MyMedR

Transverse testicular ectopia: correlation of embryology with laparoscopic findings

Thambidorai CR, Khaleed A

Pediatr Surg Int, 2008 Mar;24(3):371-4.

Two patients with unilateral transverse testicular ectopia (TTE) without the persistence of Mullerian duct structures are described. Each presented with unilateral impalpable testis and a contralateral inguinal hernia. The diagnosis of unilateral TTE was made during laparoscopic evaluation for undescended testis. The first patient had unilateral TTE on the right side and the second on the left. In both patients, a long thin band resembling the round ligament of the uterus was seen extending from the region of the internal inguinal ring (IIR) on the side of the undescended testis to the opposite inguinal canal. In both patients, there was no patent processus vaginalis on the side of the undescended testis and on the contralateral side the internal rings were widely patent with large hernial sacs. In the second patient, the right vas was seen extending from the right IIR towards the right side of the pelvis. The right vas showed a short segment of discontinuity at the level of the right IIR while its proximal end extended into the left inguinal canal in close relation to the right spermatic vessels. The vasal anomaly was probably ischemic in origin, resulting from excessive mobility of the ectopic testis and its vas in TTE. Correlation of the current hypotheses on the embryology of TTE with the above mentioned laparoscopic findings is discussed.

Matched MeSH terms: Hernia, Inguinal/diagnosis; Hernia, Inguinal/surgery

Fulltext Congenital diaphragmatic hernia in a post-partum woman

Abdullah M

Med J Malaysia, 2003 Mar;58(1):99-101.

PMID: 14556332

Congenital diaphragmatic hernia (CDH) is rare in adults. We report a 24 year old woman presenting with shortness of breath, chest pain and nausea after the birth of her first baby. Clinical examination, plain radiography and a CT scan revealed herniation of abdominal contents into her left chest. Via a midline laparotomy, the contents were reduced and the defect repaired, using a mesh. She remains symptom-free three years since her surgery and even after a second childbirth. A brief review of the literature reporting adult diaphragmatic hernia of congenital origin accompanies this case report. We conclude that symptomatic CDH in adults usually presents as an emergency with gastrointestinal and occasionally respiratory complications. Early diagnosis and repair is essential to avoid subsequent morbidity and mortality.

Matched MeSH terms: Hernia, Diaphragmatic/diagnosis*; Hernia, Diaphragmatic/surgery

Fulltext Congenital (Bochdalek) diaphragmatic hernia: problems in diagnosis and management

Laidin AZ, Al Rashid Z, Mohd Nor M

Med J Malaysia, 1984 Sep;39(3):185-91.

PMID: 6544919

A review of 24 children with posterolateral (Bochdalek) diaphragmatic hernia over a five-year period was carried out to highlight the problems of diagnosis and' management. Nine children were delivered in the Maternity Hospital Kuala Lumpur, giving an incidence of 1:10,000 live births which is half the expected incidence. Difficulty in diagnosis is apparent from the large number of initially misdiagnosed cases (29%) and those not detected
soon after birth (71% diagnosed after 24 hours). Less than half the babies had associated anomalies, commonest being malrotation and ipsilateral lung hypoplasia. Mortality (20.8%) appears to be related to the degree of lung hypoplasia and shunting, and the birthweight of the babies. Current evidence indicates that pulmonary hypertension is the main factor in the chain of events beginning with lung hypoplasia, which ultimately leads to their demise. Various methods to overcome this complication have been evolved which appear to give some hope for these high-risk infants.

Matched MeSH terms: Hernia, Diaphragmatic/radiography; Hernia, Diaphragmatic/surgery

Fulltext Congenital diaphragmatic hernia--the classical type: a case report

Venkateswaran V

Med J Malaysia, 1986 Mar;41(1):44-7.

PMID: 3796348

A case of classical congenital diaphragmatic hernia is discussed. The rare right-sided classical type - incidence of 1 in 30,000 to 1 in 81,000 live births - and diaphragmatic eventration are often grouped together as Congenital Diaphragmatic Herniae. We had nine in 57,783 live births in ten years.

Matched MeSH terms: Hernia, Diaphragmatic/surgery

Fulltext Perforated incisional littre’s hernia: a rare content of a common hernia

Kumarappan, A.l., Norly, S., Samuel Tay, Vicknesh, C.

International Medical Journal Malaysia, 2016;15(2):81-84.

