Incarceration Of Intestine Research Articles

COMPARISON BETWEEN OUTCOMES OF IPOM AND SUBLAY MESH HERNIOPLASTY FOR VENTRAL HERNIA

Introduction:
 Abdominal wall hernia is a common condition encounter in surgical OPD. There is 2% chance of developing hernia in lifetime wheres umbilical / paraumbilical hernia accounts for 10-14% of all the hernias. Ultimate treatment of abdominal wall hernia is surgery and mesh placement. Early surgery can avoid multiple complications including incarceration of intestine. Multiple patient factors that can cause recurrence of hernia or development of incisional hernia laprotomy incorporate age, male sex, COPD ,diabetes mellitus, somking and obesity. Multiple operative modalities are present for ventral hernias, commonest being laproscopic IPOM and Open sublay. Different meta-analysis recommends that laproscopic hernia repair is best in defect size not more than 10cm.
 Objective: 
 objective of this study was to compare the efficacy of intra-peritoneal (IPOM) mesh repair with open sublay mesh repair for PUH in terms of operative time, post operative pain, hospital stay and recurrence.
 Material and Methods:
 This study was done in department of surgery at surgical unit III , Lahore General Hospital starting from january 2018 till january 2019. Patients presenting with paraumbilical hernia were admitted from SOPD. An aggregate of 50 participants were included in this study. Majority of patients were females (46 in number) with age ranging from 26 years to 55 years. Rests of patients were males (04 in number) with age ranging from 40 years to 60 years. Patients undergoing open surgery were placed under O-group and patients undergoing laproscopic repair were placed under L-group. Patients were followed up on 10th post-op day, 4 weeks, 6 month and 1 year interval. Inclusion criteria: All patients of both sexes with para umbilical hernia presenting in the SOPD was included in the study. Exclusion criteria: All patients with obstructed, strangulated PUH were excluded in the study. Patients with co-morbid conditions like diabetes mellitus (DM), COPD (Chronic obstructive pulmonary disease), IHD (Ischemic Heart Disease) were also excluded.
 Results:
 50 participants included in this study had age ranging from 26 years to 60 years. Mean duration of operation in L-group was 81 ± 13 minutes while in O-group, duration of operation was 89 ±19 minutes. Hernia defect size in both groups was approximately same. mean size defect was 13.3 ± 2.6 cm2 for L-group and 13.1 ± 2.9 cm2 in O-group. Post-operative Duration of Hospital atay for L-group was 36-60 hours while hospital stay in O-group was 48 to 72 hours. Recurrence rate after 1 year in L-group was 01 while in O-group;recurrence was seen in 02 patients. 
 Conclusion:
 IPOM is a better option in management of paraumbilical / umbilical hernia in terms of operation duration, hospital stay, post-operative pain and recurrence outcomes as compared to open sublay technique.

A case of ileus surgery using the water pressure method against ileus caused by incarceration into the inverted bladder diverticulum

BackgroundIleus is quite a common disease, but is associated with various causes. As far as we know, there have only been one case of ileus due to inverted bladder diverticulum, which is extremely rare.Case presentationThe patient was a 53-year-old male. He made an emergency visit to our hospital with a chief complaint of left lower quadrant pain. He underwent right inguinal hernia surgery at 2 years of age with no history of laparotomy. An abdominal enhanced CT revealed inversion of the bladder left side wall where part of enlarged small intestine was found. Ascites were also found between the incarcerated small intestine and the bladder, leading to a diagnosis of strangulation ileus due to internal hernia and subsequent emergency surgery. A laparotomy revealed incarceration of the small intestine in the bladder left wall as a Richter type. The incarceration was rigid. We believed it would be difficult to pull out by extraction. Therefore, we inserted a Nelaton catheter between the incarcerated small intestine and the bladder and carried out the water pressure method to release the ileus. We did not perform an enterectomy since no manifest necrosis or perforation of the small intestine was found. The inverted bladder wall was a partial depression. We interpreted it to be a bladder diverticulum. We made a suture for occlusion with the bladder diverticulum inverted. Ileus arising from inverted bladder diverticulum is a very rare disease state. We hereinafter report on this case along with bibliographical considerations.ConclusionsWe experienced a case of small intestine ileus due to inverted bladder diverticulum, which is very rare. In terms of preservation of the bowel, we believed the water pressure method to release the ileus was useful.

