scholarly journals Study of contents of inguinal hernia in girls

2019 ◽  
Vol 6 (4) ◽  
pp. 1301
Author(s):  
Kishor Mankar ◽  
Nandkishor Shinde ◽  
Mohammed Moinuddin ◽  
Ashfaq Ahmed
Keyword(s):  
Inguinal Hernia ◽  
Physical Examination ◽  
Surgical Repair ◽  
Bilateral Inguinal Hernia ◽  
Hernia Sac ◽  
Surgical Exploration ◽  
Hernial Sac ◽  
High Incidence ◽  
A Prospective Study ◽  
Irreducible Hernia

Background: Inguinal hernia in females is relatively uncommon as compared to males. In female patients, the hernial sac contains one ovary in approximately 15–20% of cases, and some also contain a fallopian tube. This study was done to know the contents in inguinal hernia in girls.Methods: A prospective study on eight girls with inguinal hernia presenting between January 2016 to December 2018, presented with swelling in inguinal region. Physical examination in all girls was done followed by ultrasonogram to know the content of inguinal hernia. All patients underwent surgical exploration.Results: Among 8 girls with inguinal hernia, 2 (25%) girls had bilateral inguinal hernia, 4(50%) girls had right and 2 (25%) girls had left sided inguinal hernia. Ultrasonogram showed 2 girls with bilateral inguinal hernia had intestines as content on both sides. 3 girls had intestines, one (10%) girl had omentum and 2 (20%) girls had ovary as content of hernia sac. On surgical exploration one girl had omentum, one had ovary, two had intestine as hernial sac content. Two girls with irreducible hernia had omentum and ovary respectively as hernial content. In all girls after reduction of content, herniotomy was done.Conclusions: Surgical repair should be done at diagnosis in all girls presenting with inguinal hernia in view of high incidence of incarceration of ovary and tubes. Sac must be opened and its contents examined before it is tied off and excised.

Follow-up after inguinal hernia repair. Questionnaire compared with physical examination: a prospective study in 299 patients

2003 ◽  
Vol 164 (7) ◽  
pp. 533-536 ◽  
Author(s):  
Patrick M. Vos ◽  
Maarten P. Simons ◽  
Jan S. K. Luitse ◽  
Dick van Geldere ◽  
Mark J. W. Koelemaij ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Physical Examination ◽  
Hernia Repair ◽  
Prospective Study ◽  
Inguinal Hernia Repair ◽  
A Prospective Study

scholarly journals Urethral pseudodiverticulum secondary to penile fracture and complete urethra dissection

2013 ◽  
Vol 7 (5-6) ◽  
pp. 347 ◽  
Author(s):  
Giovanni B. Di Pierro ◽  
Luca Iannotta ◽  
Michele Innocenzi ◽  
Caterina Gulia ◽  
Vincenzo Gentile ◽  
...  
Keyword(s):  
Physical Examination ◽  
Surgical Repair ◽  
Tunica Albuginea ◽  
Urinary Flow ◽  
Suprapubic Catheter ◽  
Penile Fracture ◽  
Surgical Exploration ◽  
Corpora Cavernosa ◽  
Full Bladder ◽  
Urethral Lesion

A 22-year-old man reported cracking sound and acute pain during sexual intercourse followed by rapid penile detumescence and ecchymosis. He experienced more pain because he could not urinate and had a palpably full bladder. Moreover, his urethra was bleeding. Physical examination revealed swollen, ecchymotic and deviated penis and penis ultrasonography showed an injury of the tunica albuginea and Buck’s fascia with an expanding hematoma. Suprapubic catheter was positioned. Surgical exploration revealed a tear of tunica albuginea of both corpora cavernosa and complete urethral dissection. End-to-end urethral anastomosis and suture of corpora cavernosa lesion were performed. Vescical catheter was mantained for 6 days and suprapubic catheter for 3 months to allow a complete urethral healing. A pseudo diverticulum was found atanastomosis level on the urethrocistography 1 month after surgery. It disappeared by allowing micturition via the suprapubic catheter. The patient presented regular urinary flow and physiological erections 30 days later. In our experience, prompt surgical repair preserved erectile function and keeping the suprapubic catheter protected the urethra; this was the correct management for repairing the urethral lesion.

