1/39. Mesh plug migration into scrotum: a new complication of hernia repair.hernia repair is one of the most frequent operative procedures performed throughout the world. The technique has continued to evolve and we now are performing these repairs utilizing mesh as a patch and also as a plug. The mesh plug concept has been advocated by Rutkow and others. With this change in technique, we have seen a new complication of hernia repair - the migration of the mesh plug from the original hernia repair site into the scrotum. It presented as a large tender mass in the scrotum of a 45-year-old male who had had previous recurrent surgery. In addition, he again had a recurrent incarcerated hernia. Correction of the hernia and resection of the migrated mesh plug from the scrotum were carried out. It is recommended that both the patch and the plug be into position to avoid or reduce the risk of such a recurrence and plug migration.- - - - - - - - - - ranking = 1keywords = hernia (Clic here for more details about this article) |
2/39. A ventriculoperitoneal shunt masquerading as a paratesticular tumor.A 3-year-old boy with hydrocephalus was observed to have a painless 2.0-cm right scrotal mass. Abdominal radiograph showed ventriculoperitoneal shunt tubing in the right scrotal sac. Removal of a detached shunt catheter and inguinal hernia repair resolved the problem.- - - - - - - - - - ranking = 0.64101125646108keywords = inguinal hernia, hernia (Clic here for more details about this article) |
3/39. Gastropericardial fistula after failure of laparoscopic hiatal repair.We describe a 77-year-old patient with gastropericardial fistula occurring 5 years after laparoscopic surgery for hiatal hernia and gastroesophageal reflux. The patient presented with isolated intermittent substernal pain without fever. Chest radiographs disclosed extensive pneumopericardium and thoracic computed tomography suggested gastropericardial fistula between the pericardium and the surgical wrap, slipped into the thorax. Emergency surgery allowed successful repair through laparotomy via the trans-hiatal approach.- - - - - - - - - - ranking = 0.125keywords = hernia (Clic here for more details about this article) |
4/39. Severe pelvic pain and extrinsic compression of the rectum: late complication of total hip arthroplasty.Various pelvic and visceral complications have been reported resulting from total hip arthroplasty. Most of these complications are known to be related to the intrapelvic migration of the acetabular cup or the cement, or to the heat generated by polymerization of the methylmethacrylate. Complications involving almost every pelvic structure have been described. We report a case of progressive limb shortening and severe pelvic pain beginning 6 months after total hip arthroplasty. To close the acetabular defect after removal of the displaced acetabular component, we used a modified extraperitoneal approach adapted from Stoppa's technique, which is commonly used for inguinal, femoral, and obturator hernias. In this article, we aim to describe this modified extraperitoneal approach and to offer advice for the diagnosis and treatment of this serious complication.- - - - - - - - - - ranking = 0.125keywords = hernia (Clic here for more details about this article) |
5/39. Expanding the differential diagnosis of the acute scrotum: ventriculoperitoneal shunt herniation.An 18-month-old boy presented to the emergency department after 4 hours of inconsolability and acute scrotal swelling. The physical examination revealed a new scrotal hydrocele with migration of a ventriculoperitoneal shunt into the right hemiscrotum. The presence of a ventriculoperitoneal shunt has been associated with increased patency of the processus vaginalis and scrotal hydroceles. The presentation of an acute scrotum in a child with a ventriculoperitoneal shunt should be recognized as a possible shunt complication. Migration of the shunt through the processus vaginalis is an extremely uncommon event.- - - - - - - - - - ranking = 0.5keywords = hernia (Clic here for more details about this article) |
6/39. Mesh repair of a pelvic bone defect caused by a migrated acetabular cup.Conventional transacetabular removal of the migrated acetabular cup can be hazardous due to intraoperative injury to iliac vessels. We present a case of a migrated acetabular cup, in which we used a combined preperitoneal and acetabular approach for its removal. With a bimanual approach, the procedure was safer and easier and allowed mesh repair of the pelvic bone defect. The preperitoneal mesh repair is a well-known method for inguinofemoral hernias. However, it has not been used before in the repair of an acetabular defect after removal of a migrated cup.- - - - - - - - - - ranking = 0.125keywords = hernia (Clic here for more details about this article) |
7/39. intestinal perforation in a parastomal hernia by a migrated plastic biliary stent.Organ perforation is a well-described complication of plastic biliary stent placement [1, 2, 3, 4, 5, 6, 7, 8, 9, 10][1-10]. Most commonly, a stent will cause duodenal perforation while still in the area of the biliary system. This often occurs in the setting of a periampullary diverticulum. Less frequently, a perforation occurs as a result of stent migration into the distal lumenal gastrointestinal tract. These cases have involved a migrated stent impacting at the level of the ileum or a sigmoid colon diverticulum. A plastic biliary stent causing perforation inside an incarcerated small bowel hernia sac has been reported [10]. We describe the first reported case of a plastic biliary stent causing perforation inside a parastomal hernia.- - - - - - - - - - ranking = 0.75keywords = hernia (Clic here for more details about this article) |
8/39. Uncomplicated erosion of polytetrafluoroethylene grafts into the rectum.Synthetic materials are frequently used in gynecologic surgical procedures to repair pelvic floor hernias and prolapse and to form barriers to adhesion formation. Mesh erosion into the vagina and lower urinary tract are known complications. We report 2 cases of polytetrafluoroethylene mesh erosion into the rectum.- - - - - - - - - - ranking = 0.125keywords = hernia (Clic here for more details about this article) |
9/39. Posterior extradural lumbar disk fragment.We present the unique case of a patient with a sequestered disk fragment posterior to the thecal sac producing symptoms of spinal stenosis with neurogenic claudication. The majority of sequestered disk fragments migrate in either a cranial or caudal direction. In only a few cases have disk fragments been identified posterior to the thecal sac. Our patient had a sudden onset of bilateral groin and anterior thigh pain. magnetic resonance imaging showed relatively severe stenosis at L4-5 with mild disk bulging. Intraoperatively, a large posteriorly placed encapsulated mass of soft tissue was found compressing the posterior portion of the thecal sac. patients with acute onset of symptoms of spinal stenosis should have herniated disk included in their differential diagnosis, even in the absence of imaging confirmation.- - - - - - - - - - ranking = 0.125keywords = hernia (Clic here for more details about this article) |
10/39. Fate of chronically infected onlay mesh in groin wound.This case report throws some light on the way in which the body handles an infected onlay mesh following groin hernia repair. It describes the case of a 73-year-old man who developed this rare complication and demonstrates the mechanism by which this complication occurred.- - - - - - - - - - ranking = 0.125keywords = hernia (Clic here for more details about this article) |
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