Successful Laparoscopic Management of Chronic Diaphragmatic Hernia Post Trauma Masquerading As Intestinal Obstruction: A Case Series.

A rare and potentially fatal consequence of trauma is diaphragmatic rupture. Since severe concomitant injuries to other organs might obscure the signs and symptoms of acute diaphragmatic trauma, a high index of suspicion is necessary for clinical diagnosis, particularly in the absence of pathognomonic radiographic findings. Many clinical signs may appear years later in chronic situations.

Guidance for shared decision-making regarding orchiectomy in individuals with differences of sex development due to 17-β-hydroxysteroid dehydrogenase type 3 deficiency.

17β-hydroxysteroid dehydrogenase type 3 deficiency is a 46,XY difference of sex development (DSD) that may present in childhood with inguinal testes or at puberty following virilization. We present four individuals, assigned female at birth, to highlight complexities and considerations surrounding orchiectomy. We reviewed the literature and created a "FACT sheet" to guide shared decision-making for patients, parents, and providers.

Internal hernia as a rare cause of small bowel obstruction: An insight from 13 years of experience.

Background: Internal hernia (IH) is a rare culprit of small bowel obstruction (SBO) with an incidence of < 1%. It poses a considerable diagnostic challenge requiring a high index of suspicion to prevent misdiagnosis, improper treatment, and subsequent morbidity and mortality.

Aim: To determine the clinico-demographic profile, radiological and operative findings, and postoperative course of patients with IH and its association with SBO.

A Rare Case of a Petersen's Hernia During Pregnancy After Roux-en-Y Gastric Bypass.

Obesity is an escalating problem worldwide and is associated with increased adverse maternal and perinatal outcomes in pregnancy. Bariatric surgery offers women an effective method of sustained weight loss, with patients often less likely to develop obesity-related comorbidities in pregnancy, including hypertension and gestational diabetes. However, despite beneficial effects, previous bariatric surgery can also predispose pregnant patients to developing internal hernias.

Safety and efficacy of prophylactic onlay resorbable synthetic mesh with a comprehensive wound bundle at laparotomy closure in high-risk emergency abdominal surgery: an observational study.

Background: There has been a slow uptake of wound bundles and prophylactic mesh augmentation (PMA) strategies despite evidence supporting their role in reducing burst abdomens and incisional hernias (IH). This study evaluates outcomes of resorbable synthetic prophylactic mesh augmentation in reducing these rates and assesses the complication profile in emergency abdominal surgery.

Methods: A retrospective ethically approved observational study of all patients who underwent emergency open abdominal surgery using supplemental prophylactic onlay TIGR Mesh at Letterkenny University Hospital between September 2017 and April 2024 was undertaken to assess safety, complication profiles and outcomes.

Tissue expansion and heterologous mesh for abdominal wall reconstruction in the surgical separation of conjoined twins: A case series.

Introduction: Conjoined twin abdominal separation is a rare operation that requires complex closure techniques to ensure abdominal wall stability, visceral protection, and adequate skin closure. This study evaluates outcomes after the use of tissue expanders in abdominal wall reconstruction in omphalopagus twin pairs separation.

Methods: A retrospective study of all conjoined twin separations was analyzed between 1991-2020 at a tertiary medical center with two-staged tissue expander-based abdominal wall reconstruction performed by the senior surgeon (U.

Unilateral to Contralateral: A Rare Case of Sequential Obturator Hernias.

Obturator hernias are the rarest of all abdominal wall hernias. Multiparous women with a low body mass index (BMI) are at increased risk, and therefore, these hernias are sometimes referred to as "little old lady hernias." They occur more frequently on the right side than on the left, due to the sigmoid colon protecting the left obturator canal.

Uncommon Handlebar Hernia in an Adult Treated With Laparoscopy and Open Anatomical Repair.

