corrected through several successive phases of the operation. Conclusion: the combination of scrotal hernia and congenital renal anomaly may indirectly indicate a possible hernia in the distal part of the ureter and requires a thorough examination, including additional imaging methods.
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Reimers, Jesper I., et Jan E. Latocha. « Incidence Of Inguinal Hernia In Children With Congenital Cerebral Palsy ». Developmental Medicine & ; Child Neurology 32, no 12 (12 novembre 2008) : 1058–60. http://dx.doi.org/10.1111/j.1469-8749.1990.tb08523.x.

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�zt�rk, F., B. Tander, K. Baysal et F. Bernay. « High Association of Congenital Heart Disease with Indirect Inguinal Hernia ». Pediatric Cardiology 26, no 1 (6 octobre 2004) : 80–82. http://dx.doi.org/10.1007/s00246-004-0700-y.

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Priya, Noopur, Luv Luthra et Sweta Agrawal. « Crossed Testicular Ectopia-A Rare Anamoly ». International Journal of Recent Surgical and Medical Sciences 01, no 01 (décembre 2015) : 015–18. http://dx.doi.org/10.1055/s-0039-1678627.

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AbstractCrossed Testicular Ectopia (CTE)/Transverse Testicular Ectopia (TTE) is a rare but well-known congenital anomaly, in which both gonads migrate toward the same hemiscrotum. It is usually associated with other abnormalities such as persistent Mullerian duct syndrome, True Hermaphroditism, Inguinal Hernia, Hypospadias, Pseudohermaphroditism, and scrotal anomalies. We report a case of 6 years old male child with right undescended testis and empty left scrotum. Diagnosis was confirmed preoperatively by ultrasound followed by open inguinal exploration for orchidopexy.
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Koranga, Himadra, et R. Chandrasekaran. « A study of clinical evaluation and management of inguinoscrotal swelling in paediatric age group ». International Surgery Journal 5, no 6 (24 mai 2018) : 2097. http://dx.doi.org/10.18203/2349-2902.isj20181976.

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Background: Inguino-scrotal swellings are one of the commonest problems in infancy and childhood throughout the world. They represent the conditions most frequently requiring surgical repair in the paediatric age group. In many of these cases, clinical examination may suffice to obtain a definite diagnosis, but when the diagnosis is inconclusive, ultrasonography can play an important role. Post-operative complications are usually rare following elective operation whereas minor complications do occur after emergency operation. In this study we evaluated various presentations of inguino-scrotal swellings, their management and complications in paediatric age group.Methods: This is a hospital based prospective study, to have an overview of a spectrum of the paediatric cases admitted in the department of surgery with inguino-scrotal swelling that includes 40 patients with age below 13 years, irrespective of sex. Data regarding clinical features, birth history, immunization, family history various blood and radiological investigations was noted. Incidences of associated anomalies, complications and any form of treatment given to the patient were recorded and findings were analysed.Results: Out of 40 cases, all were males with maximum number of cases between the age group of 3-4 years.24 cases were right sided, 12 left sided and 4 bilateral. Hydrocele was associated with 10 of the cases, undescended testis with 2 cases and 1 had encysted hydrocele of the cord. There were no complicated cases like incarceration, obstruction or strangulation. Post-operative complications were noted in 4 cases, out of which 2 were wound haematoma and one case each of wound infection and stitch granuloma.Conclusions: Childhood inguinal hernias are more common on right side due to delay in descent of right testis and males are more commonly affected. Congenital hydrocele may involutes spontaneously, so we should observed at least upto 1 year of age before considering repair but not in the case of congenital inguinal hernia. Inguinal herniotomy in children is a safe and effective operation.
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Sinacer, Samira, Bilal Zakaria Semari, Soumia Khemari, Ahlem Kharchi, Assia Haif et Zineddine Soualili. « Congenital Spigelian hernia in a neonate associated with several anomalies : A case report ». Journal of Neonatal Surgery 10 (13 août 2021) : 38. http://dx.doi.org/10.47338/jns.v10.972.

