A computerized tomography scan method for calculating the hernia sac and abdominal cavity volume in complex large incisional hernia with loss of domain

Hernia ◽  
2009 ◽  
Vol 14 (1) ◽  
pp. 63-69 ◽  
Author(s):  
E. Y. Tanaka ◽  
J. H. Yoo ◽  
A. J. Rodrigues ◽  
E. M. Utiyama ◽  
D. Birolini ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Computerized Tomography ◽  
Abdominal Cavity ◽  
Cavity Volume ◽  
Hernia Sac ◽  
Loss Of Domain ◽  
Large Incisional Hernia ◽  
Tomography Scan

scholarly journals Shunting of congenital hydrocephalus in children

2019 ◽  
Vol 5 (2) ◽  
pp. 103-108
Author(s):  
S. Abdykerimov ◽  
D. Kochkunov
Keyword(s):  
Conservative Treatment ◽  
Computerized Tomography ◽  
Early Treatment ◽  
Abdominal Cavity ◽  
Drainage System ◽  
Subsequent Treatment ◽  
Congenital Hydrocephalus ◽  
Surgical Interventions ◽  
Ventriculoperitoneal Shunting ◽  
Tomography Scan

The paper analyzes the results of ventriculoperitoneal shunting operations in the treatment of congenital hydrocephalus in 55 patients aged 3 months up to 3 years. There were 37 boys and 18 girls who underwent various types of shunting operations after the failure of conservative treatment. Retrospectively, by the nature of the performed surgical interventions, the patients were divided into two groups: the first group included 25 children with congenital forms of cerebral dropsy, where ventriculoperitoneal shunting is performed with fixation of the distal shunt by separate sutures into the abdominal cavity; the second group included 30 children of similar ages, who underwent ventriculoperitoneal shunting without fixation by creating a tunnel and two, three holes fixing it. By studying the nature and causes of occlusive syndromes, the authors modified the method of shunting operations, which proved its rationality and effectiveness. In the scientific–grounded causes of occlusion of shunt catheters and methods for their correction. Dynamics with the use of neurosonography and MRI are recommended for detection and early treatment of disturbed shunt conditions. The most dangerous complication hyperdrainage detected during the operation was the formation of hydromas. To prevent the development of this pathology, it is enough to put the patient on the bed with the lowered head end. For the detection and subsequent treatment of conditions associated with dysfunction of the shunt required regular re not, with the spuriousness of this method is the computerized tomography scan or MRI. It is very important to have a conversation with the parents of the child who underwent shunting operations about the properties of the drainage system, the nature of possible complications and tactics of behaviour that allows you to timely provide the necessary assistance to patients.

scholarly journals Case Report of Diaphragmatic Hernia with Small Hernia Sac Orifice

2020 ◽  
Author(s):  
Yun-jin Wang ◽  
Liu Chen ◽  
Chao-ming Zhou ◽  
zhengmian zhang
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Computerized Tomography ◽  
Diaphragmatic Hernia ◽  
Abdominal Cavity ◽  
Postoperative Result ◽  
Hernia Sac ◽  
Abdominal Organs ◽  
Abdominal Radiographs ◽  
Laparoscopic Assisted ◽  
Thoracic And Abdominal

Abstract Background：Congenital diaphragmatic hernia(CDH) is an embryonic stage in which the abdominal organs enter the thoracic cavity under the action of pressure difference between the thoracic and abdominal cavity, resulting in pulmonary hypoplasia due to the dysplasia of the diaphragm and the failure to heal the posterolateral pleura and peritoneum during the development of the diaphragm.Case presentation: A 7-month-old girl was admitted to hospital with the chief complaint of repeated vomiting for 1 day. Diagnosis was established by chest and abdominal radiographs and computerized tomography(CT). During the operation, it was found that there were many contents of intrathoracic hernia, and the hernia sac orifice was small. It was difficult to return them by thoracoscopy,then they were transferred to laparoscopic-assisted content return of diaphragmatic hernia.The patient had a good postoperative result.Conclusion: This is a very rare case of Congenital diaphragmatic hernia with small hernia sac orifice, and it emphasizes the significance of preoperative computerized tomography.

ONE OF THE METHODS OF PREVENTING THE OCCURRENCE OF POSTOPERATIVE VENTRAL HERNIAS

Vestnik ◽  
2021 ◽  
pp. 395-398
Author(s):  
В.М. Мадьяров ◽  
М.С. Малгаждаров ◽  
Г.Р. Жапбаркулова
Keyword(s):  
Risk Factors ◽  
Early Diagnosis ◽  
Incisional Hernia ◽  
General Condition ◽  
Postoperative Period ◽  
Abdominal Cavity ◽  
Hernia Sac ◽  
Severe Intoxication ◽  
Adhesive Obstruction ◽  
Ventral Hernias

