scholarly journals Testicular gangrene complicating strangulated groin hernia in an adult

2017 ◽  
Vol 4 (5) ◽  
pp. 1777
Author(s):  
Olaogun Julius Gbenga ◽  
Adegun Patrick Temi ◽  
Omotayo John Adetunji ◽  
Areo Peter Olufemi ◽  
Dada Samuel Ayokunle
Keyword(s):  
Inguinal Hernia ◽  
Rare Case ◽  
Testicular Torsion ◽  
Groin Hernia ◽  
Bowel Resection ◽  
Delayed Presentation ◽  
Inguinoscrotal Hernia ◽  
Testicular Infarction ◽  
Resection And Anastomosis

Testicular infarction/gangrene is most commonly secondary to testicular torsion. Testicular infarction complicating a strangulated inguinal hernia has been well documented in pediatric literature but found to be rare in adults as it has only been reported in only 2 cases and none of which required orchidectomy for treatment. We report a rare case of strangulated inguinoscrotal hernia with testicular gangrene following a delayed presentation in a 25 year old boy with neglected groin hernia. The patient had orchidectomy in addition to primary bowel resection and anastomosis.

scholarly journals A Rare Case of Inguinal Hernia with Complete Bladder Herniation

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Ayaaz Habib
Keyword(s):  
Renal Function ◽  
Inguinal Hernia ◽  
Complete Resolution ◽  
Rare Case ◽  
Obstructive Uropathy ◽  
Postoperative Recovery ◽  
Diagnosis And Management ◽  
Inguinoscrotal Hernia ◽  
Inguinal Hernias ◽  
Bladder Herniation

Involvement of the bladder in inguinal hernias is rare and occurs in less than 5% of the cases. The diagnosis and management of this condition may present a challenge to the surgeon. We present a case of an elderly gentleman who presented with a large left-sided inguinoscrotal hernia causing an obstructive uropathy which was surgically repaired. The patient made a quick postoperative recovery with complete resolution of renal function.

scholarly journals Pantaloon Hernia: Obstructed Indirect Component and Direct Component with Cryptorchidism

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Mohan Kumar Kariappa ◽  
Vivek Harihar ◽  
Ashwini Rajareddy Kothudum ◽  
Vivekanand Kedarlingayya Hiremath
Keyword(s):  
Inguinal Hernia ◽  
Testicular Cancer ◽  
Rare Case ◽  
Testicular Torsion ◽  
Undescended Testis ◽  
Direct Component ◽  
Ectopic Testis

Cryptorchidism is a condition in which one or both testes have not passed down into the scrotal sac. It is categorized as true undescended testis in which testes are present in the normal path of descent, and as ectopic testis, in which testes are present at abnormal site. Common complications of cryptorchidism are testicular torsion, subfertility, inguinal hernia, and testicular cancer. Here we present a rare case of pantaloon hernia of obstructed indirect component and direct component with cryptorchidism.

scholarly journals Triple Intussusception in an Adult—A Rare Presentation of Adenocarcinoma Ileum

2021 ◽  
Vol 07 (04) ◽  
pp. e271-e274
Author(s):  
Kirankumar P. Jadhav ◽  
Gayathri Krishnan
Keyword(s):  
Rare Case ◽  
Bowel Resection ◽  
Histopathological Examination ◽  
Exploratory Laparotomy ◽  
Low Grade ◽  
Lead Point ◽  
Rare Presentation ◽  
Small Bowel Intussusception ◽  
Low Grade Dysplasia ◽  
Resection And Anastomosis