Handlebar hernias, a form of traumatic abdominal wall hernia, are rare injuries resulting from blunt abdominal trauma in adults. Robust suspicion is essential for diagnosis given the subtle symptoms and intact skin. A 48-year-old male arrived with pain and swelling on the left side of his abdomen after a low-speed bicycle crash.

Prevalence and Risk Factors of Type 2 Diabetes Mellitus among Depression Inpatients from 2005 to 2018 in Beijing, China.

There are few data on the comorbidity of diabetes in Chinese patients with depression. We aimed to calculate the prevalence and explore risk factors of type 2 diabetes mellitus (T2DM) among depression inpatients from 2005 to 2018 in Beijing. This study is a cross-sectional study.

A prospective observational study on intraperitoneal mesh repair for small ventral hernias: Why open prevails over laparoscopic approach.

Introduction: With the ever-increasing demand for laparoscopic hernia repair, it is important to scrutinise the benefit in terms of recurrence, pain and cosmesis with the open technique for small ventral hernias. The objective is to compare the outcomes of open and laparoscopic intraperitoneal onlay mesh (IPOM) repair for small ventral hernias (defect size <3 cm).

Patients And Methods: A prospective analysis of patients who underwent surgical mesh repair for ventral hernias with defects smaller than 3 cm between January 2021 and September 2022.

Closure of contralateral patent processus vaginalis in laparoscopic unilateral inguinal hernia repair: Is it necessary?

Introduction: Laparoscopy has increasingly become a preferred method for repairing inguinal hernias in children. However, there is ongoing debate about the necessity of closing the contralateral open internal ring during laparoscopic repair of symptomatic unilateral hernias. This study aimed to determine the incidence of contralateral patent processus vaginalis (PPV) in children undergoing laparoscopic inguinal hernia repair and to evaluate whether closure of the contralateral ring is warranted in asymptomatic patients.

Laparoscopic versus open mesh repairs for small-sized ventral and incisional hernias: a propensity score analysis of a retrospective cohort of patients.

Introduction: For ventral/incisional hernias between 1 and 4 cm, there is still controversy regarding open or laparoscopic mesh repairs. The study evaluated via a propensity-score adjusted analysis, the differences in outcomes between a laparoscopic and open ventral hernia mesh repair.

Methodology: A single institution retrospective cohort study was performed.

Post-esophagectomy hiatal hernia following minimally invasive esophagectomy in esophageal cancer patients.

Introduction: Minimally invasive esophagectomy (MIE) has emerged as the preferred surgical method for esophageal cancer resulting from lower morbidity rates for MIE compared to open surgery. However, post-esophagectomy hiatal hernia (PEHH), also known as paraconduit hernia, once rare, is now increasingly observed as a late complication. This study aims to ascertain the prevalence, predictive factors, and surgical management of PEHH following MIE in esophageal cancer patients.

Neighborhood child opportunity and its association with complicated inguinal hernia in children: an analysis of a national insurance claims-based database.

Background: The Child Opportunity Index (COI) is a measure of neighborhood conditions associated with healthy child development. Inguinal hernia repair (IHR) is a common pediatric procedure. We sought to evaluate the association between COI and complicated inguinal hernia (IH), incarcerated or strangulated IH, among children with employer-based insurance coverage.

A cross-sectional study to evaluate responses generated by two AI software programs for common patient queries about laparoscopic repair of inguinal hernia.

This study aimed to evaluate the quality and accuracy of responses provided by two user-interactive AI chatbots, namely ChatGPT and ChatSonic, in response to patient queries regarding laparoscopic repair of inguinal hernias, and additionally determine the suitability of these chatbots in addressing patient queries related to inguinal hernia repair. Ten questions regarding laparoscopic repair of inguinal hernias were developed and presented to ChatGPT 4.0 and ChatSonic.

Acute incarcerated obturator hernia.

Background: Obturator hernia is a rare cause of intestinal obstruction that can be challenging to diagnose due to unspecific clinical presentation.

