A Cosmetic Inguinoscrotal Incision for Inguinal Hernia in Infants and Children

An inguinoscrotal incision for inguinal hernia in infants and children is described. After healing is complete, the scar is usually invisible unless ii is closely searched for. The incision can also be useful for orchidopexy. So far as can be ascertained, it has not been previously described     

Postoperative Necrotizing Enterocolitis Following Incarcerated Inguinal Hernia Repair: Report of a Case

The postoperative development of necrotizing enterocolitis (NEC) following major surgery in neonates has often been described. We report herein the case of an older infant in whom postoperative NEC developed following emergency repair of an incarcerated inguinal hernia. Received: March 8, 2000 / Accepted: November 20, 2000     

Inguinal Hernia as a Rare Manifestation of Meconium Peritonitis: Report of a Case

The usual manifestations of meconium peritonitis confined to the inguinoscrotal region are soft hydroceles, hard nodules in the scrotum, and, occasionally, calcified nodules in the wall of a hernia sac, with or without calcification on abdominal X-ray. Inguinal hernia is an extremely rare manifestation of healed meconium peritonitis. An unusual presentation of meconium peritonitis encountered during hernia repair is described herein to alert the pediatric surgeon of this possibility to avoid unnecessary abdominal exploration. Received: April 17, 2001 / Accepted: September 11, 2001     

Metastatic Colon Carcinoma Found Within an Inguinal Hernia Sac: Report of a Case

(Received for publication on Nov. 13, 1998; accepted on July 13, 1999)     

Perforated Carcinoma of the Sigmoid Colon in an Incarcerated Inguinal Hernia: Report of a Case

Perforation of the large bowel due to benign or malignant disease in an inguinal hernia is very rare, but should be considered as a potential cause of strangulated hernias. A 79-year-old man with a 2-day history of scrotal swelling and pain in the left side associated with fever and chills was brought to our Emergency Department, where he was classified as American Society of Anesthesiologists IVE. A large left incarcerated scrotal hernia was diagnosed and surgical exploration was performed using local infiltration anesthesia. A standard oblique inguinal incision was made, revealing perforation of the sigmoid colon due to cancer. A 40-cm segmental resection of the sigmoid colon was done, and a double-barrel colostomy was made through the inguinal incision. This surgical strategy involving construction of a double-barrel colostomy through the inguinal hernia incision could be an alternative method of managing such critically ill patients.     

腹腔镜腹股沟疝修补术300例

目的 评价腹腔镜腹股沟疝修补术的安全性和有效性.方法 2005年3月～2010年3月行腹腔镜腹股沟疝修补术300例(357侧),其中TAPP 221例(273侧),TEP 79例(84侧).TAPP:建立气腹后打开腹膜,回纳疝囊,分离出腹膜前间隙,置入补片后钉合器固定,关闭腹膜.TEP:在腹膜前钝性建立足够间隙,回纳...     

Left Paraduodenal Hernia: a Case Report

Congenital internal hernias often remain unrecognized since they are infrequent and produce nonspecific abdominal symptoms. Abdominal imaging during a symptomatic episode leads to the diagnosis. Surgical treatment is essential regarding the risks of incarceration. We report a case of left paraduodenal hernia misdiagnosed for over thirty years despite extensive imaging and surgical exploration.     

Incarcerated Vesico-Inguinal Hernia: a Case Report

In this paper we report a rare case of an incarcerated inguinoscrotal hernia of the urinary bladder in a 64-year-old male patient. He presented with a giant inguinal hernia and pollakisuria. The bladder was surgically repositioned intra-abdominally and resection of part of the bladder fundus was performed through laparotomy. Closure of the inguinal defect was performed through an inguinal approach. The patient’s further recovery was uneventful. Herniation of the bladder is a very infrequent finding in inguinal hernias. We searched the literature and only found a few case reports describing this rare pathology. The literature and treatment options are discussed.     

