scholarly journals Irreducible Hernia in Female Children Containing Ovary, Uterus or Uterine Adnexa: Case Series

2021 ◽  
Author(s):  
Joseph Francis ◽  
Suhitha Gajanthody ◽  
Ashraf Ahamed ◽  
Divya Syam
Keyword(s):  
Inguinal Hernia ◽  
Genital Tract ◽  
Case Series ◽  
Fallopian Tubes ◽  
Rare Entity ◽  
Processus Vaginalis ◽  
Inguinal Hernias ◽  
Female Children ◽  
Foetal Life ◽  
Irreducible Hernia

Inguinal hernias are the most frequent hernias of childhood. They are relatively uncommon in females as compared to males. Congenital inguinal hernias are due to the failure of closure of processus vaginalis. In females, this usually obliterates around the eighth month of foetal life. When these remain patent, a rare but possible herniation of contents can occur through this, like the genito-urinary system, including the ovaries and sometimes the fallopian tubes. However, the occurrence of uterus as one of the contents is a rare entity. This is a case series of six such cases with various genital tract entities as contents in paediatric female inguinal hernia. In conclusion, the rare entity of uterus, uterine adnexae and ovaries being a content of inguinal hernia has to be kept in mind when treating female children.

scholarly journals Ovarian inguinal hernia

2020 ◽  
Vol 102 (2) ◽  
pp. 75-83
Author(s):  
A Prodromidou ◽  
N Machairas ◽  
Z Garoufalia ◽  
ID Kostakis ◽  
AV Kyriakidis ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Observational Studies ◽  
Case Reports ◽  
Case Series ◽  
Reproductive Age ◽  
Preoperative Imaging ◽  
Fallopian Tubes ◽  
Mesh Placement ◽  
Inguinal Hernias ◽  
Groin Hernias

Introduction Gynaecological structures such as the ovaries, fallopian tubes, ligaments and uterus are rarely encountered inside a hernial sac. The prevalence of groin hernias containing parts of female genitalia remains unknown. The aim of this review was to summarise the existing evidence on inguinal hernias containing ovaries with or without the other female adnexa. Methods A systematic search was conducted for literature published up to February 2018 using the MEDLINE®, Scopus® and Google Scholar™ databases along with the references of the full-text articles retrieved. Papers on observational studies and case reports concerning women who were diagnosed with an ovarian inguinal hernia (pre or intraoperatively) were considered eligible for inclusion in the review. Results Fifteen papers (13 case reports, 2 case series) comprising seventeen patients (mean age 47.9 years) were evaluated. A left-sided hernia was noted in 13 cases (77%) whereas 4 patients had a right-sided hernia. Eight patients underwent preoperative imaging with computed tomography, ultrasonography or both. This was diagnostic in five cases. In 11 patients, hernia contents were repositioned, 2 had a salpingo-oophorectomy and 2 an oophorectomy. Eight patients underwent hernia repair with mesh placement while three had a herniorrhaphy. Conclusions Ovarian inguinal hernias should be considered among the differential diagnoses of a groin mass or swelling. In women of reproductive age, repair of the hernia with the intent to preserve fertility is of critical importance.

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.

Management of Ureters Involved in Inguinal Hernias

2018 ◽  
Vol 5 ◽  
pp. 21-25
Author(s):  
Sarah Perz ◽  
Timothy Suttle ◽  
Puneet Sindhwani
Keyword(s):  
Inguinal Hernia ◽  
English Language ◽  
Case Reports ◽  
Relevant Literature ◽  
Case Series ◽  
Ureteral Injury ◽  
Hernia Sac ◽  
Medline Search ◽  
Inguinal Hernias ◽  
Year 2000