scholarly journals Complicated Amyand’s Hernia in a Neonate

2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Parkash Mandhan ◽  
Talal Al Rayes ◽  
Mansour J Ali ◽  
Mahmoud Aldhaheri
Keyword(s):  
Inguinal Hernia ◽  
Vermiform Appendix ◽  
Clinical Entity ◽  
Amyand’S Hernia ◽  
Rare Clinical Entity ◽  
Hernia Sac ◽  
Surgical Exploration ◽  
Dysmorphic Features ◽  
Scrotal Swelling

Amyand’s hernia is a rare clinical entity in which the vermiform appendix is present within the inguinal hernia sac. Here, we report a 5-day-old neonate with dysmorphic features referred to us with a tender irreducible right inguino-scrotal swelling. Surgical exploration showed gangrenous appendix with a peri-appendicular abscess in the inguinal hernia sac. Appendectomy and right herniotomy was performed.

scholarly journals AMYAND’S HERNIA

2015 ◽  
Vol 22 (08) ◽  
pp. 1101-1103
Author(s):  
Muhammad Rafaih Iqbal ◽  
Muhammad Umar Younis ◽  
Huma Saeed
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Clinical Diagnosis ◽  
Surgical Procedure ◽  
Amyand’S Hernia ◽  
Rare Occurrence ◽  
Surgical Exploration ◽  
Hernial Sac

Introduction: An appendix in an inguinal hernial sac is called as Amyand’sHernia. The appendix may or may not be inflamed. It is a rare occurrence in surgical practice.Case Presentation: A 23 years old male presented with the clinical diagnosis of strangulatedright inguinal hernia. On surgical exploration acutely inflamed appendix was found in the hernialsac. Appendicectomy and hernia repair was carried out. Conclusion: Inguinal hernia is oneof the most common general surgical procedure. Unexpected hernial sac contents like aninflamed appendix may be encountered and dealt accordingly.

scholarly journals Two mesh technique in lieu of single mesh in giant prosthetic reinforcement of the visceral sac for bilateral inguinal hernias

2017 ◽  
Vol 4 (8) ◽  
pp. 2736
Author(s):  
Bhavinder K. Arora ◽  
Rachit Arora ◽  
Akshit Arora
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Operative Time ◽  
Posterior Wall ◽  
Polyglycolic Acid ◽  
Bilateral Inguinal Hernia ◽  
Hernia Sac ◽  
Tension Free ◽  
Direct Hernia

Background: Posterior wall strengthening is the essential aim of Bilateral Inguinal hernia repair. The two methods for it are tissue repair and tension free repair. Tension free repair have become the gold standard. The preperitoneal repair for Bilateral Inguinal hernia is performed by wrapping the lower part of the parietal peritoneum with a large chevron shape polypropylene mesh.Methods: This study presents a modification of stoppas repair using a polypropylene mesh of size 15×9 cm to cover the myopectineal ostium of fruchaud on each side. The direct hernia sac was inverted with a purse string suture. Indirect hernia was opened and margins approximated with a 2-0 polyglycolic acid suture. No drainage was used.Results: Post-operative period was uneventful in all the patients. This new technique uses less post-operative time and the cost of surgery is reduced. There was one post-operative recurrence on one side only on follow up at one week, three weeks and three months.Conclusions: The use of two small size mesh covering both Fruchaud’s myopectineal orifices for bilateral inguinal hernia repair instead of a large size mesh is a promising technique. It saves the operative time and shortens the hospitalization time.

RESULTS OF THE METHOD OF TOTAL EXTRAPERITONEAL ENDOSCOPIC ASSISTED HERNIA SAC LIGATION IN CHILDREN WITH INGUINAL HERNIA (PHELPS)

2021 ◽  
Vol 100 (4) ◽  
pp. 33-39
Author(s):  
Yu.A. Kozlov ◽  
◽  
P.A. Krasnov ◽  
S.S. Poloyan ◽  
A.N. Narkevich ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
New Technology ◽  
Demographic Data ◽  
Randomized Study ◽  
Total Duration ◽  
Operation Time ◽  
Laparoscopic Treatment ◽  
Hernia Sac ◽  
Hernial Sac ◽  
Total Extraperitoneal

