scholarly journals Colonic incarceration in an adult umbilical hernia: case report and review of literature

2019 ◽  
Vol 6 (9) ◽  
pp. 3371
Author(s):  
Ketan Vagholkar ◽  
Nitu Joy ◽  
Shantanu Chandrashekhar ◽  
Pooja Rao ◽  
Dhairya Chitalia ◽  
...  
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Computerized Tomography ◽  
Mesh Repair ◽  
Umbilical Hernia ◽  
Open Surgery ◽  
High Recurrence Rate ◽  
Review Of Literature ◽  
Contrast Enhanced ◽  
Ventral Hernias

Umbilical hernia is one of the commonest ventral hernias constituting ten percent of all hernias. It affects obese individuals and has a high recurrence rate if repaired by suture techniques. Incarceration of the colon in an umbilical hernia is quite rare. A case of colonic incarceration in an umbilical hernia is presented to highlight the diagnostic and technical challenges in managing such a hernia. Contrast enhanced computerized tomography is essential to ascertain the contents. Open surgery is the main stay of treatment especially in such rare cases. A combined tissue and mesh repair provides excellent results.

scholarly journals Anterior mandibular ameloblastoma

2012 ◽  
Vol 2 (1) ◽  
pp. 30 ◽  
Author(s):  
Ajay H. Bhandarwar ◽  
Girish D. Bakhshi ◽  
Ashok D. Borisa ◽  
Amol Wagh ◽  
Rajat Kapoor ◽  
...  
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Local Excision ◽  
Wide Local Excision ◽  
Surgical Excision ◽  
High Recurrence Rate ◽  
Review Of Literature ◽  
Immediate Reconstruction ◽  
Large Size ◽  
Mandibular Region

Ameloblastoma is a benign odontogenic tumor. These are usually asymptomatic until a large size is attained. Ameloblastoma has tendency to spread locally and has a high recurrence rate. Majority of ameloblastomas (80%) arise from the mandible. Ameloblastoma arising from anterior mandibular region (symphysis- menti) is rare. Very few cases of midline anterior ameloblastomas are reported in the literature. They often require wide local excision. Reconstruction of mandible in these cases is challenging. We present a case of mandibular ameloblastoma arising from symphysis- menti. Patient underwent wide surgical excision of the tumor followed by immediate reconstruction using free fibular vascular flap, stabilized with titanium reconstructive plates. A brief case report ands review of literature is presented.

scholarly journals Subcutaneous Onlay Laparoscopic Approach (SCOLA) for Umbilical Hernia with Diastasis of Rectus Abdominis Muscle: A Case Report

2021 ◽  
Author(s):  
Halil Afsin Tasdelen
Keyword(s):  
Umbilical Hernia ◽  
Video Clip ◽  
Laparoscopic Approach ◽  
Rectus Abdominis ◽  
High Recurrence Rate ◽  
Anatomical Landmarks ◽  
Rectus Abdominis Muscle ◽  
Hernia Defect ◽  
Diastasis Recti ◽  
Ventral Hernias

Abstract Diastasis of the rectus abdominis muscles (DRAM) is a common pathology, usually associated with midline abdominal wall hernias. The midline ventral hernias with diastasis have a significantly high recurrence rate, so repairing the hernia defect and the diastasis should be considered. Claus et al. previously described the subcutaneous onlay laparoscopic approach (SCOLA). We report a case of diastasis recti associated with umbilical hernia repaired with SCOLA technique. A 46-year-old male patient presented with a disturbing bulge in the upper midline and painful umbilical swelling. The CT scan followed by physical examination revealed 28 mm. umbilical hernia and 35 mm. diastasis recti. We aimed to introduce the SCOLA technique using a narrated video clip and showed all the critical steps and anatomical landmarks in the video. The postoperative period was uneventful, and the patient was discharged on the second postoperative day. The SCOLA technique is a feasible and reproducible alternative for the repair of midline hernias associated with DRAM.

scholarly journals Repair Methods in Parastomal Hernia Surgery

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Salih Tosun ◽  
Oktay Yener ◽  
Ihsan Metin Leblebici ◽  
Özgür Ekinci
Keyword(s):  
Abdominal Wall ◽  
Recurrence Rate ◽  
Mesh Repair ◽  
Laparoscopic Approach ◽  
Operation Time ◽  
High Recurrence Rate ◽  
Suture Repair ◽  
Hernia Surgery ◽  
Promising Alternative ◽  
Mesh Placement

Background-Aim: Parastomal hernias (PSH) are incisional hernias that must be classified separately from the other abdominal wall hernias. The high recurrence rate of PSH is the most important problem after suture repair or relocation of the stoma; whereas open or laparoscopic mesh repair results in much lower recurrence rates. The aim of this study is to investigate PSH predisposing factors, surgical repair methods, postoperative complications and recurrence in surgery practice. Methods: Patient demographics, operation time before the first surgery, operation method, and the recurrence rate seen in patients who underwent PSH surgery in a 10-year time/ period (2008-2018) were investigated  from the patient records. Except for emergency cases, 2 years of disease-free time was set for PSH surgery in malignant cases to be sure that no malignancy was present in the time of operation.  Results: 14 PSHs were treated surgically using mesh repair in all cases.  There were 6 male and 8 female patients with a mean age of 71.7 years (range:45-84;median:78). Open sublay polypropylene mesh placement technique was performed in 12 patients and intraperitoneal composite mesh (using either keyhole or Sugarbaker techniques) was placed laparoscopically in 2 patients. Superficial wound infections were developed in 4 patients (28.5 %) and 2 patients developed recurrence (14.2%). Conclusion: There is no effective method defined for the surgery of PSH but the laparoscopic approach has been proposed as a promising alternative to open technique as it causes less abdominal wall trauma. Whether performed open or laparoscopic; mesh repair is the optimal standard for PSH surgery.

scholarly journals Case Report: Ultrasound Guided Mucosal Fold Lateralization for Laryngeal Webs

2021 ◽  
Vol 8 ◽  
Author(s):  
Sohit Paul Kanotra
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Ultrasound Guidance ◽  
Anterior Commissure ◽  
High Recurrence Rate ◽  
Ultrasound Guided ◽  
Vocal Cords ◽  
Mucosal Flap ◽  
Mucosal Surfaces ◽  
Mucosal Fold

The surgical management of Laryngeal webs is challenging and is associated with a high recurrence rate due the presence of opposing raw mucosal surfaces of the vocal cords, especially near the anterior commissure which causes re-scarring. We describe an endoscopic technique of mucosal flap lateralization (MFL) with ultrasound guidance, which prevents the apposition of the anterior raw surfaces of the vocal cords after web incision, thus avoiding recurrence.

Juvenile Ossifying Fibroma of a 15-Year-old Girl: A Case Report

2021 ◽  
Author(s):  
MA Awal
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Female Child ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Surgical Removal ◽  
Facial Deformity ◽  
Maxillofacial Region ◽  
Long Period ◽  
Juvenile Ossifying Fibroma

Juvenile ossifying fibroma is a locally aggressive, benign fibro-osseous tumor. It usually occurs in young children and arises in the maxillofacial region. It has a high recurrence rate. This pathology would be diagnosed and treated as early as possible because of its rapidly progressive and osteolytic nature which may complicate the surgical removal if left untreated over a long period. The present case is diagnosed as Juvenile ossifying fibroma involving the maxilla causing facial deformity, proptosis, and nasal obstruction in a 15-year-old female child.

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