scholarly journals Surgical Management of Inguinal Hernia in A Kid

2020 ◽  
pp. 251-254
Author(s):  
Arundhathi U ◽  
Farhan Farhan ◽  
Ranjith Mohan M
Keyword(s):  
Inguinal Hernia ◽  
Surgical Management ◽  
Clinical Examination ◽  
Inguinal Canal ◽  
Inguinal Region ◽  
Abdominal Organ ◽  
Complete Reduction ◽  
Inguinal Hernias ◽  
Hernia Inguinal ◽  
Left Inguinal Region

Protrusion of an abdominal organ through the inguinal canal is called inguinal hernia. Inguinal hernias are less frequent in ruminants. A two month old female cross bred kid was presented with soft swelling in the left inguinal region. Clinical examination revealed that unilateral reducible inguinal hernia. Herniorraphy resulted in complete reduction of the hernia.

scholarly journals Contents of the inguinal canal: identification by different imaging methods

2021 ◽  
Vol 54 (1) ◽  
pp. 56-61
Author(s):  
Nelson Marcio Gomes Caserta ◽  
Thiago José Penachim ◽  
Ewandro Braz Contardi ◽  
Rayssa Clara Fonseca Barbosa ◽  
Thaisa Lazari Gomes ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Inguinal Canal ◽  
Correct Diagnosis ◽  
Inguinal Region ◽  
Imaging Methods ◽  
Inguinal Hernias ◽  
Appropriate Treatment ◽  
Pictorial Essay

Abstract Although the correct diagnosis of inguinal hernias can often be made by clinical examination, there are several situations in which imaging methods represent the best option for evaluating such hernias, their content, and the possible complications. In addition, bulging of the inguinal region is not always indicative of a hernia, because other lesions, including tumors, cysts, and hematomas, also affect the region. The objective of this pictorial essay is to demonstrate what can be identified within inguinal hernias. Differentiating the types of herniated structures is of absolute importance for planning the appropriate treatment.

Uncomplicated adult inguinal hernia repair under local anaesthesia and spinal anaesthesia

2020 ◽  
Vol 11 (3) ◽  
pp. 3212-3221
Author(s):  
Naniwadekar R G
Keyword(s):  
Inguinal Hernia ◽  
Hospital Stay ◽  
Spinal Anaesthesia ◽  
Local Anaesthesia ◽  
Control Group ◽  
Early Ambulation ◽  
Inguinal Hernias ◽  
Hernia Inguinal ◽  
The Subject ◽  
Prolonged Hospital

Multiple researchers have given numerous guidelines in the clinical management of this disorder in the late nineteenth and twentieth centuries, after comprehensive works on the subject. As a result, a very wide variety of surgical procedures are now available to the surgeon to suit the requirement. There have been numerous advances in the management of inguinal hernia. Inguinal hernias can conveniently be repaired under all kinds of anaesthesia, namely general, spinal and local. Whereas the general anaesthesia requires the services of an experienced anaesthetist and new devices and spinal anaesthesia requires postoperative impairment while local anaesthesia is safe to prescribe, easy and efficient and does not cause postoperative complications. This work consisted of a study group of twenty-five adult patients of uncomplicated inguinal hernias, who after repair of hernias, which after repair of hernias were allowed early ambulation and had a short hospital, stay of one day post operatively. The second control group consisted of similar twenty-five patients who are subjected to conventional delayed ambulation and prolonged hospital stay. The results of repair in the two groups were compared; the available literature on the subject was reviewed. The implementation of ”shortstay surgery” not only relieves the waiting list in hospitals but also offers an economic boost and provides the patient with some social advantages.

Surgical treatment of inguinal hernia in childhood

1927 ◽  
Vol 23 (9) ◽  
pp. 972-972
Author(s):  
I. Tsimkhes
Keyword(s):  
Early Childhood ◽  
Inguinal Hernia ◽  
Surgical Treatment ◽  
Inguinal Canal ◽  
Older Children ◽  
Processus Vaginalis ◽  
Hernia Sac ◽  
Absolute Certainty ◽  
Inguinal Hernias

The author finds that the number of inguinal hernias in early childhood, due to incomplete overgrowth of the processus vaginalis peritonei, greatly prevails over the number of the same in older children. Some of these hernias heal spontaneously due to overgrowth of proc. vaginalis and lengthening of the inguinal canal itself. Bandage treatment, even in the most cultured setting, cannot guarantee with absolute certainty the budding of the hernia sac.

scholarly journals Leiomyosarcoma of the inguinal canal

2014 ◽  
Vol 96 (6) ◽  
pp. e8-e9 ◽  
Author(s):  
R Patel ◽  
P Chana ◽  
J Armstrong ◽  
R Lawrence
Keyword(s):  
Inguinal Hernia ◽  
Surgical Management ◽  
Rare Case ◽  
Inguinal Canal ◽  
Histological Findings

