Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Endometriosis is ectopic endometrial tissue that responds to hormonal stimulation and is found in 8 to 15 per cent of all menstruating women. Endometrioma in a surgical scar is rare and appears in 0.1 per cent of women who have undergone cesarean section; 25 per cent of these women have concomitant pelvic endometriosis. Endometrioma in a scar can present as a painful swelling on the scar that worsens during cough and effort, with the patient's complaints resembling those of a postoperative hernia occurring in a scar. It can also mimic other lesions of the abdominal wall, such as hematomas, granulomas, abscesses, and tumors. Four cases of endometriomas in a cesarean section scar are described. Two were diagnosed preoperatively as postoperative ventral hernias, and the other two presented with an abdominal wall mass causing pain and discomfort. All patients underwent surgery, and the error of their preoperative diagnosis was revealed by histology, which confirmed endometrioma. We contend that endometrioma in scarring is a diagnostic pitfall that should be considered in the differential diagnosis of postoperative ventral hernias and various abdominal wall masses.
 ...
PMID:Endometriosis in abdominal scars: a diagnostic pitfall. 895 45

Lung hernia is a protrusion of pulmonary tissue through an abnormal defect in the wall of the thoracic cavity. Though the hernias may be congenital, they are usually acquired following a penetrating injury and surgical intervention. Symptoms are usually vague and infrequent. Pain and discomfort may be present at the site of a chest swelling that increases with forced expiration and valsalva and is readily reducible. Diagnosis may be confirmed radiologically by an oblique chest roentgenogram or a computed tomographic scan. Lung hernias only occasionally require surgical repair. We report the case of a 38-year-old man with acquired lung hernia, through a thoracotomy scar, and presenting as chest pain. A review of the literature is presented.
 ...
PMID:Hernia of the lung: a case report and review of literature. 906 96

The treatment of inguinal hernia using conventional procedures is related with a relative high rate of recurrency, discomfort and postoperative complications. This is the reason, why, in the last 6 months we began to perform the tension-free mesh-plug technique, starting from the American authors idea of preserving the sphincters-like action of the internal ring and the "sling" & "shutter" mechanism of the inguinal canal. Also, the dissection being minimal, it importantly reduced the possibility of postoperative complications (hematoma, seroma, ischemic orchitis). According to the hernia type, after the high dissection & ligation of the sac, on or more plugs are placed into the internal ring or/and the defect of the inguinal floor, reinforcing it with a second piece of flat mesh, from the pubic tubercle and beyond the internal ring. Though one experience is still small and of recent date, the results are encouraging: we didn't have postoperative complications and the patients discomfort was minimal.
 ...
PMID:[The treatment of inguinal hernias by the tension-free mesh-plug alloplastic technic]. 929 53

It has generally been historically stated that indirect inguinal hernias develop only in patients who have a patient processus vaginalis that enlarges to become a hernia sac. Occasionally, this theory has been challenged but without any objective evidence. Herniography was performed by placing 50 mL of nonionic contrast material into the peritoneal cavity. The patient was then placed in a prone position with the head of the table elevated. Films of the inguinal fossae were obtained with the patient straining. The herniogram revealed a right indirect inguinal hernia. There was no left inguinal hernia, nor was there a patent processus vaginalis on the left side. Two years later, the patient developed left inguinal discomfort and swelling and was found to have a moderate-sized left inguinal hernia. At the time of operation, an indirect sac of moderate size was present. A mesh plug repair was performed. This case report is the first published objective evidence that, contrary to common thought, a patent processus vaginalis is not a necessary prerequisite to the development of an indirect inguinal hernia.
 ...
PMID:The etiology of the adult indirect inguinal hernia: revisited. 935 83

