The operative findings revealed a sliding Maydl’s hernia with an ischemic inner ileal pathologyshouldbeinvestigatedandtreatedappropriately. Maydl’s hernia is a very rare type of a hernia and at times presents as a deceptive condition in a strangulated hernia. There is a paucity of. #DatoQx Hernia de Maydl o #Hernia en W – 2 asas de delgado en el saco. Alta probabilidad de estrangulación!!

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Maydl’s hernia: report of a series of seven cases and review of the literature. – Semantic Scholar

Dis Colon Rectum ; The intervening intra-abdominal loop is also at risk of a closed loop obstruction. Inguinal hernias in children should be repaired surgically.

Appendicectomies for left-sided hernias should be a routine irrespective of being inflamed or not. For example, stomas should be brought herrnia through the aponeurotic part of the abdominal wall, not the muscular part, and they yernia not be sited in the main abdominal wound or the umbilicus.

The swelling was above and lateral to the pubic tubercle. The main predisposing factors for an incisional hernia are poor surgical techniques, local wound complications, impaired wound healing, and increased intraabdominal pressure Aetiological factors in incisional hernias.

Inguinal hernias are always indirect in infants and children and are due to a patent processus vaginalis. Use your account on the social network Facebook, to create a profile on BusinessPress.

Except in children and infants, the essential cause of an IIH is a failure of the processus vaginalis to become completely obliterated to form the ligamentum vaginale, which normally occurs within a few days after birth, and b loss of integrity of the inguinal canal see above. They should avoid straining and lifting for about 4 weeks after surgery, and avoid very heavy physical work for about 6—8 weeks. National Center for Biotechnology InformationU.


A Insertion of two sutures through upper hernoa lower edges of hernial defect. Erythema of the overlying skin is a late sign. At birth, the intestine protrudes into the base of the umbilical cord and is covered by a thin opaque sac of amnion, not normal skin. Spigelian hernias are rare.

Maydl’s hernia: report of a series of seven cases and review of the literature.

Sliding hernias occasionally contain part of the bladder or an ovary and ovarian tube. The neck of a femoral hernia is below the inguinal ligament and lateral to the pubic tubercle, and the heenia protrudes initially from below the ligament. Patients present with nagging discomfort and a bulge at the site of a previous incision. It is of historical interest that in Claudius Amyand removed the appendix of an year-old boy through a groin incision for a scrotal hernia, arguably the first appendicectomy to be performed although without the intention of curing appendicitis [ 5 ].

Discomfort is due to stretching of the tissues of the inguinal canal and occurs typically when IAP is increased. Operation involves defining the sac and neck, returning the contents to the abdominal cavity, and repairing the hole in the abdominal wall. The sac accompanies the spermatic cord along the inguinal hrnia towards the scrotum for a varying distance see below.

Indian Journal of Surgery. Elroy Patrick Weledji has been involved in drafting the paper or revising it critically for important intellectual content.

Para-umbilical hernias are treated surgically because of the risk of obstruction, strangulation and, rarely, excoriation and ulceration of the skin overlying the hernia. Para-umbilical hernias initially contain extraperitoneal fat but, as the hernial orifice enlarges, omentum enters the sac. He made good recovery and was discharged on the fifth postoperative day. Matdl of obstruction, initially there is compression of the mesenteric veins.


The systemic manifestations are those of bowel obstruction and gangrene leading to serious fluid and electrolyte imbalance. There was no sign or symptom of obstruction or peritonitis. Causes of sudden or sustained increases in intra-abdominal pressure. The Internet Journal of Surgery.

There was also history of a small ulcer lateral to this swelling from which daily about 50 ml greenish discharge drained. A Meckel’s diverticulum lies within the hernial sac.

A Rare Presentation of Maydl’s Hernia

Ninety per cent occur in males and more commonly on the right side, re due to the slightly later descent of the right testis. Attempts at hsrnia a hernia should not be prolonged. Invariably, it is invagination of the proximal into the distal bowel. Of an inguinal rupture, with a pin in the appendix coeci, incrusted with stone, and some observations on wounds in the guts.

Strangulation is a serious complication and, if the intestine is involved, leads to peritonitis see Peritonitis and intra-abdominal abscesses which can be fatal. Indirect Mayd are approximately four times more common than DIH, occur at any time during life, and have a male to female ratio of about Femoral hernias are never congenital, and are twice as common in parous as in non-parous females.