MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'hernia'. Sat, 03 Sep 2011 02:07:48 +0100 http://www.medworm.com/index.php?rid=5118933&cid=t_92866_136_f&fid=39027&url=http%3A%2F%2Fwww.cancerlifeandme.com%2F2011%2F06%2Ffourth-times-a-charm-it-better-be%2F About 2 weeks ago (June 8th) I had my first formal visit with the spine surgeon, along with a medical resident on the surgical team. The conversation was sobering. They admitted that it could be possible to improve my quality of life with another spinal fusion surgery. But, they said, the procedure would be a true challenge for them and the risks would be great for me. There are many factors to consider before surgery even begins, but first… what would they do in the actual surgery? Step 1: Make an incision on my (most likely) right side, across the ribs and under the arm. Step 2: Crack a rib or two open (to make room for their instruments and maybe…hands…ugh). Step 3: In that opening through my rib cage, they would then go in and move my organs to one side in order to ge... Cancer, life, and me blogs http://www.medworm.com/rss/comments.php?id=5118933 Wed, 22 Jun 2011 17:29:39 +0100 5118933 http://www.medworm.com/index.php?rid=4960282&cid=t_92866_136_f&fid=39027&url=http%3A%2F%2Fwww.cancerlifeandme.com%2F2011%2F06%2Ffourth-times-a-charm-it-better-be%2F About 2 weeks ago (June 8th) I had my first formal visit with the spine surgeon, along with a medical resident on the surgical team. The conversation was sobering. They admitted that it could be possible to improve my quality of life with another spinal fusion surgery. But, they said, the procedure would be a true Continue reading Fourth time’s a charm? It better be. (Source: Cancer, life, and me) Cancer, life, and me blogs http://www.medworm.com/rss/comments.php?id=4960282 Wed, 22 Jun 2011 17:29:39 +0100 4960282 http://www.medworm.com/index.php?rid=4789143&cid=t_92866_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2011%2F05%2Fdirect-indirect-inguinal-hernia%2F An inguinal hernia is a protrusion of parietal peritoneum and possibly pelvic and abdominal structures into the inguinal canal. They are classified as direct or indirect. An indirect inguinal hernia occurs when tissue protrudes the deep inguinal ring travels into the canal and then exits the superficial inguinal ring. It is described as lateral to the arteries and veins of the inguinal canal. A direct inguinal hernia occurs when tissue protrudes through the floor of the canal. It is described as lying medial to the vascular structures. Indirect hernias are more typical in young men and direct inguinal hernias are more typical in older males, although it can be difficult to discern on physicial exam. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4789143 Thu, 05 May 2011 17:48:23 +0100 4789143 http://www.medworm.com/index.php?rid=4525018&cid=t_92866_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2011%2F02%2Fobturator-hernia%2F Obturator hernias are rare but well-described and occur when bowel contents pass through the obturator canal, which is the opening in the superior portion of the obturator membrane which covers the opening in the bone between the ischium and the pubic bone. The normal contents of the canal are the obturator artery, vein, and nerve. The most common presentation of these hernias is a bowel obstruction and this diagnosis must be considered in all bowel obstructions in virgin abdomens, particularly in frail, elderly, and debilitated women. The pathognomonic finding of the entrapment of small bowel between the pectineus and adductor longus muscles is the Howship-Romberg sign, which is pain on the ipsilateral medial thign of extension or medial rotation and that is relieved by flexion. Treatment... Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4525018 Sun, 27 Feb 2011 03:05:03 +0100 4525018 http://www.medworm.com/index.php?rid=4545161&cid=t_92866_136_f&fid=39027&url=http%3A%2F%2Fwww.cancerlifeandme.com%2F2011%2F02%2Fspine-clinic%2F I visited the UCD Spine Clinic today to discuss a few things. First, I received a neurological exam (reflexes tested, numbness/sharpness tested, basic strength tests). Good news: nervous system seems intact and responsive. No sign of any new nerve damage. I brought up my concerns, stating that I think my kyphosis might be progressing and causing organ Continue reading Spine Clinic (Source: Cancer, life, and me) Cancer, life, and me blogs http://www.medworm.com/rss/comments.php?id=4545161 Fri, 18 Feb 2011 01:10:34 +0100 4545161 http://www.medworm.com/index.php?rid=4489590&cid=t_92866_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2011%2F02%2Fspigelian-hernia%2F Spigelian hernias are infrequently occurring hernias most commonly presenting in the 5th or 6th decades. These hernias are a protrusion of intra-abdominal contents through the Spigelian fascia, which is the aponeurotic tissue anatomically located at the junction of the semilunar line laterally and rectus abdominus medially. The most precise description of the hernia location is at the junction of the linea semilunaris and linea semicircularis at the junction of the of the muscular and aponeurotic portions of the transverse abdominus. These hernias are almost always found below the arcuate line (semicircularis) The most consistent symptom of a Spigelian hernia is pain, with a variable finding of a palpable hernia bulge. This is due to the hernia sac bulging throught the transverse abdominis... Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4489590 Thu, 17 Feb 2011 03:57:26 +0100 4489590 http://www.medworm.com/index.php?rid=4477652&cid=t_92866_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2011%2F02%2Filioinguinal-nerve-injury%2F The ilioinguinal nerve is the most commonly injured nerve during open inguinal hernia repair. This results in pain, numbness, and paresthesias along the inguinal crease (from the hip bone down to the groin.) (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4477652 Tue, 15 Feb 2011 07:41:53 +0100 4477652 http://www.medworm.com/index.php?rid=4441956&cid=t_92866_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2011%2F02%2Fgenitofemoral-nerve-injury%2F Injury or entrapment of the genitofemoral nerve can occur during open hernia surgery. This nerve provides sensory innervation to the skin on the medial upper thigh and lateral scrotum. Injury to this nerve causes pain and numbness in these areas. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4441956 Sun, 06 Feb 2011 20:40:00 +0100 4441956 http://www.medworm.com/index.php?rid=4313949&cid=t_92866_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2011%2F01%2Fwatchful-waiting-inguinal-hernias%2F The traditional teaching in surgery that an indication for inguinal hernia repair was its simple presence, especially if the patient was considered a good surgical candidate. And, while most surgeons still adhere to this strategy there are now some data describing a “watchful waiting” approach. This is based on part on studies that show that pain limiting activities is not significantly different in the repair vs. non-repair groups and the risk of bowel incarceration is quite low. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4313949 Wed, 05 Jan 2011 18:52:22 +0100 4313949 http://www.medworm.com/index.php?rid=4305067&cid=t_92866_136_f&fid=38061&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FBreastCancerReconstructionBlog%2F%7E3%2FR0rsEzbPJp4%2Fbreast-reconstruction-with-tummy-tissue.html DIEP flap? TRAM flap? SIEA flap? With so many breast reconstruction options available these days it's difficult to understand what these terms really mean and what the differences are between all these "tummy flap" procedures. It is important for women considering these reconstructive options to realize that not all tummy tissue options are created equal. For example, a DIEP flap is not the same as a TRAM flap just because both provide the benefit of a tummy tuck. Many women are now rejecting breast implants preferring to use their own abdominal tissue for reconstruction after mastectomy. A breast that has been reconstructed with the patient's own tissue typically looks and feels more natural than an implant reconstruction, will last longer without the long-term complications that can be... Breast Cancer Reconstruction Blog