We describe a rare case of a leiomyosarcoma in the inguinal canal in a patient presenting clinically with an inguinal hernia. The clinical details, histological findings and surgical management are reviewed.

scholarly journals Development and current status of treatment for pediatric indirect inguinal hernia

2020 ◽  
pp. 1-8
Author(s):  
Zhifeng Mo ◽  
Yuanfei Tan ◽  
Hanzhong He ◽  
Zhuorong Zhang ◽  
Wenbin Yang
Keyword(s):  
Inguinal Hernia ◽  
Pediatric Surgery ◽  
Current Status ◽  
High Ligation ◽  
Laparoscopic Technique ◽  
Common Disease ◽  
Indirect Inguinal Hernia ◽  
Hernia Sac ◽  
Inguinal Hernias ◽  
Hernia Inguinal

To investigate the development and current status of the treatment of pediatric indirect inguinal hernia. Inguinal hernias include indirect hernias and direct inguinal hernias, but there are almost indirect inguinal hernias in children . Pediatric indirect inguinal hernia that the most common disease in pediatric surgery is almost caused by patent processus vaginali which incidence ranges from 0.8% to 4.4%.The treatment of pediatric indirect inguinal hernia reflects the process of pediatric surgery development, which from conservative non-surgical treatment to high ligation of the longitudinal incision hernia sac. In recent years, with the continuous improvement of medical level in China, laparoscopic technique has been applied in hospitals all over China, and laparoscopic high ligation of indirect inguinal hernia sac has become the standard for the treatment of pediatric indirect inguinal hernia.

scholarly journals A CASE OF GIANT INGUINO- SCROTAL HERNIA

2020 ◽  
pp. 1-2
Author(s):  
Neel B. Patel ◽  
Hitendra K. Desai ◽  
Purvesh V. Doshi ◽  
Bansil V. Javia
Keyword(s):  
At Risk ◽  
Inguinal Hernia ◽  
Surgical Management ◽  
Bowel Obstruction ◽  
Abdominal Cavity ◽  
Standing Position ◽  
Hernia Sac ◽  
Scrotal Hernia ◽  
Inguinal Area ◽  
Inguinal Hernias

• An inguinal hernia is a protrusion of the contents of the abdominal cavity or peritoneal fat through a defect in the inguinal area. • The hernia sac contents are at risk of incarceration, which may lead to more serious sequelae such as bowel obstruction, and or a circulatory strangulation of the hernia contents, leading to necrosis and possible perforation of the intestine . The chance of incarceration is relatively low, between 0.3-3% per year . • GAINT INGUINAL HERNIA IS MORE UNUSUAL (APPROX 0.5% OF INGUINAL HERNIAS) AND SIGNIFICANTLY CHALLENGING IN TERMS OF SURGICAL MANAGEMENT. • IT IS DEFINED AS AN INGUINAL HERNIA THAT EXTENDS BELOW THE MIDPOINT OF INNER THIGH WHEN PATIENT IS IN STANDING POSITION.

scholarly journals The Role of System connective tissue dysplasia in the Formation of hernia Inguinal Area

2018 ◽  
Vol 11 (3) ◽  
pp. 161-166
Author(s):  
Radu Ivanovic Railianu ◽  
Alexander Antonovich Botezatu ◽  
Garik Ivanovic Podoliniy ◽  
Yury Stepanovich Paskalov
Keyword(s):  
Connective Tissue ◽  
Disease Recurrence ◽  
Inguinal Region ◽  
Wound Complications ◽  
Control Group ◽  
Inguinal Hernias ◽  
Local Functional ◽  
Hernia Inguinal ◽  
Varicose Disease ◽  
Connective Tissue Dysplasia

Relevance. Despite advances in the treatment of inguinal hernias are still being discussed, the issues of post-operative wound complications and disease recurrence. The inclusion in the list of risk factors for complicated postoperative course of systemic connective tissue dysplasia will allow a new look at the mechanisms of herniation in the groin area and develop morphologically adapted methods of surgical treatment. Objective. Study the characteristics of connective tissue dysmorphogenesis at hernia protrusions in the inguinal region. Results. In the main group absolutely reliable connection with all possible variants of hernia disease in the inguinal region possessed 6 (12 %) the morphological predictors, namely: dystonia dysfunction, curvature of the spine, hallus valgus, hypermobility joints, varicose disease of the lower limb and hemorrhoids. The curvature of a backbone and hyper mobility of joints occurred among manifestations of a dismorfizm at patients of control group. The area of electromyograms at reduction of muscles forming the torn down hernia the inguinal interval, on 20 % inferior area electromyograms reduction of similar muscles on contralateral from inguinal hernia to the side and on 61,4 % of area electromyograms contraction of the groin muscles of the control group patients. In a smaller proportion, but with similar characteristics reduced groups of lateral muscles, which is considered by us as local functional predictors of the implementation of systemic connective dysplasia in the hernia disease of the inguinal region. The density of the collagen fibers in the dermis of patients with inguinal hernias was 75.6 + 1.9%, which is 12,3 % lower than the result of such collagen metrics index of patients of the control group. Intensity of coloring of micropreparations of dermis of patients of control group was at the level of 36,33 + 2,1, that on 1,8 times less than this index in patients of the basic group. Conclusions. Thus, results of histology confirm reliability of the revealed morphological and local functional prerequisites of formation of inguinal hernias at connective dysplasia.

