Motorbike-handlebar hernia - a rare traumatic abdominal wall hernia: a case report and review of the literature - Tianyi FL, Agbor VN, Njim T.
BACKGROUND: Handlebar hernias are very rare and arise following a sudden force from a handle-like object impacting a focal area of the abdomen, which results in a disruption of the underlying abdominal muscle and fascia without necessarily disrupting the o...
Condition: Botulinum Toxin, Component Separation, Rives Repair, Large Hernia Intervention: Procedure: botulinum toxin type A Sponsor: Hospital Universitario La Fe Completed
BY FAHAD SHAH &AHMED RAZIUDDIN, MDA 68-year-old woman presented with acute abdominal pain that had started three hours earlier. She said she had constant upper abdominal pain that was sharp and stabbing, and she rated her pain as 8/10.The patient said the pain did not radiate, and she was clearly in acute distress. She reported that her last meal had been four hours before and that she was nauseated and had had three to four episodes of dry heaves.She had no other concerning symptoms, and her pain was unaffected by eating, drinking, or position. She had a paraesophageal rolling hiatal hernia and was aware of her chr...
Conclusions. Complex hernia repairs using bioabsorbable mesh were conducted in a small cohort of high-risk patients. These data demonstrate good outcomes with limited morbidity and mortality. There were no recurrences. PMID: 31617453 [PubMed - as supplied by publisher]
To demonstrate a surgical video where-in a robotic-assisted colostomy take-down was performed with anastomosis of the descending colon to the rectum after reduction of ventral hernias and extensive lysis of adhesions.
Endometriosis is a condition in which tissue similar to but not the same as the lining of the uterus is found throughout the pelvic cavity. Pelvic Physical Therapy is a sub specialty of physical therapy focused on the hip, lower abdomen, and pelvis from the bones, to the muscles, including the pelvic floor, to the nerves and fascia. Ongoing pelvic pain post excision of endometriosis by a gynecology specialist may be treated by a pelvic physical therapist. In one year, a pelvic physical therapy practice specializing in endometriosis issues, multiple patients were suspected to have occult, or no bulge, hernias as sources of pelvic pain.
Perineal hernias are exceptionally uncommon gynecologic pathologies that may have a drastic impact on women's health. Hernias that contain pelvic visceral structures present an especially unique challenge that requires immediate attention. Evidence is lacking as to the optimal surgical approach. Our objective is to describe our minimally-invasive technique for the repair of primary posterior perineal hernias with symptomatic bladder prolapse.
DISCUSSION: despite of poor results, surgical treatment in these cases must be urgent. PMID: 31595761 [PubMed - as supplied by publisher]
ConclusionAs PDH can lead to major and life threatening complications, it must remain in our minds as a possible cause of intestinal obstruction.
ConclusionRecent high-level literature recommends the use of mesh repair (flat mesh) in all patients with hernia width ≥ 1 cm. This evidence is limited to the use of flat mesh through an open approach. While AHSQC surgeons do offer mesh repair in the majority of cases, this is most commonly using a mesh patch, and is selective towards larger hernias and obese patients. Further research is required to evaluat e the safety of mesh patches, and a mesh repair should be offered to a young non-obese healthy patient, as they benefit similarly from the use of mesh.
Publication date: Available online 7 October 2019Source: Urology Case ReportsAuthor(s): Joshua Winston, James Salinas, Fadi NuwayhidAbstract:Inguinal hernias involving the ureter or inguino-scrotal ureters are a rare and infrequently described finding with both clinical and surgical consequence. While the majority are asymptomatic and rarely cause obstructive uropathy our case aptly highlights the risk to a general surgeon prior to an elective hernia repair. A review of the literature outlines a systematic approach of investigation if clinical suspicion of an inguino-scrotal ureter is raised, with careful operative plannin...