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Inguinal hernia, hydrocele, and other hernias of the abdominal wall
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Sophia Abdulhai, Todd A. Ponsky
Sometimes there may be an associated direct inguinal hernia and definite posterior wall weakness. Again, this may be repaired by inserting a few non-absorbable sutures between the conjoint tendon and the inguinal ligament (Bassini repair).
Surgery
Published in Seema Khan, Get Through, 2020
Invagination of loose scrotal skin allows palpation of the inguinal canal through the external ring. A lump above and medial to the pubic tubercle is an inguinal hernia. To differentiate between an indirect and a direct inguinal hernia place your finger on the internal ring (located 1 cm above the femoral pulse at the midinguinal point) and ask the patient to cough. A lump below and lateral to the pubic tubercle is a femoral hernia.
Upper GI surgery
Published in Philip Stather, Helen Cheshire, Cases for Surgical Finals, 2012
An indirect inguinal hernia is located: Lateral to the inferior epigastric arteryMedial to the inferior epigastric arteryMedial to the superior epigastric arteryLateral to the superior epigastric artery
Effects of Laparoscopic Hernia Repair by PIRS (Percutan Internal Ring Suturing) Technique on Testicular Artery Blood Supply
Published in Journal of Investigative Surgery, 2019
Akgun Oral, Leyla Karaca, Ali Ahiskalioglu, Abdullah Yildiz, Murat Yigiter, Mehmet Emin Celikkaya, Temirlan Chyndolotov, Ahmet Bedii Salman
Inguinal hernia repair is the most commonly performed surgical operation in pediatric surgery. The treatment option accepted worldwide is ligation of the hernia sac at the internal inguinal ring level through conventional open surgery (COS).1,2 Since this method can be performed through a small incision, this technique has gained popularity. Its limitations include the necessity of dissection in the tissue, inability to detect the presence of contra-lateral meta-chronous hernia, and the inability to distinguish between direct and indirect inguinal hernia.3 A second operation is usually required and patients have to receive anesthesia for a second time.
Image of the month: cyst of the canal of Nuck
Published in Acta Chirurgica Belgica, 2018
Banu Karapolat, Hatice Ayça Ata Korkmaz, Gulgun Kocak, Eser Bulut
Cyst of the canal of Nuck is a rare cause of the swellings occurring in the inguinal area in women. Homologous to the processus vaginalis in men, the canal of Nuck is a pocket-shaped evagination of the parietal peritoneum that follows the same path as the round ligament of the uterus in the inguinal ring. Normally, this canal obliterates at birth or early infant period and loses its connection with the peritoneal cavity, but sometimes it can remain patent. If it remains completely patent, it forms an avenue for an indirect inguinal hernia. Partial proximal obliteration with a patent distal portion causes a cyst of the canal of Nuck, which is also referred to as female hydrocele [1].
Pattern of inguinal hernia in Al- Basra teaching hospital: a prospective clinical study
Published in Alexandria Journal of Medicine, 2021
Inguinal hernia, often referred to as a rupture by patients, is the most common type of hernia in both men and women but occurs more commonly in men [1]. There are two basic types of direct and indirect inguinal hernia that fundamentally differ in their anatomy, causation and complications. However, they are anatomically very close to each other, and have similar surgical repair techniques; the ultimate reinforcement of the weakened anatomy is identical [1].