scholarly journals A CASE OF BILATERAL OBTURATOR HERNIAS PRESENTED WITH A CONTRALATERAL HERNIA 9 DAYS AFTER OPERATION FOR A PRIMARY HERNIA

2010 ◽  
Vol 71 (4) ◽  
pp. 1071-1075
Author(s):  
Shinsuke NAKASHIMA ◽  
Takeo KIMOTO ◽  
Yoshifumi INOUE
Keyword(s):  
Primary Hernia ◽  
Contralateral Hernia

Primary Hernia

1999 ◽  
pp. 83-92
Author(s):  
D. Bennett
Keyword(s):  
Primary Hernia

Comparing the Incidences of Occult Contralateral Hernia under Laparo-Endoscopic Techniques and of Contralateral Metachronous Hernia after a Unilateral Groin Hernia Repair in Open Technique

2019 ◽  
Vol 85 (2) ◽  
pp. 196-200
Author(s):  
Yoshiro Imai ◽  
Masako Hiramatsu ◽  
Toshihiro Kobayashi ◽  
Ichiro Tsunematsu ◽  
Kono Emiko ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Groin Hernia ◽  
Endoscopic Technique ◽  
Groin Hernia Repair ◽  
Open Technique ◽  
Endoscopic Techniques ◽  
Occult Hernia ◽  
Significant Difference ◽  
Metachronous Hernia ◽  
Contralateral Hernia

The aim of this study was to evaluate the utility of immediate repair of a contralateral occult hernia at the same time as incipient hernia repair. A total of 693 patients were diagnosed preoperatively with a unilateral groin hernia from January 2006 to December 2017. The open technique was used for 541 patients, and the laparo-endoscopic technique was used for 152 patients. The incidences of occult contralateral hernia confirmed during surgery under laparo-endoscopic techniques and those of contralateral metachronous hernia after a unilateral groin hernia repair with open technique were compared. Fifty-one (9.4%) of 541 patients underwent a contralateral metachronous hernia repair after unilateral groin hernia repair. Twenty-three (15.1%) of 152 patients had occult contralateral hernias using laparo-endoscopic techniques. There was a significant difference in the incidence of contralateral metachronous hernia and that of occult contralateral hernia (P = 0.02). It is concluded that finding and repairing an occult contralateral hernia at the time of laparoendoscopic technique has the advantage of avoiding a second operation. However, it has been considered overtreatment to repair all patients with an occult contralateral hernia.

scholarly journals Three Years Experience of Inguinal Hernia in Children in BSMMU

2016 ◽  
Vol 6 (2) ◽  
pp. 34-38
Author(s):  
Shoheli Alam ◽  
KM Didarul Islam ◽  
Abu Saleh Md Oli Ullah ◽  
Md Tosaddeque Hossain Siddiqui ◽  
Md Ruhul Amin
Keyword(s):  
Inguinal Hernia ◽  
Elective Surgery ◽  
Clinical Aspects ◽  
Paediatric Surgery ◽  
Female Ratio ◽  
Inguinal Hernias ◽  
Case Surgery ◽  
One Year ◽  
Groin Exploration ◽  
Contralateral Hernia

Objective: The aim of this study is to evaluate the management of inguinal hernias in children as a day case surgery in elective basis.Methods: From July 2011 to June 2014, 141 infants and children with inguinal hernias were seen, operated on, and followed up as outpatient procedure in the Department of Paediatric Surgery of Bangabandhu Sheikh Mujib Medical University Dhaka, Bangladesh (BSMMU) Age, sex, side of hernia, presence of an associated hydrocele/ undescended testes/ VPshunt, occurrence of contralateral hernia, clinical aspects of these patients, type of surgery, mortality, and mobidity were studiedResults: The ages ranged from 2months to 14 years (mean age, 6.28 years) with a male-to female ratio of 3:1. There were 59.6% right, 34.8% left, and 5.7% bilateral hernias (all are indirect variety).The most common associated anomaly was hydrocele in 29(20.8%)patients, undescended testis in 9(6.5%) patients and in 4(2.8%) patients had ventriculoperitoneal shunt. The content of the hernial sac in 56(39.7%) patients were omentum and next were intestine in 30(21.3%) patients. Overall, there were 13 (9.2%) sliding hernias. Among them in five case of boys four (80%) patients contents were cecum and one (20%) patient was sigmoid colon. In case of girls, contents were ovaries in all eight patients. Contralateral groin exploration was not done of any patients at the initial hernia repair. There were recurrences in 2(1.4%) patients, 13(9%) patients developed wound infections, and 21(15%) patients had scrotal haematocele. There were no postoperative deaths. A contralateral hernia developed in three (2%) children within one year after the initial repair.Conclusions: Inguinal hernia is a common surgical condition in children. Elective surgery is associated with minimal morbidity. A routine contralateral groin exploration is not done at the initial hernia repairJ. Paediatr. Surg. Bangladesh 6(2): 34-38, 2015 (July)

