Laparoscopic Diagnosis and Treatment of an Enterocutaneous Fistula after Inguinal Hernia Correction

2010 ◽  
Vol 20 (05) ◽  
pp. e2-e2
Author(s):  
M. Stommel ◽  
A. P. Schouten van der Velden ◽  
R. Wijnen ◽  
M. Wijnen
Keyword(s):  
Inguinal Hernia ◽  
Enterocutaneous Fistula ◽  
Diagnosis And Treatment

Laparoscopic Diagnosis and Treatment of an Enterocutaneous Fistula after Inguinal Hernia Correction

2010 ◽  
Vol 20 (05) ◽  
pp. 341-341
Author(s):  
M. Stommel ◽  
A. S. van der Velden ◽  
R. Wijnen ◽  
M. Wijnen
Keyword(s):  
Inguinal Hernia ◽  
Enterocutaneous Fistula ◽  
Diagnosis And Treatment

Approach to Male Urologic Emergencies

2019 ◽  
Author(s):  
Jonathan E. Davis ◽  
Jeffrey S. Dubin
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Necrotizing Fasciitis ◽  
Testicular Torsion ◽  
Diagnosis And Treatment ◽  
Acute Scrotum ◽  
Scrotal Pain ◽  
Penile Pain ◽  
Emergency Department Setting ◽  
Acute Scrotal Pain

This review details the evaluation and management of the acute scrotum in the emergency department setting and emergent penile complaints in adults, with an emphasis on the most serious and most common conditions. Other emergent conditions include necrotizing fasciitis of the perineum (Fournier disease), incarcerated or strangulated inguinal hernia, and genitourinary (GU) trauma. Emergency practitioners need to be most concerned with the entities that, if left untreated, can result in ischemia and necrosis of the penis. Basic anatomy and bedside evaluation are reviewed. Acute scrotal and penile pain and GU trauma are discussed in terms of assessment and stabilization, diagnosis, and treatment and disposition.  This review contains 5 figures, 19 tables, and 71 references. Keywords: Acute scrotal pain, testicular torsion, priapism, Peyronie disease, paraphimosis, phimosis, balanitis, posthitis, epididymitis

Case Report: Diagnosis and Treatment of a Giant Retroperitoneal Liposarcoma Presenting as an Irreducible Inguinal Hernia

2020 ◽  
Author(s):  
Zhiqing Yuan ◽  
Qiwei Li ◽  
Jianhua Sun ◽  
Wei Zhou ◽  
Tao Chen
Keyword(s):  
Inguinal Hernia ◽  
Tumor Resection ◽  
Radical Resection ◽  
Left Ventricular ◽  
Diagnosis And Treatment ◽  
Left Ventricular Ejection ◽  
Resected Specimen ◽  
Left Testis ◽  
Ventricular Ejection Fraction ◽  
Retroperitoneal Liposarcoma

Abstract Background: Retroperitoneal liposarcoma protrude to the inguinoscrotal area presenting as an irreducible inguinal hernia is extremely rare. For the rare cases and little experience of diagnosis and treatment of this disorder, the clinical guidelines are vacant. We report a successful example for the management of a giant retroperitoneal liposarcoma extending to the inguinoscrotal area. Case presentation: A 55-year-old male patient was admitted to our hospital in August 2018 with a large left inguinal mass without abdominal pain or digestive symptoms. Preoperative contrast-enhanced computed tomography revealed an abdominopelvic huge mass, and ultrasound guided biopsies showed liposarcoma. The patient also suffered from dilated cardiomyopathy and the left ventricular ejection fraction is only 39%. The left renal pedicle was squeezed by the mass and the left glomerular filtration rate is as low as 29.25ml/min. Intraoperatively, the mass was incarcerated in the inguinal canal and involved the left testis. We performed a radical tumor resection with two incisions, including resection of the retroperitoneal tumor, resection of the scrotal tumor and a tension-free repair of left inguinal hernia. The resected specimen for the retroperitoneal part measured 50*28*9 cm, weighed 13.5 kilograms and the scrotal part measured 16.5*7*4.5 cm, weighed 6.2 kilograms. Pathologically, the tumor was diagnosed as a well-differentiated liposarcoma, and originated from perirenal fat. The patient did not undergo adjuvant therapy post-operation and is completely clinical remission fifteen months after the operation. Conclusions: Careful distinction for inguinoscrotal mass is essential to minimize complications and improve patient prognosis. The prime principle to treat well differential retroperitoneal liposarcomas is radical resection with protection of vital organs and vessels.

