HERNIA INGUINOESCROTAL PDF

Una hernia es reductible cuando el contenido que est saliendo por el defecto de la pared abdominal se puede introducir nuevamente a la cavidad del abdomen. Cuando no se da la situacin anterior se habla de hernia no reductible, momento en el cual se est en alto riesgo de estrangulacin de la hernia. La estrangulacin de una hernia se refiere a aquella situacin en la cual el contenido de la hernia est comprometido por la disminucin o suspensin del aporte sanguneo, lo que puede un causar dao irreversible en los tejidos. Una hernia estrangulada constituye un cuadro clnico sbito que requiere de manejo urgente, en el cual las vsceras que estn dentro de ella al estar atrapadas a travs del defecto de la pared abdominal, se les obstruyen los vasos sanguneos, lo que lleva a que sus tejidos entren en sufrimiento y puedan terminar desvitalizados. La desvitalizacin Isquemia-necrosis si se da sobre un segmento de intestino puede producir una perforacin con derramamiento de su contenido. Las consecuencias de todo este cuadro son desastrosas en trminos de aumento del riesgo quirrgico para el paciente, mayor mortalidad, ms tiempo de ciruga, mayor dificultad en la reparacin, ms dolor, ms tiempo de recuperacin, retraso en la reincorporacin laboral del paciente, aumento del riesgo de infeccin, posibilidad de tener que realizar procedimientos adicionales en la ciruga como reseccin del intestino.

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Corresponding Author: Benjamin Branchu, E-mail: moc. In most cases, it occurs to men older than 50 years who are overweight. Little is known about the subject and mainly based on case reports. When undiagnosed, it may be associated with bladder injuries during hernia repair. There is also no consensus on the ideal repair technique to use. The aim of the study is to evaluate the particularity of the management of the inguinal herniation of the bladder in term of diagnosis, choice and results of treatments.

Methods A Prisma systematic review of the literature was performed over the last 10 years using a database.

We selected 51 articles including 64 patients with ISH of the bladder. Diagnosis was incidental on imaging for 7 patients, during inguinal repair surgery for 8, or on imaging performed following symptoms for the remaining 49 patients. Excellent short term results were reported. Conclusion ISH of the bladder seams more likely to occur with patients suffering from lower urinary tract obstruction and best diagnosed with a computerized tomography scan. Various surgical techniques are reported.

Otherwise, an inguinal swelling alone, not necessarily painful, can be observed. In most cases, the ISH of the bladder occurs in overweight men older than 50 years. Because of its rareness and the lack of standardization for surgical repair, literature is very scarce about this disease.

We performed an extended review of the literature on ISH of the bladder, focusing on the symptoms observed during physical examination, possible related complications, imaging and surgical management. Material and methods A Prisma systematic review of the literature was performed in April for the last 10 years. We found 62 articles using PubMed and including 74 patients from September to April Out of the 62 articles, we excluded 9 that lacked a summary or were not published in English, and 1 on rabbits.

Finally, we selected 51 articles including 64 patients. Articles were mostly case reports or small retrospective studies.

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