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Background: Spigelian hernia (SH) is a rare entity characterized by a defect of the anterior abdominal wall located along the Spigelian line, it may be congenital or acquired.Association with other anomalies is worth reporting. Case Presentation: A 22-day-old male newborn was admitted with strangulated right inguinal hernia and operated on emergently. Clinical examination also revealed a Spigelian hernia in the left lower abdominal quadrant with bilateral cryptorchidism, associated with polydactyly of the small right finger and anal stenosis. At surgery, the SH contained a part of the small intestine and the ipsilateral undescended testis. Conclusion: Pediatric SH is rare, but its association with undescended ipsilateral testis is frequent. Other abnormalities can be concomitant to this association.
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Romano, Gabrieli de Souza, Adriana Mercia Guaratini Ibelli, William Raphael Lorenzetti, Tomás Weber, Jane de Oliveira Peixoto, Mauricio Egídio Cantão, Marcos Antônio Zanella Mores et al. « Inguinal Ring RNA Sequencing Reveals Downregulation of Muscular Genes Related to Scrotal Hernia in Pigs ». Genes 11, no 2 (21 janvier 2020) : 117. http://dx.doi.org/10.3390/genes11020117.

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Scrotal hernias (SH) are common congenital defects in commercial pigs, characterized by the presence of abdominal contents in the scrotal sac, leading to considerable production and animal welfare losses. Since the etiology of SH remains obscure, we aimed to identify the biological and genetic mechanisms involved in its occurrence through the whole transcriptome analysis of SH affected and unaffected pigs’ inguinal rings. From the 22,452 genes annotated in the pig reference genome, 13,498 were expressed in the inguinal canal tissue. Of those, 703 genes were differentially expressed (DE, FDR < 0.05) between the two groups analyzed being, respectively, 209 genes upregulated and 494 downregulated in the SH-affected group. Thirty-seven significantly overrepresented GO terms related to SH were enriched, and the most relevant biological processes were muscular system, cell differentiation, sarcome reorganization, and myofibril assembly. The calcium signaling, hypertrophic cardiomyopathy, dilated cardiomyopathy, and cardiac muscle contraction were the major pathways possibly involved in the occurrence of the scrotal hernias. The expression profile of the DE genes was associated with the reduction of smooth muscle differentiation, followed by low calcium content in the cell, which could lead to a decreased apoptosis ratio and diminished muscle contraction of the inguinal canal region. We have demonstrated that genes involved with musculature are closely linked to the physiological imbalance predisposing to scrotal hernia. According to our study, the genes MYBPC1, BOK, SLC25A4, SLC8A3, DES, TPM2, MAP1CL3C, and FGF1 were considered strong candidates for future evaluation.
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Jamal, Yasir S., Enas I. Raml, Mazen O. Kurdi, Ettedal A. Aljahdali et Abdullah Y. Jamal. « Discontinuous-type splenogonadal fusion in abdominoscrotal hydrocele ». Journal of King Abdulaziz University - Medical Sciences 25, no 1 (1 avril 2018) : 45–49. http://dx.doi.org/10.4197/med.25-1.7.

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Splenogonadal fusion is a rare congenital malformation, which is an abnormal connection between the spleen and gonads or mesonephric remnants. It usually presents with left cryptorchidism, scrotal mass or left inguinal hernia. Here we present the first case report of splenogonadal fusion as large left scrotal mass leading to abdominoscrotal hydrocele in a 2-year-old boy.
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Shrestha, Ritesh, et Sudip Shrestha. « Laparoscopic Herniotomy for congenital inguinal hernia : prospective assessment of feasibility and outcome analysis in tertiary center in Nepal ». Journal of Society of Surgeons of Nepal 21, no 1 (30 juin 2018) : 20–24. http://dx.doi.org/10.3126/jssn.v21i1.24369.

