Nov 22, 2011 hiatal hernias are characterized by a protrusion. The latter criterion is recognized as essential if we compare with other. A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. In a prospective randomized trial comparing a totally preperitoneal tpp laparoscopic approach and the stoppa procedure open, 100 patients with inguinal hernias nyhus iiia, iiib, iv were followed over a 3year period. Tous les patients avaient une hernie inguinale depassant laine et interessant le scrotum. Hernia surgery ebook by 9783319274706 rakuten kobo. Complications from inguinal hernia surgery are rare and can include general anesthesia complications, hernia recur. Occasionally, complications such as neoplasms or inflammatory conditions can be identified in the hernial contents. This file is licensed under the creative commons attributionshare alike 3. Statistical analysis revealed that the recurrence rate, for patients older than 50 and presenting with type 3.
Most commonly they involve the abdomen, specifically the groin. Onuigbo wib, medical foundation and clinic, 8 nsukka lane, enugu 400001, nigeria, email. To describe and document the normal analtomy and its variations, the inguinal region was dissected from. A sports hernia is not a true hernia, but rather a tearing of tissue fibers.
Literature reie a surgeons vie of recurrent hiatal hernia. An inguinal hernia is a protrusion of abdominalcavity contents through the inguinal canal. A hernia is strangulated when the blood supply to the intestine or hernia. An indirect inguinal hernia is a congenital lesion. L hypogonadisme primaire acquis par atrophie testiculaire at ischemique bilaterale est peu frequent parmi les causes dinfertilite. We recorded 1 recurrence in group l and 3 in group s.
Laparoscopic inguinal anatomy laparoscopic inguinal anatomy colborn, g skandalakis, j. After an extensive search of the literature, a total of 27 studies 41 publications with evidence level. The surgical treatment of hernia requires an extensive knowledge and technical ability. The processus vaginalis must be patent for this type of hernia to occur. A bulging area may occur that becomes larger when bearing. A hernia is strangulated when the blood supply to the intestine or hernia sac is decreased.
L a harrison, c a keesling, n l martin, k r lee, l h wetzel. This type of hernia is called inguinal because fat or part of the intestine slides through a weak area at the inguinal ring, the opening to the inguinal canal. Hiatal hernias may give rise to diagnostic difficulties, as both clinical and radiological symptoms suggest different disorders. Resultats des essais randomises et des metaanalyses. The antimesenteric border of the intestine must protrude into the hernia sac the most common location is at the site of a femoral hernia. A reducible hernia can be pushed back into the opening. After an extensive search of the literature, a total of 27 studies 41 publications with evidence level lb were identified. Often it gets worse throughout the day and improves when lying down. May 04, 2006 in a prospective randomized trial comparing a totally preperitoneal tpp laparoscopic approach and the stoppa procedure open, 100 patients with inguinal hernias nyhus iiia, iiib, iv were followed over a 3year period. Which is known not only for is efficiency, but also for the low postoperative morbidity, in particular the low rate of severe chronic pain and the good quality of life 5.
An inguinal hernia occurs in the grointhe area between the abdomen and thigh. Computed tomography is the method of choice when making a diagnosis. To describe and document the normal analtomy and its variations, the inguinal region was dissected. Evolution of large ventral incisional hernia repair. Groin hernias are most commonly of the inguinal type but may also be femoral. Apropos of 160 cases of surgically treated hernias. Find, read and cite all the research you need on researchgate. Indirect inguinal hernia an indirect inguinal hernia occurs when any intraabdominal structure protrudes through the deep inguinal ring entering the inguinal canal. A hernia is the exit of an organ, such as the bowel, through the wall of the cavity in which it normally resides.
This may include pain or discomfort especially with coughing, exercise, or bowel movements. Wo2000007520a1 prothese pour le traitement chirurgical. Critical to the repair of richters hernia is an adequate evaluation of the intestine for viability. Jul 16, 2014 hernia protrusion of a viscus or a part of viscus through a normal or abnormal opening in the walls of its containing cavity tony 2010 mbbs 3. When intestine or abdominal tissue fills the hernia sac and cannot be pushed back, it is called irreducible or incarcerated. The minimal open preperitoneal mopp approach to treat. With contributions by key opinion leaders in the field, this book describes the latest trends and detailed technical modifications for both routine and complex hernias. Types inguinal hernia 75% of abdominal wall hernias occurring up to 25x more in men both direct and indirect forms appear as bulge in inguinal crease femoral hernia femoral canal contains artery, vein, and nerve leaving abd cavity to enter thigh normally tight space, enlarges to allow abd contents ie. Wrapping the visceral sac into a bilateral mesh prosthesis in groin. An inguinal hernia appears as a bulge on one or both sides of the groin. Recovery time varies depending on the size of the hernia, the technique used, and the age and health of the patient. In the laparoscopic group, operating time was significantly longer p0. Ep0719527b1 element prothetique pour le traitement des. Meckel diverticulum as the sole component of the hernia sac.
Hernia it is protrusion of viscusor part of viscusthrough an abnormal opening in the wall of its containing cavity pdf created with pdffactory pro trial version. Infertilite et hypogonadisme primaire acquis apres. Symptoms are present in about 66% of affected people. Pdf aspects anatomocliniques et classifications des hernies du. The history of open surgery for groin hernia has gone through many stages of development, including the ancient era ancient times to the fifteenth century, the era of the start of herniology fifteenth to seventeenth centuries, the anatomic era seventeenth to nineteenth centuries, the era of repair under tension nineteenth to midtwentieth century, and the era of tensionless repair mid. An inguinal hernia occurs when the abdominal cavity bulges through the opening in the muscle. Les hernies inguinales peuvent etre encore divisees en hernie inguinale indirecte. Apr 11, 2005 laparoscopic inguinal anatomy laparoscopic inguinal anatomy colborn, g skandalakis, j. I conceive the prosthetic repair of groin hernias, like that. Les douleurs chroniques postoperatoires etaient notees chez seulement 3 patients.
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