SciCombinator

Discover the most talked about and latest scientific content & concepts.

Concept: Indirect inguinal hernia

0

Indirect inguinal hernia related to the presence of a patent processus vaginalis (PPV) in adult is estimated to be around 15%. Most surgeons would favor a standard anterior hernioplasty to minimize the potential risk of damaging the spermatic cord structures that are always intimately fused to the congenital peritoneal sac. This also means overlooking the potential benefit of alternative posterior techniques such as endoscopic totally extraperitoneal (TEP) repair that is known to offer faster recovery with reduced risk of developing chronic groin pain. The aim of this study was to evaluate the safety of TEP approach for repair of adult inguinoscrotal hernias associated with completely PPV and to compare those results with a corresponding group of male patients undergoing an identical procedure, but with no demonstrated PPV.

Concepts: Surgery, Inguinal hernia, Hernia, Hernias, Herniorrhaphy, Spermatic cord, Indirect inguinal hernia, Processus vaginalis

0

Clinically, pure spermatic-cord lipoma has not been recognized as a disease entity but regarded as an incidental finding at the time of hernia repair, because it presents groin symptoms and clinical findings indistinguishable from those of inguinal hernia. We report the successful treatment of case of huge pure spermatic-cord lipoma originally misdiagnosed as inguinal hernia. The patients had tumor excision without orchiectomy. Symptoms improved without any complication. In patients with inguinal hernia symptoms, pure spermatic-cord lipoma should be recognized as a significant clinical entity, and differential diagnosis should be achieved using ultrasonography and computed tomography to avoid unnecessary hernia repair.

Concepts: Medical terms, Surgery, Medical imaging, Inguinal hernia, Hernia, Differential diagnosis, Hernias, Indirect inguinal hernia

0

We aimed to evaluate the effect of different capnoperitoneum pressures on stress responses in pediatric laparoscopic inguinal hernia repair.

Concepts: Randomized controlled trial, Surgery, Inguinal hernia, Hernia, Hernias, Indirect inguinal hernia

0

Patients who developed apparent metachronous contralateral inguinal hernia (MCIH) after negative laparoscopic diagnosis have been reported. We performed this study to investigate the morphological characteristics and etiology of this phenomenon.

Concepts: Medical terms, Surgery, Greek loanwords, Inguinal hernia, Hernia, Hernias, Indirect inguinal hernia

0

To evaluate the management and outcomes of modified Marcy repair for inguinal hernia in a large series of children.

Concepts: Physician, Inguinal hernia, Hernia, Hernias, Indirect inguinal hernia

0

The aim of this study was to provide clinical evidence supporting the safety and effectiveness of laparoscopic surgical glue injection hernioplasty (LSGIH) for indirect inguinal hernia repair in female patients.

Concepts: Medicine, Clinical trial, Surgery, Inguinal hernia, Hernia, Hernias, Herniorrhaphy, Indirect inguinal hernia

0

Indirect inguinal hernias are usually congenital, forming a sac in the core of the spermatic cord covered by the internal spermatic, cremasteric, and external spermatic fasciae(1-3). Direct inguinal hernias are acquired; the sac lies beside/behind the cord(1-3). A rare third type is a combination of indirect and direct sacs on both sides of inferior epigastric vessels(1-3). We describe a rare fourth type, juxtacordal indirect oblique inguinal hernia (Fig. 1), in which the sac emerges through a weakness in the deep inguinal ring, lateral to inferior epigastric vessels, and passes into the inguinal canal beside and in contact with the cord but outside of its covering fasciae.

Concepts: Inguinal hernia, Hernia, Hernias, Inferior epigastric artery, Spermatic cord, Deep inguinal ring, Transversalis fascia, Indirect inguinal hernia

0

To summarize experiences and discuss the reasons for postlaparoscopic indirect inguinal hernia recurrence in children.

Concepts: Surgery, Inguinal hernia, Hernia, Hernias, Indirect inguinal hernia

0

During hernioplasty focal thickened tissue containing smooth muscle is found at the neck of the hernia sac in most patients with indirect inguinal hernia. These thickenings may be related to the processus vaginalis and reveal the etiology of indirect inguinal hernia.

Concepts: Surgery, Inguinal hernia, Hernia, Smooth muscle, Hernias, Tunica vaginalis, Indirect inguinal hernia, Processus vaginalis

0

Abstract Background: Laparoscopic procedures for pediatric inguinal hernia (PIH) have numerous techniques and continue to evolve, with a trend toward increasing use of extracorporeal knotting and decreasing use of working ports and endoscopic instruments. Single-port laparoscopic percutaneous extraperitoneal closure (SPLPEC) with variable devices seems to be one of the most simple and reliable methods. Here the authors describe and evaluate the applicable effects of SPLPEC using an innovative two-hooked core hernia apparatus. Materials and Methods: Between June 2008 and October 2011, 72 children with indirect inguinal hernia underwent SPLPEC with an innovative two-hooked core hernia apparatus. A 5-mm laparoscope was placed through a transumbilical port. Without an assistant working port, the two-hooked core hernia apparatus with a 2-0 nonabsorbable suture was inserted at the point of the internal inguinal ring. It could be readily kept in an identical subcutaneous path for introducing and withdrawing the suture. The extraperitoneal knot-tying could tautly enclose the hernia defect without peritoneal gaps and upper subcutaneous tissues. During the same period, 63 cases with PIH underwent SPLPEC with a single-hooked hernia device. Technical essentials, mean operation time, and intra- and postoperative complications were compared. Results: The internal orifice was closed faster by SPLPEC with the innovative two-hooked core apparatus than with a single-hooked device (unilateral, 13.21±3.86 versus 17.92±4.37 minutes [P<.05]; bilateral, 17.18±4.69 versus 25.36±7.38 minutes [P<.01]). There were no postoperative complications or evidence of early recurrence in the two-hooked group. However, one recurrence and one subcutaneous knot granuloma were postoperatively observed in the single-hooked group. Conclusions: SPLPEC with the two-hooked core apparatus was proved to be a successful procedure without leaving a peritoneal gap and ligating subcutaneous tissues. It is safe, feasible, and reliable for PIH.

Concepts: Surgery, Knot, Inguinal hernia, Laparoscopic surgery, Hernias, Subcutaneous tissue, Deep inguinal ring, Indirect inguinal hernia