MyJurnal

Anticipation of complications is of paramount importance for a surgeon. Incisional hernia is a well-known
complication for abdominal surgeries. Risk factors such as increasing age, obesity, male gender are well
known. Intestinal obstruction, strangulation and perforation are imminent complications of this type of
hernia if they become incarcerated. Common contents of a ventral incisional hernia are small bowel, large
bowel and omentum. Even though Meckel’s diverticulum is a common gastrointestinal anomaly, it is rarely
found to be the content of a hernial sac. A hernia sac containing Meckel’s diverticulum is also known as
Littre’s hernia. Only a few cases have been reported in the literature. Thus here we present a case of
perforated Meckel’s diverticulum that was entrapped in the ventral incisional hernia.

Matched MeSH terms: Incisional Hernia; Hernia, Ventral

Fulltext A case of closed loop small bowel obstruction within a strangulated incisional hernia in association with an acute gastric volvulus

Kosai NR, Gendeh HS, Noorharisman M, Sutton PA, Das S

Acta Medica (Hradec Kralove), 2014;57(2):83-6.

PMID: 25257156 DOI: 10.14712/18059694.2014.45

Small bowel obstruction is a common clinical problem presenting with abdominal distention, colicky pain, absolute constipation and bilious vomiting. There are numerous causes, most commonly attributed to an incarcerated hernia, adhesions or obstructing mass secondary to malignancy. Here we present an unusual cause of a small bowel obstruction secondary to an incarcerated incisional hernia in association with an acute organoaxial gastric volvulus.

Matched MeSH terms: Hernia, Abdominal/complications*; Hernia, Abdominal/radiography; Hernia, Abdominal/surgery

Postoperative Spontaneous Gastric Perforation in a Ruptured Exomphalos: A Case Report

Raa H, As R, Tp G, A S

J Neonatal Surg, 2016 04 10;5(2):19.

PMID: 27123403

Spontaneous gastric perforation is a rare entity in neonates. We report a case of spontaneous gastric perforation in a neonate operated for in-utero rupture of omphalocele.

Matched MeSH terms: Hernia, Umbilical

Fulltext Obturator hernia: a rare condition with common surgical symptoms

Fitreena A.A., Shahidah C.A., Mohd. Nizam M.H., Wan Zainira W.Z., Wong, M.P.K.

Journal of Biomedical and Clinical Sciences, 2018;3(1):35-38.

MyJurnal

Hernia is a common surgical problem. However, worldwide
incidence of obturator hernia is

Matched MeSH terms: Hernia, Obturator

Fulltext Four siblings with congenital scoliosis and dysmorphism: a rare case of familial spondylocostal dysostosis

Sharina, M.K., Norliyana, M., Kamalnizat, I., Azmi, B., Mohd Hisam, M.A.

Medicine & Health, 2020;15(1):266-273.

MyJurnal

Skoliosis kongenital adalah perkembangan tulang belakang yang tidak normal yang merangkumi pembentukan sebahagian tulang sahaja, kurangnya pemisahan di antara tulang belakang atau kehilangan bahagian tertentu tulang belakang. Etiologi sebenar skoliosis kongenital masih tidak jelas. Walau bagaimanapun, ia dipengaruhi oleh kecenderungan genetik dan faktor persekitaran. Kami melaporkan siri kes skoliosis kongenital dengan ciri-ciri dismorfik dalam empat orang adik-beradik dan membincangkan mengenai sindrom spondylocostal dysostosis yang mempunyai kaitan dengan skoliosis kongenital. Ciri-ciri dismorfik termasuk hipertelorisme, ‘ptosis’ kedua-dua mata, 'high arch palate', langit-langit yang tinggi dan leher ‘webbed’. Pembedahan instrumentasi tulang belakang dilakukan dalam tiga adik beradik. Semua pesakit pulih dengan baik selepas pembedahan tanpa komplikasi kecederaan saraf. Rawatan susulan pada tahun pertama dan kedua selepas pembedahan menunjukkan tiada perubahan pada kadar lengkung dan tulang belakang telah bercantum.

Matched MeSH terms: Hernia, Diaphragmatic

Vaginal inguinal hernia with loose bodies

Chong ATS

Journal of the Malaya Branch of the British Medical Association, 1939;3:104-6.

Matched MeSH terms: Hernia, Inguinal

Fabrication of green composite hand knitted silk mesh reinforced with silk hydrogel

Bokhari N, Ali A, Yasmeen A, Khalid H, Safi SZ, Sharif F

Int J Biol Macromol, 2023 Dec 31;253(Pt 6):127284.