The aim of the study was to evaluate the effectiveness of the new technology for laparoscopic treatment of inguinal hernia (IH) in children (PHELPS) in comparison with the popular extraperitoneal SEAL technique. Materials and methods of research: a retrospective comparative single-center non-randomized study was carried out. The analysis of the results of laparoscopic treatment of 680 patients with IH was performed, out of them 206 patients were operated on using the new PHELPS technique, in 474 cases the laparoscopic extraperitoneal SEAL technique was used. The gender composition of patients in the groups did not differ statistically significantly (m/f: 151/55–73.3%/26,7% versus 349/125–73.6%/26,4%, p=0,929). The median age of children in the PHELPS group was 169,5 [80,8; 261,3] days, in the SEAL group – 210,5 [78,0; 258,0] days (p=0,137). The difference between the new technique for treating IH in children consisted in the method of carrying out a hernial ligature around the neck of the hernial sac in such a way that the knot after percutaneous tying was located at the level of the peritoneum and did not include the tissues of the abdominal wall (aponeurosis and muscles). At the end of the study, a comparison of demographic data, intra- and postoperative results in the two groups of patients was made. Results: the median of the total duration of inguinal herniorrhaphy, including the operation time in patients with single and double sided hernia localization, confirmed statistically unchanged values of this indicator in the comparison groups (20,0 [15,0; 20,0] min versus 15,0 [15,0; 20,0] min, р=0,518). The study demonstrated a faster recovery of patients after using the PHELPS technique for the treatment of IH, with a statistically significantly lower number of doses of postoperative analgesia (1,0 [1,0; 1,0] versus 1,0 [1,0; 2,0 ], p<0,001) and a shorter hospital stay (8,0 [6,0; 8,0] hours versus 8,0 [8,0; 9,0] hours, p=0,031). Despite the fact that there were no statistically significant differences in the frequency of formation of dropsy of the testicle (0 (0,0%) versus 6 (1,3%), p=0,185), a statistically significantly better condition of patients was revealed as a result of the use of the innovative PHELPS technique, consisted in the absence of the return of symptoms of the disease – 0 (0,0%) versus 17 (3,6%), p=0,003. Conclusion: the new PHELPS method of treating IH in children allows to improve the quality of known extraperitoneal methods of treating the disease. The placement of a hernial ligature node at the level of the hernial sac neck, rather than over the aponeurosis, is expected to lead to a decrease in the number of relapses after surgery.

scholarly journals Bilateral Inguinal Hernia Containing both Ovaries in an Infant

2014 ◽  
Vol 13 (2) ◽  
pp. 75-77
Author(s):  
Md Mahfuzul Haque ◽  
Bablu Kumar Saha ◽  
Rezbanul Haque ◽  
Shamima Nazma ◽  
Md Shadrul Alom
Keyword(s):  
Inguinal Hernia ◽  
Fallopian Tube ◽  
Rare Case ◽  
Female Infant ◽  
Bilateral Inguinal Hernia ◽  
Hernia Sac ◽  
Preoperative Ultrasound

Inguinal hernia with uncommon contents in the hernia sac has been reported in the literature. Preoperative ultrasound can be helpful to diagnose the presence an uncommon content in the hernia sac. Here we report a rare case of female infant having bilateral inguinal hernia with sac containing ovary and fallopian tube with left sided torsion ovary.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21075

scholarly journals Video-assisted percutaneous hernia sac suturing: a new technique of inguinal hernia repair in children

2020 ◽  
Vol 10 (4) ◽  
pp. 411-418
Author(s):  
Pavel M. Pavlushin ◽  
Alexey V. Gramzin ◽  
Nikolai V. Krivosheenko ◽  
Yuri Y. Koinov ◽  
Yuri V. Chikinev
Keyword(s):  
Inguinal Hernia ◽  
Minimally Invasive ◽  
Premature Infants ◽  
Operating Time ◽  
Minimal Invasive ◽  
Bilateral Hernia ◽  
Hernia Sac ◽  
Hernial Sac ◽  
Video Assisted ◽  
A New Technique