We report four patients with various degrees of chronic, tonic, mildly painful, or non-painful, kyphoscolioses in orthostatism, which developed weeks, or months, after one or several laminectomies for lumbar disk hernia, in the absence of recurring radicular pain or acute lumbar pain. No family history or personal antecedent, of focal or generalized dystonia was found and the dystonia was not seen in any of the four patients pre-operatively, or during the immediate post-operative period. Only ill-defined lumbar 'discomfort', unlike their pre-operative lumbago, was reported by the patients, before and during the occurrence of the pathologic trunk posture on standing. Asymmetric lumbar muscle tonic contraction and hypertrophy was found on physical examination. In all patients, the kyphoscoliosis was maximal when standing, partially disappeared when seated, and completely when lying down. One patient responded well to clonazepam, but the other three showed no improvement with either clonazepam or local injections of botulinum toxin; L-dopa was ineffective in all cases, and trihexiphenidyle in three.
 ...
PMID:Delayed segmental axial dystonia of the trunk on standing after lumbar disk operation. 941 41

The rates of re-recurrent hernias after initial abdominal wall hernia repair are high. To reduce this intolerable high recurrence rate, 31 patients were treated by polypropylene-mesh implantation and followed up for about 3 years. Two new hernias could be diagnosed and were treated without problems by repeated implantation of Prolene-mesh. About 50% of patients complain of some pain at the edges of the implanted mesh--usually this makes only very few discomfort for the patients. The Polypropylene (Prolene) mesh implantation seems to reduce re-recurrence rates compared to published results of hernia repair without mesh implantation.
 ...
PMID:[Mesh-plasty for recurrent abdominal wall hernias--results]. 944 51

The purpose of this paper is to describe the subjective results after operation for ventral hernia. Patients operated for ventral hernia in the period from January 1, 1988 to December 31, 1992 were sent a questionnaire with a response rate of 87%. Forty-five percent had lasting discomfort, 30% were absent due to illness more than eight weeks after the operation and 22% were not able to go to work. These factors increase with the number of hernia operations. Regardless of the number of operations, about 70% of the patients wanted a new operation should the hernia recur. It is therefore important to give the patient an objective and detailed information to prevent from unrealistic expectations of the results of ventral hernia operation.
 ...
PMID:[Results after surgery of incisional hernias]. 947 48

Laparoscopic inguinal herniorrhaphy (LIHR) was introduced with the following potential advantages: less postoperative discomfort and pain, reduced recovery time that allows earlier return to full activity, easier repair of a recurrent hernia, the ability to treat bilateral hernias concurrently, the performance of a simultaneous diagnostic laparoscopy, ligation of the hernia sac at the highest possible site, improved cosmesis, and decreased incidence of recurrence. Potential disadvantages include complications, such as bowel, bladder, and vascular injuries; potential adhesive complications at sites where the peritoneum has been breached or prosthetic material has been placed; the apparent need, at least at the present, for a general anesthetic; and the increased cost because of expensive equipment needs. Most surgeons agree that LIHR has a role in the management of patients with a recurrent hernia after a conventional inguinal herniorrhaphy (CIHR), bilateral inguinal hernia, or a need for laparoscopy for another procedure, such as laparoscopic cholecystectomy. The routine use of LIHR for the unilateral, uncomplicated hernia is a more contentious issue.
 ...
PMID:Assessing risks, costs, and benefits of laparoscopic hernia repair. 950 52

Results of a prospective study of 776 TAPP procedures performed on 600 patients are reported. We found rates of 0.5% for intraoperative complications and 1.3% for early-postoperative complications. Late postoperative complications have been observed in an incidence of 4.4% for haematomas, 7.9% for scrotal discomfort, 1.2% for hyperaesthesia and trocar hernias have occurred in 0.9%. The recurrence rate was 3.9%. Results suggest that improvement of the technique of laparoscopic hernia repair may prevent complications and may lower future complication rates.
 ...
PMID:[Laparoscopic transperitoneal inguinal hernia repair (TAPP)--complications and results of a prospective study]. 957 51

Morgagni's hernias represent between 2 and 4% of the whole of nontraumatic diaphragmatic hernias in the adult, and the treatment (even with minimal symptoms) is always with surgery. We present the case of a 50-year-old woman with an oppressive, postprandial discomfort in the right side of her thorax and with increased pain when supine. The x-ray examination indicated a large portion of transverse colon inside the thoracic cavity. Once the diagnosis of Morgagni's hernia had been obtained, she was scheduled for laparoscopic surgery to reduce the hernia and to reconstruct the defect of the diaphragm using a polypropylene mesh.
 ...
PMID:Morgagni's hernia resolved by laparoscopic surgery. 961 72


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>