Hernia inguinal pdf articulo

We report our experience of 14 patients diagnosed with umbilical or unguinal hernia. Prevesical hernia is a rare cause of bowel obstruction. Abstract currently, there are multiple classifications for the different types of hernias, being the european hernia society ehs classifications, the only one that allows a simple organization, depending on their size. Anillo inguinal profundo moderadamente dilatado, asociado a una zona debil en dicho triangulo. Little is known about the epidemiology of inguinal hernia in resource poor settings, however the prevalence of inguinal hernia in tanzanian adults is 5. Inguinal hernias, or hernias that occur in the groin, may become evident at any age. The processus vaginalis must be patent for this type of hernia to occur. He denied any significant medical or surgical history. Most authors consider hernias to be painless or slightly painful. Although the incidence of complication has been reduced in recent years, particularly recurrent hernia, as yet no technique has been identified.

Inguinal hernia medical definition and causes definition a hernia occurs when part of an organ usually the intestines sticks through a weak point or tear in the thin muscular wall that holds the abdominal organs in place. The antimesenteric border of the intestine must protrude into the hernia sac the most common location is at the site of a femoral hernia. Whats left is an opening at the upper part of the inguinal canal. They develop when fatty or intestinal tissues push through a weakness in the abdominal wall near the right or left inguinal canal. Pablo gonzalo pol herrera i i hospital general docente enrique cabrera. Case report abstract the clinical presentation of a hiatal hernia, is a true diagnostic and therapeutic challenge for the health staff, because the presence of gastroesophageal reflux disease is not a synonym for hiatal hernia and on the other hand, a hiatal hernia not always debuts with. The traditional open approach to incarcerated inguinal hernia has several drawbacks including difficulty avoiding tension in the swollen and edematous tissues. Clinical report assessment and management of inguinal hernia in infants abstract inguinal hernia repair in infants is a routine surgical procedure.

Direct and indirect hernias are the two types of inguinal hernia, and they have different causes. Hernia inguinal diagnostico y tratamiento mayo clinic. Meckel diverticulum as the sole component of the hernia sac. Inguinal hernias most often contain fat or part of the small intestine. They usually appear as a swelling or lump in the groin and as they enlarge may also cause an enlargement of the scrotum in men. Inguinal hernia is a common surgical problem, but it can present a surgical dilemma for the skilled surgeon when it exhibits. Suture and meshbased techniques can be used, and the procedure can be either open. The processus vaginalis must be patent for this type of hernia. Symptoms of an inguinal hernia usually appear gradually and include a bulge in the groin, discomfort or sharp pain, a. Defectos pared abdominal sx abdomen ciruela pasa presion intraabdominal dialisis peritoneal, shunt vp, ascitis, enf. If no bulge is detected with a valsalva maneuver, a hernia is unlikely. Inguinal and umbilical hernias during pregnancy are commonly found in clinical practice.

A 6weekold infant with irreducible inguinal hernia. Inguinal hernias are the most common type of groin hernia. Inguinal hernias are one of the most common reasons a primary care patient may need referral for surgical interven tion. Hernia inguinal, herniorrafia, reparacion protesica, hernioplastia. Inguinal hernia repair is the most common general surgical procedure in industrialized countries, with a frequency of about 200 operations per 100 000 persons per year. On the morning of admission, he had become increasingly irritable. A baby can get an indirect inguinal hernia if the lining of their abdomen doesnt fully close while theyre developing. The history and physical examination are usually sufficient to make the. A 6weekold infant was evaluated in the emergency department with a chief complaint of an irreducible inguinal hernia. An inguinal hernia occurs in the abdomen near the groin area. An indirect inguinal hernia is a congenital lesion.

