Pub Date : 2023-07-01DOI: 10.4103/ijawhs.ijawhs_28_23
B. Sutedja, R. Rudiman, N. Susanto, Ardine Siswanto
Laparoscopic repair of De Garengeot hernia is recommended for its association with decreased postoperative pain and faster return to normal activities. A 65-year-old female patient presented with painful right inguinal swelling, and surgery was indicated due to suspected omentum incarceration in a femoral hernia detected via computed tomography. Laparoscopic transabdominal preperitoneal repair with appendectomy was performed, with satisfactory postoperative results and no evidence of recurrence after 2 years. Placing polypropylene mesh preperitoneally provides a natural barrier against potential sources of infection, and it is recommended to improve postoperative outcomes.
{"title":"De Garengeot hernia: A case report and classification","authors":"B. Sutedja, R. Rudiman, N. Susanto, Ardine Siswanto","doi":"10.4103/ijawhs.ijawhs_28_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_28_23","url":null,"abstract":"Laparoscopic repair of De Garengeot hernia is recommended for its association with decreased postoperative pain and faster return to normal activities. A 65-year-old female patient presented with painful right inguinal swelling, and surgery was indicated due to suspected omentum incarceration in a femoral hernia detected via computed tomography. Laparoscopic transabdominal preperitoneal repair with appendectomy was performed, with satisfactory postoperative results and no evidence of recurrence after 2 years. Placing polypropylene mesh preperitoneally provides a natural barrier against potential sources of infection, and it is recommended to improve postoperative outcomes.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"104 1","pages":"197 - 199"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79122618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.4103/ijawhs.ijawhs_30_23
H. Kulaçoğlu
INTRODUCTION: Groins hernia emergencies are evaluated under two definitions: incarceration that is defined as a hernia in which its content becomes irreducible at the passage in the abdominal wall and strangulation that compromises the blood supply to the omentum and/or intestines within the hernia sac. The purpose of this paper was to determine the latest knowledge about groin hernia emergencies. MATERIALS AND METHODS: PubMed and Google Scholar searches were done by using combinations of “inguinal hernia” and “emergency”, and “groin hernia” and “emergency” keywords at first. More detailed searches were performed to enrich the “Surgical treatment” part of the paper by using “emergency hernia” and “mesh”, “emergency hernia,” and “laparoscopic versus open” keywords afterward. RESULTS: Approximately 5%–10% of all inguinal repairs are performed in emergency settings. Both lateral and medial inguinal hernias can get incarcerated or strangulated, whereas the risk for femoral hernias is higher. Manual reduction of incarcerated inguinal hernias is successful in approximately 60% of the cases. The prediction of bowel ischemia due to strangulation may be possible with some blood tests and imaging studies like ultrasound and computed tomography. It has been shown that the longer the duration of incarceration the higher the risk of bowel ischemia. Bowel resection which is more frequently necessary in patients with advanced age, female gender, and femoral hernia, is associated with an increased risk of perioperative mortality. Some surgeons still use tissue-suture repairs in an emergency setting; however, mesh repairs have been shown to be safe unless there is an overt contamination. CONCLUSION: Early treatment of complicated groin hernias is the key to favorable outcomes. The need for bowel resection and advanced age are the most prominent factors for morbidity and mortality. Mesh repairs are safe in most cases. Minimally invasive approaches promise good results in experienced centers.
