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Unusual presentation of obturator hernia: A case report of knee pain mimicking musculoskeletal condition.
Int J Surg Case Rep
January 2025
Department of General Surgery, Frankston Hospital, Peninsula Health, Victoria, Australia.
Background: Obturator hernia is a rare type of pelvic hernia that often presents with vague symptoms that can easily be confused with other conditions. Delayed diagnosis can lead to increased morbidity and complications.
Case Presentation: A 67-year-old female with a history of rheumatoid arthritis presented with escalating right knee pain, unresponsive to increasing doses of opioids.
A clinical assessment of preperitoneal packing adequacy for pelvic fracture bleeding control.
J Clin Orthop Trauma
October 2024
Trauma Surgery & Critical Care, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Background: This study aimed to objectively assess the laparotomy pads to potential hemorrhage sites proximity in pelvic fracture patients who underwent post-pre peritoneal packing (PPP) CT scans with packs in situ.
Methods: The CT scans of 19 patients were assessed to measure the distance between laparotomy pads and predetermined pelvic anatomical landmarks.
Results: A total of 38 measurements showed that the median pack-to-point distance for the sacroiliac joint was 2.
Factors Associated With Pelvic Infection After Pre-Peritoneal Pelvic Packing for Hemodynamically Unstable Pelvic Fractures.
Surg Infect (Larchmt)
June 2024
Division of Gastrointestinal, Trauma, and Endocrine Surgery, Department of Surgery, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA.
Article Synopsis
- * Out of 222 patients reviewed, 14% developed infections, with a significantly higher rate (45%) observed in those who required repacking of the pelvis.
- * Key independent risk factors for infections identified include the presence of open fractures and the need for pelvic repacking, leading to further medical interventions in most infected patients.
Purpose: Management of scrotal hernias presents as a common challenge, with operative interventions to address these hernias associated with higher rates of morbidity compared to those of less-complex pathology. Surgeons have advocated for the use of techniques such as primary abandonment of the distal sac as a potential means to reduce complications for operative intervention, with preliminary findings demonstrating feasibility. We sought to assess outcomes related to primary sac abandonment among patients undergoing minimally invasive (MIS) repair of scrotal hernias.
View Article and Find Full Text PDFArterial angioembolisation versus pre-peritoneal pelvic packing in haemodynamically unstable patients with complex pelvic fractures: a meta-analysis.
Eur J Trauma Emerg Surg
August 2024
Department of Orthopaedic and Trauma Surgery, University Medical Center Groningen, Groningen, The Netherlands.
Introduction: Angioembolisation (AE) and/or pre-peritoneal pelvic packing (PPP) may be necessary for patients with complex pelvic fractures who are haemodynamically unstable. However, it remains unclear whether AE or PPP should be performed as an initial intervention and ongoing debates exist. This meta-analysis aimed to compare AE versus PPP in haemodynamically unstable patients with acute pelvic fractures.
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