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

In 303 adults (185 men, 118 women) with unilateral groin pain and a normal physical examination, positive contrast herniography was performed. In 32 per cent of the patients a symptomatic hernia (ipsilateral) and in 18 per cent an asymptomatic hernia (contralateral) were found. The type of hernia was indirect, direct, femoral or obturator. Indirect and direct inguinal hernias were significantly more frequent on the ipsilateral side compared with the contralateral in men with right-sided groin pain. In women with left-side groin pain femoral hernias were significantly more frequent on the ipsilateral side compared with the contralateral. The size alone could not discriminate between ipsi- and contralateral hernias. The results indicate that in most patients there is no specific radiographic appearance which can discriminate between symptomatic and asymptomatic hernias.
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PMID:Herniographic appearance of contralateral inguinal hernia. 673 Oct 16

To evaluate its clinical benefit in adults, herniography was used in 73 patients with clinically unexplained groin pain. Hernias were demonstrated on the side with symptoms in 26 patients (36%). Relief of groin pain was registered in 16 of 17 patients who subsequently underwent operation. We consider herniography to be of value in the examination of adult patients with clinically unclear groin pain.
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PMID:Positive contrast herniography in adult patients with obscure groin pain. 722 80

Between March 1991 and May 1994, 444 laparoscopic inguinal hernia repairs were undertaken in 375 patients: 386 transperitoneal and 58 extraperitoneal. During a follow-up period of 20.5 months (range 1-38) there have been three recurrences at 6, 7 and 12 months, all direct and all after transperitoneal repair. A total of 52 patients were treated as a day case (< 6 h), 317 patients spent less than 24 h in hospital and four patients were discharged on the second postoperative day. Operating time for transperitoneal hernia repair was 27 min (range 10-68) and extraperitoneal repair, 29 min (range 11-48). Short-term complications occurred in 18 patients: six haematomas, four seromas, one urinary retention and seven suffered persistent groin pain. Six patients have had neuralgia, three have had mesh removed and three further patients had individual clips removed from within the inguinal canal. There have been two adhesive small bowel obstructions. The first occurred 2 months after laparoscopic surgery and required laparotomy; the second occurred 2 years after surgery and had laparoscopic division of an adhesive band to a pelvic staple. There was one infected lymphocoele treated percutaneously.
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PMID:Laparoscopic inguinal hernia repair. 774 70

Groin pain in athletes may be due to muscle strains, referral of pain from internal organs, and/or hernia. This study includes ten elite level hockey players unable to continue their careers due to groin pain. These patients did not present with the typical causes described above, including hernia. They were explored surgically and were found to have tears in the floor of the inguinal ring which were repaired either directly or with a synthetic mesh reinforcement (seven cases). All the patients have subsequently returned to hockey. Because these patients presented with symptoms similar to hernia, but did not have a hernia at the time of surgical exploration, they were considered to have a condition previously described as "sportsman's hernia".
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PMID:Abdominal wall muscle tears in hockey players. 775 Oct 76

In a prospective 3-year study herniography was used to assess patients with unexplained groin pain in whom clinical signs were inconclusive. Fifty-two patients were studied. No serious complications were observed. Twenty-two hernias were identified in 18 patients. The positive herniographic findings were confirmed at operation in 12 patients. Of 34 patients with a negative herniogram, none has developed a hernia. Pain settled spontaneously in 29 patients and five were referred to a pain clinic for further management.
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PMID:Herniography for occult hernia and groin pain. 782 Apr 95

Herniography is the roentgenographic demonstration of hernias in the pelvic region by positive contrast peritoneography. The main indication for herniography is obscure groin pain and the suspicion of a hernia not visible at clinical examination. In a review of the last 75 patients from 1991-93, 30 hernias and 18 other findings were demonstrated. 13 patients have been operated till now, and their results are presented. Only 5.6% of Norwegian hospitals perform ten or more herniographies a year. We find herniography to be a reliable and safe diagnostic method that should receive more attention.
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PMID:[Herniography. A 3-year material from a central hospital]. 784 61

The management of chronic pain in sportsmen and women requires consideration of a wide differential diagnosis. A syndrome caused by a distension of the posterior inguinal wall is described, effectively an early direct inguinal hernia. The diagnosis can be made from certain aspects of the history and examination, which are described. The results of surgical repair to the posterior inguinal wall are excellent. The procedure was carried out on 14 sportsmen and one woman. There is an 87% return to full sporting activity, with a follow-up of 18 months to 5 years. The remaining 13% were improved by the repair. Many of the athletes had received other treatments without success. The sports hernia should be high on the list of differential diagnoses in chronic groin pain.
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PMID:The sports hernia: a cause of chronic groin pain. 845 16

A case of bilateral obturator hernias which was diagnosed by ultrasonography (US) and computed tomography (CT), and repaired by a retropubic extraperitoneal operative approach under spinal anesthesia is reported herein. A 91-year-old woman presented with lower abdominal and left groin pain consistent with a Howship-Romberg sign. US demonstrated an image of the bowel projecting from the small pelvic space to the left thigh with a to-and-fro movement of the bowel contents. The definitive diagnosis of an incarcerated left obturator hernia was made by CT which also revealed a mass in the right obturator foramen. Surgery was performed through a retropubic extraperitoneal approach under spinal anesthesia. No necrosis was observed in the incarcerated bowel and resection was not necessary. A simple hernial sac was found in the right obturator canal. The operation using the retropubic extraperitoneal approach was successful and we believe it to be the most effective procedure for obturator hernias which have been diagnosed early.
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PMID:A case of bilateral obturator hernias: image diagnosis and description of a retropubic operative approach. 846 62

The case-notes of 189 athletes with chronic groin pain were reviewed to determine the prevalence of the underlying conditions. Diagnoses were determined following a review of their history, clinical examination, local anaesthetic infiltration, radiological investigation, surgical exploration and clinical progress. The most common pathology found was an incipient hernia (50% of cases). Twenty-seven percent were found to have multiple pathologies. An approach to the differential diagnosis and radiological investigation of athletes with chronic groin pain is suggested.
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PMID:The diagnosis of chronic groin pain in athletes: a review of 189 cases. 859 48

From January 1985 to May 1994, herniography was performed in 60 football players with groin pain but without clinical signs of hernia. Herniographic examination revealed 62 occult inguinal hernias in 51 cases, nine cases were normal. Fifty of these 51 cases were operated on. Surgery was postponed until the end of the league in one case. There was only one false positive examination. The herniographic and operative diagnoses corresponded well in the other 49 cases. There were three minor complications which have related to the needle sigmoid colon puncture, all of them were managed conservatively. There was no technical failure. These results indicate that herniography is a safe and valuable method to identify non palpable herniations causing groin pain of unknown origin in football players.
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PMID:The value of herniography in football players with obscure groin pain. 876 2


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