DOCSLIB.ORG

Stress Before and After Surgery in Patients with Laparoscopic Treatment

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Stress Before and After Surgery in Patients with Laparoscopic Treatment REVIEW ARTICLE M. Halei et al. Moldovan Medical Journal. March 2021;64(1):29-34 DOI: 10.5281/zenodo.4527068 UDC: 616.366-003.7+616.34-007.43-031:611.957]-089.832 Stress before and after surgery in patients with laparoscopic treatment of gallstone disease and inguinal hernia 2Mekola Halei, 2Ivan Marchuk, *1Andrii Prodan, 1Ihor Dzubanovskyi 1Department of Surgery by Educational and Scientific Institute of Postgraduate Education I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine 2Volyn Regional Clinical Hospital, Lutsk, Ukraine Authors’ ORCID iDs, academic degrees and contributions are available at the end of the article *Corresponding author: [email protected] Manuscript received November 27, 2020; revised manuscript January 11, 2021; published online February 22, 2021 Abstract Background: Laparoscopic surgery for combined surgical pathology demands technique of simultaneous operations. The technique of simultaneous treatment of inguinal hernia (IH) and gallstone disease (GD) has been developed and tested. Material and methods: Prospected parameters were: heart rate (HR), variation range (∆X), mode of the amplitude (AMo), and duration mode (Mo). The level of Index of Nervous Tension (INT) was evaluated by Baevsky method for estimating stress level and tension of sympathetic nervous system. Parameters were compared between control group (No1, n=76 one operation for IH) and simultaneous surgery group (No 2, n=58 IH+GD). In all cases laparoscopic transabdominal periperetoneal alohernioplasty was performed. Results: Heart rate was increasing after surgery, maximum after 2 h (by 26.3% and 23.3%, p>0.05); the ∆X in both groups decreased after 2 h (by 12.4% and 12.1%, p<0.05) and after 2 days (5.3% and 6.8%, p<0.05); Mo did not differ in both groups (p>0.05); the dynamics of the AMo increased with a maximum after 2 h (by 20.2% and 20.6%, p<0.05); the INT rate was increasing up to 2 hours postoperative (by 93.6% and 93.4% (p<0.05)). All indicators were back to normal rates within two days and did not differ in both groups. Conclusions: No difference in the level of tension in sympathetic nervous system and the degree of centralization of heart rate regulation was registered in both groups. Our developed technique has been shown safe and effective. Key words: laparoscopy, gallstone disease, inguinal hernia, simultaneous. Cite this article Halei M, Marchuc I, Prodan A, Dzubanovskyi I. Stress before and after surgery in patients with laparoscopic treatment of gallstone disease and inguinal hernia. Mold Med J. 2021;64(1):29-34. doi: 10.5281/zenodo.4527068. Introduction complications [4]. These factors demand additional equip- ment of operating rooms and skills for the surgeon. It is Gallstone disease is a common surgical pathology. Each necessary to use technique that provides minimum trauma year gallstone disease is diagnosed in 1-2% of adult popula- and invasiveness of surgical interventions, anesthesiological tion in USA and EU [1]. Chronic cholecystitis is well-treat- support and management of patients in the postoperative ed by using laparoscopic surgical treatment. Nowadays lap- period [5]. This prompted us to develop a new laparoscopic aroscopic cholecystectomy is the main recommended tactic technique for simultaneous surgical treatment of inguinal for use [2]. Also, it is shown that early laparoscopic chole- hernia gallstone disease (GD). Under these conditions, be- cystectomy is the most acceptable approach if complications cause of increasing admeasurement of surgical trauma, one are considered (mechanic jaundice, choledocholytiasis, gall- of the important criteria for the effectiveness and safety of bladder cancer etc.) [2]. At the same time 27% of males and simultaneous operations compared to mono-interventions 3% of females develop a groin hernia at some time of life is the severity of operational stress [6]. Adaptive adjustment [3]. Up-to-date fast-track surgery strategic demands min- of the cardiovascular system is one of the first to note while imal hospital stay time. Considering all these factors it is talking about stress. Stress can be valued through the vari- acceptable to perform laparoscopic cholecystectomy simul- ability of heart rate [6, 7]. taneously with other operations if comorbid cholecystitis is Aim of the work: Using the variability of cardiac rhythm diagnosed. One-staged treatment reduces total cost of treat- to evaluate the intensity