scholarly journals Diagnosis and treatment of inguinal hernia of the bladder: a systematic review of the past 10 years

2018 ◽  
Vol 44 (5) ◽  
pp. 384-388 ◽  
Author(s):  
Benjamin Branchu ◽  
◽  
Yohann Renard ◽  
Stephane Larre ◽  
Priscilla Leon ◽  
...  
Keyword(s):  
Systematic Review ◽  
Inguinal Hernia ◽  
Diagnosis And Treatment ◽  
The Past

scholarly journals Inguinal Hernia Repairs in a Rural Setting in East Africa

2021 ◽  
pp. 13-19
Author(s):  
Richard Wismayer
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
East Africa ◽  
Enterocutaneous Fistula ◽  
Signs And Symptoms ◽  
Morbidity And Mortality ◽  
Rural Setting ◽  
Male Predominance ◽  
Inguinal Hernias ◽  
Rural Africa

Background: Inguinal hernias are a major cause of morbidity and mortality in the developing world. In resource limited settings in rural Africa the clinical management of inguinal hernias may pose a therapeutic challenge to the surgeon due to the late presentation of this condition and lack of availability and affordability of mesh and laparoscopy. In our environment there is a lack of data and literature regarding the surgical management of inguinal hernias. The purpose of this study was to outline the clinical profile and outcomes among patients undergoing inguinal hernia repairs in our hospital. Methods: A descriptive retrospective study was carried out between 1st April 2008 to the 31st July 2012 on all patients ≥15 years of age that underwent an inguinal hernia repair were eligible in this study. The patients were reviewed on the surgical ward postoperatively and in the surgical out-patients clinic 3 months post-operatively. Data was collected using a pretested questionnaire on the following variables: age, sex, recurrence of hernia, post-operative pain and post-operative complications. Physical examination was used to determine post-operative recurrence and evidence of haematomas, seromas or severe wound sepsis requiring operative intervention. Results: One hundred and fifty eight patients following repair of inguinal hernia using the Modified Bassini technique were analyzed. Mean age was 44.84 years. The male:female ratio was 3.65:1 with male predominance. Emergency inguinal hernia repairs were carried out in 4(2.53%) and the majority of patients, 154(97.47%) were elective inguinal hernia repairs. One(0.63%) mortality and the morbidity included 1(0.63%) seroma, 1(0.63%) haematoma, 1(0.63%) necrotizing fasciitis and 1(0.63%) enterocutaneous fistula. The overall complication rate was 3.16%. Conclusions: In rural Africa patients with inguinal hernias should be encouraged to present early with signs and symptoms of inguinal hernia. Elective hernia repair of inguinal hernias, irrespective of the type of repair, will reduce the morbidity and mortality from this common problem in East Africa.

scholarly journals Scrotal enterocutaneous fistula: a rare initial presentation of inguinal hernia

2014 ◽  
Vol 2014 (6) ◽  
pp. rju056-rju056 ◽  
Author(s):  
P. Malik ◽  
M. Rathi ◽  
K. Kumar ◽  
R. Sharma ◽  
P. Meena ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Enterocutaneous Fistula ◽  
Initial Presentation

scholarly journals A Case of Rare Complication of Inguinal Parietoplasty according to Lichtenstein: Entero Cutaneous Fistula

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
K. B. Kouakou ◽  
K. I. Anzoua ◽  
M. Traore ◽  
B. K. I. Leh ◽  
A. B. N’Dri ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Rare Complication ◽  
Enterocutaneous Fistula ◽  
Local Approach ◽  
Cutaneous Fistula ◽  
Treatment Experience ◽  
Lichtenstein Procedure ◽  
Rural Africa

Lichtenstein intervention is currently the classic model of the regulated treatment of inguinal hernias by direct local approach. This “tension-free” technique satisfies both patients and practitioners. However, it does not often evade severe complications of parietal surgery. The authors report their treatment experience in rural Africa of a late enterocutaneous fistula which aggravated an inguinal hernia repair according to the Lichtenstein procedure. Physiopathology, diagnosis, and treatment of that disease are analyzed in the light of literature.

Sign in / Sign up

Export Citation Format

Share Document