Femoral hernia: intestinal obstruction is an unrecognized source of morbidity and mortality

1993 ◽  
Vol 80 (2) ◽  
pp. 230-232 ◽  
Author(s):  
V. L. Chamary
Keyword(s):  
Intestinal Obstruction ◽  
Femoral Hernia ◽  
Morbidity And Mortality

Internal Hernia: Postoperative Complication of Roux-en-Y Gastric Bypass Surgery

2006 ◽  
Vol 72 (7) ◽  
pp. 581-585 ◽  
Author(s):  
Aaron Eckhauser ◽  
Alfonso Torquati ◽  
Yassar Youssef ◽  
Joan L. Kaiser ◽  
William O. Richards
Keyword(s):  
Gastric Bypass ◽  
Length Of Stay ◽  
Intestinal Obstruction ◽  
Internal Hernia ◽  
The United States ◽  
Morbidity And Mortality ◽  
Transverse Mesocolon ◽  
Surgical Morbidity ◽  
Internal Hernias ◽  
Clinical Awareness

Obesity surgery is becoming one of the most common general surgery procedures done in the United States. Internal hernias are a known and increasingly more common occurrence after laparoscopic roux-en-Y gastric bypass (LRYGB). Increased clinical awareness of this complication will lead to decreased surgical morbidity and mortality. We retrospectively reviewed our database of 529 patients who had undergone LRYGB from 2000 to 2005 and identified those presenting with intestinal obstruction from an internal hernia. The type of internal hernia (jejunojejunostomy, transverse mesocolon, roux limb mesentery [Peterson's hernia]), length of time from presentation to operative intervention, and length of stay were obtained for all patients. Of 529 laparoscopic retrocolic retrogastric LRYGBs, 13 internal hernias (2.5%) were identified in 13 different patients. Eight of the hernias were at the mesenteric defect created by the jejunojejunostomy (62%), 3 originated from the transverse mesocolon defect (23%), and 2 were a Peterson's hernia (15%). The median time from initial operation to repair was 150 days. The average time from presentation to operative repair was 29.2 hours (range, 5–67.5 hours). The median length of stay was 3 days (range, 1.5–45 days). Eleven hernias were repaired laparoscopically (85%). There were no mortalities associated with obstruction from the internal hernia. Intestinal obstruction from an internal hernia after LRYGB is becoming increasingly more common. General awareness of this condition and high clinical suspicion allow for prompt surgical intervention with decreased morbidity and mortality.

scholarly journals Obturator Hernia: A Rare Case of Acute Mechanical Intestinal Obstruction

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Ibrahim Aydin ◽  
Ahmet Fikret Yucel ◽  
Ahmet Pergel ◽  
Dursun Ali Sahin
Keyword(s):  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Mortality Rates ◽  
Obturator Hernia ◽  
Morbidity And Mortality ◽  
Common Symptom ◽  
Rare Type ◽  
Mechanical Intestinal Obstruction

Obturator hernia is a rare type of pelvic hernia which generally occurs in elderly patients with accompanying diseases. Because it is difficult to diagnose before surgery, the morbidity and mortality rates for obturator hernia are high. The most common symptom is strangulation combined with mechanical intestinal obstruction.

A rare cause of intestinal obstruction: incarcerated femoral hernia, strangulated obturator hernia

Hernia ◽  
2006 ◽  
Vol 10 (3) ◽  
pp. 288-291 ◽  
Author(s):  
M. Uludag ◽  
G. Yetkin ◽  
A. Kebudi ◽  
A. Isgor ◽  
I. Akgun ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Femoral Hernia ◽  
Obturator Hernia

scholarly journals Surgical outcome and clinical profile of emergency versus elective cases of colorectal cancer in College of Medical Sciences, Nepal

2014 ◽  
Vol 9 (2) ◽  
pp. 25-30 ◽  
Author(s):  
Sujit Kumar ◽  
P Kafle ◽  
BN Patowary ◽  
N Belbase ◽  
S Agrawal ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Intestinal Obstruction ◽  
Rectal Bleeding ◽  
Surgical Outcome ◽  
Clinical Presentation ◽  
Morbidity And Mortality ◽  
Colorectal Cancers ◽  
Medical Sciences ◽  
Female Ratio ◽  
Left Hemicolectomy