{"title":"Current opinions in inguinal hernia emergencies: A comprehensive review of related evidences","authors":"H. Kulaçoğlu","doi":"10.4103/ijawhs.ijawhs_30_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_30_23","url":null,"abstract":"INTRODUCTION: Groins hernia emergencies are evaluated under two definitions: incarceration that is defined as a hernia in which its content becomes irreducible at the passage in the abdominal wall and strangulation that compromises the blood supply to the omentum and/or intestines within the hernia sac. The purpose of this paper was to determine the latest knowledge about groin hernia emergencies. MATERIALS AND METHODS: PubMed and Google Scholar searches were done by using combinations of “inguinal hernia” and “emergency”, and “groin hernia” and “emergency” keywords at first. More detailed searches were performed to enrich the “Surgical treatment” part of the paper by using “emergency hernia” and “mesh”, “emergency hernia,” and “laparoscopic versus open” keywords afterward. RESULTS: Approximately 5%–10% of all inguinal repairs are performed in emergency settings. Both lateral and medial inguinal hernias can get incarcerated or strangulated, whereas the risk for femoral hernias is higher. Manual reduction of incarcerated inguinal hernias is successful in approximately 60% of the cases. The prediction of bowel ischemia due to strangulation may be possible with some blood tests and imaging studies like ultrasound and computed tomography. It has been shown that the longer the duration of incarceration the higher the risk of bowel ischemia. Bowel resection which is more frequently necessary in patients with advanced age, female gender, and femoral hernia, is associated with an increased risk of perioperative mortality. Some surgeons still use tissue-suture repairs in an emergency setting; however, mesh repairs have been shown to be safe unless there is an overt contamination. CONCLUSION: Early treatment of complicated groin hernias is the key to favorable outcomes. The need for bowel resection and advanced age are the most prominent factors for morbidity and mortality. Mesh repairs are safe in most cases. Minimally invasive approaches promise good results in experienced centers.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"69 1","pages":"136 - 158"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81455580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.4103/ijawhs.ijawhs_13_23
J. Martínez-Hoed, José A. Ortiz-Cubero, Nicole Montagné-Bonilla, J. Bueno-Lledó, S. Pous-Serrano
CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality.
{"title":"Early small bowel obstruction following abdominal wall hernia repair: Report of four cases and systematic review of the literature","authors":"J. Martínez-Hoed, José A. Ortiz-Cubero, Nicole Montagné-Bonilla, J. Bueno-Lledó, S. Pous-Serrano","doi":"10.4103/ijawhs.ijawhs_13_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_13_23","url":null,"abstract":"CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"1 2 1","pages":"125 - 135"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89922418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.4103/ijawhs.ijawhs_32_23
T. Deepak, V. Hangloo, VS S Naga Babu Tippana, SanjoyMohan Bhattacharya, N. Agarwal, A. Moharana
BACKGROUND: Inguinal hernia is the most frequently diagnosed abdominal wall hernia. Lichtenstein open repair involving mesh fixation lowers the recurrence rate and risk of postoperative complications. This study compared the clinical equivalence of Trulene® polypropylene mesh (Healthium Medtech Limited) and Prolene® (Ethicon-Johnson & Johnson) polypropylene mesh with respect to recurrence rate of hernia in subjects undergoing Lichtenstein open repair of primary inguinal hernia, secured with sutures. MATERIALS AND METHODS: Between September 2020 and November 2022, this multicentric, randomized (1:1), single-blind, prospective, two-arm, parallel-group study (n = 120) was conducted. The primary study endpoint, proportion of subjects having recurrence of hernia within 6 and 12 months of index surgery, was assessed. The secondary endpoints, pain score, number of analgesics, postoperative complications, operative time, length of hospital stay, need for readmission, time to resume back to normal activities and return to work, other adverse events, subject satisfaction score, and quality of life (QOL) postoperatively were also recorded. RESULTS: During the 12-month follow-up period, no recurrence of hernia was recorded. In addition, no significant differences regarding intraoperative mesh parameters, pain score, number of analgesics, postoperative complications, operative time, length of hospital stay, readmission, time to resume normal activities and return to work, and subject satisfaction score and QOL were recorded between Trulene® and Prolene® mesh groups. CONCLUSION: Trulene® polypropylene mesh is clinically equivalent to Prolene® polypropylene mesh. Both meshes are safe and effective for Lichtenstein open repair of primary inguinal hernia with minimal risk of hernia recurrence and chronic pain.