Case Presentation: A woman in her eighties with a history of involuntary weight loss presented to the emergency department due to acute pain in her right thigh, nausea and vomiting. On examination, the patient exhibited tenderness to palpation in the proximal and medial aspect of her right thigh.

Developmental and Genetic Considerations in a Neonate With Pectus Excavatum, Bilateral Hydroceles, Indirect Inguinal Hernia, and Type 2 Ileal Atresia.

This case study describes a combination of congenital anomalies observed in a full-term male neonate, including pectus excavatum, bilateral hydroceles, an indirect inguinal hernia, and type 2 ileal atresia. The neonate, delivered by cesarean section at 39 weeks and one day, presented with pectus excavatum and bilateral hydroceles, confirmed both prenatally and postnatally. Postpartum, the neonate experienced feeding difficulties and failed to pass meconium within 24 hours of birth.

Petersen's Hernia With a Twist.

Petersen's hernia is a well-recognized idiosyncratic complication of gastric bypass surgery for morbid obesity. Mesenteric vein thrombosis is a much rarer clinical entity and is generally associated with an underlying thrombophilia. We present a patient who developed a Petersen's space hernia with concomitant superior mesenteric vein thrombosis following a laparoscopic Roux-en-Y gastric bypass procedure.

Results of 1‑year follow‑up after umbilical hernia with rectus abdominis muscle diastasis repair using endoscopic subcutaneous onlay approach (SCOLA).

Introduction: Endoscopic subcutaneous onlay approach (SCOLA) mesh repair in combination with anterior plication of diastasis has recently become a commonly performed procedure.

Aim: The aim of this study was to analyze the results of 1‑year follow‑up in patients after umbilical hernia with rectal abdominal muscle diastasis repair using endoscopic SCOLA.

Materials And Methods: Our prospective cohort study included patients who underwent elective surgery for small‑ (<2 cm) and medium‑ (2-4 cm) size primary umbilical hernia with diastasis recti.

Incidental finding of metastatic mesothelioma in an inguinal hernia sac: a case report.

Inguinal hernias are the most common type of abdominal wall hernias, often requiring surgical intervention. Mesothelioma, a rare cancer associated with the linings of serous cavities, can occasionally be found in hernia sacs. This paper presents the case of a 38-year-old male with an incidental diagnosis of stage 4 pleural mesothelioma discovered during a routine inguinal hernia repair.

Outcomes of laparoscopic and open inguinal hernia repair in overweight and obese patients.

Background: Inguinal hernia repair in patients with high body mass index (BMI) ≥25 kg/m is associated with higher technical difficulties and longer perioperative time. Few studies, however, have compared the outcomes of laparoscopic versus open inguinal hernia repair in patients with high BMI in the Australian population.

Methods: In this retrospective observational study, we analyzed the data from 315 adult patients with a healthy BMI of 18.

Allelic frequency of 12-FGF4RG and the association between the genotype with number of calcified intervertebral discs visible on radiographs in Coton de Tuléar and French Bulldog breeds.

Background: Intervertebral disc disease (IVDD) is a major welfare issue in chondrodystrophic dogs. It is a consequence of chondroid metaplasia of the nucleus pulposus, leading to premature degeneration and calcification of the intervertebral discs (IVDs). Radiographic grading based on the number of calcified discs visible on radiograph (CDVR) between the ages of 24-48 months is an established method for selective breeding against IVDD in dogs.

Onlay mesh versus suture repair for smaller umbilical hernias in adults-early results from SUMMER trial: randomized clinical trial.

Background: Mesh repair is recommended for umbilical hernias larger than 1 cm to reduce recurrence rates, yet current evidence remains limited for smaller umbilical hernias. Important questions concern optimal mesh positioning and wound complications/surgical-site occurrences. The aim of this study was to report the preliminary results of a trial investigating surgical-site occurrences in suture versus mesh repair for umbilical hernias less than or equal to 2 cm.