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Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Urethral strictures resultant from hip fractures were examined and treated in 140 patients admitted to hospital with multiple attendant traumas: rupture of the bladder and abdominal organs, rib and limb fractures, renal injuries. All of them underwent epicystostomy followed in 3--4 months by urethroplasty. Drainage of the bladder and paracystic fat was passive in 38 and active in 102 patients. Passive drainage, common in urological practice, failed to yield satisfactory results because of deficient urine outflow from the bladder and gave rise to various complications: phlegmons, femoral osteomyelitis, pyelonephritis, urosepsis. Fourteen patients developed urinary fistulas, four subjects had a large postoperative hernia involving the bladder. The adverse effects made urethroplasty problematic. With active drainage, the bladder and paracystic fat were continuously irrigated with drug solutions siphoned off from a jar into a dropper obtained from a disposable hemotransfusion system. Patients on active drainage avoided complications, 47 of them were successfully operated on the urethra, in 55 urethral competence recovered without surgical interventions.
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PMID:[The prevention and treatment of posttraumatic strictures of the posterior urethra in patients with pelvic bone fractures]. 175 28

Endoscopic extraperitoneal radical prostatectomy (EERPE) is a further advancement of minimal invasive surgery as it overcomes the limitations of laparoscopic (transperitoneal) RPE by the strictly extraperitoneal route of access combining the advantages of minimal invasive surgery with the advantages of an extraperitoneal procedure. Endoscopic extraperitoneal radical prostatectomy has many advantages but is not without complications. The aim of this review article is to describe the most common complications of this procedure. Complications associated with endoscopic extraperitoneal radical prostatectomy are: vascular injury--bleeding--haematoma, bowel injury, lymphocele, injury to the bladder--ureter, port site hernia, anastomotic leakage--stricture, obturator nerve injury--paralysis, gas embolism, catheter blockage, and miscellaneous like perineal pain, pubic osteitis, infection- urosepsis. The present review paper focuses on the identification and management of these complications The incidence of most complications directly correlates with the surgeons' experience, and the various complications are related to technical errors rather than to the technique itself. The laparoscopist performing endoscopic/ laparoscopic radical prostatectomy should be aware of all these complications. He should be able to recognise promptly, treat efficiently, and ideally prevent these complications.
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PMID:Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): prevention and management. 1708 96

Hernias of pelvic floor are very rare condition, and herniations of ureter into sciatic foramen are extremely rare condition which is globally reported only by 32 cases. Clinical aspects of ureterosciatic hernias appeared variously according to the degree of hydronephrosis, inflammation and infection of kidney due to ureter obstruction. Herein, we report our experience of laparoscopic repair in a patient with ureterosciatic hernia combined urosepsis.
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PMID:Laparoscopic Repair of a Ureterosciatic Hernia with Urosepsis. 3088 65

Ureterosciatic hernia and ureteral diverticulum are rare conditions. Only a few cases with surgical management for these conditions have been reported. We report a case of ureteral diverticulum due to ureterosciatic hernia in an 85-year-old woman admitted for septic shock. Computed tomography and retrograde ureterography revealed obstructive ureterosciatic hernia. During intraoperative laparoscopic mesh repair for the hernia after urosepsis treatment, we noted ureteral diverticulum that was also detected endoscopically at the herniated ureter wall. Suture plication was performed to prevent stricture and hernia mesh infection. To our knowledge, this is the first report on ureteral diverticulum due to ureterosciatic hernia.
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PMID:Laparoscopic Repair of Ureteral Diverticulum Caused by Ureterosciatic Hernia. 3220 50

Trichorhinophalangeal syndrome (TRPS) is a genetic disorder that may pose anesthetic challenges. We present a case of airway management for urgent surgery in a 56-year-old female with TRPS and difficult airway (macroglossia, narrow glottic opening, and hypoplastic epiglottis). Intubation was successful with video laryngoscopy using a size 2.5 pediatric blade and size 5.0 endotracheal tube. During emergence, she experienced bronchospasm and persistent urosepsis, necessitating intensive care unit (ICU) admission. Her pulmonary reserve was hindered by a Morgagni hernia causing lung compression. Our case demonstrates challenges in TRPS including challenging airway, decreased pulmonary reserve, and joint laxity introducing potential for spinal cord injury.
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PMID:Urgent Airway Management and Postoperative Complications in a Patient with Trichorhinophalangeal Syndrome. 3300 56