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strangulated Femoral Hernia: A Challenging Surgical Vignette —Case Report and Review of Literature

International Journal of Clinical Medicine 2014年第2期5卷 72-75页

作者： Ketan Vagholkar Department of Surgery Dr. D.Y. Patil Medical College Navi Mumbai India

External hernia is one of the commonest causes of intestinal obstruction. Femoral hernia is a relatively uncommon hernia. It has a very high complication rate due to delayed diagnosis caused by deceptive symptomatology and subtle signs. CT scan enables a prompt diagnosis. Rigorous resuscitation followed by prompt surgical intervention is the mainstay of treatment. A case of a strangulated femoral hernia in a patient with complicated co morbid medical disorders is presented to highlight the pitfalls in initial clinical assessment.

关键词： strangulated Femoral Hernia Diagnosis Surgical Treatment

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Single Incision Laparoscopic Transabdominal Preperitoneal Repair for strangulated Groin Hernia

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International Journal of Clinical Medicine 2013年第6期4卷 35-38页

作者： Po Ching Cathy Ng George Pei Cheung Yang Michael Ka Wah Li Department of Surgery Pamela Youde Nethersole Eastern Hospital Hong Kong China

Introduction: Single incision laparoscopic surgery (SILS) has become more popular for various surgical procedures including hernia surgery. Initial results of SILS in elective hernia repair were comparable to those of conventional laparoscopic approaches. However the use of SILS in emergency case has not been widely reported. This study aimed to evaluate the feasibility of the use of single incision laparoscopic transabdominal preperitoneal (TAPP) repair for patients presenting with strangulated groin hernia. Method: Emergency single incision laparoscopic TAPP repair were performed in our unit from June 2011 onwards for selected patients. Retrospectively data including the patient demographics, operative time, type of hernia, hospital stay, complications and recurrence rate were collected and analyzed. Result: There were a total of five patients in this series from June 2011 to June 2012. The median age was 62 years old with a male to female ratio of 4:1. Four patients had unilateral hernia (one femoral and three inguinal hernias) and one had bilateral hernia (unilaterally strangulated femoral hernia and bilaterally reducible indirect inguinal hernia). The median operative time was 75 minutes for patients with unilateral repair. None of the patients required bowel resection. The conversion rate to either conventional laparoscopic or open repair was zero. The median hospital stay was 2 days. No major complication or recurrence was detected. Conclusion: This series showed that single port laparoscopic TAPP repair for strangulated groin hernia is a feasible option with no major complication reported.

关键词： Single Incision Laparoscopic Surgery Transabdominal Preperitoneal Repair strangulated Hernia Groin Hernia

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Necrotic Appendix in Amyand’s Hernia: A Case Report

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International Journal of Clinical Medicine 2013年第7期4卷 1-3页

作者： Aybars Ozkan Mesut Okur Murat Kaya Adem Kucuk Ilyas Sari Department of Pediatric Surgery Duzce University Medical School Duzce Turkey Department of Pediatrics Duzce University Medical School Duzce Turkey.

A three-month-old boy was admitted by red, firm, painful swelling in the right groin and vomiting. Surgical repair with appendectomy was performed. We want to emphasize that if the patient has an irreducible strangula... 详细信息

关键词： Amyand’s Hernia Necrotic Appendix strangulated Inguinal Hernia Infant

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