{"title":"A single-blind, randomized study comparing clinical equivalence of Trulene® polypropylene mesh to Prolene® polypropylene mesh in subjects undergoing lichtenstein open repair of primary inguinal hernia secured with sutures","authors":"T. Deepak, V. Hangloo, VS S Naga Babu Tippana, SanjoyMohan Bhattacharya, N. Agarwal, A. Moharana","doi":"10.4103/ijawhs.ijawhs_32_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_32_23","url":null,"abstract":"BACKGROUND: Inguinal hernia is the most frequently diagnosed abdominal wall hernia. Lichtenstein open repair involving mesh fixation lowers the recurrence rate and risk of postoperative complications. This study compared the clinical equivalence of Trulene® polypropylene mesh (Healthium Medtech Limited) and Prolene® (Ethicon-Johnson & Johnson) polypropylene mesh with respect to recurrence rate of hernia in subjects undergoing Lichtenstein open repair of primary inguinal hernia, secured with sutures. MATERIALS AND METHODS: Between September 2020 and November 2022, this multicentric, randomized (1:1), single-blind, prospective, two-arm, parallel-group study (n = 120) was conducted. The primary study endpoint, proportion of subjects having recurrence of hernia within 6 and 12 months of index surgery, was assessed. The secondary endpoints, pain score, number of analgesics, postoperative complications, operative time, length of hospital stay, need for readmission, time to resume back to normal activities and return to work, other adverse events, subject satisfaction score, and quality of life (QOL) postoperatively were also recorded. RESULTS: During the 12-month follow-up period, no recurrence of hernia was recorded. In addition, no significant differences regarding intraoperative mesh parameters, pain score, number of analgesics, postoperative complications, operative time, length of hospital stay, readmission, time to resume normal activities and return to work, and subject satisfaction score and QOL were recorded between Trulene® and Prolene® mesh groups. CONCLUSION: Trulene® polypropylene mesh is clinically equivalent to Prolene® polypropylene mesh. Both meshes are safe and effective for Lichtenstein open repair of primary inguinal hernia with minimal risk of hernia recurrence and chronic pain.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"26 1","pages":"176 - 185"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81301740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.4103/ijawhs.ijawhs_26_23
Muhammer Ergenç, T. Uprak
BACKGROUND: Abdominal wall hernia surgery is among the most common procedures in general surgery. It is thought that postponing elective hernia surgeries due to the pandemic will increase emergency presentations of hernias, but different data have been published in the literature. OBJECTIVE: This study aimed to evaluate the effect of the coronavirus disease 2019 (COVID-19) pandemic on emergency and elective hernia operations. MATERIALS AND METHODS: Patients who underwent hernia surgery in the Istanbul Sultanbeyli State Hospital between March 2018 and March 2022 were retrospectively analyzed. March 11, 2018–March 11, 2020, and March 12, 2020–March 12, 2022, were categorized as prepandemic and pandemic periods, respectively, and were evaluated as 1-year periods. All abdominal wall hernia operations performed in the hospital were examined. RESULTS: A total of 1644 patients underwent hernia operations. Patients’ ages ranged from 18 to 87 years; the mean age was 47.5 ± 13.6. A total of 1319 (80%) of patients were men. There was a 50% decrease in the number of surgeries during the pandemic, but there was no significant increase in emergency surgeries (P = 0.49). Incisional and ventral hernia procedures declined dramatically over the COVID-19 pandemic compared with the prepandemic period, whereas inguinal hernia surgeries increased proportionally (P = 0.002). CONCLUSIONS: While a decrease was observed in total abdominal hernia surgeries performed during the COVID-19 pandemic compared with the prepandemic period, no significant increase was found in emergency abdominal hernia surgeries. Patients with ventral and incisional hernias can be followed up to be operated on under optimal conditions.