Background: Patients who undergo emergency colorectal cancer surgery has poor outcome compared to elective surgery, both in terms of morbidity and mortality. Approximately 15 to 30% of colorectal cancers present as an emergency, most often as obstruction or perforation. Objective: To compare surgical outcome and clinical profiles of emergency and elective cases for colorectal cancer. Methods: Retrospective analysis of 34 cases who underwent surgery for colorectal cancer between December 2011 to January 2013was carried out and their surgical outcomes, clinical presentation, demographic profile were analyzed. Results: The total numbers of patients included in this study were 34. Out of which 52.94 %( n=18) were emergency cases and 47.05 %( n=16) were elective. Male female ratio was 3:1 in emergency cases and 2.6:1 in elective cases. Per rectal bleeding (56%) and altered bowel habit (31.25%) was predominant clinical presentation in elective cases whereas intestinal obstruction (55.55%) and peritonitis (22.22%) were predominant clinical presentation in emergency cases. In emergency cases most of the tumors were located in left side (77.77%) and in elective cases rectum was common site (37.5%). Left hemicolectomy was the commonest surgery performed (72.22%) in emergency set up. In elective cases, right hemicolectomy, left hemicolectomy, APR and LAR was done in 31.25%, 31.25%, 25% and 25% cases respectively. In the emergency group 11.11% (n=2) developed enterocutaneous fistula and early mortality within 30 days was observed in 5% (n=1) of emergency cases only. Conclusion: In emergency conditions, colorectal cancer presented with intestinal obstruction where as elective cases presented with per rectal bleeding and altered bowel habits. Compared with the elective patients, the emergency patients had higher rate of morbidity and mortality. Because of higher incidence of colorectal cancer in our institution, in all emergency cases who presents with features of intestinal obstruction and peritonitis, we have to rule out colorectal cancer especially if the patients are elderly. Therefore, we should encourage screening programme for early detection of colorectal cancers for better outcome of surgery. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-2, 25-30 DOI: http://dx.doi.org/10.3126/jcmsn.v9i2.9684

scholarly journals P118 MORBIDITY, MORTALITY AND RECURRENCE FACTORS OF INCARCERATED FEMORAL HERNIA

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Tolga Kalayci ◽  
Umit Haluk Iliklerden ◽  
Mehmet Çetin Kotan
Keyword(s):  
Femoral Hernia ◽  
Recurrent Hernia ◽  
Postoperative Recurrence ◽  
Morbidity And Mortality ◽  
P Value ◽  
Ratio Test ◽  
Factors Affecting ◽  
Pediatric Age Group ◽  
Mortality Probability ◽  
Ethical Committee Approval

Abstract Aim Aimed to search the factors affecting morbidity, mortality, and recurrence in incarcerated femoral hernia cases. Material and Methods After ethical committee approval, patients operated due to incarcerated femoral hernia between 2010 and 2020 were included in the study. Patients in the pediatric age group (0-18 years), and pregnant patients were excluded from the study. Preoperative, intraoperative, and postoperative factors of the patients were gathered. Morbidity, mortality, and recurrence factors were evaluated with Mann-Whitney U test, χ² test, and Likelihood ratio test, p value lower than 0.05 as significant. Results The mean age of 50 patients was 54.56±19.34 years (19-91) and the female to male ratio was 33/17. Right-sided hernia was present in 27 (54%) patients and recurrent hernia in 5 (10%) patients. The most common surgery type was Mc Vay repair in 33 (66%) patients. Other surgery types were as follows: Lichtenstein procedure in 9 (18%) patients and Rutkow plug procedure in 8 (16%) patients. The morbidity and mortality rates of the study were 14% and 4%, respectively. Postoperative recurrence was seen in only 3 (6%) patients. Patients with preoperative nausea (p = 0.003), vomiting (p < 0.001), and tachycardia (p < 0.001), presence of recurrent hernia (p < 0.001), surgery under general anesthesia (p < 0.001), performing both laparotomy (p = 0.007) and organ resection during surgery (p < 0.001) had more morbidity. Also, patients with preoperative tachycardia (p = 0.005) and organ resection during surgery (p = 0.029) had more mortality. However, no factors affecting recurrence were found in the study. Conclusions Morbidity and mortality probability are higher in patients with preoperative septic and obstructive symptoms.

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