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Femoral hernia

Ferdinand Köckerling, Andreas Koch, Ralph Lorenz
Background: To date, there are few studies and no systematic reviews focusing specifically on groin hernia in women. Most of the existing knowledge comes from registry data. Objective: This present review now reports on such findings as are available on groin hernia in women. Materials and Methods: A systematic search of the available literature was performed in September 2018 using Medline, PubMed, Google Scholar, and the Cochrane Library. For the present analysis 80 publications were identified. Results: The lifetime risk of developing a groin hernia in women is 3-5...
2019: Frontiers in Surgery
Chengguang Yang, Leiming Zhu
BACKGROUND AND PURPOSE: Venous thromboembolism (VTE) is a serious complication encountered in surgical practice. The purpose of this study was to identify changes in coagulation status and deep vein flow parameters, within 24 h postoperatively, for patients undergoing laparoscopic total extraperitoneal inguinal hernia repair (TEP). METHODS: For 144 patients undergoing TEP, coagulation markers including prothrombin time (PT), partial thromboplastin time, thrombin time, D-dimer, fibrinogen, fibrin degradation products (FDP), and international normalized ratio (INR) were monitored preoperatively and in the first morning postoperatively...
February 11, 2019: Surgical Endoscopy
Jing Liu, Zhiwei Zhai, Jie Chen
INTRODUCTION: Tension-free hernia repair has been regarded as a gold standard treatment for selected inguinal hernias, but the use of prosthetic mesh in acute incarcerated inguinal hernias is controversial. Our study focused on evaluating the safety and efficacy of the prosthetic mesh repair for emergency cases. METHODS: Patients with acute incarcerated inguinal hernias who underwent emergency prosthetic mesh repair during 2009 to 2014 at our department were included...
February 8, 2019: Surgical Innovation
P J Mullaney
AIM: To assess the developing competence of two trainees learning groin and shoulder ultrasound when compared to an expert practitioner. MATERIALS AND METHODS: Specific pro formas were used to record ultrasound trainee performance in each scan region and their diagnosis was compared to the opinion of the expert. The data derived were reviewed using kappa analysis and training end points were defined as a minimum 80% trainee agreement with the expert. Retrospectively, cumulative sum analysis was applied to the data to assess case-by-case performance...
February 4, 2019: Clinical Radiology
Kenneth S Lee, Jessica M Sin, Priti P Patil, Amgad S Hanna, Jacob A Greenberg, Ryan D Zea, Christopher L Brace
PURPOSE: To evaluate the feasibility and efficacy of ultrasound-guided microwave ablation for the treatment of inguinal neuralgia. MATERIALS AND METHODS: A retrospective review of 12 consecutive ultrasound-guided microwave ablation procedures was performed of 10 consecutive patients (8 men, 2 women; mean age, 41 years [range, 15-64 years]), between August 2012 and August 2016. Inclusion criteria for inguinal neuralgia included clinical diagnosis of chronic inguinal pain (average, 17...
February 2019: Journal of Vascular and Interventional Radiology: JVIR
Yoshihiro Sakano, Masahisa Ohtsuka, Takuro Saito, Manabu Mikamori, Kenta Furukawa, Yozo Suzuki, Mitsuyoshi Tei, Kentaro Kishi, Masahiro Tanemura, Hiroki Akamatsu
A 74-year-old woman presented to our institution with right inguinal swelling. The swelling had appeared 1 year previously and exhibited a tendency to increase in size. Physical examination revealed a thumb tip-sized swelling in the right inguinal region. Computed tomography revealed a right femoral hernia and fluid accumulation, resulting in the diagnosis of a right femoral hernia. Using the anterior approach, we completely removed the cystic nodule and repaired the femoral hernia. The hernia sac contained elastic nodules, and pathological examination led to the diagnosis of endometrioid adenocarcinoma...
December 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Jonathan Ramkumar, Daphne Lu, Tracy Scott
Abdominal wall hernias are prevalent in patients undergoing peritoneal dialysis (PD). Obturator hernias, first described by Arnaud de Ronsil in 1724, are an uncommon type of hernia where intra-abdominal contents protrude through the obturator foramen. The following case highlights a rare presentation of bilateral obturator hernias with right femoral and inguinal hernia in an 82-year-old woman post-PD. This patient presented with 5 months of bilateral thigh pain and swelling and was found to only have a right-sided obturator hernia on computer tomography (CT) scan...