{"title":"A comparative study of abdominal wall hernia surgery before and after the COVID-19 pandemic: Results from a 2-year observational period","authors":"Muhammer Ergenç, T. Uprak","doi":"10.4103/ijawhs.ijawhs_26_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_26_23","url":null,"abstract":"BACKGROUND: Abdominal wall hernia surgery is among the most common procedures in general surgery. It is thought that postponing elective hernia surgeries due to the pandemic will increase emergency presentations of hernias, but different data have been published in the literature. OBJECTIVE: This study aimed to evaluate the effect of the coronavirus disease 2019 (COVID-19) pandemic on emergency and elective hernia operations. MATERIALS AND METHODS: Patients who underwent hernia surgery in the Istanbul Sultanbeyli State Hospital between March 2018 and March 2022 were retrospectively analyzed. March 11, 2018–March 11, 2020, and March 12, 2020–March 12, 2022, were categorized as prepandemic and pandemic periods, respectively, and were evaluated as 1-year periods. All abdominal wall hernia operations performed in the hospital were examined. RESULTS: A total of 1644 patients underwent hernia operations. Patients’ ages ranged from 18 to 87 years; the mean age was 47.5 ± 13.6. A total of 1319 (80%) of patients were men. There was a 50% decrease in the number of surgeries during the pandemic, but there was no significant increase in emergency surgeries (P = 0.49). Incisional and ventral hernia procedures declined dramatically over the COVID-19 pandemic compared with the prepandemic period, whereas inguinal hernia surgeries increased proportionally (P = 0.002). CONCLUSIONS: While a decrease was observed in total abdominal hernia surgeries performed during the COVID-19 pandemic compared with the prepandemic period, no significant increase was found in emergency abdominal hernia surgeries. Patients with ventral and incisional hernias can be followed up to be operated on under optimal conditions.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"94 1","pages":"171 - 175"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83883970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.4103/ijawhs.ijawhs_27_23
Muhammer Ergenç, Taygun Gülşen
AIMS: This study aimed to analyze the results of transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP) repairs performed by two authors and to compare two laparoscopic methods. MATERIALS AND METHODS: Patients who underwent inguinal hernia surgery in a secondary-care hospital between 2019 and 2022 were evaluated retrospectively. Demographics, hernia side and type, primary or recurrent hernia situation, size of hernia orifice, operation type, postoperative complications, duration of operation, length of hospital stay, recurrence, and follow-up time were examined. Perioperative outcomes were compared between the two groups. RESULTS: One hundred and eleven patients were analyzed. The mean age was 49.4 ± 13 years, with a male/female ratio of 106/5. About 82% of hernias were unilateral, and 18% were bilateral. Sixty-four TAPP and 47 TEP repairs were performed. Follow-up time (months, mean ± standard deviation) (range) was 14.2 ± 10 (1–37). About 42.3% of the hernias were direct, 49.5% were indirect, and 8.1% were pantaloon hernias. The recurrence rate was 1.8%. The operation time was significantly lower in the TEP than in TAPP (64.4 ± 23.5, 96.7 ± 31.9, respectively, P < 0.001). TAPP was preferred in patients with larger hernia orifices (P = 0.01). The two groups had no significant difference regarding postoperative complications and recurrence rate. CONCLUSION: Our study did not detect any significant difference between TAPP and TEP repair regarding recurrence rate and postoperative complication. Laparoscopic inguinal hernia repair, which has advantages such as short hospital stay and less pain, can be safely performed in a secondary-care hospital.