scholarly journals P141 USE OF POLYPROPYLENE STRIPS FOR REINFORCEMENT OF THE CRUROPLASTY IN LAPAROSCOPIC PARAESOPHAGEAL HERNIA REPAIR: A RETROSPECTIVE COHORT STUDY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Matthijs Van den Dop ◽  
Gijs De Smet ◽  
Aziz Mamound ◽  
Johan Lange ◽  
Bas Wijnhoven ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Paraesophageal Hernia ◽  
Operation Time ◽  
Paraesophageal Hernia Repair ◽  
Primary Hernia ◽  
Laparoscopic Paraesophageal Hernia Repair ◽  
Crural Repair

Abstract Aim Laparoscopic paraesophageal hernia repair is an effective treatment for symptomatic paraesophageal hernias. To reduce recurrence rates, the use of prosthetics for the crural repair has been suggested. Mesh-related complications are rare, but known to be disastrous. To address another form of crural repair, polypropylene strips are suggested. This study aimed to assess peri- and postoperative complications of reinforcement of the cruroplasty with polypropylene strips. Material and Methods From 2013 to 2020, patients with a type II, III or IV primary or recurrent paraesophageal hernia that underwent cruroplasty with polypropylene strips were retrospectively reviewed. Intra- and postoperative complications were graded according to the Clavien-Dindo classification. The incidence of symptomatic recurrent hiatal hernia (CT or endoscopy proven) and hospital stay were assessed. Results One-hundred-and-fifty-eight patients were included. Mean age was 65 years (standard deviation 10.4), 119 patients were female (75.3%). Almost 50% of surgeries took place between 2018 and 2020. Median follow-up was 7 months (interquartile range 17.5). Mean operation time in the primary hernia group was 159 minutes (standard deviation 39.0), and length of stay was 4.4 days. In 3/158 patients (2.0%) intra-operative complications occurred. Two patients developed a grade IV and seven patients a grade III postoperative complication. No mortality was recorded. Twelve recurrences (8.2%) were detected in the primary hernia group, and one (9.1%) in the recurrent hernia group. Conclusions There were no mesh-related complications seen and symptomatic recurrence rate was low, but longer follow up is needed.

Acellular Dermal Matrix (AlloDerm): New Material in the Repair of Stoma Site Hernias

2005 ◽  
Vol 71 (12) ◽  
pp. 1047-1050 ◽  
Author(s):  
Karen J. Kish ◽  
Brian R. Buinewicz ◽  
Jon B. Morris
Keyword(s):  
Hernia Repair ◽  
Intestinal Obstruction ◽  
Parastomal Hernia ◽  
Acellular Dermal Matrix ◽  
Recurrence Rates ◽  
Dermal Matrix ◽  
Parastomal Hernia Repair ◽  
New Material ◽  
Primary Hernia ◽  
Acellular Dermal

Parastomal hernias are a common complication after ileostomy or colostomy formation and can lead to complications, such as intestinal obstruction and strangulation. When a parastomal hernia presents, repair of the defect can pose a challenge to the surgeon to choose a repair that both reduces complications and recurrence rates. We present three cases of parastomal hernia repair using acellular dermal matrix (AlloDerm) as reinforcement to the primary hernia repair. We prospectively followed three patients who presented with parastomal hernia after ostomy formation in 2001–2002. The patients underwent repair of the parastomal hernia using primary fascial repair with reinforcement using AlloDerm as an on-lay patch. Two patients were followed for 6 months and 1 year, respectively, and remained hernia-free. One patient presented 8 months later with symptoms of intestinal obstruction that were relieved by nasogastric tube decompression and bowel rest. The patient subsequently returned 3 months later with intestinal obstruction and recurrent parastomal hernia that necessitated an operation for relocation of the stoma and repeat hernia repair. Repair of parastomal hernias using AlloDerm acellular dermal matrix as a substitute for a synthetic graft showed resilience to infection and, more importantly, tolerated exposure in an open wound without having to be removed. Larger studies with longer follow-up are needed to see if this material reduces the incidence of hernia recurrence.

