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

A case demonstrating an obscure cause of backache is presented in which an obturator bladder hernia was diagnosed preoperatively and corrected surgically.
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PMID:Obturator hernia of urinary bladder. 13 Jul 9

Among 1 800 patients operated on for hernia of the disc, 2% were completely negative on surgical exploration. Since a psychiatric aetiology might be involved, these patients were again given physical examination, clinical psychiatric examination and a personality test (minimult). This psychometric examination yelded pathological results in 68% of these patients. A comparison with two control groups operated on for hernia of the disc permitted a distinction of statistically significant differences. The results are compared with similar studies by other authors on patients with lumbalgia and dorsalgia. A practical approach is defined.
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PMID:[Nondiscal sciatica without organic lesion]. 14 6

A parallel investigation of the success of treating patients with chronic low back pain has been carried out at the Moravci Spa, at the Department for Physical Therapy and Rehabilitation and at the Rheumatology Department of Maribor Teaching Hospital. One hundred patients suffering from low-back pain were given a 14-day treatment in the termomineral water (T--36 degrees C) of the Moravci Spa. A comparative group of another 100 patients also suffering from pain in the lumbar region of the spine underwent equal balneo-physical treatment in plain water (T--32 degrees C) at the Dept. for Physical Therapy and Rehabilitation and at the Dept. of Rheumatology at Maribor Teaching Hospital, Slovenia. The educational background of the two groups features a statistically significant difference (p < 0.001): the percentage of patients with lower education was higher at the Moravci Spa (67%) compared with only 46% among those treated at Maribor Teaching Hospital. Correspondingly, the difference in occupation of the two groups were similar (p < 0.005): prevalent among the patients at Moravci Spa were bluecollar workers (40%) compared with white-collar workers (27%). The percentage of white-collar workers at Maribor Teaching Hospital was 45%. The average age of the patients treated at the Moravci Spa was 46.9 +/- 9.5 years (28-77 years), at Maribor Teaching Hospital it was 45.2 +/- 8.2 years (26-71 years). There was no statistically significant difference in age (p < 0.10) between the two groups. Generalized spondylochondrosis was present in both groups, i.e. 87%; approximately 10% of the patients from both groups underwent surgical treatment of hernia disci.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Results of a comparative study of the success of treatment of pain in the lumbar spine at the Moravske Toplice health spa, at the department of physical therapy and rehabilitation and at the department of rheumatology of the Maribor Teaching Hospital]. 136 51

Aneurysms of the abdominal aorta have been recognised as a cause of back pain and vertebral erosion. However back pain and paraplegia are uncommon, presenting complaints in patients with aortic aneurysms. A case of acute rupture of an abdominal aortic aneurysm is presented mimicking the symptoms of a discus hernia syndrome and paraplegia.
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PMID:Acute rupture of an aortic aneurysm mimicking the discus hernia syndrome. A case report. 140 19

Ever since the causal relationship between backache, radicular pain and intravertebral disc herniation was established [25], there have been different opinions about the degree of recovery of motor lesions of the nerve root caused by disc herniation. Of 123 patients with a severe motor deficit of the L5 nerve root, 95 patients were available for a follow up examination 4 to 8 years after the operation. The statistical evaluation showed that the degree of recovery of the root lesion was mainly dependent on the age of the patient and the time interval until operation. Even a prior herniation of the disc without much compression of the nerve root can cause chronic damage to the nerve through traction at the trilamellar nerve root fixation. So even in the case of only a small disc hernia with a corresponding nerve root lesion, we would recommend immediate operative therapy.
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PMID:[Regression of motor symptoms after intervertebral disk displacement-induced spinal nerve root lesion. Clinical study]. 157 Jul 8

