María Tudela Lerma, E. Mercader Cidoncha, F. Turégano Fuentes
Amyand ́s hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its diagnosis is very difficult in the pre-operative period. The clinical manifestation of incarcerated inguinal hernia generally masks the symptoms of acute appendicitis. We describe an unusual case of a concomitant complicated right Amyand ́s hernia and an incarcerated left inguinoescrotal hernia treated in two stages: First, a laparoscopic appendectomy was done in order to control the systemic sepsis and, in a second step, a bilateral hernioplasty was performed. To our knowledge, this is the first report of this type of management approach. Maria Tudela Lerma*; Enrique Mercader Cidoncha; Fernando Turégano Fuentes Gregorio Marañon University General Hospital, Doctor Esquerdo 46, 28007, Madrid Spain
{"title":"Two-stage treatment of concomitant complicated right amyand’s hernia and incarcerated left inguinal hernia: Case report and review of the literature","authors":"María Tudela Lerma, E. Mercader Cidoncha, F. Turégano Fuentes","doi":"10.33582/2640-1258/1005","DOIUrl":"https://doi.org/10.33582/2640-1258/1005","url":null,"abstract":"Amyand ́s hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its diagnosis is very difficult in the pre-operative period. The clinical manifestation of incarcerated inguinal hernia generally masks the symptoms of acute appendicitis. We describe an unusual case of a concomitant complicated right Amyand ́s hernia and an incarcerated left inguinoescrotal hernia treated in two stages: First, a laparoscopic appendectomy was done in order to control the systemic sepsis and, in a second step, a bilateral hernioplasty was performed. To our knowledge, this is the first report of this type of management approach. Maria Tudela Lerma*; Enrique Mercader Cidoncha; Fernando Turégano Fuentes Gregorio Marañon University General Hospital, Doctor Esquerdo 46, 28007, Madrid Spain","PeriodicalId":356160,"journal":{"name":"Journal of Abdominal Wall Reconstruction","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131569927","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}
In a comprehensive review of the literature we illustrate standards and pitfalls in diagnostics and treatment of diaphragmatic hernia in emergency setting. While most diaphragmatic hernias are congenital or posttraumatic, reports of iatrogenic diaphragmatic hernias are increasing. As an incarcerated diaphragmatic hernia is easy to miss, a high index of suspicion is necessary. Our case illustrates, that delayed presentation or diagnosis may lead to severe complications and that complicated diaphragmatic hernia present a big surgical challenge. B Scholtes*; J Pochhammer; M Schäffer Department of Visceral, General and Thoracic Surgery, Marienhospital Stuttgart, Stuttgart, Germany
{"title":"Incarceration of a diaphragmatic hernia complicated by a tension fecopneumothorax after left hemihepatectomy: Review of the literature and case report","authors":"B. Scholtes, J. Pochhammer, M. Schäffer","doi":"10.33582/2640-1258/1004","DOIUrl":"https://doi.org/10.33582/2640-1258/1004","url":null,"abstract":"In a comprehensive review of the literature we illustrate standards and pitfalls in diagnostics and treatment of diaphragmatic hernia in emergency setting. While most diaphragmatic hernias are congenital or posttraumatic, reports of iatrogenic diaphragmatic hernias are increasing. As an incarcerated diaphragmatic hernia is easy to miss, a high index of suspicion is necessary. Our case illustrates, that delayed presentation or diagnosis may lead to severe complications and that complicated diaphragmatic hernia present a big surgical challenge. B Scholtes*; J Pochhammer; M Schäffer Department of Visceral, General and Thoracic Surgery, Marienhospital Stuttgart, Stuttgart, Germany","PeriodicalId":356160,"journal":{"name":"Journal of Abdominal Wall Reconstruction","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113976841","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}
{"title":"Postoperative abdominal wound dehiscence in children: How to manage it?","authors":"M. Elsherbeny","doi":"10.33582/2640-1258/1003","DOIUrl":"https://doi.org/10.33582/2640-1258/1003","url":null,"abstract":"","PeriodicalId":356160,"journal":{"name":"Journal of Abdominal Wall Reconstruction","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124435733","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}
