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Pouch of Douglas hernias are uncommon forms of pelvic hernia. They are most commonly seen in multiparous, elderly women and those having undergone previous pelvic surgery (Stamatiou et al. in Am Surg 76(5):474–479, 2010). Herein, we present a case of a 77-year-old female presenting with groin pain due to a Pouch of Douglas hernia. She had no previous abdominal or pelvic surgery. This was repaired...
Purpose The aim of this article is to compare the outcomes of lightweight mesh and heavyweight mesh in inguinal hernia repair. Method A comprehensive literature search was undertaken to identify studies comparing the influence of lightweight and heavyweight meshes on inguinal hernia. Results The present meta-analysis pooled the effects of outcomes of a total 5,389 patients enrolled into 16 randomized...
Breach of the peritoneal cavity during totally extraperitoneal (TEP) inguinal hernioplasty is not an uncommon event. If left unclosed, it can potentially lead to bowel obstruction. Primary repair of such a defect can therefore be very beneficial to the patient, however it doesn't necessarily prevent it. I present the case of an incomplete small bowel obstruction following elective TEP repair of an...
Introduction Anterior mesh placement is the standard of care for hernia repair. The use of partially absorbable meshes may limit post-operative pain without altering the durability of the repair. We designed a prospective randomised study, which aims to compare the PerFix™ plug to the 4DDOME®, a partially absorbable mesh. Materials and methods Inguinal hernia patients were prospectively and randomly...
Hernia of the umbilical cord is a small omphalocoele with the abdominal defect being less than 4 cm and the small intestine being the usual content. We report a rare case of hernia of the umbilical cord with the whole of the liver herniating through the small defect into the sac as the only content. The pertinent literature is also reviewed.
Purpose Lichtenstein inguinal hernia repair is associated with a low incidence of recurrence; however, the use of heavyweight mesh has been linked with chronic pain and foreign body sensation. It is hypothesized that the use of lightweight mesh may reduce these problems. This study aims to use meta-analysis to compare lightweight and heavyweight mesh for Lichtenstein inguinal hernia repair. Methods...
Presence of the ovary, fallopian tube, and uterus within an inguinal hernia is a rare condition. In this report, we describe the case of a 47-year-old female, multiparous patient with a giant omental lipoma (18 × 8 × 7 cm, 422 g) and left inguinal hernia. The uterus, left ovary, and fallopian tube were in the hernial sac. The presence of the uterus within the hernial sac accompanies mullerian anomalies,...
Background The aim of this study was to assess whether partially absorbable monofilament mesh could influence postoperative pain and recurrence after Lichtenstein hernioplasty over the long term. Methods Patients were randomized into two groups that were treated with lightweight (LW) or heavyweight (HW) mesh in 15 centers in Poland. A modified suture technique was used in the lightweight mesh group...
Background Recurrence and pain are the two most important outcomes after inguinal hernia surgery. The concept of lightweight or partially absorbable macroporous meshes was developed under the assumption that the observed pain rate could be decreased without increasing the number of recurrences. Few randomized trials were published to analyze their clinical value, and some concern was raised because...
Background and purpose Mesh-plug and Lichtenstein techniques are among the most common used inguinal hernia repair procedures. The aim of this meta-analysis was to compare the recurrence and other postoperative complications between mesh-plug technique and Lichtenstein operation in inguinal hernia repair. Methods The electronic databases Embase, Pubmed, Springer and Cochrane Library were used to...
Purpose Nerve identification during open inguinal hernia herniorrhaphy has been suggested as one of the factors that may reduce the risk of development of persistent postherniorrhaphy pain. In this prospective study, we evaluated whether intraoperative inguinal nerve identification influenced the risk of development of persistent postherniorrhaphy pain, sensory dysfunction in the groin and functional...
Introduction An adult presentation of congenital diaphragmatic hernia is very rare. Here, we present a rare case report of left-sided central diaphragmatic hernia in an adult. Laparoscopic repair of the hernia was performed with mesh placement. Case summary A 19-year-old adult man was presented with pain in abdomen and occasional vomiting. X-ray and CT scan thorax was suggestive of diaphragmatic...
Purpose The aim of the present randomised study was to find out whether usage of lightweight mesh in inguinal hernia repair, compared with heavyweight mesh, results in decreased incidence of chronic groin pain and foreign body feeling, as well as to evaluate the risk factors for chronic pain development and hernia recurrences. Methods The patients were randomised into the heavyweight mesh (HW) group...
Giant inguinoscrotal hernias are a rare entity seen largely in the adult population. Presentation in the child is more unusual, with only one case previously documented. As there is scant literature regarding these hernias in children, their management may be challenging. Here, we present the case of a newborn born with giant bilateral inguinal hernias complicated by in utero perforation and meconium...
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