ACR Appropriateness Criteria® Hernia

García, Encarnación Martínez; Pietryga, Jason A.; Kim, David H.; Fowler, Kathryn J.; Chang, Kevin J.; Kambadakone, Avinash; Korngold, Elena K.; Liu, Peter S.; Marin, Daniele; Moreno, Courtney C.; Panait, Lucian; Santillan, Cynthia; Weinstein, Stefanie; Wright, Chadwick; Zreloff, Jennifer; Carucci, Laura R.

doi:10.1016/j.jacr.2022.09.016

Cited by 7 publications

(3 citation statements)

References 63 publications

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“…The clinical examination continues to be the cornerstone of diagnosis [ 19 ]. However, imaging modalities such as ultrasonography(USG) and computed tomography (CT) may be necessary as soon as possible to confirm the diagnosis and determine the degree of the hernia [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

From inguinal to giant femoral hernia: An unusual postoperative twist - A rare case report

Malbul,

Rajbhandari

2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

From inguinal to giant femoral hernia: An unusual postoperative twist - A rare case report

Malbul,

Rajbhandari

2024

International Journal of Surgery Case Reports

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“…Хотя значение таких грыж до конца не ясно, они потенциально могут быть причиной локальной боли или дискомфорта. Для диагностики грыж брюшной стенки, особенно при планировании лечения, наиболее информативными являются методы лучевой диагностики [47].…”

Section: этиология боли в передней брюшной стенкеunclassified

Anterior Abdominal Wall Pain

Dolgushina,

Karpova,

Karpov

et al. 2023

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Aim: to present modern approaches to the differential diagnosis and treatment of anterior abdominal wall pain.Key points. Pain in the anterior abdominal wall is a common reason for visiting a gastroenterologist and is often misinterpreted. Signs that distinguish it from visceral and parietal pain include local character, a positive Carnett sign and the effectiveness of local anesthetic injection. Among the main causes, it is necessary to highlight diseases that are not accompanied by a palpable mass in the anterior abdominal wall (anterior cutaneous nerve entrapment syndrome, ilioinguinal nerve syndrome, slipping rib syndrome, radiculopathy and myofascial pain syndrome). Another group of causes of pain in the anterior abdominal wall is represented by diseases in which areas of infiltration (tumors, endometriosis, infections) or hernial protrusions are determined, in which radiation methods play an important role in diagnosis.Conclusion. Knowledge of pathognomonic clinical and instrumental signs is the basis for differential diagnosis and choice of treatment strategy for pathology of the anterior abdominal wall.

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“…Imaging studies are useful in doubtful diagnosis and in patients with complicated inguinal hernia, particularly if bowel ischemia is suspected [14, 19,75,104]. Without intra-abdominal complications, groin ultrasound (US) should be the initial imaging modality to evaluate a suspected incarcerated inguinal hernia [105,106]. Sonographic signs of incarceration include free fluid in hernia sac and within the dilated bowel loop, intestine thickened wall (> 2,5 cm), and "back-and-forth" peristalsis sign [20,107,108].…”

Section: Diagnosismentioning

confidence: 99%

Incarcerated Inguinal Hernia in the Elderly: Surgical Implication

Ferranti¹

2023

Hernia Updates and Approaches

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Inguinal hernia is a very common clinical condition and its incidence is higher in elderly patients. Different factors are involved in etiology of the disease, either congenital or acquired. The majority of inguinal hernias are asymptomatic although may develop complications such as incarceration. Diagnosis, in uncomplicated case , is easy and based on physical examination. Imaging studies are helpful when the diagnosis is unclear and especially if bowel strangulation is suspected Elective surgical hernia repair is considered the treatment of choice. However in elderly patients with a high surgical risk a watchful waiting approach is advisable. The choice of surgical technique depends on the experience of the surgeon and the contamination of surgical field. The classical approach is Lichtenstein open tension free mesh repair although laparoscopy has been proposed. Use of mesh in incarcerated inguinal hernia is disputed because of the increased risk of post-operative wound infection. General anesthesia is usually preferred in particular if bowel ischemia is suspected and intestinal resection may be required . However local anesthesia is expanding its indication since provide effective anesthesia with less postoperative complications.

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ACR Appropriateness Criteria® Hernia

Cited by 7 publications

References 63 publications

From inguinal to giant femoral hernia: An unusual postoperative twist - A rare case report

From inguinal to giant femoral hernia: An unusual postoperative twist - A rare case report

Anterior Abdominal Wall Pain

Incarcerated Inguinal Hernia in the Elderly: Surgical Implication

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