blogs http://www.medworm.com/rss/comments.php?id=4305067 Mon, 03 Jan 2011 14:09:00 +0100 4305067 http://www.medworm.com/index.php?rid=4298587&cid=t_92866_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F12%2Fsports-hernia-transversalis-fascia%2F Although orthopedic surgeons have been confronted with chronic groin pain in athletes for decades, the term sports hernia has been developed to describe a painful symptom complex that is often difficult for even high-level athletes to tolerate. One etiology increasingly thought to play a part in this condition is a tear in the transversalis fascia in the floor of the inguinal canal. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4298587 Thu, 30 Dec 2010 06:12:00 +0100 4298587 http://www.medworm.com/index.php?rid=3866942&cid=t_92866_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F08%2Flaparoscopic-inguinal-hernia-repair%2F Indications Although the use of this surgical procedure is not quite as popular as it was in the late 1990s it is still a widely performed operation. Most experienced surgeons use it for repair of bilateral inguinal hernias and recurrent hernias. In addition, some surgeons use it for young patients who may be at risk of developing long-term chronic pain after an open repair Surgical Details of the Procedure 1. After the incision is made, dissection is done through the subcutaneous tissue with Bovie cautery 2. The anterior rectus fascia is visualized and incised using Bovie cautery or alternately with sharp dissection with a scalpel 3. The decision is made at this time as to which rectus muscle is to be used for the surgical approach. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3866942 Sat, 14 Aug 2010 15:43:42 +0100 3866942 http://www.medworm.com/index.php?rid=3767277&cid=t_92866_136_f&fid=38061&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FBreastCancerReconstructionBlog%2F%7E3%2FJSl7sQEK-54%2Fare-you-diep-flap-candidate.html The DIEP flap procedure has rapidly become the "gold standard" in breast reconstruction today. While not every woman is a candidate for DIEP flap surgery, many are turned away when in fact they needn't be. The most common areas of confusion include: 1) Previous Abdominal Surgery While some types of previous abdominal surgery can make the DIEP flap procedure impossible to perform, most of the time previous abdominal surgery really isn't an issue. Many women these days have had a previous c-section or hysterectomy. It is possible for these procedures to cause damage to the blood vessels needed for DIEP flap surgery, but this is rare. A previous c-section, hysterectomy, or tubal ligation is not a contra-indication to having the procedure. If your surgeon is worried about potential damage... Breast Cancer Reconstruction Blog blogs http://www.medworm.com/rss/comments.php?id=3767277 Mon, 19 Jul 2010 13:24:42 +0100 3767277 http://www.medworm.com/index.php?rid=3761370&cid=t_92866_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F07%2Fblandin-hernia%2F This rarely occurring internal hernia occurs when intraperitoneal tissue (most commonly bowel or omentum) passes through the foramen of Winslow. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3761370 Sat, 17 Jul 2010 08:00:32 +0100 3761370 http://www.medworm.com/index.php?rid=3156572&cid=t_92866_123_f&fid=39041&url=http%3A%2F%2Fdrnabong.blogspot.com%2F2010%2F01%2Fdoctor-my-baby-has-outie.html We often hear parents tell us that their baby has an outie and grandmother would recommend putting a coin on the umbilicus to strap it down to help make this better. An outie is a bulge on the umbilicus which is more prominent when the baby cries, coughs or strains. We call this an"umbilical hernia". This is due to the imperfect closure or weakness of the muscles in the umbilical ring. The size of the defect ranges from 1cm to 5cm but larger ones are rare. Most umbilical hernia that appear before 6 months of age will resolve by 1 year of age. Even large ones at 5-6cm spontaneously resolve by 5-6 years of age. The chances of the intestinal contents be trapped through the defect is rare. Surgery is only indicated if the defect progressively becomes large