This case report illustrates an unexpected advantage of using the laparoscopic approach for inguinal hernia repair in infants. In this paper, we report an infant referred to us with a diagnosis of an irreducible left inguinal hernia. He presented with a 1-day history of bilious vomiting and poor weight gain on breastfeeding. On arrival, a reducible left inguinal hernia was found and he was scheduled to have a laparoscopic inguinal hernia repair. During laparoscopy, chylous ascites was noted and the transverse colon and appendix could not be visualized. This raised the suspicion of malrotation with obstruction, which was confirmed on an upper gastrointestinal contrast study. He was taken back to the operating theater and a malrotation with volvulus was confirmed at laparotomy. A Ladd's procedure was performed, and he made an uneventful recovery.
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http://dx.doi.org/10.1089/lap.2007.0197 | DOI Listing |
CRSLS
December 2024
Rutgers New Jersey Medical School, Department of Surgery, Newark, New Jersey. (Drs. Lad, Hsiung, and Amin).
Introduction: It is rare for adult female patients to present with incarcerated inguinal hernias containing ovary, fallopian tube, or uterine tissue. Potential surgical treatment options for incarcerated inguinal hernias containing ovary, fallopian tube or uterine tissue include open inguinal hernia repair (IHR), laparoscopic or robotic IHR.
Case Description: Herein, we report a case of an adult female presenting with a unilateral incarcerated inguinal hernia containing ectopic pregnancy.
Cureus
November 2024
Urology, Avitis Institute of Medical Sciences, Palakkad, IND.
Lumbar hernias are a rare form of abdomen wall hernias. As this is a rare disease, treatment options are not standardized. Most case reports, even recent ones, describe open techniques.
View Article and Find Full Text PDFCureus
November 2024
Surgery and Transplantation, Universitätsspital Zürich, Zürich, CHE.
The surgical repair of giant inguinal hernias with loss of domain, defined as the relocation of the majority of the intestine into the hernia sac, poses a significant challenge. In the majority of cases, a combination of different surgical techniques with the placement of multiple meshes is necessary to achieve reduction of such complex hernias. The reduction of chronic giant hernias can increase the risk of abdominal compartment syndrome or cardiopulmonary complications.
View Article and Find Full Text PDFClin Pract
December 2024
Department of Urology, University Hospital of Patras, 26504 Patras, Greece.
Deep or aggressive angiomyxoma is an uncommon neoplasm of the pelvis. Although deep angiomyxoma is a benign tumor, its tendency to infiltrate soft tissues and reach a large size (typically > 10 cm) indicates aggressive biological behavior. It is usually present in female patients, but there have been recent reports of male-aggressive angiomyxoma.
View Article and Find Full Text PDFHernia
December 2024
Department of Surgery, Tsudanuma Central General Hospital, 1- 9-17 Yatsu, Narashino, Japan.
Purpose: In laparoscopic inguinal hernia surgery, proper recognition of loose connective tissue, nerves, vas deferens, and microvessels is important to prevent postoperative complications, such as recurrence, pain, sexual dysfunction, and bleeding. EUREKA (Anaut Inc., Tokyo, Japan) is a system that uses artificial intelligence (AI) for anatomical recognition.
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