AbstractIntestinal intussusception is uncommon in adults. It occurs more often in the small intestine than in the colon. In adults, when small bowel intussusception occurs, it can be due to a malignant lead point. Malignant etiology is most frequently due to diffuse metastatic disease. We present a rare case of an 18-year-old woman who was diagnosed with jejunojejunal, jejunoileal, and colocolic intussusceptions. She presented with vomiting, abdominal pain, and passage of semisolid stools for 5 days. During emergency exploratory laparotomy, multiple polyps were found in the jejunum, ileum, and sigmoid. Jejunotomy and sigmoidotomy were done to remove the respective polyps. The ileal polyp showed hemorrhagic changes; hence, an intraoperative decision was taken to proceed with resection and anastomosis. On histopathological examination, the resected ileal part showed moderately differentiated adenocarcinoma (grade 2) arising from an adenomatous polyp, while the jejunal polyp and sigmoid polyp were adenomatous polyps with low-grade dysplasia. Patient received six cycles of adjuvant chemotherapy consisting of capecitabine and oxaliplatin (CAPEOX regimen). After 2 years, she is symptom free with a normal colonoscopy. The treatment of intussusception in adults typically involves surgery, often with bowel resection as there is always a pathologic leading cause which may be malignant, like in our case.

scholarly journals TP9.2.13Outcomes of Emergency Groin hernia repair: 30-months experience of a tertiary care hospital

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Dileep Kumar ◽  
Brandon Tan ◽  
Michael Guilbert ◽  
Mohamed Elsllabi ◽  
Girivasan Muthukumarasamy
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Femoral Hernia ◽  
Mesh Repair ◽  
Groin Hernia ◽  
Bowel Resection ◽  
Wound Complications ◽  
Suture Repair ◽  
Mesh Infection ◽  
Groin Hernia Repair

Abstract Aims Repair of Emergency groin hernia is variable across different regions and even within same units. Mesh is increasingly used these days. We aim to evaluate peri-operative and long-term outcomes over last 30-months. Methods Retrospective analysis of all emergency groin hernia repairs from January 2018- July 2020 in a tertiary Centre. Case notes and electronic patient records (clinical portal, PACS system etc.) used for data collection. Results Of 89 emergency groin hernia repairs 62(69.7%) males, 32/89 (35.9%) indirect inguinal hernia and 29 (32.5%) femoral hernia. Median age 72 years (range 20-95), 74(83.1%) primary hernia and 15(16.9%) recurrent hernias. Femoral hernia was most common in females 25/27 (92.5%) in contrast 58/62 males (93.5%) had inguinal hernia. All patients, except 1(1.1%) laparoscopic, had open repair, 11/89 cases (12.3%) required bowel resection, of those 10 (90.9%) had suture repair. Additionally, 6/89 cases (6.7%) needed laparotomy. Of 68/89 (76.4%) cases who had mesh repair, 52(76.4%) were inguinal and 23.5% (16/68) femoral hernia. Only 55% femoral hernias repaired with mesh. Median LOS was 3 days (range 0-54), 6/89 cases (6.74%) had wound complications (3 wound infections, 2 haematoma and 1 fluid collection). With median 19 months (range 6-36 months) follow-up, 1(1.1%) recurrence each in both mesh and suture repair groups, no mesh infection and 2/89 (2.2%) 30-day mortality recorded. Conclusion Mesh repair is increasingly used in emergency groin hernia repair without increased risk of mesh infection, although suture repair is still preferred in groin hernias requiring bowel resection.

scholarly journals Giant Inguinoscrotal Hernia—Report of a Rare Case With Literature Review

2014 ◽  
Vol 99 (5) ◽  
pp. 560-564 ◽  
Author(s):  
Vilvapathy Senguttuvan Karthikeyan ◽  
Sarath Chandra Sistla ◽  
Duvuru Ram ◽  
Sheik Manwar Ali ◽  
Nagarajan Rajkumar
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Rare Case ◽  
Standing Position ◽  
Greater Omentum ◽  
Review Of The Literature ◽  
Inguinoscrotal Hernia ◽  
Giant Inguinoscrotal Hernia ◽  
Respiratory Exercises ◽  
Simple Reduction