of postoperative stress in patients ment because of reducing terms of general hospital stay. that underwent transabdominal preperitoneal patch tech- The main problem of simultaneous operations may become nique (TAPP) and simultaneous laparoscopic cholecystec- their additional trauma and duration, which theoretically tomy. To compare their result with the one in patients that may influence the surgical stress and rate of postoperative underwent only TAPP. 29 M. Halei et al. Moldovan Medical Journal. March 2021;64(1):29-34 REVIEW ARTICLE Material and methods Table 1 Sample includes patients that underwent TAPP (control Heart rate of patients in both groups (Me (LQ; Uq) – group No 1, n=76) and patients that underwent TAPP (as median and upper and lower rate) one of recommended procedure for inguinal hernia (IH) Period of mea- Control group Research р repair [8, 9]) and simultaneous cholecystectomy (research surement (No 1) group (No 2) group No 2, n=58). Patients underwent surgical treatment Day before surgery 72.2 (64; 75) 71.7 (66; 75) >0.05 during 2015-2019 year time period. Survey and all the op- erations were performed in the Volynian regional clinical Postoperative period hospital in the laparoscopic surgery unit. In every case lapa- 1 hour 85.8 (81; 90) 83.6 (78; 87) >0.05 roscopic transabdominal preperitoneal alogernioplastic was 2 hours 91.2 (83; 96) 88.4 (82; 92) >0.05 performed. In group No 1 in each case standard technique 6 hours 83.6 (77; 89) 84.2 (77; 88) >0.05 was used. In group No 2 in each case our developed tech- 12 hours 75.9 (71; 81) 76.1 (68; 78) >0.05 nique of simultaneous operations was used. Selection into 1 day 74.8 (68; 77) 75.5 (67; 78) >0.05 groups was performed exclusively on the principles of surgi- 2 days 72.2 (66; 76) 72.8 (67; 77) >0.05 cal comorbidity. All patients underwent routine conserva- 3 days 70.8 (65; 75) 71.4 (66; 75) >0.05 tive treatment before and after surgery. The average length Note: here and further p – possibility of difference for rate in the con- of stay of the patient in the hospital before surgery was 1 trol group from the research group hospital day. Exclusion criteria: patients with progressive coronary son groups, the indicator decreased and, starting from the heart disease in combination with severe heart failure and 12 hours of postoperative period, did not differ statistically severe chronic kidney disease, isolated obliterating athero- significantly from the value of the indicator before surgery sclerosis of the vessels of the lower extremities, chronic pul- (p>0.05). The same reactions on pain and trauma were reg- monary diseases in the acute stage, cancer of various local- istered in other researches [13, 14]. Also common reaction ization. was shown in patients after cholecystectomy [15]. It is note- To measure the operative stress by a variation of pulso- worthy that the value of heart rate in all periods of the post- gram, was used cardiocomplex “CardioLab +” (designed operative period in the group of patients that underwent and manufactured by HAI-MEDICA, Kharkiv/Ukraine) TAPP with laparoscopic simultaneous cholecystectomy and for all patients in the control group and the main group the patients that underwent only TAPP did not differ signifi- day before surgery and 1, 2, 3, 6, 12 hours and 1, 2 and 3 cantly (p>0.05). days postoperatively. The recording was performed in the patient’s ward in a supine position not earlier than after 7-10 131 minutes of adaptation to this position. At least 100 cardio 126.3 126 intervals were recorded with subsequent determination of Control group Research group the main statistical characteristics according to the method 121 118.8 123.3 of R.M. Baevsky [10-12]. 117.4 Recorded data was used to determine heart rate (HR), 116 117 115.8 variation range (∆X) – the difference between the maxi- 111 mum and minimum duration of cardio intervals, mode of 106.1 105.3 the amplitude (AMo) – the percentage of the most common 106 105.1 cardio intervals, as well as their duration – mode (Mo). 