Hernia Emergencies

Abstract

Hernia emergencies are commonly encountered by the acute care surgeon. Although the location and contents may vary, the basic principles are constant: address the life-threatening problem first, then perform the safest and most durable hernia repair possible. Mesh reinforcement provides the most durable long-term results. Underlay positioning is associated with the best outcomes. Components separation is a useful technique to achieve tension-free primary fascial reapproximation. The choice of mesh is dictated by the degree of contamination. Internal herniation is rare, and preoperative diagnosis remains difficult. In all hernia emergencies, morbidity is high, and postoperative wound complications should be anticipated.

Case report and operative management of gallbladder herniation

“…A hernia is a protrusion of a viscus, or part of a viscus, through the walls of its containing cavity [ 1 ]. A variety of intra-abdominal organs may be found in a hernia sac, such as omentum, small bowel, colon, bladder, appendix, stomach, ovary or fallopian tube (or a combination of these).…”

Evaluation and clinical significance of predictors for strangulation and intestinal resection in emergency anterior abdominal wall hernia surgery

“…In addition, emergency inguinal hernia repairs are performed nearly as often as appendectomies. [6] It was previously stated that similar to the situation in elective practice, the most common localization in emergency anterior abdominal wall hernias was the groin region. [7,8] Accordingly, comparable results were obtained in this study.…”

“…The duration of pre-operative symptoms longer than 24 h was previously suggested to be a significant predictor of strangulation and necrosis. [6] However, the duration of symptoms before surgery was neither registered nor analyzed in this manuscript, which could be regarded among the limitations of this study.…”

Estudo prospectivo do Ângulo Pubo Bicrista Ilíaca através da reconstrução 3D da pelve óssea e a correlação com a hérnia incisional gigante

“…A s hérnias incisionais (HI), primárias ou recidivadas da parede anterolateral do abdome (PAA) sobretudo as da linha média e gigantes (HIG), cujo diâmetro transverso do anel herniário é ≥10cm, tem sido um desafio ao cirurgião na sua correção e interpretação das consequências fisiopatológicas [1][2][3] . Mais de 2.000.000 de laparotomias são realizadas nos Estados Unidos da América, sendo que destas, 150.000 são reoperações por hérnias incisionais 4,5 .…”