Video-TUR has become a very important new technique in urology, causing far less discomfort than conventional techniques for the surgeon. A mini-chip camera (Olympus OTVS-2) is attached to the lens system of a continuous-flow resectoscope (Olympus). A television monitor (Sony PVM 1442) provides reliable guidance for the cutting loop when resection is necessary for the treatment of benign hypertrophy or carcinoma of the prostate or carcinoma of the bladder. To maintain a good intravesical flow system, which is very important for a clear field of view, a suprapubic cystostomy should be placed. The surgeon sits in a comfortable position with both eyes on the screen so that eye-strain, back pain and mental stress can be reduced. The excellent depth perception is due to a 50-times enlargement by the camera, so that tissue-orientated TUR is possible. Even when it is not possible to place the patient in an optimal position, because of scrotal hernia or coxarthrosis, TUR can still easily be performed. In 120 transurethral prostate resections and 30 transurethral bladder tumour resections, the video technique has proved comfortable for the surgeon and safe for the patient. Video-TUR has been helpful in the presentation of this technique in urologic teaching. TUR of the prostate has been freed from much of its mystique, since the procedure can be watched while it is in progress. The video technique has opened up a new epoch in endourology, whose importance cannot yet be realized.
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PMID:[Video-guided TUR]. 169 46

The abdominal wall function of 57 patients who have undergone TRAM flap breast reconstructions using the whole rectus muscle, on one side (33 patients) or both (24 patients), was evaluated 6 months to 2 years after surgery. The defect was repaired with a Teflon mesh buried in the rectus sheath. There was a perfect tolerance to the mesh, and no hernia or bulging of the abdominal wall developed. Patients had less back pain after (10 patients) than before (18 patients) the operation and found their sit-up and sport possibilities about the same as before. Detailed assessment of the abdominal muscles by the physiotherapist showed, however, a decreased function, more evident in bilateral cases. CT scans demonstrated a medialization of the lateral muscles, leaving only a small medial portion of the abdominal wall devoid of muscles. On the whole, no problem of clinical significance was encountered, and patients showed a high degree of satisfaction with the operation.
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PMID:Abdominal wall function after rectus abdominis transfer. 182 22

Twenty hernias of incarcerated fat at the inferior lumbar space were seen during a 23-year period. The usual complaint was a painful mass that caused a backache. The condition was more common in women and girls than in men (18 v two). The wider female pelvis creates a larger inferior lumbar space, which predisposes to the hernia. The hernia appears through a defect of the covering lumbodorsal fascia. Increased physical activity in young women seemed to be a causative factor. One patient had acute strangulation of incarcerated fat. Nineteen of the 20 hernias were treated with surgical excision and repair of the lumbodorsal fascial defect. Results of treatment were good. Though rare, hernias of the inferior lumbar space should be considered when back pain is present, particularly in a young, athletic woman.
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PMID:Hernia of the inferior lumbar space. A cause of back pain. 622 11

Diagnosis of lumbar hernia poses difficulties because of the gastrointestinal, genitourinary, or musculoskeletal symptoms with which it may present. Lumbar hernia, though uncommon, should be considered in the differential diagnosis of back pain and upper quadrant subchondral abdominal masses.
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PMID:Lumbar hernia due to defect in transversalis fascia. 645 33

Over a period of six years, the authors have seen sixteen cases of foraminal sciatica with an L5 topography which possesses the following unusual clinical features: long history of back pain with a grumbling course and without any acute episodes, progressive sciatica without any predisposing factors, paresthesiae particularly on standing with normal amipaque saccoradiculography and unresponsive to medical treatment. The operative finding in all of these patients was a disc compression in the intervertebral foramen (hernia, disc residue or softened disc), which was frequently associated with factors reducing the calibre of the foramen: abnormal position of the root and lowering of the pedicular roof caused by lumbosacral disc degeneration. This multi-factorial compression therefore required, depending on the case, curettage of the disc or a localized annulectomy combined with a facettectomy. The long term results of the operation can be considered to be favourable, in view of the long history of root pain (an average of 4 years) which largely explains the incomplete nature of the post-operative success.
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PMID:[Sciatic foramina radiculalgia. Apropos of 16 cases]. 663 14


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