January 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Nikolaos G Filippou, Domna Fanidou, Georgios Alvanos, Georgios Ouilson Papadopoulos, Dimitrios Filippou, Panagiotis Skandalakis
De Garengeot's hernia is a rare clinical entity. Appropriate and acute diagnosis in emergency basis is challenging (usually misdiagnosed as incarcerated femoral hernia), and the surgical management varies from case to case. This report emphasizes the importance of including De Garengeot's hernia in the differential diagnosis of incarcerated groin hernias and the need to establish a well-defined strategy regarding surgical management options.
January 2019: Clinical Case Reports
Maria F Nunez, Gezzer Ortega, Lucas G Souza Mota, Olubode A Olufajo, Derek W Altema, Terrence M Fullum, Daniel Tran
BACKGROUND: Hernias represent one of the most common surgical conditions with a high-burden on health expenditures. We examined the impact of socioeconomic-status and complexity of presentation among patients in the Emergency Department (ED). METHODS: Retrospective analysis of 2006-2014 data from the Nationwide Emergency Department Sample, identified adult discharges with a diagnosis of inguinal, femoral, and umbilical hernia. Cases were dichotomized: complicated and uncomplicated...
December 14, 2018: American Journal of Surgery
Bardia Bidarmaghz, Roderick Cyril Borrowdale, Kasra Raufian
BACKGROUND: Femoral hernia accounts for 3% of all the hernias, and in 0.5-5% of cases, the appendix can migrate through the femoral hernia and is called de Garengeot hernia. It is a very rare condition, and the incidence of appendicitis in this type of hernia is as low as 0.08-0.13%. CASE PRESENTATION: We bring into discussion a case of a 47-year-old female who presented to the emergency department with a painful right-sided groin lump for the past 2 days. After initial resuscitation, a CT scan was requested which showed the presence of inflamed appendix inside the femoral canal...
December 13, 2018: Surgical Case Reports
Dongfeng Chen, Nana Su, Weijia Wang, Zhaoyong Zhang, Mingxiao Guo, Chunlei Lu, Haifeng Zhang
Femoral hernias (FHs), predominantly seen in females, require surgery for cure. To date, surgical repair of primary FHs in female patients with either open surgery or laparoscopic operation has been poorly documented. We retrospectively investigated the treatment of female primary FHs with open surgery using the ULTRAPRO Hernia System (UHS procedure) or the laparoscopic procedure, namely, the transabdominal preperitoneal (TAPP) technique. A total of 41 female patients with primary FHs who had undergone UHS or TAPP were included in this study...
December 2018: Medicine (Baltimore)
Taylor George, Eric H Williams, Richard Franklin, A Lee Dellon
BACKGROUND: An estimated 700,000 groin hernia repairs are performed in the United States each year. Studies have shown that up to 50% of patients who undergo groin hernia repair are affected by persistent pain beyond the first few days after surgery. At 2 to 5 years after either open or laparoscopic, mesh or without mesh, 10% to 12% of these patients will have persistent and disabling pain. If the ilioinguinal, iliohypogastric, or genitofemoral nerves are injured below the transversalis muscle layer, the traditional external, open approach to nerve resection will not help these patients...
January 2019: Annals of Plastic Surgery
S Linder, G Linder, C Månsson
PURPOSE: de Garengeot's hernia is a rare entity in which the appendix is located within a femoral hernia and is almost invariably encountered incarcerated in an emergency setting with concomitant appendicitis. In the literature, there are mostly single-case reports. The purpose of the present study was to perform a review of the literature to study the incidence, pathogenesis, demographics, clinical presentation, laboratory and radiological investigations, differential diagnosis, delay in diagnosis and treatment, operative findings, surgical technique, histological findings, the postoperative course, use of antibiotics, and complications regarding de Garengeot's hernia...