101.2 99.6 101 103.6 100 100 According to the obtained data, the voltage index of 100 98 regulatory systems, index of nervous tension (INT) was cal- 96 1 h. 2 h. 6 h. 12 h. 1 d. 2 d. 3 d. culated by R.M. Baevsky, which reflects the degree of cen- Before Period after surgery tralization of heart rate control: INT = АМо / (2 ´ Мо ´ DХ). surgery Estimation of the probability of differences between the Fig. 1. Heart rate dynamics (in percent to the control level) control and main groups was performed using the nonpara- (Note: here and further * – differences for the terms before operation are metric Mann-Whitney test. statistically possible р<0.05). Results and discussion Analysis of the variation scale (∆X) (tab. 2, fig. 2) had Data analysis was performed. According to the results of shown that before the operation the indicator did not dif- the research there was no statistically significant difference fer significantly between the control and the main groups in heart rate between groups. (p>0.05). Worth to notice that intraoperative and postop- Records of heart rate are shown in tab. 1 and fig. 1. erative (up to 2 hours) heart rate and its variations in both Heart rate was increasing and reached its maximum in groups were similar between groups as well as from other 2 hours after surgery in both groups (26.3% in group 1 and studies [16].
Load more

Recommended publications
  • Diverticular Abscess Presenting As a Strangulated Inguinal Hernia: Case Report and Review of the Literature
    Ulster Med J 2007; 76 (2) 107-108 Presidential Address 107 Case Report Diverticular Abscess Presenting as a Strangulated Inguinal Hernia: Case Report and review of the literature. S Imran H Andrabi, Ashish Pitale*, Ahmed AS El-Hakeem Accepted 22 December 2006 ABSTRACT noted nausea, anorexia and increasing abdominal pain. She had no previous history of any surgery or trauma and was on Potentially life threatening diseases can mimic a groin hernia. warfarin for atrial fibrillation. We present an unusual case of diverticulitis with perforation and a resulting abscess presenting as a strangulated inguinal hernia. The features demonstrated were not due to strangulation of the contents of the hernia but rather pus tracking into the hernia sac from the peritoneal cavity. The patient underwent sigmoid resection and drainage of retroperitoneal and pericolonic abscesses. Radiological and laboratory studies augment in reaching a diagnosis. The differential diagnosis of inguinal swellings is discussed. Key Words: Diverticulitis, diverticular perforation, diverticular abscess, inguinal hernia INTRODUCTION The association of complicated inguinal hernia and diverticulitis is rare1. Diverticulitis can present as left iliac fossa pain, rectal bleeding, fistulas, perforation, bowel obstruction and abscesses. Our patient presented with a diverticular perforation resulting in an abscess tracking into the inguinal canal and clinically masquerading as a Fig 2. CT scan showing inflammatory changes with strangulated inguinal hernia. The management warranted an stranding of the subcutaneous fat in the left groin and a exploratory laparotomy and drainage of pus. large bowel diverticulum CASE REPORT On admission, she had a tachycardia (pulse 102 beats/min) and a temperature of 37.5OC.
    [Show full text]
  • Clinical Acute Abdominal Pain in Children
    Clinical Acute Abdominal Pain in Children Urgent message: This article will guide you through the differential diagnosis, management and disposition of pediatric patients present- ing with acute abdominal pain. KAYLEENE E. PAGÁN CORREA, MD, FAAP Introduction y tummy hurts.” That is a simple statement that shows a common complaint from children who seek “M 1 care in an urgent care or emergency department. But the diagnosis in such patients can be challenging for a clinician because of the diverse etiologies. Acute abdominal pain is commonly caused by self-limiting con- ditions but also may herald serious medical or surgical emergencies, such as appendicitis. Making a timely diag- nosis is important to reduce the rate of complications but it can be challenging, particularly in infants and young children. Excellent history-taking skills accompanied by a careful, thorough physical exam are key to making the diagnosis or at least making a reasonable conclusion about a patient’s care.2 This article discusses the differential diagnosis for acute abdominal pain in children and offers guidance for initial evaluation and management of pediatric patients presenting with this complaint. © Getty Images Contrary to visceral pain, somatoparietal pain is well Pathophysiology localized, intense (sharp), and associated with one side Abdominal pain localization is confounded by the or the other because the nerves associated are numerous, nature of the pain receptors involved and may be clas- myelinated and transmit to a specific dorsal root ganglia. sified as visceral, somatoparietal, or referred pain. Vis- Somatoparietal pain receptors are principally located in ceral pain is not well localized because the afferent the parietal peritoneum, muscle and skin and usually nerves have fewer endings in the gut, are not myeli- respond to stretching, tearing or inflammation.
