Distinguishing direct and indirect inguinal hernias.

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How accurately can direct and indirect inguinal hernias be distinguished?

An inguinal hernia was clinically diagnosed as direct or indirect by paired surgeons of 134 occasions. When compared with the findings at operation the hernia was correctly diagnosed in 60 of 78 observations when it was indirect and in 33 of 56 when it was direct. The level of accuracy does not warrant continuing the practice of attempting to distinguish one type of inguinal hernia from another.

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Spigelian hernia is a rare type of ventral hernias with nonspecific symptoms and signs. Therefore, its diagnosis is often difficult and requires more clinical attention. Although intermittent abdominal swelling and pain are the main symptoms, Spigelian hernias can be sometimes asymptomatic and are discovered incidentally at the operation. In some cases, these hernias can be associated with othe...

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Inguinal hernias: diagnosis and management.

Inguinal hernias are one of the most common reasons a primary care patient may need referral for surgical intervention. The history and physical examination are usually sufficient to make the diagnosis. Symptomatic patients often have groin pain, which can sometimes be severe. Inguinal hernias may cause a burning, gurgling, or aching sensation in the groin, and a heavy or dragging sensation may...

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Sliding inguinal hernias.

PURPOSE To evaluate the frequency and anatomic presentation of sliding inguinal hernias as well as to analyze the technical difficulties during surgery and recurrence rate. METHODS During 18 months we have recorded in a prospective manner data on all patients operated in one hospital for non-complicated inguinal hernia. All patients suspected of sliding variant have had their hernia sac opene...

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P. Mattei (ed.), Fundamentals of Pediatric Surgery, DOI 10.1007/978-1-4419-6643-8_69, © Springer Science+Business Media, LLC 2011 Hernias are among the most common conditions encountered by pediatric surgeons. Although inguinal and umbilical hernias are by far the most prevalent, rarer types of hernias are occasionally encountered in children. Because they are so rare, most of the information r...

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ژورنال

عنوان ژورنال: BMJ

سال: 1980

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.280.6227.1321-b