Progressive pneumoperitoneum in giant bilateral inguinal hernia

2021 ◽  
Vol 32 (1) ◽  
pp. 67-69
Author(s):  
G Cabello Calle ◽  
MÁ García Martínez ◽  
T Gallart Aragón ◽  
AL Romera López ◽  
B Mirón Pozo

Resumen Las hernias inguinales gigantes son un problema quirúrgico exigente, ya que en ocasiones la reintroducción del contenido herniario en la cavidad abdominal puede causar un aumento de la presión intraabdominal. Se han descrito varias técnicas que disminuyen este riesgo, entre ellas el neumoperitoneo progresivo que presentamos a continuación, así como el uso de toxina botulínica o la necesidad de resección visceral. Presentamos el caso de un paciente varón de 50 años con hernia inguinal bilateral gigante. Aplicamos el uso del neumoperitoneo progresivo en nuestro hospital y hernioplastia mediante un abordaje inguinal anterior y reparación según Rutkow-Robbins. Esta técnica hace posible el tratamiento exitoso de hernias inguinales gigantes sin necesidad de resección visceral.

1970 ◽  
Vol 39 (133) ◽  
pp. 172-175
Author(s):  
Meelam R Charles ◽  
L B Christian ◽  
T Sen ◽  
S Mahapatra ◽  
B R Joshi

In a retrospective study of 133 cases of inguinal hernia in infants and children upto the age of14 years, treated surgically at Western Regional Hospital, Pokhara, Nepalbetween April 1st 1997 and March 31st 1999, it was found that male patients out numberfemale patients in the ratio of 13.7:1 Right sided hernia was almost twice as common ascompared to left. Only 1.5% of patients (2cases) had bilateral inguinal hernia. 4patients (3%) presented with obstructive features. Routine exploration of contralateralside was not done as most surgeons do not recommend this, as only 20% develop herniaon the contralateral side.1 Only one patient had recurrent hernia.Key words: Congenital, hernia, inguinal, retrospective, incarceration.


2020 ◽  
Vol 11 (3) ◽  
pp. 3212-3221
Author(s):  
Naniwadekar R G

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.


2020 ◽  
Vol 31 (2) ◽  
pp. 187-189
Author(s):  
AB Vico Aria ◽  
SC Alonso García ◽  
S Calzado Baeza ◽  
M Martín Díaz ◽  
F Herrera Fernández

Resumen Antecedentes: la enfermedad hidatídica es una antropozoonosis causada en la mayoría de las ocasiones por el cestodo Echinococcus granulosus (EG), caracterizada por la aparición de quistes que pueden desarrollarse en diversos órganos, fundamentalmente en hígado y pulmones. Sin embargo, la aparición de estos quistes a nivel inguinal es muy infrecuente, con muy pocos casos registrados en la literatura científica. Objetivo: presentar el caso de un paciente diagnosticado de hernia inguinal incarcerada secundaria a hidatidosis peritoneal difusa. Caso clínico: varón de 27 años e intervenido de forma urgente por tumoración inguinal irreductible y dolorosa de 24 horas de evolución. En quirófano se evidencia una hernia inguinal indirecta con presencia de saco herniario que contenía epiplón sin signos de sufrimiento y en su parte distal una tumoración, pétrea y adyacente al teste derecho, la cual fue extirpada en su totalidad. El paciente fue estudiado tras los hallazgos quirúrgicos y anatomopatológicos que informaron de lesión pseudoquística y granulomatosa, por lo que se realizó una tomografía computarizada (TC) que informó de una hidatidosis peritoneal difusa. Conclusión: la presentación de la enfermedad hidatídica peritoneal como una hernia inguinal complicada es extremadamente rara.


Author(s):  
Tomohiro Kurahachi ◽  
Naruki Higashidate ◽  
Naoki Hashizume ◽  
Suguru Fukahori ◽  
Shinji Ishii ◽  
...  

Hernia ◽  
2010 ◽  
Vol 15 (1) ◽  
pp. 15-18 ◽  
Author(s):  
X. Feliu ◽  
R. Clavería ◽  
P. Besora ◽  
J. Camps ◽  
E. Fernández-Sallent ◽  
...  

2018 ◽  
pp. 205141581880752
Author(s):  
Verónica Hernández-Nájera ◽  
Eduardo Barrera-Juárez ◽  
Roberto González-Oyervides

Hernia ◽  
2011 ◽  
Vol 15 (6) ◽  
pp. 713-713
Author(s):  
V. Wiwanitkit

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Alejandro Bravo-Salva ◽  
Francisco Rómulo Ochoa-Segarra ◽  
Ana María Gonzálz-Castillo ◽  
Joan Sancho-Insenser ◽  
Miguel Pera-Roman ◽  
...  

Abstract Aim Aim of our study was to analyze outcomes and safety of bilateral inguinal hernia repair in unilateral groin complicated hernia with contralateral groin hernia. Material and Methods Retrospective cohorts study following STROBE statements on a prospective Emergency Surgery Department database. Inclusion criteria were: patients with emergency hernia repair from 2008 to 2018, 18 years old. Unilateral or bilateral inguinal hernia repair without other abdominal wall hernia repairs. Comparative analysis between two group unilateral hernia repair (UH) vs bilateral hernia repair (BH) those patients with unilateral complicated inguinal hernia with contralateral inguinal hernia. Propensity score matching (PSM) between groups was performed to eliminate statistically groups differences. Outcomes between groups were analyzed with special attention to postoperative morbimortality and hernia recurrence. Results 341 patients were included, 38(11.1%) were performed bilateral hernia repair. Groups differences were: higher rate of inguinoscrotal inguinal hernia (36.8 vs 22.8), prophylactic antibiotics use (94.7 vs 81.8) and general Anesthesia use (52.6% vs 50.2%). General high rates of morbidity and mortality were observed (5.9% and 41.9) and 22 (6.5%) hernia repair recurrence were detected. After PSM no differences between surgery outcomes groups were observed with similar morbidity, recurrence or hospital stay. Conclusions Emergency inguinal hernia repair has high morbidity and mortality rates in our experience. Emergency Bilateral inguinal hernia repair in context of hernia complication seems safe without recurrence or hospital stay increase.


2021 ◽  
Author(s):  
Pradeep Chowbey ◽  
◽  
Rajesh Khullar ◽  
Anil Sharma ◽  
Manish Baijal ◽  
...  

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