    [Show full text]
  • Incarcerated Gallbladder in Inguinal Hernia: a Case Report and Literature
    Tajti Jr. et al. BMC Gastroenterol (2020) 20:425 https://doi.org/10.1186/s12876-020-01569-5 CASE REPORT Open Access Incarcerated gallbladder in inguinal hernia: a case report and literature review János Tajti Jr., József Pieler, Szabolcs Ábrahám, Zsolt Simonka, Attila Paszt and György Lázár* Abstract Background: Treating hernias is one of the oldest challenges in surgery. The gallbladder as content in the case of abdominal hernias has only been reported in a few cases in the current literature. Cholecyst has only been described in the content of an inguinofemoral hernia in one case to date. Case presentation: A 73-year-old female patient was admitted to the Emergency Department due to complaints in the right inguinal area, which had started 1 day earlier. The patient complained of cramp-like abdominal pain and nausea. Physical examination confrmed an apple-sized, irreducible hernia in the right inguinal region. Abdominal ultrasound confrmed an oedematous intestinal loop in a 70-mm-long hernial sac, with no circulation detected. Abdominal X-ray showed no signs of passage disorder. White blood cell count and C-reactive protein level were elevated, and hepatic enzymes were normal in the laboratory fndings. Exploration was performed via an inguinal incision on the right side, an uncertain cystic structure was found in the hernial sac, and several small abnormal masses were palpated there. The abdominal cavity was explored from the middle midline laparotomy. During the exploration, the content of the hernial sac was found to be the fundus of the signifcantly ptotic, large gallbladder. Cholecystectomy and Bassini’s repair of the inguinal hernia were performed safely.
    [Show full text]
  • Pediatric Hernia
    Pediatric Surgery Pediatric Hernia Pediatric Hernias: Definitions, Diagnosis and Treatment Hernia repair is among the most common type of general surgical procedure performed in children each year. The two most common types of congenital hernias in children are umbilical and inguinal hernias. The infor- mation below offers information on symptoms, diagnosis and treatment of these medical conditions. Umbilical Hernia Umbilical hernias are fairly common among newborns and infants younger than 6 months. Caused when the umbilical ring fails to close after birth, umbilical hernias present as an outward bulging in the abdominal area at the umbilicus. Umbilical hernias can vary in width from less than 1 cm to more than 5 cm and may seem to expand when the child cries or strains. Although the exact incidence of umbilical hernias in children is unknown, they are reported slightly more often in African Americans. Symptoms and Diagnosis • Present as a soft swelling at the navel that bulges when the baby or child sits up, cries or strains and usually disappears when the baby or child lies flat. • Usually painless. • Often detected on physical exam, without the need for additional testing. Treatment • Often closes by 1 or 2 years of age. • Surgery needed when hernia has not closed by 2 to 4 years of age. • Emergency surgery required if intestinal blood supply is cut off (strangulation). Inguinal Hernias There are two types of inguinal hernias — direct and indirect. Direct inguinal hernias are very rare in children and are caused by a weakness in the abdominal wall that allows intestines to protrude through.