{"title":"Laparoscopic inguinal hernia repair: A comparison of transabdominal preperitoneal and total extraperitoneal techniques—Results of initial experiences","authors":"Muhammer Ergenç, Taygun Gülşen","doi":"10.4103/ijawhs.ijawhs_27_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_27_23","url":null,"abstract":"AIMS: This study aimed to analyze the results of transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP) repairs performed by two authors and to compare two laparoscopic methods. MATERIALS AND METHODS: Patients who underwent inguinal hernia surgery in a secondary-care hospital between 2019 and 2022 were evaluated retrospectively. Demographics, hernia side and type, primary or recurrent hernia situation, size of hernia orifice, operation type, postoperative complications, duration of operation, length of hospital stay, recurrence, and follow-up time were examined. Perioperative outcomes were compared between the two groups. RESULTS: One hundred and eleven patients were analyzed. The mean age was 49.4 ± 13 years, with a male/female ratio of 106/5. About 82% of hernias were unilateral, and 18% were bilateral. Sixty-four TAPP and 47 TEP repairs were performed. Follow-up time (months, mean ± standard deviation) (range) was 14.2 ± 10 (1–37). About 42.3% of the hernias were direct, 49.5% were indirect, and 8.1% were pantaloon hernias. The recurrence rate was 1.8%. The operation time was significantly lower in the TEP than in TAPP (64.4 ± 23.5, 96.7 ± 31.9, respectively, P < 0.001). TAPP was preferred in patients with larger hernia orifices (P = 0.01). The two groups had no significant difference regarding postoperative complications and recurrence rate. CONCLUSION: Our study did not detect any significant difference between TAPP and TEP repair regarding recurrence rate and postoperative complication. Laparoscopic inguinal hernia repair, which has advantages such as short hospital stay and less pain, can be safely performed in a secondary-care hospital.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"27 1","pages":"166 - 170"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84237395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.4103/ijawhs.ijawhs_36_23
Kaushik Bhattacharya, N. Bhattacharya
{"title":"Conflict of interest—A serious malady in hernia research publications","authors":"Kaushik Bhattacharya, N. Bhattacharya","doi":"10.4103/ijawhs.ijawhs_36_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_36_23","url":null,"abstract":"","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"11 1","pages":"212 - 213"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85770009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.4103/ijawhs.ijawhs_22_23
Y. Pillay
An obturator hernia remains a rare occurrence and accounts for less than 1% of all abdominal wall hernias. To have a concomitant presentation with a direct inguinal hernia makes this an extremely rare case report. This patient did not fit the usual epidemiological profile of an elderly female with small intestinal obstruction. This was a male patient with an asymptomatic obturator hernia. There are no concise guidelines for obturator hernia management and the primary repair is often undertaken in the presence of bowel incarceration or strangulation. The use of overlapping mesh herniorrhaphy is a controversial one. Two self-gripping polypropylene meshes with a 2-cm overlap were used to provide adequate coverage of the two hernial necks. We did not have access to a large-size mesh at our institution to cover both hernial defects effectively with one mesh. The patient made an uneventful recovery, and it is our intent to follow this patient for a minimum of 2 years to document any hernia recurrence or inguinodynia. Any clinical signs of pain or discomfort will necessitate a computerised tomography scan as an obturator hernia remains difficult to assess clinically.
{"title":"A rare case of a concomitant inguinal and obturator hernia and their laparoscopic transabdominal repair: A case report","authors":"Y. Pillay","doi":"10.4103/ijawhs.ijawhs_22_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_22_23","url":null,"abstract":"An obturator hernia remains a rare occurrence and accounts for less than 1% of all abdominal wall hernias. To have a concomitant presentation with a direct inguinal hernia makes this an extremely rare case report. This patient did not fit the usual epidemiological profile of an elderly female with small intestinal obstruction. This was a male patient with an asymptomatic obturator hernia. There are no concise guidelines for obturator hernia management and the primary repair is often undertaken in the presence of bowel incarceration or strangulation. The use of overlapping mesh herniorrhaphy is a controversial one. Two self-gripping polypropylene meshes with a 2-cm overlap were used to provide adequate coverage of the two hernial necks. We did not have access to a large-size mesh at our institution to cover both hernial defects effectively with one mesh. The patient made an uneventful recovery, and it is our intent to follow this patient for a minimum of 2 years to document any hernia recurrence or inguinodynia. Any clinical signs of pain or discomfort will necessitate a computerised tomography scan as an obturator hernia remains difficult to assess clinically.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"72 1","pages":"193 - 196"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86303196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.4103/ijawhs.ijawhs_37_23
Rajeev Bilaskar, Santosh Thorat, Balaji Dhaigude
The canal of Nuck is the female equivalent of the patent processus vaginalis in the male. Abnormality of canal of Nuck is a rare clinical condition amendable with surgical intervention. It usually presents as a swelling in the inguinal region in pediatric age group. However, their presentation in an adult women is very rare. Intraabdominal contents including intestine, uterus, fallopian tube, and ovaries are prone to herniate though the unobliterated processus vaginalis. Hydrocele of the canal of Nuck (HCN) may develop in these patients which may be misdiagnosed with the other differential diagnosis. In this case report, we emphasize on reporting minimally invasive surgical intervention of HCN by transabdominal preperitoneal approach in a of tertiary care hospital.