scholarly journals Bilaterality of Inguinal Hernia in Adult Patients: Synchronous Bilateral and Metachronous Contralateral Hernia

2009 ◽  
Vol 77 (1) ◽  
pp. 54
Author(s):  
Sun Hyoung Shin ◽  
Chan Yong Park ◽  
Jung Chul Kim ◽  
Soo Jin Na Choi ◽  
Shin Kon Kim
Keyword(s):  
Inguinal Hernia ◽  
Adult Patients ◽  
Metachronous Contralateral Hernia ◽  
Contralateral Hernia

scholarly journals Use of Polypropylene Strips for Reinforcement of the Cruroplasty in Laparoscopic Paraesophageal Hernia Repair: A Retrospective Cohort Study

2021 ◽  
pp. 1-10
Author(s):  
L. Matthijs Van Den Dop ◽  
Gijs H.J. De Smet ◽  
Aziz Mamound ◽  
Johan Lange ◽  
Bas P.L. Wijnhoven ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Paraesophageal Hernia ◽  
Intraoperative Complications ◽  
Paraesophageal Hernia Repair ◽  
Primary Hernia ◽  
Laparoscopic Paraesophageal Hernia Repair ◽  
Crural Repair

<b><i>Introduction:</i></b> Laparoscopic paraesophageal hernia repair is an effective treatment for symptomatic paraesophageal hernias. To reduce recurrence rates, the use of prosthetics for the crural repair has been suggested. Mesh-related complications are rare but known to be disastrous. To address another form of crural repair, polypropylene strips are suggested. This study aimed to assess peri- and postoperative complications of reinforcement of cruroplasty with polypropylene strips. <b><i>Methods:</i></b> From 2013 to 2020, patients with a primary or recurrent type 2, 3, or 4 paraesophageal hernia that underwent cruroplasty with polypropylene strips were retrospectively reviewed. Intra- and postoperative complications were graded according to the Clavien-Dindo classification. The incidence of symptomatic recurrent hiatal hernia (CT or endoscopy proven) and hospital stay were assessed. <b><i>Results:</i></b> One hundred fifty-eight patients were included. Mean age was 65 years (standard deviation 10.4), and 119 patients were female (75.3%). Almost 50% of surgeries took place between 2018 and 2020. Median follow-up was 7 months (interquartile range 17.5). Mean operation time in the primary hernia group was 159 min (standard deviation 39.0), and length of stay was 4.4 days. In 3/158 patients (2.0%), intraoperative complications occurred. Two patients developed a grade 4 and seven patients a grade 3 postoperative complication. No mortality was recorded. Twelve recurrences (8.2%) were detected in the primary hernia group and one (9.1%) in the recurrent hernia group. <b><i>Conclusion:</i></b> There were no mesh-related complications seen and symptomatic recurrence rate was low, but longer follow-up is needed.

scholarly journals Is Routine Contralateral Exploration Necessary while Doing Herniotomy for Unilateral Inguinal Hernia in Children?

1970 ◽  
Vol 14 (2) ◽  
pp. 53-55
Author(s):  
Kamal M Choudhury ◽  
Md Abu Jafor ◽  
Shafiqul Haque
Keyword(s):  
Inguinal Hernia ◽  
Paediatric Surgery ◽  
Older Children ◽  
College Hospital ◽  
Contralateral Exploration ◽  
Medical College ◽  
Unilateral Inguinal Hernia ◽  
Low Incidence ◽  
Medical University ◽  
Contralateral Hernia

Routine contralateral exploration in infants and children with unilateral inguinal hernia has been practiced by a number of paediatric surgeons based on a presumed high incidence of patent processus vaginalis. Our aim is to report the incidence of contralateral manifestations after repair of unilateral inguinal hernia. A total of 217 patients were regularly followed-up at the department of paediatric surgery in Dhaka Medical College Hospital (DMCH) and Bangabandhu Sheikh Mujib Medical University (BSMMU) from February 1995 to June 2001 in order to determine if contralateral hernia developed after unilateral herniotomy. The overall incidence of contralateral manifestations was 6.45%. The average incidence for contralateral hernia in infants upto 1 year was 11.68%. However, the incidence fell significantly in older children. With such low incidence of contralateral hernia after unilateral herniotomy, the authors do not feel to recommend contralateral exploration for unilateral inguinal hernia.   DOI: http://dx.doi.org/10.3329/taj.v14i2.8385 TAJ 2001; 14(2): 53-55

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