There are several types of hernias, based on where they occur. These hernias make up 75% of all abdominal hernias and mainly affect men 5. An inguinal hernia is the protrusion of a loop or more of the intestine through a weakened area in the abdominal wall. Patricio gac e, fernando uherek p, maeva del pozo l, alfonso oropesa c y enrique rocco r. Hernia inguinal indirecta funicular tipo 3 hernia inguinal indirecta inguinoescrotal tipo 4 hernia inguinal directa. Hernia inguinal, hernioplastia inguinal, edad, genero, complicaciones, clasi. Dear editor, inguinal hernia and colonic neoplasm are usual diseases. An inguinal hernia can occur any time from infancy to adulthood and is much more common in males than females. We report our experience of 14 patients diagnosed with umbilical or unguinal hernia during pregnancy and the perinatal outcomes. Tejido conectivo ehlerdanlos anomalias del tracto genitourinario genitales ambiguos. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and. The laparoscopic repair of inguinal hernia was introduced today as an alternative to conventional repair of inguinal hernia in children, however its use is less accepted.

Hernia inguinal, hernia crural, hernia estrangulada, herniorrafia, plastias protesicas. Inguinal hernias occur when bowel tissue or fatty tissue protrudes into the groin area at the top of the thigh. In this article, the authors describe the anatomy of the inguinal region from the surgeons point of view, the causes and predisposing factors for inguinal hernia development, the diagnostic approach and evolution of the surgical technique, bringing to question some controversial aspects concerning the treatment of this pathology. National statistics from england identified that 5% of repairs of primary inguinal hernia were emergency operations in 19989. Inguinal hernias are at risk of irreducibility or incarceration, which may result in strangulation and obstruction. Inguinal hernia bulges above the inguinal ligament, with the hernia neck above and medial to the pubic tubercle inguinal hernia is most common in males femoral hernia bulges below the inguinal ligament in the upper thigh, with the hernia neck below and lateral to the pubic tubercle femoral hernia, which occurs less frequently than. It may also be the surgery offering the largest number of technical options. Elderly patients are not particularly susceptible to, or particularly protected from, this problem. Su resolucion quirurgica no ha podido ser estandarizada.

Clinical report assessment and management of inguinal. In this article, we report a case of colonic neoplasm presenting a strangulated inguinal hernia. Hernia umbilical es una protuberancia alrededor del ombligo. The diagnosis of an inguinal hernia is confirmed if an impulse or bulge is felt. The establishment of an ehs school for teaching inguinal hernia repair surgical techniques, including tips and tricks from experts to overcome the learning curve especially in endoscopic repair. Pdf international guidelines for groin hernia management. Defectos pared abdominal sx abdomen ciruela pasa presion intraabdominal dialisis peritoneal, shunt vp, ascitis. Clinical symptoms of uncomplicated groin hernia are not adequately emphasized in the specialized literature. Repair of inguinal hernia is the surgical procedure most often conducted by general surgeons. Inguinal hernia repair is one of the most frequently performed surgical procedures in the netherlands 30,000 per year. Inguinal hernia appears as a bulge in the groin or scrotum. Indirect inguinal hernia an indirect inguinal hernia occurs when any intraabdominal structure protrudes through the deep inguinal ring entering the inguinal canal. When an inguinal hernia occurs, part of the peritoneumthe lining of the abdominal cavitybulges through the abdominal wall and forms a sac around the hernia. Although the incidence of complication has been reduced in recent years, particularly recurrent hernia, as yet no technique has been identified as the ideal treatment.

In girls or women, inguinal hernias may contain part of the female reproductive system, such as an ovary. Abd wall hernias university of tennessee college of medicine. Critical to the repair of richters hernia is an adequate evaluation of the intestine for viability. The hernial contents can complicate the pregnancy and can prove fatal to both mother and fetus.

1557 309 749 362 1160 523 1383 774 1541 1565 346 1460 3 326 1450 1070 1632 1255 941 1194 1183 825 1408 728 1202 551 827 1002 1288 1048 1469 1360 741 1419 525 1662 1388 1086 21 457 1171 949 1366 135 1433 204 831