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

Twenty one surgically documented cases of Meckel's diverticulum in children treated at Kasturba Hospital, Manipal since 1981 are reviewed. Of them, 14 presented with intestinal obstruction, 2 with pain abdomen, 2 with Littre's hernia and 2 were found incidentally. Only one patient presented with gastrointestinal bleeding. The clinical profile of these patients is analyzed.
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PMID:Meckel's diverticulum in children. 151 19

Between Mar. 13 and Sept. 16, 1991, the authors performed 10 inguinal herniorrhaphies laparoscopically. Two patients with a type II hernia (indirect with dilated internal ring but intact posterior inguinal wall) had laparoscopic preperitoneal closure of the internal ring with interrupted 0-Prolene. Seven patients had a type IIIA hernia (direct), and one patient had a large type IIIB hernia (indirect with dilated internal ring and medial encroachment or destruction of transversalis fascia of Hesselbach triangle). They all underwent laparoscopic preperitoneal placement of Prolene mesh, which was fixed in place with interrupted 0-Prolene sutures. All patients recovered promptly, with less pain and minimal limping, resulting in high patient acceptance of the procedure. There were no complications. Although no recurrence was noted and the technique appears sound, it is too early to predict its long-term success. At present, the preperitoneal approach is difficult to perform because of lack of appropriate instrumentation. The surgeon who plans to perform such a procedure must be familiar with the anatomy. We suggest that every potential candidate for laparoscopic inguinal hernia repair should be apprised of the advantages and disadvantages of this approach. A research consent form should be read and signed by every patient.
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PMID:Laparoscopic inguinal herniorrhaphy. 153 20

Seventy-eight patients who had undergone a total of 82 free vascularised iliac crest tissue transfers were reviewed to determine the incidence of donor site complications. The most frequent problems encountered were early postoperative pain and long term sensory changes. Major complications such as femoral neuropathy and incisional hernia formation were encountered infrequently. More serious potential complications are discussed. In general, the functional loss associated with the free vascularised iliac crest tissue transfer was found to be acceptable, but the inclusion of a skin paddle was noted to be associated with a greater incidence of sensory changes, hernia formation and contour abnormalities.
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PMID:The free vascularised iliac crest tissue transfer: donor site complications associated with eighty-two cases. 156 53

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

Acute cervical sprain traumas can be divided into simple and severe, depending on the presence of organic lesions which can be documented by conventional radiologic techniques. Persistent painful symptomatology of the nape and the precise localization of pain, led us to suspect the presence of organic lesions due to tearing of the neck muscles in 94 patients who had suffered a simple cervical sprain. To demonstrate these post-traumatic lesions, the patients were subjected to US examinations of both the nape and the muscles at the base of the neck. In 13 cases (13.8%) muscular tearing lesions were demonstrated, which were characterized by hypoechoic lacunae (6 cases), by hyperechoic stripes (5 cases), and by muscular hernia (1 case); in 1 case, partial disconnection of a muscular insertion was demonstrated. Thus, we believe muscle-tendon US to be a valuable technique for both diagnostic and nosologic purposes, for the method allows simple cervical sprain to be discriminated from sprains which are complicated by organic muscular lesions. We suggest that the cervical sprain traumas where a muscular lesion due to tearing can be demonstrated be defined as "complex" traumas.
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PMID:[Muscle-tendon echography in acute cervical sprain traumas. Preliminary results]. 157 67

In a prospective randomized study was conducted on 80 patients undergoing elective hernia repair to assess whether a new slit-suction drainage is less painful than a Redon-suction drainage. Main endpoint of the study was the traction power in order to remove the drain. Other endpoints were pain at the time of removal of the drain and the effectiveness to draw off secretion. To remove redon drain the average traction power was 226 pond and to remove slit drain the average traction power was only 25 pond. The difference was significant (p less than 0.01). At the time of removal patients with slit drain rarely complained about pain (p less than 0.01). On contrary, patients with Redon drain always complained about pain. Clotting were seldom shown in slit drains and were frequently shown in redon drains. Both slit drains and redon drains were effective to drain secretion. As the new slit drain was more comfortable for patients following hernia repair slit drain should always be used as subcutaneous suction drainage.
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PMID:[Slit drainage--progress in drainage treatment after herniotomy]. 160 58

Bochdalek's hernia is infrequent in adults. We communicate the case of a 22 year old male that was admitted at hospital because of a thoracic pain of sudden onset. In the exploration there was pain in left hypochondrium non tolerating decubitus. Thorax radiology showed an "arched" image in left pulmonary base and pleural shedding. The patient underwent a surgical procedure in which a great gastric herniation was found, which forced a total gastrectomy.
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PMID:[Bochdalek hernia with gastric incarceration and volvulus]. 162 Sep 22

Salivary calculi are frequent and revealed by very painful signs, which need an urgent therapy. These calculi are more often localized in the submaxillary gland, sometimes in the parotid gland, and unfrequently in the sublingual glands. Their clinical signs include an increased volume of the gland (salivary hernia), pain of infectious complication. Diagnosis is confirmed by standard x-ray and sialography, which also predicate the localization of the calculi. The treatment is symptomatic including antispasmodic, sympatholytic and parasympathomimetic drugs and washings of the canal with antibiotic solutions. After few months of this treatment, the surgical treatment is indicated if the calculi stays in the canal. Depending on the localization of the calculi, the access way will be either endobuccal or external.
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PMID:[Salivary calculi]. 162 Oct 61

Repeated complaints of postoperative wound pain prompted this review of 113 consecutive vascular operations involving a retroperitoneal approach to the aorta or iliac vessels or both. Flank muscle-splitting incisions (n = 53) had been used to approach the terminal aorta or iliac arteries. Two types of muscle-dividing incisions had also been used: incisions through the eleventh intercostal space (n = 41) to approach the infrarenal aorta; and incisions through the eighth, ninth, or tenth intercostal space with division of the diaphragm (n = 19) to approach the suprarenal aorta. Data on incisional pain, lumbosacral neuritic pain, incisional hernia, and deforming abdominal bulge were culled from the records of follow-up examinations conducted on all patients during periods ranging from 2 to 48 months. Both types of muscle-dividing incisions used to expose the aorta were associated with a 23% (14/60) incidence of abdominal bulge, a 7% (4/60) incidence of incisional hernia, and, more important, a 37% (22/60) incidence of prolonged disabling pain. Thus, although retroperitoneal exposure may be the preferred or the safest approach to certain aortic lesions, its routine use via muscle-dividing incisions is not recommended when the proposed operation can be carried out equally well by the conventional midline transperitoneal approach.
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PMID:Wound complications of the retroperitoneal approach to the aorta and iliac vessels. 172 87

The twenty most asked and answered questions about advances in hernia surgery are enumerated. These inquiries have been collected over 20 consecutive years of exhibiting at a scientific booth at the American College of Surgeons conventions. The questions generally are concerned with synthetic patches, the use of local anesthesia, and, more recently, the "tension free" hernia repairs. The treatment of hernial sacs, the diagnosis, prevention and treatment of postoperative pain, the Shouldice Clinic repair, the importance of Cooper's ligament, and the cause, prevention, and treatment of recurrences are also examined.
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PMID:Twenty questions about hernioplasty. 174 84


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