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Hernia


Presentation

  • We present a 30-year-old woman at 21 weeks of pregnancy presented with abdominal pain. She had a history of laparoscopic Roux-en-Y gastric bypass performed 3 years earlier. The clinical examination was remarkable for epigastric pain and tenderness.[ncbi.nlm.nih.gov]
  • The review will also look at the present evidence on the biomechanical characteristics of the most commonly used biomaterials and compares these materials to diaphragmatic tissue to offer more insight on the present practice of patch repairs in large[ncbi.nlm.nih.gov]
  • Abstract We present a case of appendicitis within a De Garengeot hernia. The patient presented to the emergency department with 4 days of worsening abdominal pain.[ncbi.nlm.nih.gov]
  • CASE REPORT A 62-year-old man presented with inability to complete colon cancer screening by means of colonoscopy or barium enema. On exam, he was noted to have a Spigelian hernia present in his left lower quadrant abdominal wall.[ncbi.nlm.nih.gov]
  • Bladder hernias do usually not cause urologic complications in the nontransplanted patient, but they can present as an emergency after renal transplantation. Copyright 2017 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
Down Syndrome
  • Abstract We report the case of a 65-year-old male patient with Down's syndrome and a deep venous thrombosis on anticoagulation with acenocoumarol.[ncbi.nlm.nih.gov]
  • Abstract We report a case of Morgagni hernia occupying the anterior mediastinum and right hemithorax in a male infant with Down syndrome, who also had a perimembranous ventricular septal defect.[ncbi.nlm.nih.gov]
Recurrent Vomiting
  • At the age 6 years, she presented with recurrent vomiting. The physical examination and laboratory studies were within normal limits.[ncbi.nlm.nih.gov]
Bilious Vomiting
  • He also had 5 episodes of emesis, the last with bilious vomiting. Case 2, a 12-year-old boy, presented to our Emergency Department complaining of colicky abdominal pain. He had 2 episodes of nonbilious emesis.[ncbi.nlm.nih.gov]
Sexual Dysfunction
  • dysfunction, wound dehiscence, wound suppuration, seroma, haematoma and hernia recurrence.[termedia.pl]

Treatment

  • In the literature different surgical techniques have been reported so far to achieve a successful treatment.[ncbi.nlm.nih.gov]
  • What Is the Medical Treatment for a Hernia? Surgical hernia repair is the ultimate treatment. The timing of treatment of a hernia and technique for treatment depends on whether it is reducible or irreducible and possibly strangulated.[emedicinehealth.com]
  • IN THIS ARTICLE Hernia Overview Hernia Causes Hernia Symptoms and Signs When to Seek Medical Care Exams and Tests Hernia Treatment Self-Care at Home Medical Treatment Next Steps Follow-up Prevention Outlook Synonyms and Keywords Authors and Editors Viewer[web.archive.org]
  • The reader will also find guidance on established and new treatments for specific pain conditions, including postoperative chronic pain, the pubic inguinal pain syndrome, and obscure groin pain in women.[dx.doi.org]
  • DIAGNOSIS: A contrast computed tomography (CT) revealed a suspected closed loop obstruction of their bowels and immediate surgical treatments were required.[ncbi.nlm.nih.gov]

Prognosis

  • Vital prognosis can be engaged if port-site incisional hernia is incarcerated or strangulated then prevention is necessary. KEYWORDS: Port-site incisional hernia; incisional hernia; laparoscopy; pneumoperitoneum; port closure[ncbi.nlm.nih.gov]
  • What Is the Prognosis of a Hernia? Risk of strangulation : In considering when to have a reducible hernia surgically repaired, it is important for a patient to know the risk of strangulation.[emedicinehealth.com]

Etiology

  • On physical examination, both children showed distension and tenderness of the abdomen and abdominal x-ray and ultrasound confirmed an occlusive picture without an apparent etiology.[ncbi.nlm.nih.gov]
  • Etiology In contrast to indirect inguinal hernias , which may occur congenitally, femoral hernias are almost always acquired.[amboss.com]
  • Arch Surg. 1976, 111: 464- View Article PubMed Google Scholar MacGregor WW: The demonstration of a true internal inguinal sphincter and its etiologic role in hernia.[bmcsurg.biomedcentral.com]
  • Real-time PCR demonstrates Ancylostoma duodenale is a key factor in the etiology of severe anemia and iron deficiency in Malawian pre-school children. PLoS Negl Trop Dis. 2012; 6 :e1555. [ PMC free article ] [ PubMed ] [ Google Scholar ] 83.[ncbi.nlm.nih.gov]

Epidemiology

  • Epidemiology Epidemiological data refers to the US, unless otherwise specified. Etiology In contrast to indirect inguinal hernias , which may occur congenitally, femoral hernias are almost always acquired.[amboss.com]
  • The fourth stage of the epidemiologic transition: the age of delayed degenerative diseases. Milbank Q. 1986; 64 :355–391. [ PubMed ] [ Google Scholar ] 103. Mohd Hanafiah K, Groeger J, Flaxman AD, Wiersma ST.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • When obliteration of the processus vaginalis fails to occur, inguinal hernia results. [1] A review of embryonic development of the inguinal region is important to understanding the pathophysiology and surgical management of inguinal hernias.[emedicine.com]
  • References: [3] Pathophysiology Boundaries of the femoral canal Typical femoral hernia : (common): protrusion of intraperitoneal contents along with the transverse abdominal fascia through the femoral ring into the femoral canal Atypical femoral hernias[amboss.com]
  • Anatomy and pathophysiology of hernias. In: Fischer J, ed. Hernia: Master of techniques in surgery. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:1-6. Incarcerated and Strangulated Hernias in Children.[crbard.com]

Prevention

  • Vital prognosis can be engaged if port-site incisional hernia is incarcerated or strangulated then prevention is necessary. KEYWORDS: Port-site incisional hernia; incisional hernia; laparoscopy; pneumoperitoneum; port closure[ncbi.nlm.nih.gov]
  • This squeezing action prevents entry of any organ into the internal ring and the cord, thereby preventing hernia formation.[doi.org]
  • Prevention You can't prevent the congenital defect that makes you susceptible to an inguinal hernia. You can, however, reduce strain on your abdominal muscles and tissues. For example: Maintain a healthy weight.[mayoclinic.org]
  • […] diagnosed, a hernia repair surgery is indicated in short time, due to the severity of possible complications and 3) through the performance of total fundoplication, it is secured that the subdiaphragmatic abdominal part of esophagus will be retained, preventing[ncbi.nlm.nih.gov]

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