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

Hedrocele represents an unusual variant of the rare posterior perineal hernia and results from a defect in the rectogenital septum. In the male, because of the prostate gland and the resistance of the perineal body, a hernia through this defect is directed posteriorly through the anterior wall of the rectum. Diagnosis is based upon an awareness of the entity combined with the finding of an anterior intraluminal rectal mass. Correction requires celiotomy and closure of the anatomic defect.
Dis Colon Rectum 1978 Mar
PMID:Hedrocele: report of a case and review of the literature. 64 84

This study was undertaken to evaluate our experience with umbilical colostomy. There were 101 cases available for review. Four patients had major complications that necessitated reoperation, an incidence of 3.9%. One patient was operated on for necrosis of the stoma, one for retraction, and two for periostomal evisceration of omentum and small bowel. Three patients had minor strictures requiring digital dilatation, and one needed minor revision under local anesthesia. No patient had a peristomal hernia or prolapse, making this a distinctly better colostomy than the conventional left-lower-quadrant colostomy. The ease and comfort in the care of this colostomy were evident during follow-up visits. We feel that this procedure has all the advantages of a conventional matured colostomy and has extra advantages of easy accessibility and absence of peristomal hernias and prolapse. For any elderly patient who needs a permanent colostomy, umbilical location of the stoma offers distinct advantages.
Dis Colon Rectum 1977 Apr
PMID:Umbilical colostomy: a better intestinal stoma. 84 92

Herniation into the lesser omental sac through the foramen of Winslow is a rare cause of intestinal obstruction. A successfully managed case is presented. The clinical history and physical findings are reviewed, and radiographic findings are discussed. The proper interpretation of these findings should suggest the diagnosis. Treatment is prompt surgical correction, and various technical maneuvers that may be necessary are outlined.
Dis Colon Rectum 1977 Sep
PMID:Herniation through the foramen of Winslow: report of a case. 90 50

A rare retrorectal hernia of the sigmoid colon associated with diverticulitis and a presacral abscess is reported. The anatomy of the retrorectal space is reviewed. The value of routine lateral fluoroscopy and overhead films is emphasized.
Dis Colon Rectum 1976 Oct
PMID:Retrorectal herniation of the sigmoid colon: report of a case. 97 32

An unusual variety of Maydl's hernia (hernia-in-W) in which all the herniated loops were colon is reported. The unusual anatomy of the hernia and its variations are described. It is important to examine the intraperitoneal intestine between the incarcerated loops in an effort to avoid leaving a nonviable segment of intraperitoneal intestine after repair of the hernia.
Dis Colon Rectum 1976 Oct
PMID:Sliding colonic Maydl's hernia: report of a case. 97 33

Results after operations for acute obstruction of the large intestine due to cancer were analyzed during a 10-year period and compared with the results after operations for nonobstructive tumors during the same period. The following conclusions could be deduced: 1) Cancer is more often obstructive in the colon than in the rectum. Cancers of the splenic flexure are relatively more often obstructive than cancers in other parts of the colon. 2) Postoperative morbidity (and probably mortality) is higher and the five-year survival shorter in patients with obstructive cancers of the large intestine than in those without obstruction. Obstructive Dukes' A tumors are very few. 3) The early morbidity and mortality after acute cecostomy are probably not higher than after acute transversostomy, if the cecostomy wound is left open. The cecostomy carries a risk of peritoneal contamination. 4) Cecostomy does not relieve obstruction in 5-10 per cent of the patients, while transversostomy seems always to be effective. Emergency exploratory laparotomy for obstructive cancer of the large bowel instead of a blind cecostomy reduces the number of patients who need two operations by 10 per cent. 5) Hernias are frequent at the sites of previous spontaneously closed cecostomies. 6) Antibiotic bowel preparation seems not to be effective shortly after decompressive colostomy.
Dis Colon Rectum
PMID:Acute obstruction in cancer of the colon and rectum. 112 51

Traumatic diaphragmatic hernias, although quite common are frequently overlooked as a cause of intestinal obstruction. The hernia may produce significant symptoms acutely or manifest itself many years following the initial injury. A high index of suspicion is necessary to diagnose intestinal obstruction due to incarcerated diaphragmatic hernia. The operation should be performed through the transabdominal approach when hernia occurs acutely, and the transthoracic approach is recommended when herniorrhaphy is performed long after the time of injury. A case of incarcerated traumatic diaphragmatic hernia that occurred 19 years following a gunshot wound of the chest is reported. The intestinal obstruction was initially thought to be due to cancer of the splenic flexure of the colon.
Dis Colon Rectum 1976 Mar
PMID:Incarcerated diaphragmatic hernia: report of an unusual case. 125 58

The case of a 64-year-old female who presented with difficult evacuation of stool is reported. A posterior perineal hernia was diagnosed by dynamic proctography. The patient had an unusual herniation of the upper rectum through the perineal defect. At surgery, there was no peritoneal sac, since the herniation occurred extraperitoneally. The patient was treated with repair of the pelvic floor using Marlex mesh and rectopexy. Pelvic floor hernias are rare and often difficult to diagnose. The three types, in order of decreasing frequency, are obturator, perineal, and sciatic. The etiology, diagnosis, and treatment of each is discussed.
Dis Colon Rectum 1992 Jun
PMID:Rare pelvic floor hernias. Report of a case and review of the literature. 158 82

Complex perineal fistula and persistent perineal sinus are difficult to treat. We describe our experience with wide excision of the diseased perineum using a combined abdominoperineal approach. Ten patients were reconstructed by a rectus abdominis myocutaneous flap (n = 7), rectus abdominis muscle flap (n = 2), and omental graft (n = 1). Primary healing was achieved in all cases. A median follow-up of 18 months (range 6-54 months) has shown no recurrence of perineal disease or associated abdominal incisional hernia. There were no perioperative deaths. We propose that the rectus abdominis myocutaneous flap is indicated if large amounts of perineal skin has to be sacrificed. When less skin is removed a repair with greater omentum or rectus muscle alone is adequate. The abdominoperineal approach together with filling the residual pelvic cavity with well-vascularized tissue allows definitive treatment to be carried out in one stage.
Dis Colon Rectum 1991 Feb
PMID:The value of the rectus abdominis myocutaneous flap in the treatment of complex perineal fistula. 182 93

Because of its relative safety, colonoscopy has become an accepted diagnostic and therapeutic procedure in the evaluation of patients with colorectal disorders. Many unusual complications of colonoscopy have been described, but only anecdotal reports of hernial incarceration have been published. We present a case of a right-sided hernial incarceration of the colonoscope that would not permit reduction of the hernia nor removal of the instrument by conventional means. The mechanism of incarceration, which dictates the size of hernia at risk for incarceration, is explained. The "pulley" technique, which was used to remove the instrument without surgical intervention, is described.
Dis Colon Rectum 1991 Feb
PMID:Incarceration of colonoscope in an inguinal hernia. "Pulley" technique of removal. 199 18


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