Overuse of Previsit Ultrasound in Patients Referred for Treatment of Inguinal Hernias

2019 ◽  
Vol 85 (3) ◽  
pp. 261-265
Author(s):  
Bryce French ◽  
Caleb Van Essen ◽  
Christopher Mcdonald ◽  
Andrew Ting
Keyword(s):  
Health Care ◽  
Inguinal Hernia ◽  
Physical Examination ◽  
Sensitivity And Specificity ◽  
Clinical Examination ◽  
Medical Records ◽  
High Sensitivity ◽  
Patient Demographics ◽  
Inguinal Hernias ◽  
Case Outcome

Inguinal ultrasound (US) has a high sensitivity and specificity for the diagnosis of inguinal hernias but is often performed unnecessarily, adding cost and time to treatment. The aim of our study was to assess the rate and necessity of US before clinical examination by a hernia surgeon. Medical records of patients referred for an inguinal hernia from April through July 2017 were reviewed. These cases were analyzed for patient demographics, physical examination (PE) findings, previsit imaging, health-care system of surgeon, and case outcome. Twenty-nine per cent of patients had an inguinal US before visiting a surgeon. Sixty-three per cent of patients who underwent an US had a palpable hernia on PE, and 76 per cent had a positive PE by the surgeon. Patients without a hernia on referring provider's PE underwent US 59 per cent of the time. Inguinal USs are being ordered unnecessarily by referring providers. Physical examination by referring providers and surgeons should be the primary tool for diagnosis of an inguinal hernia.

scholarly journals Missed Lipoma of the Spermatic Cord

2013 ◽  
Vol 114 (1) ◽  
pp. 5-8 ◽  
Author(s):  
Oktay Yener ◽  
M. Demir ◽  
R. Yiğitbaşı ◽  
A. Yilmaz
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Open Repair ◽  
Inguinal Canal ◽  
Round Ligament ◽  
Adequate Treatment ◽  
Inguinal Hernias

The aim of the research was to determine the incidence, significance, and anatomy of spermatic cord and round ligament lipomas. Between 2000 and 2010 we evaluated 969 consecutive patients with 1,070 indirect inguinal hernias, who underwent open repair.  A total of 22 lipomas of the spermatic cord or round ligament were identified and resected in 22 patients. No neoplastic changes confirmed in histopathologic examinations of the specimens were reported. Lipomas of the cord and round ligament occur with a considerable incidence. We believe that even if there is no peritoneal sac, the herniation of extraperitoneal fat through the inguinal canal should be counted as an inguinal hernia, and it requires adequate treatment.

Value of Ultrasonography in the Diagnosis of Inguinal Hernia – A Retrospective Study

2018 ◽  
Vol 39 (06) ◽  
pp. 690-696 ◽  
Author(s):  
Tanja Maisenbacher ◽  
Wolfgang Kratzer ◽  
Andrea Formentini ◽  
Julian Schmidberger ◽  
Tanja Kaltenbach ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Retrospective Study ◽  
Clinical Examination ◽  
Predictive Value ◽  
High Sensitivity ◽  
Accurate Method ◽  
Diagnostic Value ◽  
Inguinal Hernias ◽  
Ultrasound Findings ◽  
The Right

Abstract Purpose The diagnosis of an inguinal hernia is usually made clinically. Precise imaging appears to be necessary when the clinical examination is inconclusive. The aim of this study was to determine the diagnostic value of ultrasonography for inguinal hernias and whether it influences the decision for or against surgery. Materials and Methods This study was a single-center retrospective study carried out from January 2012 to December 2016. All 326 patients had undergone ultrasound scanning of the groin as part of the diagnostic workup. Besides surgical findings being the gold standard, follow-up data and alternative ultrasound diagnoses were considered as references, allowing us to assess the accuracy of negative ultrasound findings as well. Results The findings on ultrasonography were positive in 248 patients and negative in 78 patients. In addition to 201 operated patients, we were able to validate a further 40 patients by means of a questionnaire and the alternative ultrasound diagnoses. The correlation with all three references resulted in a sensitivity of 97 %, a specificity of 77 %, a positive predictive value of 95 %, and a negative predictive value of 87 %. Conclusion Ultrasonography is an accurate method for evaluating inguinal hernias. High sensitivity makes it particularly suitable for ruling out an inguinal hernia when the findings are negative. An ultrasound scan carried out in addition to clinical examination can therefore help to determine the right indication for surgical intervention.

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