Abstract Massive inguinoscrotal hernias extending below the midpoint of the inner thigh, in the standing position constitute giant inguinoscrotal hernias. We report a patient who presented with giant right inguinal hernia with bilateral hydrocele for 25 years. He had no cardiorespiratory illnesses. He was taken up for surgery under general anesthesia after preoperative respiratory exercises. Sliding hernia with entire greater omentum, small bowel, and appendix as contents was identified. Meshplasty after omentectomy with bilateral subtotal excision of sac, right orchidectomy, and scrotoplasty were done. Giant inguinoscrotal hernias pose significant problems while replacing bowel contents because of the increase in intraabdominal and intrathoracic pressures. Recurrence is another complication seen after successful surgical management. Various techniques such as preoperative pneumoperitoneum, debulking abdominal contents with extensive bowel resections, or omentectomy and phrenectomy have been tried. Postoperative elective ventilation is also needed in many cases. We describe simple reduction with omentectomy as a viable technique in this patient. He did not need elective ventilation due to preoperative respiratory exercises and preparation and review of the literature.

scholarly journals Open Versus Laparoscopic Incarcerated or Strangulated Inguinal Hernia Repair – A Review

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Danilo Coco ◽  
Silvana Leanza
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Groin Hernia ◽  
Bowel Resection ◽  
Laparoscopic Approach ◽  
Minimal Access Surgery ◽  
Minimal Access ◽  
Access Surgery

Minimal access surgery or laparoscopic surgery has revolutionized the surgical world since its introduction in the 1980s. The evidence for elective laparoscopic groin hernia repair is well established. However, there are only handfuls of literatures on the evidence of emergency laparoscopic groin hernia repairs. In this review article we delineated details on how laparoscopy in emergency incarcerated or strangulated inguinal hernia repair benefits patients, and surgical technique and special precaution required during the operation. During open surgery surgeon to idle for 10–20 min trying to make a return on the bowel condition to prepare for bowel resection, and since its emergency condition and time essence for the surgeon so most of the time, surgeon would just proceed for bowel resection. Whereas, laparoscopic surgery allows ample time for the strangulated bowel to recover, and this in fact will avoid unnecessary laparotomy and bowel resection since most of the time the strangulated bowel can recovered if it allowed enough time for them to revascularize. In conclusion, laparoscopic approach for incarcerated or strangulated inguinal emergency hernias repair has its benefits in several areas over minimal access surgery which contribute to the improvement in clinical outcomes. However, careful selection of patients and a sufficient knowledge of anatomy and expertise in the reduction of the strangulated organs are required.

Outcome of tension free open mesh repair of inguinal hernia

2020 ◽  
Vol 22 (1) ◽  
pp. 21-24
Author(s):  
Mohammad Masum ◽  
Md Aminul Islam ◽  
Masflque Ahmed Bhuiyan ◽  
Kazi Mazharul Lslam ◽  
Md Selim Morshed ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Repair ◽  
Groin Hernia ◽  
Synthetic Mesh ◽  
Indirect Inguinal Hernia ◽  
Prolene Mesh ◽  
Tension Free ◽  
Open Mesh Repair

Background: In the practice of General Surgery, hernia repair is the second most common procedure after appendectomy. Several methods have been developed over the years to try to improve hernia repair. Good result can be expected using Bassini's, McVay's, Shouldice's techniques provided the exact nature of hernia is recognized and the repair is done without tension using healthy tissue. The introduction of synthetic mesh started a new era in hernia surgery. The use of synthetic mesh repair of primary and recurrent hernias has gradually gained acceptance among surgeons. Objective: To find out the outcome and complications of open inguinal hernia repair with prolene mesh. Methods: This is a prospective cross sectional study conducted at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from December, 2011 to May, 2012. One hundred patients of inguinal hernia admitted in different surgical units of BSMMU, Dhaka for elective surgery were studied. We have given 1 gm ijv Cephradine per operatively and then 500 gm cephradine ijv 6 hourly for 24 hours followed by oral form of Cephradine for next 5 days. Polypropylene mesh of 11 cm x 7 cm size was used in all cases. All the operations were done by open tension free prolene mesh repair technique. Patients were followed for one year to see the outcome. Results: Out of 100 cases of inguinal hernia, 71 patients (71%) had indirect inguinal hernia and 29 cases (29%) had direct inguinal hernia; 90 cases (90%) were primary hernia and only 10 cases (10%) were recurrent hernia; 58 cases were right sided, 34 cases (34%) were left sided and 8 cases (8%) were bilateral. Complications of mesh repair of groin hernia in this study included wound infection (5%), scrotal oedema (2%), mesh infection (0%), scrotal hematoma (2%), echymoces of peri-incisional skin (5%), early wound and groin pain (7%), chronic inguinodynia (2%), hernia recurrence (1%). Conclusion: In the present study an attempt is made to evaluate the outcome of patients undergoing inguinal hernia repair by prolene mesh. The results confirm that Lichtenstein tension free mesh repair of inguinal hernia is safe and reliable for both primary and recurrent groin hernia, with less recurrence rate. Patient's compliance was good with minimum morbidity. Journal of Surgical Sciences (2018) Vol. 22 (1): 21-24

