1/650. Painful incarcerated hernia following a rugby union lineout. Discussion related to hernias in sport usually involves the diagnosis and treatment of chronic musculotendinous groin disruption. A case of acute trauma in an incarcerated inguinal hernia, occurring in a rugby union player during a lineout, is presented. The injury arose as a result of a change in the laws of the game. ( info) |
2/650. The other side of the fence. Is reducing waiting lists by the now well established practice of day surgery the best way forward? Or is it a direct attempt to 'balance the books' because of political and executive pressure? I would question this current practice, because of my experience, the personal trauma and the high stress. Professionals made this worse by the lack of real consideration for family circumstances or individual needs. In the absence of a definitive adjustment, following proper objective evaluation of the present situation, the current problems may become impediments to what otherwise could prove a comprehensive addressing of certain clinical problems. ( info) |
3/650. Richter's hernia: a rare presentation of abdominal tuberculosis. intestinal obstruction due to Richter's hernia has not been reported in abdominal tuberculosis. This 21-year-old man with abdominal tuberculosis presented with small gut obstruction due to Richter's hernia associated with ascites and patent right processus vaginalis (PV). He underwent laparotomy with reduction of Richter's hernia and closure of the PV at the right deep inguinal ring. ( info) |
4/650. Preoperative sonographic diagnosis of sliding appendiceal inguinal hernia. Rarely, the appendix forms the sliding component of an inguinal hernia. We report the case of a 2-month-old boy who was preoperatively diagnosed with sliding appendiceal inguinal hernia by sonographic examination. To our knowledge, this is the first report in the literature of the preoperative sonographic diagnosis of a sliding appendiceal inguinal hernia. ( info) |
5/650. Parietal mesh abscess as an original presentation of cancer of the caecum. We report a case of cancer of the caecum in a 71-year-old male who presented with parietal mesh abscess. Two years before, he was treated for a right inguinal hernia by insertion of a Dacron mesh. CT scan then colonoscopy determined the existence of a voluminous caecal tumor perforated in the abdominal wall with an important abscess around the mesh. Right colectomy and parietal muscles excision were performed completed with postoperative radiochemotherapy. At 2 years, there is no evidence of recurrence. Atypical features with a hernia mesh repair associated with a sudden change in the patient's condition should alert the clinician to the possibility of a further subjacent pathological process. ( info) |
6/650. Synchronous laparoscopic vasectomy and hernia repair. Over the last few years, general surgery has seen the use of more and more laparoscopic techniques in the management of common surgical problems. This expanded use is attributable not only to the excellent results seen with laparoscopic procedures but also to patient demand. A 48-year-old man requested a laparoscopic hernia repair with synchronous vasectomy. The technique of synchronous laparoscopic hernia repair and vasectomy is discussed, and a literature review is provided. Certain disadvantages along with the difficulty in reanastomosis after a laparoscopic vasectomy will prevent the replacement of traditional vasectomy with the laparoscopic technique. ( info) |
7/650. Spinal anaesthesia and meningitis in former preterm infants: cause-effect? meningitis associated with spinal anaesthesia is a rare but well-known complication. We report on a case of fatal bacterial meningitis following spinal anaesthesia in a former preterm infant. The aetiology of this meningitis could not be established. Former preterm infants represent a high-risk population because of their susceptibility to group B streptococcal meningitis at this age as documented in a second case. Therefore we discuss whether meningitis was consequential or coincidental with spinal anaesthesia and could have been prevented by more comprehensive preoperative laboratory screening or prophylactic antibiotics. ( info) |
8/650. Transabdominal inguinal hernioplasty combined with abdominal aortic aneurysm repair. The number of patients being encountered with abdominal aortic aneurysm (AAA) and inguinal hernia is increasing. We describe herein a technique of performing a concomitant one-stage operation for both disorder. After conventional transperitoneal AAA repair, transabdominal preperitoneal hernia repair is carried out through the same incision using a prosthesis made from the same material as the graft used for AAA. The maneuver is similar to that of laparoscopic hernioplasty. We employed this technique in the treatment of four patients, none of whom developed any complications such as infection or recurrence of the inguinal hernia. Thus, we conclude that this one-stage operation for AAA and inguinal hernia may bring physical and economic benefits to patients who have both diseases concomitantly. ( info) |
9/650. Pseudomonas osteomyelitis of the symphysis pubis after inguinal hernia repair. osteitis pubis (OP) is a term used to describe an entity characterised by severe pelvic pain, a wide-based gait and bony destruction of the margins of the pubic symphysis. It is usually assumed that OP is a non-infectious, self-limiting, relatively benign condition. Infectious osteomyelitis of the symphysis pubis (IOSP) is very unusual and the clinical presentation can resemble OP. IOSP following inguinal hernia repair is extremely rare. A case of IOSP caused by pseudomonas aeruginosa is described. We reiterate the assumption that IOSP can be misdiagnosed as OP. ( info) |
10/650. Migration of the abdominal catheter of a ventriculoperitoneal shunt into the scrotum--case report. A 3-day-old male neonate presented with migration of the ventriculoperitoneal (VP) shunt tip through the patent processus vaginalis resulting in scrotal hydrocele. The association of myelomeningocele with hydrocephalus may have been a predisposing factor in this rare complication. Development of scrotal swelling or hydrocele in a child with VP shunt should be recognized as a possible shunt complication. ( info) |