Effective Treatment for Incarcerated Obturator Hernia With Bowel Dilatation by Combined Laparoscopy and Preperitoneal Approach: A Case Report

Background: We report a case of a 90-year-old woman with intestinal obstruction due to left-sided incarcerated obturator hernia, which was revealed using computed tomography. Methods: Emergency surgerywas performed using laparoscopy, which showed a dilated small intestine and bilateral obturator hernia in the intraperitoneal space. After reducing incarceration of the small intestine using laparoscopy, we approached the bilateral preperitoneal space and inserted a Kugel patch via a small lower abdominal median incision (approximately 4 cm). Results: The patient was discharged on postoperative day 10 and showed no recurrence at the 18-month follow-up. Although relatively rare, obturator hernia can significantly cause intestinal obstruction. It has no specific clinical symptoms and is thus often difficult to diagnose. Treating obturator hernia is essential; however, mesh infection, recurrence, and opposite side of the obturator hernia should be carefully monitored. Conclusions: Although laparoscopy is used for treating obturator hernia, it may be difficult in patients with intestinal obstruction. In this case, a surgical technique combining laparoscopy and preperitoneal space approach via a small lower abdominal median incision was used to effectively treat an incarcerated occult bilateral obturator hernia.

乳房外Paget病による皮膚潰瘍から小腸脱出をきたした鼠径ヘルニア破裂の1例

症例は86歳，男性．平成27年4月頃から下腹部に皮膚潰瘍が出現し，徐々に拡大．9月に体外へ腸管脱出をきたし来院した．下腹部から暗紫色に変色した壊死腸管が脱出しており，周囲の皮膚には約15cmの潰瘍形成を認めた．また，非還納性の右鼠径ヘルニアが併存していたため，緊急手術を施行．脱出腸管は下腹部の潰瘍の右鼠径部寄りにできた約2cmの孔で絞扼されており，絞扼を解除すると，その孔は右鼠径ヘルニア嚢に交通していた．ヘルニア門での絞扼は認めなかった．壊死腸管を切除し，右鼠径ヘルニアはiliopubic tract repair法で修復した．皮膚潰瘍，陰部のびらんは生検で乳房外Paget病と診断された．今回，右鼠径ヘルニアと陰部乳房外Paget病が併存したことにより，下腹部の皮膚潰瘍からヘルニア嚢への交通が形成され，小腸の体外への脱出をきたした非常に稀な1例を経験した．

腹腔鏡下鼠径ヘルニア修復術後に腹膜前腔への腸管嵌入を起こした1例

腹腔鏡下鼠径ヘルニア修復術（totally extraperitoneal inguinal hernia repair:TEP法）後，腹膜欠損部に小腸が嵌入し，イレウスを発症した1例を経験した．患者は84歳，男性．右鼠径ヘルニアに対し，腹腔鏡下鼠径ヘルニア修復術を施行した．後3日目にイレウスを発症し，CT検査にて腹膜前腔に腸管の脱出を認め，イレウス管を挿入し，減圧を行った．術後4日目に腹痛を認め，症状改善ないため再手術を行った．鏡視下で腹腔内を観察したところ，腹膜欠損部より腹膜前腔に小腸が嵌入し，一部に軽度の血流障害を認めた．腹膜欠損部は5cm程度に拡大しており，腹膜を縫合閉鎖し，手術を終了した．腹膜欠損部は当初は1cm程度であったが，本症例のように術後腸管が嵌入する可能性があるため，予め腹膜欠損部が生じた場合は可及的に縫合閉鎖する必要があると考えられた．

A Case of Ileus Due to Incarceration of the Small Intestine Into a Reconstructed Pelvic Floor After Abdominoperineal Resection of the Rectum

A Case of Ileus Due to Incarceration of the Small Intestine Into a Reconstructed Pelvic Floor After Abdominoperineal Resection of the Rectum

Simultaneous presence of a seminoma and a leiomyoma in the testes of a horse

SummaryAn 18‐year‐old stallion was presented for castration because of insidious, bilateral scrotal enlargement of one year's duration. The left testis was firm, while the right was soft and lobulated; both were larger than normal. Palpation of the scrotum and its contents did not cause the horse to show signs of discomfort. Ultrasonography of scrotal contents revealed abnormal, heterogeneous tissue with ill defined regions of hyper‐ and hypoechogenity throughout both testes. Several hours after admission the horse developed severe signs of colic. On the basis of anamnesis, clinical findings, and results of ultrasonography and transrectal palpation bilateral testicular neoplasia and incarcerated inguinal hernia were tentatively diagnosed. Because the horse's owner did not consent to surgical treatment, the stallion was subjected to euthanasia. Histological and immunohistochemical examination of the testicular tissue collectedpost mortemrevealed a seminoma in the left testis and a leiomyoma in the right testis. Thepost mortemexamination also revealed incarceration of the small intestine in addition to the testicular tumours. To our knowledge, this is the first report of the simultaneous presence of bilateral, yet different testicular tumour types in a stallion.