Laparoscopic repair of inguinal hernia: Prospective evaluation at a tertiary care center

2020 ◽  
Vol 23 (2) ◽  
pp. 54-58
Author(s):  
ABM Mahbubur Rahman ◽  
Tamjeed Alam ◽  
AHM Shamsul Alam ◽  
Fahim Ferdaus ◽  
Gazi Gias Uddin
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Groin Hernia ◽  
Tertiary Care ◽  
Groin Hernia Repair ◽  
Groin Hernias ◽  
Laparoscopic Groin Hernia Repair ◽  
Repair Techniques

Background: Treatment of groin hernias continues to evolve. The emergence of laparoscopic inguinal hernia surgery has challenged the conventional gold standard Lichtenstein’s tension free mesh repair. Laparoscopic technique to achieve surgical correction over groin hernia is increasingly being practiced in our country, and it is imperative to test the overall outcome of this technique in a tertiary care setting. Objectives: Current study was aimed at evaluating the per-operative events, early and late outcomes of laparoscopic groin hernia repair techniques. End points of evaluation were postoperative pain, hospital stay, resumption of normal activities, chronic pain and recurrence. Methods: Within a 2-year period, 45 patients of groin hernias of different clinical types underwent laparoscopic inguinal hernia repair in Bangladesh Medical College Hospital were recruited in this prospective observational study. Preoperative findings, intraoperative course, postoperative and follow-up data were analyzed to evaluate the outcomes. Observations were made regarding operating time, operative hazards, postoperative pain, incidence of early post-operative morbidities, hospital stay, resumption of activities. Total 24 months follow-up was carried out with regards to normal activity, late complications notably chronic groin pain and recurrence. Results: The mean age of 38.1±11.1 years, 27(60%) patients underwent TEP repair whereas, TAPP procedure was carried out in 18 patients (40%). For unilateral hernia repair using TEP technique, mean operative time was 50.3±4.2 mints and 61.7±5.3 mints for direct and indirect variety (D/I), with the corresponding rates for TAPP repair being 65.0±2.2 mints and 72.8±3.2 mints (D/I) respectively. Conversion rate to other operative procedure was 6.67%. The overall surgery related early post-operative morbidity was 7.4% (TEP) and 16.8% (TAPP). 3 out of 45 patients (6.67%) experienced chronic pain in the groin in the study. However, there was no single incidence of recurrence observed during the follow up period. Conclusion: Laparoscopic groin hernia repair techniques are safe and feasible, offers the benefits of minimally invasive surgery and becoming the procedure of choice specially for bilateral and recurrent inguinal hernias. Journal of Surgical Sciences (2019) Vol. 23(2): 54-58

scholarly journals Strangulated internal supravesical hernia associated with left inguinal hernia: A very rare case report of acute intestinal obstruction

2021 ◽  
pp. 102393
Author(s):  
El yamine othmane ◽  
Fatimazahra Bensardi ◽  
Abdessamad majd ◽  
El Bakouri Abdelilah ◽  
Bouali Mounir ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Rare Case Report

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.

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