December 7, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
D Schizas, I Katsaros, D Tsapralis, D Moris, A Michalinos, D I Tsilimigras, M Frountzas, N Machairas, T Troupis
PURPOSE: A hernia containing Meckel's diverticulum is called a Littre's Hernia. It's a rare entity and its diagnosis is often incidental during routine hernia repair surgery. The objective of this study is the evaluation of the current evidence on Littre's hernias regarding their clinical presentation and optimal treatment approach. METHODS: PubMed and Cochrane bibliographical databases were searched from the beginning of time (last search: August 1st, 2018) for studies reporting on Littre's hernias in adult population...
February 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
P Wilson, L Hickey
INTRODUCTION: In a single centre evaluation of a novel hernia repair device, 200 consecutive patients underwent 247 laparoscopic (TAPP) groin hernia repairs (47 bilateral) using n-butyl-2-cyanoacrylate (Liquiband®Fix8™) for mesh fixation and peritoneal closure over a 2-year period by a single experienced laparoscopic surgeon. PATIENTS AND METHODS: All groin hernia patients requiring TAPP repair were included in the study: Inguinal 142, Femoral 14, Spigelian 4, and Inguinal disruption 40...
November 30, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Yanyan Xie, Yinghan Song, Dongyang Ma, Fushun Jian, Sen Zhang, Anqing Lu, Wang Yong, Wenzhang Lei
BACKGROUND: Femoral hernia repair has various surgical methods. However, controversy still exists regarding the best method for management. This study aimed to compare the infrainguinal with the inguinal approach in the treatment of femoral hernias. MATERIALS AND METHODS: Eighty patients with primary unilateral femoral hernias were prospectively randomized to either the infrainguinal (n = 40) or inguinal approach groups (n = 40). Patient demographics, operative time, duration of hospital stay, postoperative complications, and recurrence rate were recorded...
January 2019: Journal of Surgical Research
Yogeesan Sivakumaran, Rajnish Duara, Thodur M Vasudevan
Venous aneurysms are a rare vascular anomaly characterised by a solitary area of dilatation containing all three layers of the venous vessel wall. Described throughout the venous system, venous aneurysms can be classified as deep or superficial based on the vein involved. Whilst generally asymptomatic, superficial venous aneurysms can be associated with venous insufficiency or venous thromboembolism and are often confused for soft tissue masses or hernias. In young adults, venous aneurysms are often associated with Klippel-Trenaunay syndrome...
November 27, 2018: Annals of Vascular Surgery
Mehmet Tolga Kafadar, Mehmet Ali Gök
Introduction: Inguinal hernia repair is one of the most common operations of general surgery. In order to avoid complicated and urgent cases, performing such operations electively is generally accepted. Otherwise, unforeseen emergency surgical situations accompanied by incarceration and strangulation may occur. Case presentation: In this article, we present a 45-year-old female patient with strangulated femoral hernia repair that we performed using the laparoscopic transabdominal preperitoneal method, unlike other conventional methods...
December 2018: Annals of Medicine and Surgery
X-M Jiang, R-X Sun, W-H Huang, J-P Yu
OBJECTIVE: Femoral hernias constantly present as incarceration or strangulation and require emergency surgery. Incarcerated and strangulated femoral hernia repair remains challenging and controversial. The aim of our study was to analyze the efficacy of preperitoneal tension-free hernioplasty via lower abdominal midline incision for incarcerated and strangulated femoral hernia. METHODS: Data of 47 patients who underwent emergency surgery for incarcerated or strangulated femoral hernias from January 2009 to December 2017 were retrospectively analyzed...
November 17, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
David Aranovich, Veacheslav Zilbermints, Oleg Kaminsky
Purpose: To report our experience with incarcerated femoral hernia procedure, which allows laparotomy through same inguinal skin incision, inspection and resection of compromised bowel, and preperitoneal tension-free transabdominal repair with Ventralex™ Hernia Patch. Materials and Methods: The suprainguinal laparotomy was performed via same groin incision without compromising iliopubic tract. The femoral ring was sealed with Ventralex™ Hernia Patch pulled through the abdominal cavity and secured outside...
2018: Case Reports in Surgery
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