Trocar Site Hernia after Laparoscopic Colectomy

Purpose Trocar site hernia (TSH) is an uncommon sequela of laparoscopic procedures. In this retrospective study, we determined the incidence of TSH and investigated the associated risk factors in patients undergoing laparoscopic colectomy (LC).Subjects Three hundred and ten patients who underwent LC for colorectal disease between December 1993 and February 2008 in our hospital.Results In this series, the incidence of TSH was 1.6% (5patients). There were no differences in age, gender, body mass index (BMI), tumor site or diabetes mellitus between the TSH and non–TSH groups. Comparison between patients with and without TSH revealed no differences in trocar size, type or site. However, there were significant differences in drain placement and fascial closure at the trocar insertion site after trocar removal. All TSH occurred in the left lower abdominal region, where an abdominal trocar had been placed for sigmoid or rectosigmoid colon cancer surgery and a drain had been placed after the trocar removement. The trocar diameter was 10–mm in 3 and 5–mm in 2 patients. Surgical treatment was provided to two patients with early–onset TSH and incarceration of the small intestine, and to one with late–onset TSH patient and abdominal pain. In the other two patients, who had omental hernias after drain removal, the fascias at the trocar sites were closed under local anesthesia.Conclusion The range of intraoperative port movement and drain placement through a port site, which involve dilatation of the trocar orifice or disturbance of the fascial closure, are risk factors for the occurrence of TSH.

Surgical management of small intestinal incarceration through the gastrosplenic ligament: 14 cases (1994–2006)

To determine prevalence, clinical findings, and long-term survival rate after surgery associated with incarceration of the small intestine through the gastrosplenic ligament (ISIGL) in horses. Retrospective case series. 14 horses with ISIGL. Medical records of horses with ISIGL examined between January 1994 and December 2006 were reviewed. Signalment, initial physical examination findings, results of abdominal fluid analysis, and clinical laboratory values were recorded, along with surgical findings, including segment of incarcerated intestine and surgical procedures performed. Long-term survival data were obtained through client interviews. Clinical findings included small intestinal distention identified via rectal palpation (10/14 horses) or transabdominal ultrasonography (8/11), nasogastric reflux (4/14), and abnormal abdominal fluid (9/9). All horses required intestinal resection and anastomosis. Postoperative complications included adynamic ileus (5/14 horses), incisional infection (4/14), diarrhea (3/14), and laminitis (1/14). No breed or age predilection was detected, although geldings were at increased risk for ISIGL. Long-term survival rate was 79% (11/14 horses). ISIGL was an uncommon cause of colicin this hospital population. With appropriate surgical intervention and postoperative management, the long-term prognosis for surgically treated horses was fair to good.

P-316B A case of congenital diaphragmatic hernia with incarceration of small intestine(Thoracic surgery, the 44th Annual Meeting of Japanese Society of Pediatric Surgeons)

P-316B A case of congenital diaphragmatic hernia with incarceration of small intestine(Thoracic surgery, the 44th Annual Meeting of Japanese Society of Pediatric Surgeons)

Syndrome de Chilaïditi responsable d'une occlusion avec nécrose du grêle après une césarienne : cas princeps

Chilaïditi's syndrome is the association of a radiological and clinical semiology of the interposition of large colon or small intestine between the lower side of diaphragm and liver. We report the case of a 32-year-old woman, primigravida, who undergone a caesarean section at 39 weeks of amenorrhoea, for a clinical picture of persistent abdominal pain and a beginning hepatic cytolysis. The patient presented one day after the ceasarean section an occlusive syndrome of the small intestine. The etiology of the occlusion of the small intestine in post-partum was a Chilaïditi's syndrome with inter hepatodiaphragmatic incarceration of the small intestine discovered at the computed tomography. An exploratory laparotomy confirmed and permitted to treat Chilaïditi's syndrome complicated by an occlusion.

Retrospectoive Study the risk factors and prevalence of colic in horses after orthopaedic surgery

The records of 496 orthopaedic operations on 428 horses were reviewed to estimate the prevalence of, and identify the risk factors for, the development of colic in horses after surgery....

Incarceration of small intestine through a rent in the gastrosplenic ligament in five horses

Incarceration of small intestine through a rent in the gastrosplenic ligament in five horses

A RARE CASE OF SPIGELIAN HERNIA CAUSING ILEUS

A 61-year-old man who had not previous history of undergoing abdominal injury nor operation, was admitted to another hospital because of abdominal pain and vomiting. His case was diagnosed as ileus from the finding of niveu formation on an abdominal X-ray film. Dehydration and renal dysfunction were pointed out on blood laboratory data. The conservative therapy using a decompression tube was ineffective. The presence of small intestinal tumor was suspected by the stenotic findings on an intestinography. He was referred to the hospital for an emergency operation. Upon operation an incarceration of the small intestine into the left side of the abdominal rectal muscle and its surrounding severe adhesion was found. The patient was diagnosed as having a Spigelian hernia that occurred in the apponeurosis between the lateral side of the abdominal rectal muscle and linea semilunalis. Spigelian hernia is a rare abdominal wall hernia, and only 12 cases have been reported in Japan. This rare case of Spigelian hernia causing ileus by Richiter type incarceration is reported with some notes on the literature.

