Laparoscopic herniorrhaphy after manual reduction of incarcerated inguinal hernia

2007 ◽  
Vol 21 (12) ◽  
pp. 2147-2149 ◽  
Author(s):  
A. Koivusalo ◽  
M. P. Pakarinen ◽  
R. J. Rintala
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Herniorrhaphy ◽  
Incarcerated Inguinal Hernia ◽  
Manual Reduction

scholarly journals Manual Reduction of Incarcerated Inguinal Hernia in Children

2013 ◽  
Vol 32 (3) ◽  
pp. 229-232
Author(s):  
Bijay Thapa ◽  
Madhusudan Pun
Keyword(s):  
Inguinal Hernia ◽  
Indirect Inguinal Hernia ◽  
Female Ratio ◽  
Incarcerated Inguinal Hernia ◽  
Manual Reduction ◽  
Undergo Emergency Surgery ◽  
Hands On ◽  
Resection And Anastomosis ◽  
Male To Female ◽  
Inguinal Hernia In Children

Introduction: Incarceration of an indirect inguinal hernia in children is an acute emergency and one of the common complications that may occur before herniotomy. Inguinal hernias rarely go away, and therefore, virtually all should be repaired at any age of presentation. Incarcerated inguinal hernia can be reduced successfully by manual reduction if performed by experienced hands on time. The objective of this study was to assess the safety and efficacy of manual reduction of incarcerated indirect inguinal hernia. Materials and Methods: Thirty six patients who attended Emergency Department of Kanti Children’s Hospital over 30 months period from January 2009 to July 2011 were studied prospectively. All patients were diagnosed case of inguinal hernia and waiting for elective herniotomy. Results: There were 30(83.33%) males and 6(16.66%) females, with male-to-female ratio of 5:1. Right sided inguinal hernia was 20(55.5%) and left 16(44.44%). The ages ranged from 1.5 months to 28 months with mean age of 15 months. Time of incarceration ranged from 3 hours to 30 hours. Manual reduction was successful in 30(83.33%). Remaining six had to undergo emergency surgery. Four patients with edematous but viable hernial contents had successful surgical reduction. Two patients with gangrenous small bowel loops had bowel resection and anastomosis. Conclusion: Manual reduction is safe and effective when performed timely. Herniotomy should be done without delay once diagnosed to avoid unnecessary complications. DOI: http://dx.doi.org/10.3126/jnps.v32i3.6146 J. Nepal Paediatr. SocVol.32(3) 2012 229-232

Recommendations for patient management after manual reduction of incarcerated inguinal hernia: a literature review

2020 ◽  
Vol 99 (9) ◽  
Keyword(s):  
Inguinal Hernia ◽  
Mesh Repair ◽  
Tissue Repair ◽  
Laparoscopic Approach ◽  
Current Evidence ◽  
Surgical Team ◽  
Incarcerated Inguinal Hernia ◽  
Manual Reduction ◽  
Inguinal Hernias ◽  
Increased Risk

Introduction: Topic of this review is to provide a systematic overview of the current evidence on the management of patients after manual reduction of an incarcerated inguinal hernia. Methods: Available literature regarding incarcerated or strangulated inguinal hernias published until March 2019 was obtained and reviewed. 32,021 papers were identified, of which only 20 were of a sufficient value to be used in this review. Results: The terms ‘incarcerated’ and ’strangulated’ are used interchangeably in the literature making separate analysis of these two entities almost impossible, although manual reduction is very unlikely to be successful when the hernia has strangulated contents. Following successful manual reduction, mesh repair is generally superior compared to pure tissue repair with regard to recurrence rates. Nevertheless, mesh repair is associated with a significant increase in the surgical site infection (SSI) rate, especially when bowel necrosis is present. The laparoscopic approach provides the benefits of avoiding an unnecessary laparotomy and reducing associated morbidity, but it does require the availability of appropriate equipment and an appropriately skilled surgical team. Conclusion: A mesh repair is generally superior to a pure tissue repair in the surgical management of emergency inguinal hernias, reducing the recurrence rate, but can be associated with an increased risk of SSI depending on the level of contamination. The laparoscopic approach is recommended if an experienced surgical team and necessary equipment are available.

scholarly journals Late-Onset Bowel Strangulation due to Reduction En Masse of Inguinal Hernia

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Ikuo Watanobe ◽  
Noritoshi Yoshida ◽  
Shin Watanabe ◽  
Toshirou Maruyama ◽  
Atsushi Ihara ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Late Onset ◽  
Daily Practice ◽  
Indirect Hernia ◽  
Incarcerated Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Long Period ◽  
Manual Reduction ◽  
Direct Hernia ◽  
Bowel Strangulation

Incarcerated inguinal hernia is often encountered by surgeons in daily practice. Although rare, hernial reduction en masse is a potential complication of manual reduction of an incarcerated hernia. Manual reduction was performed in a case of Zollinger classification type VII (combined type) hernia in which the indirect hernia portion included an incarcerated small intestine. This procedure caused hernial reduction en masse, but this went unnoticed, and the remaining portion of the direct hernia in the inguinal region was treated surgically by the anterior approach. Because the incarcerated small bowel that had been reduced en masse was not completely obstructed, the patient’s general condition was not greatly affected, and he was able to resume eating. Twenty days after surgery, he developed sudden abdominal pain as a result of gastrointestinal perforation. When performing manual reduction of an incarcerated hernia in cases after self-reduction over a long period, the clinician should always be aware of the possibility of reduction en masse.

