Incarcerated Appendix Epiploica in Right Inguinal Hernia Sac

Abbasov, Aykhan

doi:10.14744/tjtes.2021.35724

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…The most frequent anatomical structure found in incarcerated inguinal hernia sac is the intestine, in around 75% of patients, followed by omentum in the remaining 25% [15,35]. However, other unusual structures have been described such as ovarian in 2.9% of cases, urinary bladder in 0.36% [36], sigmoid diverticulum [37], appendix epiploica [38], Meckel's diverticulum [39], and even gallbladder [40]. The presence of a vermiform appendix is reported with an incidence of 1% [41], and, although rarely, the appendix may become inflamed (Amayand's hernia) [42].…”

Section: Epidemiologymentioning

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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Section: Epidemiologymentioning

confidence: 99%

Incarcerated Inguinal Hernia in the Elderly: Surgical Implication

Ferranti¹

2023

Hernia Updates and Approaches

View full text Add to dashboard Cite

show abstract

Incarcerated Appendix Epiploica in Right Inguinal Hernia Sac

Cited by 1 publication

References 7 publications

Incarcerated Inguinal Hernia in the Elderly: Surgical Implication

Incarcerated Inguinal Hernia in the Elderly: Surgical Implication

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