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

Traditional surgical techniques base themselves on some conceptual mistakes, the first of which is that the new wall is built with lots of stitches and this is the reason for pain and long time spent in bed. The second one is that the new wall is built with the patient's muscles and aponeurotic tissues, this procedure leading to biological weakness. It is not possible to demonstrate the connection between traditional techniques and hernia recurrence, but we think that there are enough reasons to choose prosthesis technique. In all our cases of inguinal and femoral hernia the procedure applied was the Trabucco tension-free hernioplasty repair. This technique is simple, effective, rapid, the post-operative pain is reduced and all patients return to full activities rapidly. Now, with the modern prosthetic materials and new surgical techniques it's possible to repair all types of hernias and re-create normal anatomic function of the abdominal wall without new tension between muscles and aponeurothic structures. Authors show the actual trend of tension-free inguinal and femoral hernia repair, by taking into consideration risks, type of anaesthesia and surgical technique.
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PMID:Trabucco's procedure and local anaesthesia in surgical treatment of inguinal and femoral hernia. 765 86

Two cases of intestinal perforation associated with inguinal hernia or incisional hernia are presented along with a review of the literature. The great majority are men over the age of 45 with a reducible and usually right-sided inguinal hernia. When a loop of bowel lies opposite a point of weakness in the abdominal wall, such as a hernial orifice, and intraabdominal pressure suddenly rises, the resulting intraluminal pressure ruptures the bowel where it is unsupported. Perforation results in diffuse peritonitis in a few hours. The treatment consists in laparotomy, simple closure of the perforation and drainage of the abdomen. Repair of the hernia is recommended 2 months after healing of the peritonitis. If the complication is early detected and treated the outcome is good.
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PMID:[Perforation of the small intestine in patients with hernia]. 766 96

The authors report a case of large postoperative umbilical hernia following laparoscopic cholecystectomy, which occurred in the early postoperative period despite primary suture of the trocar insertion site. Forced dilation of the fascial layer is proposed as the etiological mechanism. This procedure should be avoided and an accurate and aseptic removal of the gallbladder should be performed in order to prevent risk of abdominal wall weakness and visceral herniation.
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PMID:Large postoperative umbilical hernia following laparoscopic cholecystectomy. A case report. 799 62

Development of the iliac crest microsurgical free flap has significantly enhanced the surgical restoration of the mandible. A decade of heavy clinical use has established the versatility and efficacy of this technique. A recent literature review suggests a 96% success rate has been achieved. This donor site provides a long vascular pedicle, appropriately shaped bone, skin, and soft tissue. These properties enable tailoring of the flap to precisely fit the defect. The flap has overcome bone size and movement restrictions imposed by regional pedicles. The retained blood supply induces rapid fracture-like healing and provides metabolic independence from the recipient bed. Incorporating an internal oblique muscle island enhances flap utility. The muscle provides a source of oral lining and sanctions the reconstruction of compound defects with a single flap. In an effort to refine the bony component and reduce donor site morbidity, the principal author has introduced the split inner cortex modification. This method has eliminated abdominal wall weakness and hernia, while improving postoperative pelvic contour. The split inner cortex microsurgical iliac crest free flap is the current standard for oromandibular reconstruction in our institution. Additional refinements to internal fixation, TMJ restoration, and osseointegration have resulted in a more refined, comprehensive reconstruction.
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PMID:The iliac crest microsurgical free flap in mandibular reconstruction. 811 11

Herniation of the calcified nucleus pulposus is a rare complication of intervertebral disc calcification in children. Surgical intervention is rarely indicated in the majority of such cases. This paper reports a 12-year-old boy with a calcified nucleus pulposus at C7-T1 which had ruptured into the spinal canal, causing dissociated motor loss. Anterior discectomy and fusion were performed and the patient's muscle weakness markedly improved after surgery.
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PMID:Herniation of calcified cervical intervertebral disc causes dissociated motor loss in a child. 827 61

An internal hernia of the stomach through a gastro-splenic defect is presented. This exceptional condition, that we can include between abdominal internal hernias, induced an high bowel occlusion that needed of emergency surgical treatment. The dilatation of the stomach, the weakness of anchorage structures, its ability to rotation and the emptying kinetic activity posterior actually favoured the incarceration of a part of the posterior wall in a gastro-splenic defect. Detension, hernial reduction and suture of gastro-splenic defect resolved the case: no post-operative complications, the patient was discharged in eight post-operative day.
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PMID:[Internal hernia of the stomach through gastro-splenic ligament defect]. 852 8

Intradural lumbar disc herniation is a rare pathological entity. Three new cases among a series of 5000 lumbar spine operations are added to the about 60 previous case reports in the literature. None of our patients had undergone lumbar spine surgery before. In one patient the location of the free disc fragment was medial within the dural sac; in two patients the free disc fragment had penetrated the dural sac from the axilla of the nerve root. Pathogenesis is discussed (congenital adhesions of the dura mater to the posterior longitudinal ligament at the lower lumbar spine; weakness of the dura mater ventrally and at the axilla of the nerve root). By multiplanar MRI, the free disc hernia within the dural sac may be shown preoperatively.
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PMID:Intradural lumbar disc herniations: report of three cases. 854 33

Herniation of the left peroneus longus muscle was present in three male members of the same family, being the first reported case of this condition in a familial setting. The hernias were differentiated from other mass lesions and varices by magnetic resonance imaging. The images demonstrated a fascial defect originating in the area where vessels and nerves penetrate the fascia, suggesting that the three men had a congenital weakness in the fascia.
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PMID:Magnetic resonance imaging of hereditary hernias of the peroneus longus muscle. 861 60

Twenty-three children from 8-60 months (mean age 21.13 months) admitted with neuromuscular manifestations of diarrhea related hypokalemia were studied. Forty four per cent cases were suffering from diarrhea at the time of admission but in majority of cases (56%), the diarrheal episode had already terminated. Mild hypokalemia was seen in 17.4%, moderate in 43.5% and severe in 39.1%. Neck flop was the commonest (100%) neuromuscular manifestations followed by diminished bowel sounds (82.6%), truncal weakness (52.2%), weakness of limbs (52.2%), lethargy (43. 5%), abdominal distension (43.5%), respiratory involvement (4.3%) and phantom hernia (4.3%). Two cases (8.7%) had flaccid paralysis of both the lower limbs. Severe hypokalemia was more frequently observed in children below 24 months of age and those who had received i.v. fluids or salt sugar solution before reporting in the hospital. A significant correlation was noticed between severity of hypokalemia and frequency of stools (p < 0.05), degree of dehydration (p < 0.01), severity of nutrition (p < 0.01) and extent of neuromuscular involvement (p < 0.01). Our results highlights the importance of diarrhea related hypokalemia particularly in young malnourished children who are rehydrated with solutions inadequate in potassium. Early diagnosis and appropriate treatment can promptly reverse these manifestations within 48-72 hours.
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PMID:Neuromuscular manifestations of diarrhea related hypokalemia. 863 3

The pulmonary hernia is a rare entity defined by protrusion of pulmonary tissue through an abnormal weakness of the thoracic wall. We describe a case of spontaneous pulmonary hernia associated with osseous sternocostal abnormalities in a patient with a Recklinghausen disease.
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PMID:[Spontaneous pulmonary hernia and Recklinghausen disease]. 872 43


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