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General surgery
Published in Kaji Sritharan, Jonathan Rohrer, Alexandra C Rankin, Sachi Sivananthan, Essential Notes for Medical and Surgical Finals, 2021
Kaji Sritharan, Jonathan Rohrer, Alexandra C Rankin, Sachi Sivananthan
A hernia is an abnormal protrusion of all or part of a viscus through a defect in the wall of the cavity that normally contains it. Complications: incarceration, obstruction or strangulation (a Richter’s hernia is a strangulated but not obstructed hernia).
Hernias
Published in Gozie Offiah, Arnold Hill, RCSI Handbook of Clinical Surgery for Finals, 2019
Unusual hernia types➢ Richter’s hernia: only part of the bowel circumference is trapped within the hernial sac. As a result there is a partial bowel obstruction with vomiting but the patient continues to pass flatus. Richter was surgeon in 1778.➢ Sliding hernia: a retroperitoneal structure such as the colon or urinary bladder slides down and forms the wall of the hernial sac.➢ Pantaloon hernia: both a direct and indirect hernia occur together.
Abdominal wall, hernia and umbilicus
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
In a special circumstance (Richter’s hernia) only part of the bowel wall enters the hernia. It may be small and difficult or even impossible to detect clinically. Bowel obstruction may not be present but the bowel wall may still become necrotic and perforate with life-threatening consequences. Femoral hernia may present in this way often with diagnostic delay and high risk to the patient (Figure60.4).
Specific small bowel injuries due to prolapse through vaginal introitus after transvaginal instrumental gravid uterus perforation: a review
Published in Journal of Obstetrics and Gynaecology, 2019
Goran Augustin, Davor Mijatovic, Bozidar Zupancic, Dragan Soldo, Mario Kordic
The exclusion criteria included: 1) small bowel entrapment (Richter’s hernia) or obstruction through the uterine wall but without a prolapse through the vaginal introitus, 2) small bowel evisceration through the vagina but not due to instrumental gravid uterine perforation, 3) complex injuries with bleeding and/or bowel perforation as the leading symptom, and 4) articles on the topic with cumulative data without data on mesenteric stripping/detachment or small bowel degloving.