Background. Inguinal hernias are very important problem in pediatric surgery. It appears in 520 cases in every 1000 newborns, approximately 10 times prevalence in males. However, the incidence of inguinal hernia is bigger by 1.52 times in group of premature infants. Materials and methods. In prospective study, that was performed in 20192020, 90 pediatric patients diagnosed inguinal hernia were included. All patients had open herniotomy (Duhamel method), subcutaneous endoscopic-assisted ligation of inguinal hernia using Tuohy needle, or video-assisted percutaneous hernial sac suturing (VIPS). Results. The mean operating time in VIPS group was 13 13.46 min in patients with unilateral inguinal hernia and 20 6.12 min in patients with bilateral variant. In the 6-month follow-up period, any complications or recurrences were not observed. VIPS group included two extremely premature infant with uni- and bilateral inguinal hernia. Minimally invasive herniotomy was performed in 50 weeks post-conceptual age, with unremarkable postoperative period. A difference was found in the operating time between groups of minimally invasive herniotomy and group of Duhamel repair. No difference was found in the operating time of bilateral hernia between all groups. Conclusion. Considered all things, assuming that announced method of video-assisted percutaneous hernial sac ligation to be a perspective minimal invasive way of treatment for inguinal hernia in children is reasonable. However, for final conclusions, further study of this surgical technique, also in a cohort of premature infants, is required, with the possible organization of multicenter clinical trials.

scholarly journals Amyand’s Hernia: A Challenging Diagnosis

2021 ◽  
pp. 57
Author(s):  
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Surgical Repair ◽  
Incidental Finding ◽  
Amyand’S Hernia ◽  
Open Approach ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Amyand Hernia ◽  
Outpatient Settings

Background: Hernia repair surgery is a procedure frequently performed today, both in elective or outpatient settings as in an emergency context. Hernia is defined as a condition in which part of an organ or its fascia protruded through the wall of the cavity containing it. Quite often in the emergency department incarcerated hernias are found, and in most cases, the content of the hernia sac is the omentum or small intestine. In very rare instances, the appendix can be found inside the hernia sac. When the appendix is found in the hernia sac it is called an “Amyand Hernia”, regardless if it is inflamed or not, with the incidence of appendicitis in an inguinal hernia being 0.07-0.13%. Preoperative diagnosis of an Amyand hernia is a clinical and often a Radiological challenge, being in many cases misdiagnosed as an incarcerated inguinal hernia. Usually, the diagnosis of Amyand’s hernia is an incidental finding during surgical repair of an inguinal hernia. There is still no real consensus on the ideal surgical treatment approach for this pathology. Clinical Case: A 72-year-old man, with a known reducible right inguinal hernia awaiting surgical repair presented to the Emergency Department with acute abdominal pain, nausea, vomiting and a painful right groin mass. He was diagnosed with an incarcerated right inguinal hernia and taken to the operating room for emergency surgery. An open approach was performed with a transverse right inguinal incision and the inflamed appendix was identified inside the inguinal sac. The patient was submitted to an appendectomy and subsequently, using the Bassini technique, had the incarcerated inguinal hernia corrected. Conclusion: Preoperative clinical and imaging diagnosis of amyand´s hernia is rare and difficult. More prospective studies should be carried out in order to standardize the treatment of this pathology. The diagnosis of Amyand´s hernia should be in the surgeon’s mind especially in the case of a strangulated inguinal hernia, as shown in this case.

An Attempted Homicidal Cut Throat Injury: A Case Study

2020 ◽  
Vol 3 (2) ◽  
pp. 147-151
Author(s):  
Mukesh Kumar Sah ◽  
Madhu Thakur
Keyword(s):  
Physical Examination ◽  
Blood Vessels ◽  
Management Practice ◽  
Limited Time ◽  
Optimal Management ◽  
Surgical Exploration

Homicidal cut throat is an injury over the front of neck by sharp instruments with an intent of murder. The neck contains vital structures (nerves, blood vessels, airway and pharyngeal conduit) in a compact fashion that may be difficult to access for physical examination or surgical exploration in a limited time. That is why these cases create panic and pose great challenges in the management. Here is a case of an attempted homicidal cut throat injury that highlights some of the challenges encountered in the management along with discussion on the evolving knowledge of the optimal management practice.

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