    [Show full text]
  • Patient Selection Criteria
    M∙ACS MACS Patient Selection Criteria The objective is to screen, on a daily basis, the Acute Care Surgical service “touches” at your hospital to identify patients who meet criteria for further data entry. The specific patient diseases/conditions that we are interested in capturing for emergent general surgery (EGS) are: 1. Acute Appendicitis 2. Acute Gallbladder Disease a. Acute Cholecystitis b. Choledocholithiasis c. Cholangitis d. Gallstone Pancreatitis 3. Small Bowel Obstruction a. Adhesive b. Hernia 4. Emergent Exploratory Laparotomy (Refer to the ex-lap algorithm under the Diseases or Conditions section below for inclusion/exclusion criteria.) The daily census for patients admitted to the Acute Care Surgery Service or seen as a consult will have to be screened. There may be other sources to accomplish this screening such as IT and we are interested in learning about these sources from you. From this census, a list can be compiled of patients with the aforementioned diseases/conditions. The first level of data entry involves capture and entry of the patient into the MACS Qualtrics database. All patients with the identified diseases/conditions will have data entered regardless of whether or not they received an operation during admission/ED visit. The second level of data entry takes place if an existing MACS patient returns to the hospital (ED or admission) or has outcome events identified within the 30-day post-operative time frame if the patient had surgery, or within 30 days from discharge for the non-operative patients. You will see that we are capturing diagnostic, interventional, and therapeutic data that extend beyond what is typically captured for MSQC patients.
    [Show full text]
  • Management of Incidental Amyand Hernia with a Case Report
    CASE REPORT East J Med 24(4): 551-553, 2019 DOI: 10.5505/ejm.2019.82787 Management of Incidental Amyand Hernia With A Case Report Tolga Kalayci*, Ümit Haluk Iliklerden Department of General Surgery,Yuzuncu Yil University Faculty of Medicine,Van,Turkey ABSTRACT The presence of appendix vermiformis in inguinal hernia is known as Amyand hernia. Amyand hernia is a rare condition estimated to account for approximately 1% of all inguinal hernias. In our case we want to show our approach to incidental Amyand hernia. An 80-year-old male patient was received at urology service at Van Yuzuncu Yil University Department of Medicine because of prostatic symptoms. There were comorbid factors like hypertension,chronic obstructive lung disease and geriatric age. On surgery with spinal anesthesia, surgeons invited us to evaluate his left inguinal hernia. We evaluated hernia and saw distal ileal segments, proximal right colonic segments and inflamme appendix at hernia defect. Because of appendix inflammation we performed appendectomy. Hernia was repaired with mesh. We put a drain at surgery area. At postoperative first day, the patient discharged with drain. The fifth day of post-surgery, the drain was pulled out. At the time of 1st and 3rd month check of the patient, there was no problem about surgery. Amyand hernia is one of the rare conditions encountered by the surgeon during hernia surgery. The surgeon must know the Rosanoff and Bassoon Classification of Amyand Hernia to successfully manage Amyand hernia surgery. The surgeon also must know the situation in which case an appendectomy should be performed and in which case the mesh should be used.
    [Show full text]
  • Surgical Management of Primary Crohn's Disease
    Open Access Austin Journal of Gastroenterology Special Article - Crohn’s Disease and Colitis Surgical Management of Primary Crohn’s Disease Makni A*, Magherbi H, El Héni A, Daghfous A, Rebai W, Chebbi F, Fterich F, Ksantini R, Jouini Abstract M, Kacem M and Ben Safta Z Inflammatory bowel disease is a chronic gastrointestinal condition that is Department of General Surgery ‘A’, La Rabta Hospital, characterized by chronic gastrointestinal inflammation. The management of Tunisia Crohn’s disease is complex and requires skill, knowledge and experience with *Corresponding author: Makni Amin, Department current advances in the field. Over the past several years, there have been of General Surgery ‘A’, La Rabta Hospital, Jabbari 1007, a number of achievements and progress made in the care and management Tunis, Tunis El Manar University, Faculty of Medicine of of this disorder. The diagnostic tools have greatly improved. The therapeutic Tunis, 15 Rue Djebel Akhdhar, Tunisia armamentarium has expanded. The genetics of IBD has become more detailed and the role of the gut microbiome has been better defined. The evolution Received: February 14, 2017; Accepted: March 13, of biological agents has revolutionized the way we approach this disease. 2017; Published: March 24, 2017 However, surgery is still required in more than 80% of patients with Crohn’s disease (CD). This article aims to study the epidemiological, anatomical and therapeutic principles of surgical forms of CD. Keywords: Crohn’s disease; Surgery; Recurrence; Stricture; Fistula Introduction we should assess the severity and type of symptoms, failure of medical treatment, the onset of adverse effects and surgical risk/ Surgery is required in more than 80% of patients with Crohn’s benefit.
