scholarly journals A Case of Rare Complication of Inguinal Parietoplasty according to Lichtenstein: Entero Cutaneous Fistula

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
K. B. Kouakou ◽  
K. I. Anzoua ◽  
M. Traore ◽  
B. K. I. Leh ◽  
A. B. N’Dri ◽  
...  

Lichtenstein intervention is currently the classic model of the regulated treatment of inguinal hernias by direct local approach. This “tension-free” technique satisfies both patients and practitioners. However, it does not often evade severe complications of parietal surgery. The authors report their treatment experience in rural Africa of a late enterocutaneous fistula which aggravated an inguinal hernia repair according to the Lichtenstein procedure. Physiopathology, diagnosis, and treatment of that disease are analyzed in the light of literature.

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Dimitrios Papaconstantinou ◽  
Nikolaos Koliakos ◽  
Andrianos-Serafeim Tzortzis ◽  
Dimitrios Schizas ◽  
Dimitrios Bistarakis ◽  
...  

2009 ◽  
Vol 91 (8) ◽  
pp. 665-666 ◽  
Author(s):  
SE Noblett ◽  
S Woodcock

We report a case of pyoderma gangrenosum occurring at the site of a laparoscopic port insertion following laparoscopic inguinal hernia repair.


Author(s):  
Richard Wismayer

Background: Inguinal hernias are a major cause of morbidity and mortality in the developing world. In resource limited settings in rural Africa the clinical management of inguinal hernias may pose a therapeutic challenge to the surgeon due to the late presentation of this condition and lack of availability and affordability of mesh and laparoscopy. In our environment there is a lack of data and literature regarding the surgical management of inguinal hernias. The purpose of this study was to outline the clinical profile and outcomes among patients undergoing inguinal hernia repairs in our hospital. Methods: A descriptive retrospective study was carried out between 1st April 2008 to the 31st July 2012 on all patients ≥15 years of age that underwent an inguinal hernia repair were eligible in this study. The patients were reviewed on the surgical ward postoperatively and in the surgical out-patients clinic 3 months post-operatively. Data was collected using a pretested questionnaire on the following variables: age, sex, recurrence of hernia, post-operative pain and post-operative complications. Physical examination was used to determine post-operative recurrence and evidence of haematomas, seromas or severe wound sepsis requiring operative intervention. Results: One hundred and fifty eight patients following repair of inguinal hernia using the Modified Bassini technique were analyzed. Mean age was 44.84 years. The male:female ratio was 3.65:1 with male predominance. Emergency inguinal hernia repairs were carried out in 4(2.53%) and the majority of patients, 154(97.47%) were elective inguinal hernia repairs. One(0.63%) mortality and the morbidity included 1(0.63%) seroma, 1(0.63%) haematoma, 1(0.63%) necrotizing fasciitis and 1(0.63%) enterocutaneous fistula. The overall complication rate was 3.16%. Conclusions: In rural Africa patients with inguinal hernias should be encouraged to present early with signs and symptoms of inguinal hernia. Elective hernia repair of inguinal hernias, irrespective of the type of repair, will reduce the morbidity and mortality from this common problem in East Africa.


2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Yu-Ting van Loon ◽  
Maaike S. Ibelings

A giant pseudocyst is a rare complication after hernioplasty and is seldom seen. The pathophysiology is unclear; it characteristically does not contain epithelial lining and can be considered giant if the diameter exceeds 10 cm. Pseudocysts are mostly described after incisional hernia repairs and are usually treated with surgical resection. We report a case of a giant pseudocyst three years after totally extra peritoneal inguinal hernia repair. Laparoscopic fenestration without removing the pseudocyst with or without removal of the polypropylene mesh is a safe and effective minimal invasive approach to the treatment of a symptomatic pseudocyst and should also be considered in the approach of other large symptomatic cysts.


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