Chylous ascites as hernia content in a prematurely born infant with bilateral inguinal hernia

Abstract Aim Aim of our study was to analyze outcomes and safety of bilateral inguinal hernia repair in unilateral groin complicated hernia with contralateral groin hernia. Material and Methods Retrospective cohorts study following STROBE statements on a prospective Emergency Surgery Department database. Inclusion criteria were: patients with emergency hernia repair from 2008 to 2018, 18 years old. Unilateral or bilateral inguinal hernia repair without other abdominal wall hernia repairs. Comparative analysis between two group unilateral hernia repair (UH) vs bilateral hernia repair (BH) those patients with unilateral complicated inguinal hernia with contralateral inguinal hernia. Propensity score matching (PSM) between groups was performed to eliminate statistically groups differences. Outcomes between groups were analyzed with special attention to postoperative morbimortality and hernia recurrence. Results 341 patients were included, 38(11.1%) were performed bilateral hernia repair. Groups differences were: higher rate of inguinoscrotal inguinal hernia (36.8 vs 22.8), prophylactic antibiotics use (94.7 vs 81.8) and general Anesthesia use (52.6% vs 50.2%). General high rates of morbidity and mortality were observed (5.9% and 41.9) and 22 (6.5%) hernia repair recurrence were detected. After PSM no differences between surgery outcomes groups were observed with similar morbidity, recurrence or hospital stay. Conclusions Emergency inguinal hernia repair has high morbidity and mortality rates in our experience. Emergency Bilateral inguinal hernia repair in context of hernia complication seems safe without recurrence or hospital stay increase.

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Totally Extraperitoneal (TEP) Repair for Bilateral Inguinal Hernia in Female (EHS, Right PL2, Left PL1)

10.1007/978-981-16-3300-3 ◽

2021 ◽

Author(s):

Pradeep Chowbey ◽

◽

Rajesh Khullar ◽

Anil Sharma ◽

Manish Baijal ◽

...

Keyword(s):

Inguinal Hernia ◽

Bilateral Inguinal Hernia ◽

Tep Repair ◽

Totally Extraperitoneal

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Progressive pneumoperitoneum in giant bilateral inguinal hernia

Cirugía Andaluza ◽

10.37351/2021321.13 ◽

2021 ◽

Vol 32 (1) ◽

pp. 67-69

Author(s):

G Cabello Calle ◽

MÁ García Martínez ◽

T Gallart Aragón ◽

AL Romera López ◽

B Mirón Pozo

Keyword(s):

Inguinal Hernia ◽

Bilateral Inguinal Hernia ◽

Hernia Inguinal

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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Bilateral inguinal hernia: Epidemiology and outcomes of surgical treatment in Southeast Nigeria

Nigerian Journal of Medicine ◽

10.4103/njm.njm_28_20 ◽

2020 ◽

Vol 29 (3) ◽

pp. 401

Author(s):

AloysiusUgwu-Olisa Ogbuanya ◽

Uchenna Dilibe

Keyword(s):

Inguinal Hernia ◽

Surgical Treatment ◽

Bilateral Inguinal Hernia

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Transabdominal preperitoneal repair using barbed sutures for bilateral inguinal hernia in liver cirrhosis with ascites

Journal of Surgical Case Reports ◽

10.1093/jscr/rjz199 ◽

2019 ◽

Vol 2019 (6) ◽

Author(s):

Masakazu Ohuchi ◽

Noriyuki Inaki ◽

Kunihiko Nagakari ◽

Shintaro Kohama ◽

Kazuhiro Sakamoto ◽

...

Keyword(s):

Liver Cirrhosis ◽

Inguinal Hernia ◽

Preperitoneal Repair ◽

Lichtenstein Repair ◽

Bilateral Inguinal Hernia ◽

Effective Treatment Option ◽

Barbed Sutures ◽

Transabdominal Preperitoneal ◽

Tapp Repair ◽

Peritoneal Closure

Abstract The appropriate surgical treatment for inguinal hernia in patients with liver cirrhosis and ascites remains controversial. A 79-year-old male undergoing treatment for Child–Pugh B hepatitis C-induced liver cirrhosis and hepatocellular carcinoma complicated with bilateral inguinal hernia underwent transabdominal preperitoneal (TAPP) repair. During surgery, barbed sutures were used to facilitate appropriate peritoneal closure. His postoperative course was uneventful. Information on TAPP repair for inguinal hernia in patients with liver cirrhosis and ascites is limited. The International Guidelines for Inguinal Hernia Management recommend Lichtenstein repair for patients with ascites. TAPP repair requires peritonectomy via a posterior endoscopic approach; therefore, proper peritoneal closure is important to prevent the leakage of ascitic fluid. Herein, TAPP repair was safely and successfully completed using barbed sutures to achieve proper and strong peritoneal closure. TAPP repair using barbed sutures can be an effective treatment option for patients with liver cirrhosis and ascites.

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