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Background Paraoesophageal hernias are an uncommon but important diaphragmatic defect due to a high prevalence of associated complications. The advent of laparoscopic surgery has popularised the surgical management of this condition, although the optimal technique has yet to be defined. The aim of this cohort study was to assess the necessity of an anti-reflux procedure in addition to the crural repair...
Background Although relatively infrequent, groin hematoma following inguinal herniorrhaphy is a morbid complication with major ramifications of mesh infection and hernia recurrence. We have sensed an increasing frequency of this complication in our tertiary referral practice and sought to determine whether or not significant risk factors could be identified. Methods In this matched case–control...
Transverse testicular ectopia is a rare congenital anomaly characterized by the unilateral descent of both testes into one hemiscrotum. Fewer than 100 occurrences of this condition have been reported worldwide, almost all of them in children. In this report, we describe transverse testicular ectopia (TTE) identified in a 55-year-old, apparently fertile, male who presented to a rural hospital in Belladere,...
Bochdalek’s hernia is a congenital defect of the diaphragm that occurs predominantly in children. Perforation or necrosis of the involved organ is a feared complication and surgical repair constitutes the gold standard of treatment. We present a case of a 42-year-old female patient who presented with a 3-month history of left-upper-quadrant abdominal pain, nausea, tachycardia, and early postprandial...
Background Obturator hernia is an uncommon but important cause of intestinal obstruction. Methods Retrospective study of 16 patients undergoing surgery for obturator hernia in a 20-year period. Results All patients were elderly women. Low body mass index and multiparity were predisposing factors. Mean time from onset of symptoms to consultation was 4.1 days. The preoperative diagnosis was intestinal...
Background Amyand’s hernia is an inguinal hernia containing vermiform appendix. We report a case of this rare condition, diagnostic findings, and management considerations. A short review and history of Amyand’s hernia is presented as well. Methods A literature search from Medline was done, and the published articles were reviewed. A case of Amyand’s hernia, which was recently managed by the authors,...
Background The purpose of this study was to determine any differences in the systemic inflammatory response after the intraperitoneal implantation of three different types of polypropylene mesh. Methods Thirty-two male New Zealand rabbits underwent a 6-cm midline incision and opening of the peritoneal cavity. The animals were randomly divided into four groups. In groups A, B, and C, there was an...
Background Recurrence is the most common complication of inguinal herniorrhaphy and its mending carries an unacceptably high recurrence rate. During the development of a hernia clinic we initially repaired recurrent inguinal hernias using the Shouldice technique which requires complicated dissection followed by tissue approximation under tension. The necessary tissue exposure may injure anatomical...
Background Suprapubic hernias are those defects located 4 cm from the pubic symphysis. Our aim is to highlight the laparoscopic repair of suprapubic incisional hernias. Patients and methods We retrospectively reviewed 17 patients with suprapubic incisional hernias from 1999 to 2007. A modified technique of laparoscopic intraperitoneal composite mesh onlay was performed for these patients. Results...
Laparoscopic techniques are now commonly used for the repair of inguinal hernias, since they offer rapid postoperative recovery and low complication rates. These methods usually involve the use of sutures, staples or titanium spiral tackers for safe, secure mesh fixation. We report a rare case of obstruction and perforation of the small bowel resulting from a band adhesion caused by a displaced spiral...
Dorsal lumbar hernias are rare pathologies of the abdominal wall. Such hernias may manifest within the superior lumbar triangle of Grynfeltt (TG) or the triangle of Petit. The aim of our study was to identify and describe variations in the size and anatomy of the TG. The triangle was studied in 50 adult human cadavers, and dimensions and surface area were measured. The TG was identified in 82% of...
A consecutive series of 255 women with primary groin hernias repaired electively over a five-year period, was reviewed. There were 271 hernias; the majority, 182 (67%) were indirect inguinal hernias, 35 (14%) were direct, and 54 (20%) were femoral. There were no major post-op complications and no recurrences. Most patients presented with a swelling but in 13 cases there was pre-operative discomfort...
Background Disturbed wound healing leading to alterations in collagen composition has been thought to play a key role in the pathogenesis of incisional hernia formation. The aim of the present study was to further characterise the scarring process in such patients. Methods Mature skin scars from patients with either primary or recurrent incisional hernias were compared to mature abdominal skin scars...
Background A modified technique for mesh-plug hernioplasty is a long-term, safe and efficacious treatment for primary unilateral inguinal herniorrhaphy. Methods Prospective analysis of 2,038 patients who underwent primary unilateral hernioplasty from 1997 to 2005 at a private university medical center. A modified technique using a mesh-plug was performed under local anesthesia with intravenous sedation...
Objective The aim of this study was to evaluate our experience with LVHR in morbidly obese patients (BMI > 40) and to compare their outcomes to those of patients with lower BMI. Methods Data on adult (>18 years old) patients who underwent LVHR with mesh over the last 13 years performed by four experienced surgeons were collected retrospectively and from a previously collected database. Of...
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