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Introduction: Congenital Inguinal hernia (CIH) repair is frequently performed surgical procedures in children. Open herniotomy is standard treatment for CIH. However, in developed countries laparoscopic repair is gaining popularity. The benefits of laparoscopic hernia repair are its safety, cosmetic results, opportunity to repair contralateral patent processus vaginalis (CPPV). The aim of this study was to assess feasibility and outcome of Laparoscopic herniotomy (LH) in tertiary center in Nepal. Methods: This is prospective observational study conducted at Nepal Medical College Teaching Hospital, Pediatric Surgery Unit from 1st November 2015 to 30th October 2016. All children of age greater than six months with CIH were included in this study after consent from parents. Demographic profile, operative findings, postoperative results, complications and recurrences were recorded. Results: We had 60 children, 45 males and 15 females who underwent laparoscopic herniotomy. 33 of them had right, 24 had left and 3 had bilateral hernias. The mean operating time was 30.12 minutes and 35 minutes for unilateral and bilateral hernias respectively. 14 were associated with CPPV and were repaired in same setting. We had one recurrence on right side and were repaired with open herniotomy. Conclusion: Laparoscopic herniotomy is feasible and safe in CIH. It provides better opportunity to diagnose CPPV and repair it. LH has got minimal complication and better cosmetic outcome. Larger studies and longer follow ups are needed to support our results.
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Jones, Michael E., Anthony J. Swerdlow, Myfanwy Griffith et Michael J. Goldacre. « Risk of congenital inguinal hernia in siblings : a record linkage study ». Paediatric and Perinatal Epidemiology 12, no 3 (juillet 1998) : 288–96. http://dx.doi.org/10.1046/j.1365-3016.1998.00115.x.

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Jiang, Z. P., B. Yang, L. Q. Wen, Y. C. Zhang, D. M. Lai, Y. R. Li et S. Chen. « The etiology of indirect inguinal hernia in adults : congenital or acquired ? » Hernia 19, no 5 (28 novembre 2014) : 697–701. http://dx.doi.org/10.1007/s10029-014-1326-5.

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Hansen, Tom G., Jacob K. Pedersen, Steen W. Henneberg, Dorthe A. Pedersen, Jeffrey C. Murray, Neil S. Morton et Kaare Christensen. « Academic Performance in Adolescence after Inguinal Hernia Repair in Infancy ». Anesthesiology 114, no 5 (1 mai 2011) : 1076–85. http://dx.doi.org/10.1097/aln.0b013e31820e77a0.

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Background Although animal studies have indicated that general anesthetics may result in widespread apoptotic neurodegeneration and neurocognitive impairment in the developing brain, results from human studies are scarce. We investigated the association between exposure to surgery and anesthesia for inguinal hernia repair in infancy and subsequent academic performance. Methods Using Danish birth cohorts from 1986-1990, we compared the academic performance of all children who had undergone inguinal hernia repair in infancy to a randomly selected, age-matched 5% population sample. Primary analysis compared average test scores at ninth grade adjusting for sex, birth weight, and paternal and maternal age and education. Secondary analysis compared the proportions of children not attaining test scores between the two groups. Results From 1986-1990 in Denmark, 2,689 children underwent inguinal hernia repair in infancy. A randomly selected, age-matched 5% population sample consists of 14,575 individuals. Although the exposure group performed worse than the control group (average score 0.26 lower; 95% CI, 0.21-0.31), after adjusting for known confounders, no statistically significant difference (-0.04; 95% CI, -0.09 to 0.01) between the exposure and control groups could be demonstrated. However, the odds ratio for test score nonattainment associated with inguinal hernia repair was 1.18 (95% CI, 1.04-1.35). Excluding from analyses children with other congenital malformations, the difference in mean test scores remained nearly unchanged (0.05; 95% CI, 0.00-0.11). In addition, the increased proportion of test score nonattainment within the exposure group was attenuated (odds ratio = 1.13; 95% CI, 0.98-1.31). Conclusion In the ethnically and socioeconomically homogeneous Danish population, we found no evidence that a single, relatively brief anesthetic exposure in connection with hernia repair in infancy reduced academic performance at age 15 or 16 yr after adjusting for known confounding factors. However, the higher test score nonattainment rate among the hernia group could suggest that a subgroup of these children are developmentally disadvantaged compared with the background population.
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Pathak, Nishant, Vijay Langer et S. Rajagopalan. « Sigmoid colon as a content of congenital inguinal hernia : A rare presentation ». Medical Journal Armed Forces India 70, no 4 (octobre 2014) : 394–95. http://dx.doi.org/10.1016/j.mjafi.2012.06.016.