Malignant Mixed Mullerian Tumor of the Ovary Growing into an Inguinal Hernia Sac: Report of a Case

Malignant tumors presenting as an inguinal hernia are rare. We present the case of a malignant mixed Mullerian tumor (MMMT) of the ovary growing into an inguinal hernia sac. In this case, magnetic resonance imaging was useful in making a diagnosis of an ovarian neoplasm growing into the inguinal canal, and to the best of our knowledge, this is only the tenth case of a malignant ovarian tumor and the first case reported in the English-language literature of MMMT of an ovary which grew into an inguinal hernia sac.     

Left-Sided Paraduodenal Hernia: Report of a Case

Paraduodenal hernias are rare congenital malformations consisting of incomplete rotation of the midgut, which may lead to intestinal obstruction or simply be detected as an incidental finding at autopsy or laparotomy. We report a case of left paraduodenal hernia diagnosed preoperatively by computed tomography and operated on in an emergency setting for signs of peritoneal irritation. A misdiagnosis had been made when the patient suffered his first attack 6 months earlier and he had been treated for familial Mediterranean fever. We reduced the small bowel loops from the left paraduodenal hernia sac with ligation and transection of the inferior mesenteric vessels. The patient was discharged from hospital on postoperative day 4 after an uneventful recovery.     

Congenital Perineal Hernia: Report of a Case

Congenital perineal hernia is one of the rarest childhood hernias. We report a case of an infant with a congenital perineal hernia which was successfully repaired.     

Emergency Repair of Giant Inguinoscrotal Hernia in a Septic Patient

Introduction

Giant inguinoscrotal hernias are rare but still exist even in developed countries. Although accompanied by a higher perioperative mortality, an elective surgical approach should be undertaken. In critically ill patients, however, the surgical intervention requires specific demands.

Methods

We report a case of a 45-year-old man who was referred to the hospital after perforation of the hernia with concomitant peritonitis and sepsis.

Results

After initial stabilization of the patient, a subtotal colectomy and a partial small bowl resection was performed. In a second step after stabilization of organ functions, the hernia sac was resected, and the abdominal cavity was reconstructed. The patient was discharged and is doing well until today but still refuses any plastic surgery.

Conclusion

Resection of giant inguinoscrotal hernia is feasible even in patients being administered in an emergency setting. Especially in case of an intra-abdominal infection, intestinal resection is the therapy of choice to allow the reconstruction of the abdominal cavity. A two-step approach should be considered to allow a successful recovery.     

Inguinal Bladder Hernia With Acute Ureteral Obstruction 14 Years After Kidney Transplantation: A Case Report

An 82-year-old man with a history of renal transplantation 14 years earlier presented with acute obstructive renal failure secondary to inguinal herniation of the urinary bladder complicated by ureteroneocystostomy entrapment. After percutaneous nephrostomy tube and endoscopic stent placement, the bladder was reduced and the hernia repaired with the use of a preperitoneal mesh. The postoperative course was uneventful and the renal function returned to normal. Inguinal herniation of the transplant ureter is a rare cause of hydronephrosis, but it has been described in the literature. Bladder hernias do usually not cause urologic complications in the nontransplanted patient, but they can present as an emergency after renal transplantation.     

腹腔镜下腹腔内疝囊高位结扎术的临床应用（附260例报告）

目的探讨腹腔镜疝囊高位结扎术在儿童腹股沟斜疝中的应用。方法2006年2月-2008年2月,对260例腹股沟斜疝患儿施行腹腔镜疝囊高位结扎术。二孔法经腹腔内内环口缝扎,28例同时将脐正中襞（或脐内侧襞）与内环口周围的腹横筋膜缝扎,10例同时将腹横筋膜及腹内斜肌的弓状下缘与腹股沟韧带缝扎。结果260例手术均成功完成,无中转开放手术。单侧手术时间15～45min,平均22min。259例随访2～23个月,平均11．6月,无脐戳孔疝,无医源性隐睾及睾丸萎缩,无肠粘连梗阻等并发症;术后5个月复发1例（0．4％）。结论腹腔镜疝囊高位结扎术治疗儿童腹股沟斜疝创伤小,安全,有效,手术并发症少,有很好的应用前景。