PMID: 37806415 DOI: 10.1016/j.ijbiomac.2023.127284

Soft tissue defects like hernia and post-surgical fistula formation can be resolved with modern biomaterials in the form of meshes without post-operative complications. In the present study hand knitted silk meshes were surface coated with regenerated silk fibroin hydrogel and pure natural extracts. Two phytochemicals (Licorice extract (LE) and Bearberry extract (BE)) and the two honeybee products (royal jelly (RJ) and honey (HE)) were incorporated separately to induce antibacterial, anti-inflammatory, and wound healing ability to the silk hydrogel coated knitted silk meshes. Meshes were dip coated with a blend of 4 % silk hydrogel (w/v) and 5 % extracts. Dried modified meshes were characterized using SEM, DMA, GC-MS and FTIR. Antimicrobial testing, in-vitro cytotoxicity, in-vitro wound healing and Q-RT-PCR were also performed. SEM analysis concluded that presence of coating reduced the pore size up to 47.7 % whereas, fiber diameter was increased up to 17.9 % as compared to the control. The presence of coating on the mesh improved the mechanical strength/Young's modulus by 1602.8 %, UTS by 451.7 % and reduced the % strain by 51.12 %. Sustained release of extracts from MHRJ (62.9 % up to 72 h) confirmed that it can induce antibacterial activity against surgical infections. Cytocompatibility testing and gene expression results suggest that out of four variables MHRJ presented best cell viability, % wound closure and expression of wound healing marker genes. In-vivo analyses in rat hernia model were carried out using only MHRJ variant, which also confirmed the non- toxic nature and wound healing characteristics of the modified mesh. The improved cell proliferation and activated wound healing in vitro and in vivo suggested that MHRJ could be a valuable candidate to promote cell infiltration and activate soft tissue and hernia repair as a biomedical implant.

Matched MeSH terms: Hernia

Fulltext Patency of the omphalomesenteric duct (enteroumbilical fistula): 2 case reports

Yeo TC

Med J Malaysia, 1986 Dec;41(4):352-5.

PMID: 3670160

Two cases of enteroumbilical fistula presenting in the neonatal period are reported. Both developed complications which required surgical intervention. A brief discussion on clinical features and management follows.

Matched MeSH terms: Hernia, Umbilical/surgery

Down syndrome associated with a retroperitoneal teratoma and Morgagni hernia

Quah BS, Menon BS

Clin Genet, 1996 Oct;50(4):232-4.

PMID: 9001806

Down syndrome may be associated with many complications. Among the malignancies associated with Down syndrome, leukaemia is the most common. This is a case report of a patient with Down syndrome associated with both a retroperitoneal teratoma and a Morgagni hernia.

Matched MeSH terms: Hernia, Diaphragmatic/complications*

A case of congenital hernia of the lung and tertiary syphilis

Kiramathypathy K

Malayan Medical Journal, 1929;4:12-13.

Matched MeSH terms: Hernia/diagnosis

Suture Cruroplasty Versus Prosthetic Hiatal Herniorrhaphy for Large Hiatal Hernia: A Meta-analysis and Systematic Review of Randomized Controlled Trials

Memon MA, Memon B, Yunus RM, Khan S

Ann Surg, 2016 Feb;263(2):258-66.

PMID: 26445468 DOI: 10.1097/SLA.0000000000001267

The aim was to conduct a meta-analysis of randomized controlled trials (RCTs) comparing 2 methods of hiatal closure for large hiatal hernia and to evaluate their strengths and flaws.

Matched MeSH terms: Hernia, Hiatal/surgery*

Fulltext Improving the Diagnostic Yield of High-Resolution Esophageal Manometry for GERD: The "Straight Leg-Raise" International Study

Siboni S, Kristo I, Rogers BD, De Bortoli N, Hobson A, Louie B, et al.

Clin Gastroenterol Hepatol, 2023 Jul;21(7):1761-1770.e1.

PMID: 36270615 DOI: 10.1016/j.cgh.2022.10.008

BACKGROUND & AIMS: The straight leg raise (SLR) maneuver during high-resolution manometry (HRM) can assess esophagogastric junction (EGJ) barrier function by measuring changes in intraesophageal pressure (IEP) when intra-abdominal pressure is increased. We aimed to determine whether increased esophageal pressure during SLR predicts pathologic esophageal acid exposure time (AET).

METHODS: Adult patients with persistent gastroesophageal reflux disease (GERD) symptoms undergoing HRM and pH-impedance or wireless pH study off proton pump inhibitor were prospectively studied between July 2021 and March 2022. After the HRM Chicago 4.0 protocol, patients were requested to elevate 1 leg at 45º for 5 seconds while supine. The SLR maneuver was considered effective when intra-abdominal pressure increased by 50%. IEPs were recorded 5 cm above the lower esophageal sphincter at baseline and during SLR. GERD was defined as AET greater than 6%.

