The Role of Minimally Invasive Surgery in Appendectomy Within a Hernia

Gupta, Anupam; Vazquez, Oscar A; Burgos, Monica I; Yeguez, Jose

doi:10.7759/cureus.10630

Cited by 2 publications

(3 citation statements)

References 19 publications

(17 reference statements)

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“…For an umbilical hernia with appendicitis, appendectomy and anatomical repair is the appropriate treatment as well. 6 In our case, patient is having inflamed appendix in umbilical hernial sac, we did appendicectomy and herniorrhaphy without mesh. In recent literature showed laparoscopic surgery also helpful surgical option.…”

Section: Discussionmentioning

confidence: 82%

“…In recent literature showed laparoscopic surgery also helpful surgical option. 6 Amayand's hernia patients may present with non-specific symptoms, this remains a difficult diagnosis to make preoperatively and hence is mainly found intraoperatively during surgical exploration of a complicated inguinal hernia. A classification system designed to diagnose and treat Amyand's hernia was created and is called the Losanoff and Basson's criteria.…”

Section: Discussionmentioning

confidence: 99%

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Various unusual presentation of acute appendicitis in adult. A case series

Barman¹,

Panja²,

Samanta³

et al. 2023

Asian J Med Sci

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Acute appendicitis is common abdominal condition in our day to day surgical practice. Classical features include periumbilical pain that migrates to the right iliac fossa, anorexia, fever, and tenderness and guarding in the right iliac fossa. However, in our present study, three atypical presentation of acute appendicitis is demonstrated in clinical practice. These three cases do not have classical features of murphy’s triad, that is, nausea, vomiting, fever, and cardinal sign of positive Mcburney’s tenderness. Our three atypical cases are: (1) A 38 year old obese male patient who presented with features of umbilical inflammation with serous discharge due to presence of acute inflamed appendix in pre-existing small umbilical hernial sac. (2) A 49-year-old male medicine seller presented right sided scrotal pain with same sided inguino-scrotal swelling for short duration due to presence of inflamed swollen tip of appendix at bottom of right hemi-scrotum in pre-existing inguinal hernia. (3) A 81-years-male gentleman presented with anorexia, weakness, abdominal fullness, and bilateral pedal edema. He did not have pain abdomen, fever, and right iliac fossa tenderness. Imaging modalities confirmed the acute appendicitis in three cases. Diagnosis of appendicitis in absence of typical features is to be made from pre-occupied knowledge and with help of imaging studies.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Various unusual presentation of acute appendicitis in adult. A case series

Barman¹,

Panja²,

Samanta³

et al. 2023

Asian J Med Sci

View full text Add to dashboard Cite

show abstract

“…With the continuous development of medical technology, minimally invasive surgery has gradually replaced traditional open surgery in the medical field [ 8 ]. Laparoscopic surgery has been gradually selected and recognized by more patients because of its advantages of aesthetic wound, less injury, fast postoperative recovery, short hospital stay, light postoperative pain, and low postoperative recurrence rate [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Laparoscopic Total Extraperitoneal Umbilical Hernia Repair on Incision Infection, Complication Rate, and Recurrence Rate in Patients with Umbilical Hernia

Zhang

Liu

et al. 2022

Journal of Healthcare Engineering

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The aim of this study is to clarify the influence of laparoscopic total extraperitoneal umbilical hernia repair on incision infection, complication rate, and recurrence rate in patients with an umbilical hernia (UH). Sixty-seven UH patients referred to our hospital from June 2017 to June 2019 were selected as the research participants. Thirty-six patients in the research group (RG) were treated with laparoscopic total extraperitoneal umbilical hernia repair, and the other 31 cases in the control group (CG) were treated with traditional umbilical hernia repair. The two cohorts of patients were compared with respect to the curative effect after treatment; intraoperative blood loss, operation time, postoperative pain time, ambulation time, and hospital stay; incidence of complications; pain severity (VAS) before and after operation; sleep quality (PSQI) before and after operation; patient satisfaction after treatment; and recurrence half a year after discharge. The RG presented a higher effective treatment rate ( P < 0.05), less intraoperative blood loss, operation time, postoperative pain time, ambulation time, and hospital stay, as well as lower incidence of complications than the CG ( P < 0.05). VAS and PSQI scores differed insignificantly between the two cohorts of patients before treatment ( P > 0.05) but reduced after treatment, with lower VAS and PSQI scores in the RG than in the CG ( P < 0.05). The number of people who were highly satisfied, as investigated by the satisfaction survey, was higher in the RG than in the CG, while the recurrence rate of prognosis was lower than that in the CG ( P < 0.05). Laparoscopic total extraperitoneal umbilical hernia repair is effective for UH patients and can validly reduce the incidence of complications and recurrence rate, which has huge clinical application value.

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The Role of Minimally Invasive Surgery in Appendectomy Within a Hernia

Cited by 2 publications

References 19 publications

Various unusual presentation of acute appendicitis in adult. A case series

Various unusual presentation of acute appendicitis in adult. A case series

Effect of Laparoscopic Total Extraperitoneal Umbilical Hernia Repair on Incision Infection, Complication Rate, and Recurrence Rate in Patients with Umbilical Hernia

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