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ABSTRACT: Groin hernia may have very unusual sac content. Vermiform appendix, acute appendicitis, ovary, fallopian tube and urinary bladder have been rarely reported. We aimed to present our experience with these unusual hernia contents. Records of 1,950 groin hernia patients were retrospectively analyzed. Vermiform appendix was found in 0.51% and acute appendicitis was found in 0.10% of groin hernia sacs. The incidence of appendix in femoral hernia was 5%, while inguinal hernia sac contained ovary and fallopian tube in 2.9% of the cases. The incidence of groin hernias containing urinary bladder was 0.36%. We also had 1 patient with incarcerated bladder diverticula in an indirect hernia sac. Iatrogenic bladder injury occurred in 2 patients. Although rare, a groin hernia sac may contain vermiform appendix and exceptionally acute appendicitis. Tubal and ovarian herniation in inguinal hernias can be found in adult and perimenopausal women with an incidence as high as in children. Urinary bladder hernia occurs with a similar incidence of tuba-ovarian hernia, however, it requires special attention because of a high risk of iatrogenic bladder injury during the inguinal dissection. Every effort should be made to preserve the organ found in hernia sac for an uneventful postoperative period.
Hernia 05/2006; 10(2):152-5. · 1.84 Impact Factor
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ABSTRACT: It has been claimed that inguinal hernia is not a local disease; it is a local manifestation of a systemic disorder of collagen metabolism. Previous studies have shown that patients with inguinal hernia have some anomalies in collagen metabolism and changed ratio of collagen types.
To search the changes in collagen and elastic fiber contents of the skin, rectus sheath, transversalis fascia and peritoneum in primary inguinal hernia patients.
Twenty patients operated on for inguinal hernia (HR) included in the study (11 direct and 9 indirect). Nine patients underwent open cholecystectomy served as the control group (CC). A 0.5 x 1 cm. tissue was sampled from skin, rectus sheath, transversalis fascia and peritoneum in HR group. Skin, rectus sheath and peritoneum samples were taken from the patients in CC group. The sections of those samples were submitted to two different staining methods: "Masson's trichrome" for collagen and "van Gieson" for elastin fibers and graded with light microscopy.
The rectus sheath samples of CC had higher staining scores for both collagen and elastin fibers in comparison with HR (p = 0.032 and p = 0.026, respectively). CC had a significantly higher score for collagen in peritoneum samples (p = 0.019). There were no statistically significant differences between the patients with direct and indirect inguinal hernias for collagen or elastin fibers scores in skin, rectus sheath, transversalis fascia and peritoneum samples.
These findings, which concur with most of the previous studies, support the theory that inguinal hernia may not be merely a local disease and can be more generalized, at least a regional connective tissue disorder. Regarding the difference between direct and indirect hernias, it could not be possible to report a certain answer, and this issue should be considered together with previous quantitative researches and more sophisticated studies may take place in the future (Tab. 2, Fig. 2, Ref. 23).
Bratislavske lekarske listy 02/2006; 107(6-7):235-8. · 0.40 Impact Factor
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ABSTRACT: Inguinal hernias and intra-abdominal malignancy are both common phenomena and their co-existence cannot be rare. Colon carcinomas are reported to be the most common cause of both intrasaccular and saccular tumours (1) but the occurrence of small intestine carcinoma inside an inguinal hernia has not been reported. We describe the first case--a leiomyosarcoma of the ileum--which was also complicated by irreduction.
Acta chirurgica Belgica 07/2003; 103(3):336-7. · 0.43 Impact Factor
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ABSTRACT: Rapid urbanization and industrial development are the most important causes of air pollution in Bursa. Smoke and sulfur dioxide concentrations were measured at five stations over a period of 20 months between 1986 and 1987; the concentrations of the total suspended particles were determined in the samples collected at two stations in June and October 1986. Some of the trace elements (Fe, Pb, Cd, Zn) were measured in October 1988 by atomic absorption spectroscopy of 28 samples from two stations. The first-order regression equations were calculated in order to find the relationship between the concentrations of smoke, sulfur dioxide, and meteorological conditions. The trends in the concentrations of measured air pollutants were compared by the long- and short-term limit values, as specified in the regulation.
Journal of Environmental Pathology Toxicology and Oncology 02/1996; 15(2-4):129-33. · 1.00 Impact Factor
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ABSTRACT: A case of an intra-abdominal sharp foreign body with migration to the mesentery vessels, causing intestinal necrosis in a 20-year-old patient is presented. Emergency surgery with 75 cm small bowel resection was performed.
Acta chirurgica Belgica 107(6):726-7. · 0.43 Impact Factor
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Irish Journal of Medical Science 171(3):172, 174. · 0.58 Impact Factor