RESULTS: The SLR was effective in 295 patients (81%), 115 (39%) of whom had an AET greater than 6%. Hiatal hernia (EGJ type 2 or 3) was seen in 135 (46%) patients. Compared with patients with an AET less than 6%, peak IEP during SLR was significantly higher in the GERD group (29.7 vs 13.9 mm Hg; P < .001). Using receiver operating characteristic analysis, an increase of 11 mm Hg of peak IEP from baseline during SLR was the optimal cut-off value to predict an AET greater than 6% (area under the receiver operating characteristic curve, 0.84; sensitivity, 79%; and specificity, 85%), regardless of the presence of hiatal hernia. On multivariable analysis, an IEP pressure increase during the SLR maneuver, EGJ contractile integral, EGJ subtype 2, and EGJ subtype 3, were found to be significant predictors of AET greater than 6% CONCLUSIONS: The SLR maneuver can predict abnormal an AET, thereby increasing the diagnostic value of HRM when GERD is suspected.

CLINICALTRIALS: gov ID: NCT04813029.

Matched MeSH terms: Hernia, Hiatal*

Fulltext A Testicular Cancer that was Thought to be an Inguino-Scrotal Hernia

Norly S, Sivanes C, Ros'aini P

Med J Malaysia, 2014 Dec;69(6):275-6.

PMID: 25934959

We present a case of a young man with a 5-year history of testicular swelling which was initially thought to be inguinoscrotal hernia. Intra-operatively it was found to be a testicular tumour and histopathological examination confirmed a mixed germ cell tumour. He had an orchidectomy and later underwent chemotherapy. It is interesting to note that the patient had kept the tumour for 5 years with no evidence of distant metastasis at diagnosis. This is probably the longest presentation of a testicular tumour.

Matched MeSH terms: Hernia

Fulltext Intermittent Suprasternal Neck Mass Caused by Herniation of Ectopic Thymus: Report of Two Cases

Tey KJ, Goh BS, Mohd-Zaki F

Iran J Otorhinolaryngol, 2020 Nov;32(113):391-395.

PMID: 33282788 DOI: 10.22038/ijorl.2020.45727.2501

Introduction: Ectopic thymus is an uncommon cause of neck masses in children that frequently present as lateral cervical swelling especially on the right side.

Case Report: We report two cases with atypical clinical presentation of ectopic thymus and superior herniation of normal thymus. Both of the patients manifested as intermittent midline mass at the suprasternal region during Valsalva manuevre. Unique ultrasound features with the location along the thymic descent together with dynamic assessment of the organ movement were essential to reach the correct diagnosis. Conservative approach was considered in these patients considering the necessity of thymus in the process of puberty.

Conclusion: High index of suspicion is of utmost importance when encounter patient with similar clinical manifestation to avoid unnecessary diagnostic modalities and surgeries. Accurate diagnosis will also alleviate parents' anxiety.

Matched MeSH terms: Hernia

Fulltext Amyand’s Hernia: A Diagnostic Dilemma

Vairavan, N., Rohaizak, M., Hairol, O.

International Medical Journal Malaysia, 2006;5(1):1-4.

MyJurnal

Appendicitis within an Amyand's hernia is rare; when it occurs it is often misdiagnosed as a strangulated inguinal hernia. Management of these cases needs to be individualized according to the presentation. In uncomplicated cases, we recommend concurrent appendectomy and darning repair of the hernia. We present such a case and review the related literature.

Matched MeSH terms: Hernia, Inguinal

Fulltext A “near miss" congenital eventration of the right hemidiaphragm in a neonate: a case report

Zurina Zainudin, Farah Inaz Syed Abdullah, Hong, Neoh Siew, Mughni Bahari, Irene Cheah Guat Sim

Malaysian Journal of Medicine and Health Sciences, 2016;12(2):41-43.

MyJurnal

Focal eventration involving the posterior segment of the
hemidiaphragm is a rare congenital anomaly. We report of a 10-
day-old infant who presented with significant respiratory
insufficiency and failure to show any responses to standard
treatment. The diagnosis of focal eventration of the diaphragm
was not anticipated until ultrasonographic examination revealed
the defect. Diaphragmatic plication resulted in complete
resolution of symptoms. A high level clinical awareness is
crucial as a relatively simple surgical procedure could avert long
term life-threatening complications.

Matched MeSH terms: Hernia, Umbilical

Displaying publications 21 - 40 of 98 in total