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

Over a 15-month period, 39 patients (37 men) of mean age 52 years underwent laparoscopic inguinal hernia repair. Seven patients had bilateral hernia. Forty-six hernias (33 indirect, five direct, eight both direct and indirect) were repaired. A piece of polypropylene mesh measuring 8 x 10 cm was used to cover the direct and indirect spaces with an endoscopic multifeed hernia stapler. The mean operating time for unilateral and bilateral repair was 49 and 63 min respectively (range 25-90 min). One-third of patients required no postoperative analgesia and only seven had more than one injection of pethidine. The median postoperative stay was 1 (range 1-3) days. The mean period to resumption of daily activities was 7 (range 4-21) days. Three patients complained of paraesthesia of the lateral aspect of the thigh and one developed a hydrocele. Two recurrences were noted on follow-up at 3 months.
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PMID:Early results of laparoscopic intraperitoneal onlay mesh repair for inguinal hernia. 761 54

From December 1991 to October 1993, 230 laparoscopic operations were performed for urological indications in 205 patients, including 48 children aged between 6 months and 14 years. The rate of intra-operative complications was 2.5%. Intra-operative bleeding (2 patients), cardiovascular insufficiency (1 patient) and pneumothorax (1 patient) necessitated conversion to laparotomy in 4 patients. In another patient intra-operative bleeding occurred, which was successfully managed conservatively by means of blood transfusion. The only serious postoperative complication was a hernia at the entry site of a trocar in a 6-months-old child. A broad spectrum of different operations was performed, including diagnostic and therapeutic laparoscopy for cryptorchism and intersex states, varicocele ligature, pediatric hydrocele (transection of an open processus vaginalis), nephrectomy, ureterectomy, heminephroureterectomy, marsupialization of renal cysts and a lymphocele, pelvic and retroperitoneal lymphadenectomy, adrenalectomy, ureteral re-implantation, pyeloplasty, lumbar sympathectomy and herniotomy. The overall results were very satisfactory.
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PMID:[Laparoscopic interventions in urology]. 787 97

Twenty-two prepubertal patients with cryptorchid testes after having previous inguinal surgery were referred. These included 17 patients in whom orchidopexy had been unsuccessful. Five patients had prior surgery for hernia and/or hydrocele resulting in surgical entrapment of the testis. Five patients had bilateral disease. In 1 patient the testis was involved in Marlex mesh, 1 had had two prior orchidopexies, and 1 had prune belly syndrome. Postoperatively the testes were in good position in the scrotum in all 22 cases, with mean follow-up of 8.9 months. All testes were of normal size, and no atrophic testes ensued following the procedures. Principle factors for success in re-exploration included initial retrograde dissection of the testis and cord, intraperitoneal exposure, and subsequent dissection and adequate lengthening of the cord with protection of the spermatic vessels.
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PMID:Reoperation for cryptorchid testis in prepubertal child. 810

Twenty-five patients with scrotal hernia and hydrocele were studied. The testicular sizes of the patients were measured by using ultrasonography and the sliding caliper was used for calculations during surgery. The actual testicular volumes and those obtained by ultrasonography were not statistically different (p > 0.05). It is suggested that ultrasonography may be an alternative to orchidometers.
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PMID:Measurement of testicular volume by ultrasonography. 816 50

A retrospective review of 556 boys who had undergone inguinal herniotomy or surgery for hydrocele was carried out to assess the value of early routine postoperative follow-up. Of 386 children given an appointment, 319 (82.6 per cent) attended. The testis was no longer palpable in the normal scrotal position in 12 boys; eight were normal on further review and four required orchidopexy. Six hydroceles, all of which resolved, and four contralateral hernias were detected. Nineteen boys (4.9 per cent) were referred later with recurrent hernia (two patients), ipsilateral high testis (two), or contralateral hernia or hydrocele (15). Of 170 children not given a routine appointment, ten (5.9 per cent) were subsequently referred back with a transient hydrocele (two) or a contralateral hernia (eight). After a total of 440 appointments, eight boys (1.8 per cent) were found to have a significant abnormality. The rate of referral back to hospital was similar in both groups. Early discharge would make more efficient use of outpatient resources without significantly affecting overall outcome.
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PMID:Follow-up after inguinal herniotomy or surgery for hydrocele in boys. 829 41

It is accepted that a range of epididymal anomalies exists in boys with cryptorchidism, varying from ductal patency aberrations to abnormal attachments of the epididymis to the testes or even complete absence. Despite several series characterizing these variations, there are few studies of normal controls for comparison. We document normal epididymal anatomy in boys. During an 18-month period ending in 1991, 94 boys (mean age 4.8 years, range 1 month to 18 years) underwent inguinal or scrotal exploration unrelated to cryptorchidism. Epididymal anatomy was recorded for all exposed testes. Indications for surgery included hydrocele or hernia in 85 boys, torsion in 8 and varicocele in 1. A total of 112 epididymides was examined and the configurations were recorded as type 1-head and tail attachment with a "looped" body in 94 of 112 cases (83.9%), type 2-complete attachment to the testis in 14 (12.5%), type 3-head attachment only in 3 (2.7%), type 4-tail attachment only in 0 (0%), type 5-nonfusion in 1 (0.9%) and type 6-anomalies of ductal patency in 0 (0%). These data reveal that the most common epididymal configuration in normal boys is a looped epididymis with the head and tail attached (84%) followed by complete fusion with the testes (12.5%). Other variations are rare. Absence of the epididymis was not observed.
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PMID:Normal epididymal anatomy in boys. 830 96

Acute obstruction of a patent processus vaginalis occurred in two boys, mimicking incarceration of an inguinal hernia. In fact, obstruction was caused by an intussusception of the processus vaginalis forming an intussuscipiens that occluded the hernia sac. This lesion, described previously in 1896 and in 1974, is one of the mechanisms by which an asymptomatic hernia or hydrocele becomes acutely symptomatic.
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PMID:Distal intussusception of processus vaginalis: a cause of acute hydrocele. 832 28

Suppuration of a congenital hernia or communicating hydrocele following generalized peritonitis is rare. The lack of reported cases in the recent literature may indicate a decreasing incidence of this unusual complication. We report a case of suppuration of a communicating hydrocele with testicular loss 2 days after treatment of perforated appendicitis in a 10-year-old boy.
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PMID:Inguinal-scrotal suppuration following treatment of perforated appendicitis. 843 94

Opsite skin closure without skin suture was compared with subcuticular Vicryl in a randomized trial in children undergoing day-case surgery for hernia, hydrocele or undescended testis. Ninety-nine groin closures were randomized, 47 to Opsite and 52 to subcuticular Vicryl. There was no difference in the duration of operation or in the cosmetic appearance of the wounds. Complications were all minor and similar in both groups. Opsite alone is suitable as a skin closure for the groin wounds in children.
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PMID:Opsite skin closure in day case paediatric surgery: is a subcuticular suture necessary? 899 43

Five cases of hydrocele of the spermatic cord are presented. All five patients had a firm inguinal mass, and ultrasonography, performed to exclude adenopathy, incarcerated hernia, and paratesticular tumor, showed an avascular cystic mass superior to and separate from the testicle. A testicular hydrocele did not coexist. This typical appearance should lead to a confident diagnosis of this benign but rare anomaly. Elective surgery may prevent the development of an acquired indirect hernia.
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PMID:Hydrocele of the spermatic cord: embryology and ultrasonographic appearance. 875 64


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