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Clarnette, Thomas D., et John M. Hutson. « THE GENITOFEMORAL NERVE MAY LINK TESTICULAR INGUINOSCROTAL DESCENT WITH CONGENITAL INGUINAL HERNIA ». ANZ Journal of Surgery 66, no 9 (septembre 1996) : 612–17. http://dx.doi.org/10.1111/j.1445-2197.1996.tb00831.x.

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Verma, Bhavana. « COMPARATIVE STUDY OF OPEN VERSUS VARIOUS LAPAROSCOPIC MODALITIES IN CONGENITAL INGUINAL HERNIA. » International Journal of Advanced Research 7, no 6 (30 juin 2019) : 1033–36. http://dx.doi.org/10.21474/ijar01/9308.

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Mouravas, V., et D. Sfoungaris. « The etiology of indirect inguinal hernia in adults : congenital, acquired or both ? » Hernia 19, no 6 (3 mars 2015) : 1037–38. http://dx.doi.org/10.1007/s10029-015-1365-6.

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Hill, Sarah J., et Megan M. Durham. « An alternative approach for management of the congenital giant inguinal hernia in neonates ». Journal of Pediatric Surgery 46, no 11 (novembre 2011) : e17-e19. http://dx.doi.org/10.1016/j.jpedsurg.2011.07.019.

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Afzal, Samara, Amit Nair, Jennie Grainger, Sherif Latif et Atiq-ur Rehman. « Spontaneous Thrombosis of Congenital Extrahepatic Portosystemic Shunt (Abernethy Malformation) Simulating Inguinal Hernia Incarceration ». Vascular and Endovascular Surgery 44, no 6 (15 juin 2010) : 508–10. http://dx.doi.org/10.1177/1538574410373666.

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Hershman, M. J., P. M. Dawson, A. W. L. Leung et M. P. Singh. « Cystic dysplasia in ectopic kidney associatedwith absent vas deferens and congenital inguinal hernia ». Urology 35, no 4 (avril 1990) : 331–33. http://dx.doi.org/10.1016/0090-4295(90)80157-i.

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Ahdoot, Michael, Motaz Qadan, Monica Santa-Maria, William A. Kennedy II et Aaron Ilano. « Indirect inguinal hernia with uterine tissue in a male : A case of persistent Mullerian duct syndrome and literature review ». Canadian Urological Association Journal 7, no 1-2 (20 février 2013) : 121. http://dx.doi.org/10.5489/cuaj.253.

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A 32-year-old male presenting with a direct inguinal hernia was found to have uterine tissue extending through the inguinal canal, warranting a diagnosis of persistent Mullerian duct syndrome (PMDS). PMDS is an extremely rare form of internal male pseudo-hermaphroditism in which female internal sex organs, including the uterus, cervix and proximal vagina, persist in a 46XY male with normal external genitalia. The condition results from a congenital insensitivity to anti-Mullerian hormone, or lack of anti-Mullerian hormone, leading to persistence of the female internal sex organsin a male. Clinically, this condition is associated with cryptochoridism. Controversy persists regarding the appropriate treatment of PMDS, since resection of the remnant structures is associated with potential morbidity, but retention risks development of occasional malignancies. We review the literature and discuss various aspects of pathophysiology, diagnosis, and management of PMDS.
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Fakhry, Tamer, Ayman Albatanony, Ahmed Sabry et Ahmed Fawzy. « Incidence of sliding ovary and fallopian tube in congenital inguinal hernia among female children ». Egyptian Journal of Surgery 36, no 1 (2017) : 1. http://dx.doi.org/10.4103/1110-1121.199899.

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