Incarcerated inguinal hernia secondary to diffuse peritoneal hidatidosis

2020 ◽  
Vol 31 (2) ◽  
pp. 187-189
Author(s):  
AB Vico Aria ◽  
SC Alonso García ◽  
S Calzado Baeza ◽  
M Martín Díaz ◽  
F Herrera Fernández
Keyword(s):  
Inguinal Hernia ◽  
Echinococcus Granulosus ◽  
Incarcerated Inguinal Hernia ◽  
Hernia Inguinal

Resumen Antecedentes: la enfermedad hidatídica es una antropozoonosis causada en la mayoría de las ocasiones por el cestodo Echinococcus granulosus (EG), caracterizada por la aparición de quistes que pueden desarrollarse en diversos órganos, fundamentalmente en hígado y pulmones. Sin embargo, la aparición de estos quistes a nivel inguinal es muy infrecuente, con muy pocos casos registrados en la literatura científica. Objetivo: presentar el caso de un paciente diagnosticado de hernia inguinal incarcerada secundaria a hidatidosis peritoneal difusa. Caso clínico: varón de 27 años e intervenido de forma urgente por tumoración inguinal irreductible y dolorosa de 24 horas de evolución. En quirófano se evidencia una hernia inguinal indirecta con presencia de saco herniario que contenía epiplón sin signos de sufrimiento y en su parte distal una tumoración, pétrea y adyacente al teste derecho, la cual fue extirpada en su totalidad. El paciente fue estudiado tras los hallazgos quirúrgicos y anatomopatológicos que informaron de lesión pseudoquística y granulomatosa, por lo que se realizó una tomografía computarizada (TC) que informó de una hidatidosis peritoneal difusa. Conclusión: la presentación de la enfermedad hidatídica peritoneal como una hernia inguinal complicada es extremadamente rara.

scholarly journals Functional testicular torsion secondary to an incarcerated inguinal hernia in a 4-month old: complete recovery at 18-hours

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Gregory M Taylor ◽  
Christian C Strachan
Keyword(s):  
Inguinal Hernia ◽  
Testicular Torsion ◽  
Pediatric Patients ◽  
Complete Recovery ◽  
Cord Compression ◽  
Acute Scrotum ◽  
Indirect Inguinal Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Scrotal Swelling ◽  
Urological Emergencies

Abstract One of the most common urological emergencies encountered in pediatric patients in the emergency department (ED) is the acute scrotum. We present the case of a 4-month-old male that presented to our community ED with scrotal swelling and vomiting of 16-hours duration. He was diagnosed with a functional testicular torsion from an incarcerated inguinal hernia, transferred to a hospital with pediatric urological capabilities and was taken to the operating room ~2 hours later. His hospital course was unremarkable, and he was discharged on day 3, having made a full recovery without any loss of bowel or testicle. There have only been a handful of cases in the literature of a pediatric patient presenting with a functional testicular torsion as a result of spermatic cord compression from an indirect inguinal hernia, with no reported cases of complete salvage at nearly 18 hours since symptom onset.

scholarly journals Treatment of an incarcerated inguinal hernia associated with abdominal tuberculosis in an adult patient

2018 ◽  
Vol 46 (8) ◽  
pp. 3474-3479
Author(s):  
Lin-bo Zhu ◽  
Yuan-yan Zhang ◽  
Jun-qiang Li ◽  
Peng-fei Li ◽  
Peng-bin Zhang ◽  
...  
Keyword(s):  
Developing Countries ◽  
Inguinal Hernia ◽  
English Language ◽  
Pediatric Patients ◽  
Extrapulmonary Tuberculosis ◽  
Abdominal Tuberculosis ◽  
Incarcerated Inguinal Hernia ◽  
Definitive Guideline ◽  
Unusual Finding ◽  
Language Literature

The incidence of tuberculosis is increasing worldwide, especially in developing countries. The prevalence of abdominal tuberculosis has been found to be as high as 12% in people with extrapulmonary tuberculosis. Peritoneal thickening and intestinal adhesions can occur in patients with abdominal tuberculosis. Inguinal hernias are extremely rare in people with abdominal tuberculosis; only 11 cases have been reported in the English-language literature, half of which involved pediatric patients. No definitive guideline on the management of such cases is available. In this report, we describe the unusual finding of an incarcerated inguinal hernia in an adult with abdominal tuberculosis and propose a therapy to treat this complicated disease based on our successful experience.

Sign in / Sign up

Export Citation Format

Share Document