Background. Laparoscopic hernia repair in infancy and childhood is still debatable. The objective of this study is to compare laparoscopic assisted hernia repair versus open herniotomy as regards operative time, hospital stay, postoperative hydrocele formation, recurrence rate, iatrogenic ascent of the testis, testicular atrophy, and cosmetic results. Patients and Methods. Two hundred and fifty...

Paraesophageal (type II) hiatus hernia represents a dis-• tinct anatomic and clinic entity requiring a unique therapeutic strategy, and is differentiated from the more common type I (sliding) hiatus hernia. All symptomatic patients, in the absence of prohibitive • operative risk, should undergo elective repair to prevent life-threatening complications, such as obstruction, strangulation , perfo...

Background: Incisional hernia is a hernia that protrudes through a defect in a previous abdominal wound, and is one of the complications after abdominal surgery. Many risk factors seem to be associated with its development, and there are different treatment modalities from conservative management to operative repair whether open or laparoscopic. Objective: To assess the relation between the typ...

Morgagni Hernia is a rare form of diaphragmatic hernia. It is mainly asymptomatic and often identified incidentally during surgery. Tension-free synthetic mesh repair is the preferred treatment modality. However, the use of synthetic mesh concurrently during a clean-contaminated surgery such as sleeve gastrectomy remains controversial due to the remote possibility of mesh infection. A middle-ag...

INTRODUCTION An Amyand's hernia is a rare occurrence of an inguinal hernia, with an estimated prevalence of 1%. The major complications of an Amyand's hernia include necrotizing fasciitis of the anterior abdominal wall and secondary intestinal perforation. Though the incidence of this type of hernia is low, the appendix may easily become initially incarcerated, possibly leading to strangulation...

DOUGLAS, D. M. (1942): Strangulated Hernia a Consideration of Some Factors Affecting the Mortality, Brit. Med. J., i, 354. FRANKAU, CLAUDE, (1931): Strangulated Hernia. A Review of 1487 Cases, Brit. J. Surg., 19, 176. MAINGOT, RODNEY (1955): Abdominal Operations, 3rd Edition, 1053 London: H. K. Lewis. McEVEDY, P. G. (1950): Femoral Hernia, Ann. Roy. Coll. Surg. Engl., 7, 484 OGILVIE, H. (1959):...

Paraesophageal hernia is a potentially lethal condition that has not been previously discussed in the family medicine literature. It accounts for 3.5% to 5 % 1 of all hiatal hernias. Diagnosis of paraesophageal hernia can be difficult. Patients are usually elderly and have symptoms of esophageal reflux or postprandial pain, bloating, and vomiting. The patient might have a history of hiatal hern...

Clinically, pure spermatic-cord lipoma has not been recognized as a disease entity but regarded as an incidental finding at the time of hernia repair, because it presents groin symptoms and clinical findings indistinguishable from those of inguinal hernia. We report the successful treatment of case of huge pure spermatic-cord lipoma originally misdiagnosed as inguinal hernia. The patients had t...

1 Clain A. Traumatic hernia. BrJtSurg 1964;51:549-50. 2 Atiemo EA, Goswami G. Traumatic ventral hernia. J Trauma 1974;14:181-2. 3 Dajee H, Nicholson DM. Traumatic abdominal hernia. Trauma 1979;19:710-1 1. 4 Payne DD, Resnicoff SA, States JD, Williams JS. Seat belt abdominal wall muscular avulsion. J Trauma 1 973;13:262-7. 5 Malangoni M, Condon RE. Traumatic abdominal wall hernia. I Trauma 1983;...

OBJECTIVES Several clinical factors; overweight, male gender and increasing age, have been implicated as the etiology of hiatal hernia. Esophageal shortening due to acid perfusion in the lower esophagus has been suggested as the etiological mechanism. However, little is known about the correlation between gastric acidity and sliding hiatus hernia formation. This study examined whether increased...