Subacute colic caused by epiploic foramen incarceration of the small intestine in a horse

Equine Veterinary EducationVolume 3, Issue 1 p. 13-15 Subacute colic caused by epiploic foramen incarceration of the small intestine in a horse J. P. WALMSLEY, J. P. WALMSLEY The Equine Veterinary Hospital, Forest Mere, Liphook, Hants., GU30 7JG, UK.Search for more papers by this author J. P. WALMSLEY, J. P. WALMSLEY The Equine Veterinary Hospital, Forest Mere, Liphook, Hants., GU30 7JG, UK.Search for more papers by this author First published: March 1991 https://doi.org/10.1111/j.2042-3292.1991.tb01458.xCitations: 6AboutPDF ToolsExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume3, Issue1March 1991Pages 13-15 RelatedInformation

Incarceration of Small Intestine Through Rents in the Gastrosplenic Ligament in the Horse

Incarceration of the small intestine through a rent in the gastrosplenic ligament was diagnosed in five horses. Three affected horses were mature males and two were mature females. Persistent moderate to severe abdominal pain, elevated heart rate, congested mucous membranes, serosanguineous peritoneal fluid, and distended small intestine on rectal examination were consistent findings.Exploratory celiotomy or gross necropsy examination showed the incarcerated intestine to be distal jejunum or ileum. In all horses, the intestine had herniated cranially through the rent in the gastrosplenic ligament. The incarcerated intestine was situated lateral to the stomach and craniolateral to the spleen. Three horses underwent exploratory celiotomy, and the incarcerated small intestine was reduced by gentle traction and then resected. Two of these horses were alive more than 2 years postoperatively without recurrence of signs of abdominal pain, and one was euthanized because of dehiscence of the abdominal incision. Two horses were euthanized without surgical intervention, and necropsy examination revealed a recent rent in the gastrosplenic ligament. This condition should be considered in the differential diagnosis of causes of small intestinal strangulation and obstruction in the horse.

Intestinal obstruction in a dog due to incarceration of small intestine in a coccygeal fracture.

ABSTRACTA case of dorsal rupture of the abdominal wall with prolapse, incarceration and partial obstruction of small bowel in a 2‐year‐old dog is reported. The diagnosis was made and confirmed radiographically by an upper gastrointestinal barium study and the defect was corrected surgically. The dog made an uneventful recovery.Résumé. On a rapporté, chez un chien de deux ans, un cas de rupture dorsale de la paroi abdominale avec prolapsus, incarcération et obstruction partielle de l'intestin grêle. Le diagnostic a été fait et confirmé par radiographie au moyen d'une étude de baryum dans la partie supérieure gastro‐intestinale et le défaut a été corrigé chirurgicalement. Le chien s'est rétabli normalement.Zusammenfassung. Ein Fall von dorsalem Riss der Bauchdecke mit Prolaps, Inkarzeration und Teilobstruktion des Dünndarms wurde von einem 2‐jährigen Hund berichtet. Die Diagnose wurde getroffen und röntgenologisch mit einer ober‐gastro‐intestinalen Barium Untersuchung bestätigt. Das Gebrechen wurde chirurgisch beseitigt und der Hund erholte sich, ohne weiteren Zwishenfall.

Acute intrathoracic gastric dilatation associated with Bochdalek hernia in an infant.

One of the congenital defects which usually is manifest in the earliest hours of life is the posterolateral diaphragmatic hernia through the foramen of Bochdalek (persisttent pleuroperitoneal canal). Cyanosis and dyspnea may be present during the immediate postnatal period, and the presence of either should make one aware of the possible existence of a diaphragmatic defect with displacement of abdominal viscera into the pleural cavity. Once feedings are attempted emesis may become prominent and the other symptoms are exaggerated. Occasionally with diaphragmatic defects no symptoms are present and the lesion goes unrecognized for many months or years. In rare instances incarceration or strangulation of stomach or intestine occurs in posterolateral hernias and the patient presents an acute problem in diagnosis and management. The present case is that of a 6-week-old boy with apparently normal postnatal development who suddenly had incarceration of his stomach through a posterolateral diaphragmatic defect with acute

Local plastic peritonitis, possibly due to incarceration of intestine in a hernia, causing intestinal obstruction

Local plastic peritonitis, possibly due to incarceration of intestine in a hernia, causing intestinal obstruction