    [Show full text]
  • A Case of Richter's Hernia Presenting After a Previous Inguinal
    International Surgery Journal Bali S et al. Int Surg J. 2016 Aug;3(3):1688-1690 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 DOI: http://dx.doi.org/10.18203/2349-2902.isj20162778 Case Report A case of Richter’s hernia presenting after a previous inguinal herniorrhaphy Sharadendu Bali, Maneshwar Singh Utaal*, Navdeep Garg Department of Surgery, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India Received: 11 June 2016 Accepted: 15 July 2016 *Correspondence: Dr. Maneshwar Singh Utaal, E-mail: [email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Richter hernia also known as partial enterocele is the protrusion or/and strangulation of only a part of the circumference of the intestinal antimesenteric border through a small defect of the abdominal wall. These comprise around 10 percent of strangulated hernias, which itself represent a small percent in overall hernia cases, hence are very rare. If left untreated, the affected bowel segment becomes ischemic and finally gangrenous, and it should be kept in mind that patients with Richter hernia develop gangrene much faster than ‘ordinary’ strangulated hernias. This is a case report of a 69-year-old male with a history of herniorrhaphy for left inguinal hernia 22 years back presenting with swelling in left groin region for 4 days with sudden onset of left-sided acute abdominal pain and vomiting for 1 day.
    [Show full text]
  • Allergic Response Is Due to an Unknown Allergen Strangulated
    Postgrad Med J: first published as 10.1136/pgmj.29.332.323 on 1 June 1953. Downloaded from June 1953 Clinical Section 323 curring in the above case is difficult to correlate. allergic response is due to an unknown allergen Before the appearance of rash on the face the and the finding of tuberculosis is just a coincident. patient gave a history of sore throat and joint pains, Whatever may have been the cause of the original and as the throat swab and the E.N.T. reports illness, this case clearly emphasizes the point were both negative it is suggested that initially which MacKenna (I95I) makes in his excellent she had subclinical tubercular infection of her review on the pathogenesis and treatment of all tonsils which, when the patient's resistance was forms of lupus erythematosus, that unless the lowered after the pelvic operation, spread to the etiology of the disease is well established no cervical glands and later by the blood stream treatment can be of lasting value and that perhaps causing miliary changes in kidneys, spleen and more than one factor is responsible for this intestinal glands as observed at necropsy. It is dreaded malady. difficult to understand why the lungs escaped this miliary invasion. Lupus erythematosus of the face Summary can be regarded as an allergic response in the A case presenting an unusual combination of collagen tissue of the face and the harmful agent, lupus erythematosus, periarteritis nodosa and as subsequent course showed, may have been a miliary tuberculosis, not hitherto recorded, is tubercular focus.
    [Show full text]
  • S PATIENT INFORMATION Oregon Surgical Specialists
    S PATIENT INFORMATION oregon surgical specialists Hernia (Updated 10.08) A hernia is a weakness in the wall of your abdomen. When you lift a heavy load, or when pressure in the abdomen increases, as when you cough, abdominal organs and tissues push against the wall. If the pressure is enough, they can push though at the weak spot, bulging out in a lump that you may be able to feel under your skin. This is not always painful, and you may be able to push the lump back inside Then it is called a reducible hernia. Unfortunately, weak areas in your abdominal wall do not heal on their own but usually become weaker with aging and activity. If part of your intestine protrudes through a hernia, it can become trapped (incarcerated), strangling the intestine and causing a bowel obstruction. This can become a life-threatening situation, requiring emergency surgery to repair the damage. Thus, it is best to treat and repair a hernia before an emergency arises. The abdominal wall is made up of layers that provide strength, including muscle, fat, connective tissue, and peritoneum. The most common kinds of hernias are called inguinal, umbilical, and femoral, because of the natural weak spots in the wall in those locations: the inguinal (groin), umbilical (naval), and femoral areas (just below the groin). A fourth common kind of hernia is an incisional hernia, which occurs where the incision from a previous surgery has created a weakened area. A less common condition is a Hiatal hernia which occur at the top of the stomach, when a weak spot in the diaphragm allows the stomach to move up into the chest cavity.
