1/12. Prevention and management of access port site hernia associated with the laparoscopic adjustable gastric band.Access port site hernia is a rare complication associated with the laparoscopic adjustable gastric band (LAGB). Specifically, this unique problem occurs when a fascial defect allows herniation adjacent to the Silastic tubing connects the LAGB to the access port. A 48-year-old woman who had previously undergone placement of LAGB presented with a bulge lateral to the access port; physical examination revealed a hernia near the access port. At laparoscopy, a large portion of omentum was herniated lateral to the Silastic tubing at the port site. This was laparoscopically repaired by first reducing the omentum and then placing a surgical mesh underlay to cover the defect; the patient recovered uneventfully. Access port site hernia is a rare complication with only a single case report published in the literature. We present a case of access port site hernia that was laparoscopically repaired. In addition, we have identified several important technical aspects that may contribute to the development of access port site hernias.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
2/12. Obturator hernia: a difficult diagnosis.We have presented the case of an elderly woman with severe kyphoscoliosis, osteoarthritis and left knee effusion who had symptoms and signs of intermittent intestinal obstruction. Operation showed a left-sided obturator hernia. In any elderly, debilitated, chronically ill woman, symptoms and signs of recurrent small-bowel obstruction (without a history of abdominal surgery or external hernias) and pain along the ipsilateral thigh and knee (Howship-Romberg sign) should raise suspicion for an obturator hernia. If the hernia is not palpable by physical examination, a CT scan of the pelvis and upper aspect of the thigh would confirm the diagnosis before operation and allow prompt treatment and better chance of patient survival.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
3/12. Cervical lung herniation associated with upper airway obstruction.We present the case of a 6-year-old boy with reactive airway disease who developed cervical lung herniation resulting in compression of the trachea and audible stridor. This association has never been reported in the pediatric age group, and a review of the literature revealed that lung herniation is a rare condition in the pediatric population. Most patients are asymptomatic. Herniation occurs in the cervical area in approximately one fourth of patients. The diagnosis is usually made by physical examination and confirmed by radiographic studies. Treatment is seldom necessary; most patients require only education and reassurance. Surgical intervention is indicated when respiratory distress, cosmetic concerns, or progressive increase in size occur.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
4/12. Vanishing penis syndrome: the Ife experience.Twenty-five cases of vanishing penis syndrome as a rare cause of mechanical impotence seen over a nine year period in Ile-Ife are presented. Local aetiological factors some distinct from those earlier recorded in literature are highlighted. The prominent role which surgery can play in the management of this form of physical and mental handicap, loss of sexual function let alone becoming a social out cast is stressed.- - - - - - - - - - ranking = 0.089458343732854keywords = physical (Clic here for more details about this article) |
5/12. Aggressive angiomyxoma first diagnosed as levator hernia.When a 32-year-old woman was first seen, physical findings suggested she had a large levator hernia, but at the time of surgical resection an aggressive angiomyxoma was found.- - - - - - - - - - ranking = 0.089458343732854keywords = physical (Clic here for more details about this article) |
6/12. Lumbar hernia after latissimus dorsi flap.The authors present what they believe to be the first recorded case of a lumbar hernia following latissimus dorsi myocutaneous flap procedure. The authors discuss the diagnosis by physical examination and x-ray confirmation, pointing out the importance of not mistaking the hernia for a seroma. Suggestions for avoiding the problem are given, relating primarily to preservation of the fascia underlying the distal latissimus aponeurosis.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
7/12. Bilateral multiple muscle hernias of the leg repaired with Marlex mesh.We report a case of multiple muscle hernias of the legs, resulting from regular, intense, physical exertion. The multiple fascial defects were closed with Marlex mesh. On review after 5 years, there were no recurrences of the hernias.- - - - - - - - - - ranking = 0.089458343732854keywords = physical (Clic here for more details about this article) |
8/12. Muscle hernia in a recreational athlete.Muscle hernia is not a new entity but has received little attention in the medical literature. With the public's increased interest in fitness and physical conditioning, it is likely that the orthopaedic surgeon will encounter these injuries. We present the case of a recreational athlete with a peroneus longus muscle hernia that was successfully treated by fasciotomy.- - - - - - - - - - ranking = 0.089458343732854keywords = physical (Clic here for more details about this article) |
9/12. Traumatic diaphragmatic hernia presenting as an intercostal hernia: case report.Intercostal hernias are rarely reported in the literature. We report a case of intercostal hernia secondary to a ruptured right hemidiaphragm and fractured costal margin caused by blunt trauma. The patient was ventilated at initial hospitalization because of rib fractures and advanced age, and the intercostal hernia was not evident. After physical rehabilitation treatment elsewhere, a painful chest wall bulge developed. A chest film and computed tomographic scan revealed the hernia. Surgery with a thoraco-abdominal incision in the line of the hernia allowed reduction of the hernial contents.- - - - - - - - - - ranking = 0.089458343732854keywords = physical (Clic here for more details about this article) |
10/12. Herniation through the foramen of Winslow: report of a case.Herniation into the lesser omental sac through the foramen of Winslow is a rare cause of intestinal obstruction. A successfully managed case is presented. The clinical history and physical findings are reviewed, and radiographic findings are discussed. The proper interpretation of these findings should suggest the diagnosis. Treatment is prompt surgical correction, and various technical maneuvers that may be necessary are outlined.- - - - - - - - - - ranking = 0.089458343732854keywords = physical (Clic here for more details about this article) |
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