Yuri Justi Jardim, G. H. D. de Mesquita, Leonardo Zumerkorn Pipek, Kayo Augusto de Almeida Medeiros, Barbara Justo Carvalho, Leandro RyuchiIuamoto, Diego Ramos Martines, F. Nii, Daniel Reis Waisberg, A. Meyer
Background: Ventral hernias are prevalent results in abdominal surgeries and may represent a surgical challenge in complex cases, mainly due to tension in abdominal wall musculature. Failure of surgical correction may lead to a more morbid treatment, in addition to a considerable socioeconomic impact. In order to have a lower risk of complications, the use of botulinum toxin A (BTA), may be a preoperative alternative to reduce abdominal wall tension by causing sustained and reversible paralysis. This critical review of the literature proposes to evaluate the adjacent use of BTA in surgical ventral hernias corrections.Methods: Using the PubMed database, the keywords ‘ventral hernia’, and ‘botulinum toxin’ were searched using the Boolean operator AND. Articles were selected based on their relevance and updated information. The outcomes of interest included the change in ventral hernia defect width and in lateral abdominal wall muscle length, pain, hernia recurrence and complications.Results: A total of 20 articles from 2009 to 2018 were found. We excluded some articles due to irrelevant technique, use of animal models and lack of outcome data. Reduction of the abdominal wall thickness increasing its length, less perioperative pain, hernia reduction and the correction with less tension were observed after the use of BTA injection. No complications occurred during applications.Conclusion: The use of BTA seems to be a promising alternative in the management of ventral hernias due to its capacity of reducing tension in the abdominal wall. However, more studies are necessary to determine the efficacy of this method.
{"title":"Chemical components separation with the use of botulinum toxin A: A critical review for correction of ventral hernia","authors":"Yuri Justi Jardim, G. H. D. de Mesquita, Leonardo Zumerkorn Pipek, Kayo Augusto de Almeida Medeiros, Barbara Justo Carvalho, Leandro RyuchiIuamoto, Diego Ramos Martines, F. Nii, Daniel Reis Waisberg, A. Meyer","doi":"10.33582/2640-1258/1002","DOIUrl":"https://doi.org/10.33582/2640-1258/1002","url":null,"abstract":"Background: Ventral hernias are prevalent results in abdominal surgeries and may represent a surgical challenge in complex cases, mainly due to tension in abdominal wall musculature. Failure of surgical correction may lead to a more morbid treatment, in addition to a considerable socioeconomic impact. In order to have a lower risk of complications, the use of botulinum toxin A (BTA), may be a preoperative alternative to reduce abdominal wall tension by causing sustained and reversible paralysis. This critical review of the literature proposes to evaluate the adjacent use of BTA in surgical ventral hernias corrections.Methods: Using the PubMed database, the keywords ‘ventral hernia’, and ‘botulinum toxin’ were searched using the Boolean operator AND. Articles were selected based on their relevance and updated information. The outcomes of interest included the change in ventral hernia defect width and in lateral abdominal wall muscle length, pain, hernia recurrence and complications.Results: A total of 20 articles from 2009 to 2018 were found. We excluded some articles due to irrelevant technique, use of animal models and lack of outcome data. Reduction of the abdominal wall thickness increasing its length, less perioperative pain, hernia reduction and the correction with less tension were observed after the use of BTA injection. No complications occurred during applications.Conclusion: The use of BTA seems to be a promising alternative in the management of ventral hernias due to its capacity of reducing tension in the abdominal wall. However, more studies are necessary to determine the efficacy of this method.","PeriodicalId":356160,"journal":{"name":"Journal of Abdominal Wall Reconstruction","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122946901","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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