    [Show full text]
  • Guide to Understanding Hernias Hernias Do Not Heal by Themselves and May Continue to Worsen If Ignored
    Guide to Understanding Hernias Hernias do not heal by themselves and may continue to worsen if ignored. Let our specialists treat your hernia before it becomes an emergency. What Is a Hernia? A hernia is a very common health condition in men and women and occurs when internal tissue or part of an organ bulges through a weak muscle into a place where it doesn’t belong. Hernias usually occur either because of a natural weakness in the abdominal wall or from excessive strain on the abdominal wall, such as the strain from heavy lifting, substantial weight gain or persistent coughing. The most common types of hernias include: Groin (inguinal) Hernia The most common type of hernia, the inguinal hernia, occurs when a structure in your abdomen — typically Signs and Symptoms part of your small intestine or fatty tissue — bulges Not all hernias cause symptoms. However, if you have through your abdominal wall and into your inner groin. a hernia, you may experience any of the following Inguinal hernias most often occur in men. symptoms: Upper Thigh (femoral) Hernia • A bulge on one or both sides of your groin (the bulge More commonly known in women than men, a femoral may appear to go away while you’re lying down) hernia occurs when fatty tissue or part of the intestine • Pain in the groin area, particularly while you exercise, bulges through into your outer groin. lift, strain, have a bowel movement or cough (the pain Hiatal Hernia or discomfort usually goes away when you rest) This happens when the upper part of your stomach • Sharp abdominal pain bulges into your chest through a small opening in your • Discomfort in the groin area, such as itching, aching, diaphragm (the muscle separating your abdomen from burning, heaviness or weakness your chest).
    [Show full text]
  • A Case Report of Unexpected Pathology Within an Incarcerated Ventral Hernia
    Accepted Manuscript Title: A case report of unexpected pathology within an incarcerated ventral hernia Authors: Erica D. Kane, Katharine R. Bittner, Michelle Bennet, John R. Romanelli, Neal E. Seymour, Jacqueline J. Wu PII: S2210-2612(17)30310-3 DOI: http://dx.doi.org/doi:10.1016/j.ijscr.2017.07.004 Reference: IJSCR 2618 To appear in: Received date: 5-5-2017 Revised date: 13-6-2017 Accepted date: 3-7-2017 Please cite this article as: Kane Erica D, Bittner Katharine R, Bennet Michelle, Romanelli John R, Seymour Neal E, Wu Jacqueline J.A case report of unexpected pathology within an incarcerated ventral hernia.International Journal of Surgery Case Reports http://dx.doi.org/10.1016/j.ijscr.2017.07.004 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. A case report of unexpected pathology within an incarcerated ventral hernia Erica D. Kane, MD, MPHa; Katharine R. Bittner, MDa; Michelle Bennet, BSb; John R. Romanelli, MDa; Neal E. Seymour, MDa; Jacqueline J. Wu, MDa a: Department of Surgery, Baystate Medical Center, University of Massachusetts Medical School, Springfield, MA. b: Tufts University School of Medicine, Boston, MA. Corresponding author: Erica Kane, MD, MPH Baystate Medical Center, Department of Surgery 759 Chestnut Street Springfield, Ma 01199 Mobile: 314-974-0458 Work: 413-794-5165 Fax: 413-794-1835 Email: [email protected] Authors’ email addresses: Katharine R.
    [Show full text]