En raras circunstancias, las hernias pueden llevar a complicaciones mortales. The most common type of hernia in both sexes, inguinal hernias constitute 75% of hernias. Groin hernias are most commonly of the inguinal type but may also be femoral. Adult abdominal hernias are common and frequently encountered by general and gastrointestinal radiologists. Volume 1, issue 4, octoberdecember 20, pages 149158. Pdf prevention of incisional hernias of the abdominal wall. A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. Static and dynamic sonography for diagnosis of abdominal wall. Wound infection is the most common complication encountered.
Management of abdominal hernias, 4th edition 20 pdf. Given that abdominal hernias are a frequent imaging finding, radiologists not only are required to interpret the appearances of abdominal hernias but also s. Hernias occurring in the inguinal triangle are considered direct inguinal hernias, whereas indirect hernias occur lateral to hesselbachs triangle lateral to the inferior epigastric vessels following a patent processus vaginalis. The patients included 8 men and 3 women, with a mean age of 63 5286 years. Hernia umbilical es una protuberancia alrededor del ombligo. An abdominal bulge may disappear when the patient is in the prone position. Most commonly they involve the abdomen, specifically the groin. Progressive preoperative pneumoperitoneum in patients with. Eight patients had abdominal incisional hernias and 3 presented with giant scrotal hernias. Hernia repair is one of the commonest operations in general surgery. The laparoscopic repair of incisional hernias has been used with increasing frequency. Una hernia puede ocurrir en cualquier parte del cuerpo. Mdct helps to establish an efficient diagnosis of abdominal wall hernias and inguinal region.
C hernia multirecurrentes,recurrente bilaterales,recurrente femorales, recurrente complicadas y hernias tipo iii. Tomaremos primero en consideracion las llamadas hernias primarias o no incisionales. Laura granel villach r2 cirugia general y digestiva tutor. Ct is the key modality for assessing both abdominal wall and internal hernias in the acute phase. There are a number of hernias that may occur in the abdominal wall, including inguinal, femoral, epigastric, umbilical, spigelian. Classification of primary and incisional abdominal wall hernias.
Hernias abdominales cirujano gastroenterologo mexico. Hernias tipo ii complicadas con factores agravantes. More commonly, prosthetic mesh is used in place of approximating the wound edges. Son mas comunes las hernias inguinales del lado derecho. There is no consensus on management of complicated abdominal hernias. Emergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. Inguinal hernias are one of the most common reasons a primary care patient may need referral for. Some small incisional hernias are repaired with the placement of an onlay prosthetic mesh, which overlaps the approximated fascial edges by several centimeters. Salida por debajo del ligamento trayecto muy corto a fosa oval. Abd wall hernias university of tennessee college of medicine. Management of abdominal hernias andrew kingsnorth springer. Hernias abdominales frecuentes hernia inguinal hernia inguinal indirecta hernia inguinal directa asa intestinal anillo umbilical peritoneo pared abdominal peritoneo. The main matter of debate is about the use of mesh in case of intestinal resection and the type of mesh to be used.
497 116 202 124 476 1044 1433 340 919 336 297 159 29 498 428 321 1407 769 1292 556 427 505 1148 47 1398 459 1080 1139 1390 11 128 164 983 1497 32 986 894 86