Background: The presence of a ureter in a hernia sac presents a unique surgical challenge and can increase the likelihood of ureteral injury at the time of surgery as they are often not identified pre-operatively. Here we present our institutional experience and thorough systematic review in order to provide guidance on the urologist’s role in this situation.Materials and Methods: A PubMed and Medline search was conducted to identify relevant literature published in the year 2000 or later. Case reports and case series in the English language were included using terms “ureter and hernia”, “herniated ureter”, “ureteral hernia”, inguinal hernia and ureter”.Results: The presence of a ureter in an inguinal hernia sac is an uncommon finding. When present, many are not identified pre-operatively, which places the patient at risk for ureteral injury during herniorrhaphy.Patients with ureters contained in their inguinal hernias, that were identified pre-operatively or intra-operatively and not injured, recovered well. Post-operative imaging, when performed, showed stabilization or improvement of hydronephrosis and a more normal course of the ureter. One case reported the identification of ureteral involvement post-operatively after injury, which resulted in worsened renal function and required a re-operation.Conclusions:The presence of a ureter in an inguinal hernia can be differently managed. The primary goal should be avoidance of injury intra-operatively.

scholarly journals TP7.2.6 Frequency of Obstructed Inguinal Hernia in Infants

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Farooq Abdullah ◽  
Nadia Gulnaz ◽  
Khawar Saeed
Keyword(s):  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Processus Vaginalis ◽  
Incarcerated Inguinal Hernia ◽  
Younger Age ◽  
Gender And Age ◽  
Female Children ◽  
Preterm Babies ◽  
The Mean ◽  
Inguinal Hernia In Children

Abstract Inguinal hernia in children is the result of the failure of obliteration of processus vaginalis or weakness of the abdominal wall. The incidence of inguinal hernia ranges from 0.8-5%. It is more common in preterm babies with an incidence of up to 30%.There is disagreement concerning the management of inguinal hernia in infants worldwide with few in favor of early repair of the hernia due to fear of incarceration while some are against it. This study was conducted to determine the frequency of intestinal obstruction in infants with an inguinal hernia for the development of a proper protocol for the management of inguinal hernias. Methods A total of 112 patients were included in the study. The patient’s gender and age were recorded. The presence of hernia was confirmed clinically and by performing an ultrasound. All the relevant data was recorded in a pre-designed printed proforma. Results In this study, 112 children were included. 73% of children were in the age between 1-6 months and 27% children were in age between 7-12 months. The mean age was 5 months ±5.87. Male children were 86% and female children were 14%. An obstructed inguinal hernia was observed in 11% of children while 89% of children didn’t have obstructed inguinal hernia. Conclusion Our study concludes that the frequency of incarcerated inguinal hernia was 11% in infants mostly occurring at a younger age and in male children.

Inguinal hernias containing the uterus: A case series of 7 female children

2013 ◽  
Vol 48 (10) ◽  
pp. 2157-2159 ◽  
Author(s):  
Isak Akıllıoğlu ◽  
Aytekin Kaymakcı ◽  
Ibrahim Akkoyun ◽  
Şirin Güven ◽  
Selçuk Yücesan ◽  
...  
Keyword(s):  
Case Series ◽  
Inguinal Hernias ◽  
Female Children

scholarly journals Ovary in Inguinal Hernia

2017 ◽  
Vol 1 (1) ◽  
pp. 53-55
Author(s):  
Sonal Kotdawala ◽  
Utkrant Patel ◽  
Balkrishna Tanna ◽  
Parul Kotdawala
Keyword(s):  
Inguinal Hernia ◽  
Health Facility ◽  
Fallopian Tube ◽  
Genital Tract ◽  
Common Condition ◽  
Inguinal Hernias ◽  
Pain Symptoms

ABSTRACT Inguinal hernia is a very common condition. Ovary in inguinal hernia is a common condition for a pediatrician as the pain symptoms will necessitate an early visit to health facility in young childhood. Ovarian and fallopian tube inguinal hernias are commonly associated with defects in genital tract development. How to cite this article Kotdawala S, Patel U, Tanna B, Kotdawala P. Ovary in Inguinal Hernia. Int J Gynecol Endsc 2017;1(1):53-55.

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.

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