{"title":"A minimally invasive approach for the treatment of encysted hydrocele of the canal of Nuck in adult female: A case report","authors":"Rajeev Bilaskar, Santosh Thorat, Balaji Dhaigude","doi":"10.4103/ijawhs.ijawhs_37_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_37_23","url":null,"abstract":"The canal of Nuck is the female equivalent of the patent processus vaginalis in the male. Abnormality of canal of Nuck is a rare clinical condition amendable with surgical intervention. It usually presents as a swelling in the inguinal region in pediatric age group. However, their presentation in an adult women is very rare. Intraabdominal contents including intestine, uterus, fallopian tube, and ovaries are prone to herniate though the unobliterated processus vaginalis. Hydrocele of the canal of Nuck (HCN) may develop in these patients which may be misdiagnosed with the other differential diagnosis. In this case report, we emphasize on reporting minimally invasive surgical intervention of HCN by transabdominal preperitoneal approach in a of tertiary care hospital.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"1941 1","pages":"203 - 206"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91173046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.4103/ijawhs.ijawhs_34_23
F. Alharmoodi, S. Ghabra, Ali Chebli, S. Alharthi, S. Al-Bahri
Traumatic lumbar hernias are a rare subset of abdominal wall hernias encountered following blunt trauma to the abdomen. These are more commonly being found due to the increased use of advanced imaging. Three cases of traumatic lumbar hernias were identified at our institution from 2021 to 2022, one of which underwent delayed repair. The second case resulted in the resolution and healing of the defect within 6 weeks of presentation, and the third was lost to follow up. Acute repair of lumbar hernias might be indicated during the repair of other intra-abdominal injuries. Delayed repair allows for a laparoscopic approach or open repair via flank incisions. Delay in asymptomatic patients may also result in fibrosis and scarring and may resolve the defect. Fixation of mesh to adjacent bony structures may be needed, and adequate sub-lay dissection for mesh placement particularly for larger defects. Consider delaying the repair of traumatic lumbar hernias in asymptomatic to minimally symptomatic patients if no other abdominal surgery was warranted at the time of presentation.
{"title":"Traumatic lumbar hernias, when should I operate? A case report","authors":"F. Alharmoodi, S. Ghabra, Ali Chebli, S. Alharthi, S. Al-Bahri","doi":"10.4103/ijawhs.ijawhs_34_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_34_23","url":null,"abstract":"Traumatic lumbar hernias are a rare subset of abdominal wall hernias encountered following blunt trauma to the abdomen. These are more commonly being found due to the increased use of advanced imaging. Three cases of traumatic lumbar hernias were identified at our institution from 2021 to 2022, one of which underwent delayed repair. The second case resulted in the resolution and healing of the defect within 6 weeks of presentation, and the third was lost to follow up. Acute repair of lumbar hernias might be indicated during the repair of other intra-abdominal injuries. Delayed repair allows for a laparoscopic approach or open repair via flank incisions. Delay in asymptomatic patients may also result in fibrosis and scarring and may resolve the defect. Fixation of mesh to adjacent bony structures may be needed, and adequate sub-lay dissection for mesh placement particularly for larger defects. Consider delaying the repair of traumatic lumbar hernias in asymptomatic to minimally symptomatic patients if no other abdominal surgery was warranted at the time of presentation.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"1 1","pages":"207 - 211"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89330741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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