Снижение количества коллагена первого типа, существенно влияет на развитие ПВГ. Снизить частоту развития послеоперационных вентральных грыж можно вследствие раннего диагностирования факторов риска снижения коллагена на амбулаторном этапе подготовки к лапаротомии. Чем раньше сделана операция, тем меньше выражены изменения в тканях и органах, а само хирургическое вмешательство является менее сложным и более эффективным. При гладком течении и заживлении после первой операции можно оперировать послеоперационную грыжу спустя 6-8-10 месяцев в зависимости от вида и обширности первого вмешательства, общего состояния больного, величины и динамики роста грыжевого выпячивания. При склонности к ущемлению, а также при развивающемся синдроме спаечной непроходимости следует оперировать в возможно ранние сроки. Если в анамнезе есть указания на тяжело протекавший послеоперационный период в связи с обширным нагноением в ране, длительной тампонадой брюшной полости, тяжелой интоксикацией, перитонитом либо весьма длительным пребыванием в стационаре по поводу релапаротомии, следует выждать больший срок, примерно 12-18 месяцев. На это время надо назначить больному определенный режим, принять меры к улучшению общего состояния, уменьшению страданий в связи с развитием спаечного процесса в грыжевом мешке и в брюшной полости. По показаниям следует рекомендовать ношение хорошо прилаженного бандажа. Тhe decrease in the amount of collagen of the first type significantly affects the development of PVG. It is possible to reduce the incidence of postoperative ventral hernias due to early diagnosis of risk factors for collagen loss at the outpatient stage of preparation for laparotomy. The earlier the operation, the less pronounced changes in tissues and organs, and the surgery itself is less complex and more effective. When you smooth over and heal after the first operation can be operated incisional hernia after 6-8-10 months depending on the type and extensiveness of the first intervention, the patient's General condition, size and growth of hernial protrusion. With a tendency to infringement, as well as with the developing syndrome of adhesive obstruction, it is necessary to operate as early as possible. If in the history there are indications of a difficult postoperative period due to extensive suppuration in the wound, prolonged tamponade of the abdominal cavity, severe intoxication, peritonitis or a very long stay in the hospital for relaparotomy, you should wait a longer period, about 12-18 months. At this time, it is necessary to assign the patient a certain regime, take measures to improve the General condition, reduce suffering in connection with the development of adhesions in the hernia SAC and in the abdominal cavity. According to the indications, it should be recommended to wear a well-adjusted bandage.

scholarly journals Faecopneumothorax due to missing diaphragmatic hernia: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Resul Nusretoğlu ◽  
Yunus Dönder
Keyword(s):  
Computed Tomography ◽  
Diaphragmatic Hernia ◽  
Colon Resection ◽  
Emergency Laparotomy ◽  
Hernia Sac ◽  
Case Presentation ◽  
Abdominal Tenderness ◽  
History Of ◽  
Diaphragmatic Hernias ◽  
Tomography Scan

Abstract Background Diaphragmatic hernias may occur as either congenital or acquired. The most important cause of acquired diaphragmatic hernias is trauma, and the trauma can be due to blunt or penetrating injury. Diaphragmatic hernia may rarely be seen after thoracoabdominal trauma. Case presentation A 54-year-old Turkish male patient admitted to the emergency department with abdominal pain and dyspnea ongoing for 2 days. He had general abdominal tenderness in all quadrants. He had a history of a stabbing incident in his left subcostal region 3 months ago without any pathological findings in thoracoabdominal computed tomography scan. New thoracoabdominal computed tomography showed a diaphragmatic hernia and fluid in the hernia sac. Due to respiratory distress and general abdominal tenderness, the decision to perform an emergency laparotomy was made. There was a 6 cm defect in the diaphragm. There were also necrotic fluids and stool in the hernia sac in the thorax colon resection, and an anastomosis was performed. The defect in the diaphragm was sutured. The oral regimen was started, and when it was tolerated, the regimen was gradually increased. The patient was discharged on the postoperative 11th day. Conclusions Acquired diaphragmatic hernia may be asymptomatic or may present with complications leading to sepsis. In this report, acquired diaphragmatic hernia and associated colonic perforation of a patient with a history of stab wounds was presented.

scholarly journals Abscess or Tumor? When a Retroperitoneal Mass on Computerized Tomography Turns Out to Be a Rare Soft Tissue Growth

2021 ◽  
pp. 1025-1030
Author(s):  
Ilya Noginskiy ◽  
Neil Nimkar ◽  
Madhumati R. Kalavar
Keyword(s):  
Soft Tissue ◽  
Clinical Response ◽  
Computerized Tomography ◽  
Symptomatic Patient ◽  
Tissue Growth ◽  
Rare Tumor ◽  
Retroperitoneal Mass ◽  
Elderly Female ◽  
Desmoid Fibromatosis ◽  
Tomography Scan

A retroperitoneal finding on a computerized tomography scan, in a symptomatic patient, can harbor the clinician to many differential diagnoses from infectious to malignancy. Desmoid fibromatosis (DF), a relatively innocuous mass that can spread locally, can be found in that anatomical region. Even for a rare tumor such as DF, our patient did not meet the usual benchmarks of this cancer, being an elderly female and having it appear as an abscess radiologically. Timely clinical response with radiotherapy and tamoxifen allowed our patient’s DF to regress and resolved her symptoms.

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