after the age of 2 or if this is grea... Dr Nabong's Pediatric Blogs blogs http://www.medworm.com/rss/comments.php?id=3156572 Fri, 08 Jan 2010 21:39:00 +0100 3156572 http://www.medworm.com/index.php?rid=2660810&cid=t_92866_115_f&fid=34670&url=http%3A%2F%2Fsumerdoc.blogspot.com%2F2009%2F08%2Fgiant-hiatal-hernia-ct.html Hiatal hernias may be categorized as paraesophageal or sliding. Paraesophageal hiatal hernias are rare hernias involving migration of the gastric fundus into the thorax while the gastroesophageal junction remains below the diaphragm. Sliding hiatal hernias, by far more common, involve migration of both the gastroesophageal junction and the stomach into the thorax; they place patients at risk for reflux. From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at teleradproviders@gmail.com (Source: Sumer's Radiology Site) Sumer's Radiology Site blogs http://www.medworm.com/rss/comments.php?id=2660810 Sat, 01 Aug 2009 08:41:00 +0100 2660810 http://www.medworm.com/index.php?rid=2630220&cid=t_92866_115_f&fid=34670&url=http%3A%2F%2Fsumerdoc.blogspot.com%2F2009%2F07%2Fparaduodenal-hernia-ct.html Intestinal obstruction is a common clinical condition that is usually suspected on the basis of clinical signs and patient history. Internal hernias are rare cause for intestinal obstruction. Para duodenal hernias constitute approximately 53% of all internal herniasFrom Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at teleradproviders@gmail.com (Source: Sumer's Radiology Site) Sumer's Radiology Site blogs http://www.medworm.com/rss/comments.php?id=2630220 Wed, 22 Jul 2009 15:00:00 +0100 2630220 http://www.medworm.com/index.php?rid=2441382&cid=t_92866_93_f&fid=36982&url=http%3A%2F%2Fprep4md.blogspot.com%2F2009%2F05%2Flaparoscopic-inguinal-hernia-repair.html This animation depicts the surgical repair of a direct, strangulated inguinal hernia using a laparoscope. Thanks for reading :) ... http://prep4md.blogspot.com/ (Source: My M.D. Journey!) My M.D. Journey! blogs http://www.medworm.com/rss/comments.php?id=2441382 Thu, 21 May 2009 16:08:00 +0100 2441382 http://www.medworm.com/index.php?rid=1187256&cid=t_92866_158_f&fid=36024&url=http%3A%2F%2Fblog.healthtalk.com%2Fcaregiver%2Fjeff%2Fa-caregiver-is-saddened-by-a-death-at-the-mill%2F There was a recent death at the Mill where my 90-year-old father lives. Because it is an apartment house for senior citizens, there are deaths there from time to time. But this latest death was one of my father’s friends, and someone who I knew too. I did not know Don well, but I often saw him when I visited my father, and I knew him well enough to like him. Don was disabled and his legs were shrunken. He rode around the Mill on a motorized scooter with a big smile on his face. He was always ready to swap stories and jokes with my father, and was pretty smart, too. He played online poker and was said to be a consistent winner On a personal note, Don met my dog Gulliver once when I brought him along to visit my father and made a big fuss over him. Whenever I saw him, Don would ask me when... Caregiver Notes blogs http://www.medworm.com/rss/comments.php?id=1187256 Tue, 29 Jan 2008 22:10:22 +0100 1187256 http://www.medworm.com/index.php?rid=742605&cid=t_92866_130_f&fid=34941&url=http%3A%2F%2Forthosportsrehab.blogspot.com%2F2007%2F07%2Fmore-on-sports-hernia-front.html Research out of the Washington University School of Medicine in St. Louis has demonstrated that the surgical repair of sports hernias successfully returned athletes to competition in 93 percent of cases. The results of 61 sports hernia repair surgeries and a follow-up rehab program were presented at the annual meeting of the American Orthopaedic Society of Sports Medicine, held in Calgary, Alberta, Canada.This topic has been covered by this blog in the past, so it is interesting to note that they were able to get athletes back to their sport in five weeks after surgery. Hmmmmmmm... Save This Page (Source: Concepts in Orthopaedic and Sports Medicine Rehab) Concepts in Orthopaedic and Sports Medicine Rehab blogs http://www.medworm.com/rss/comments.php?id=742605 Wed, 18 Jul 2007 22:52:00 +0100 742605 http://www.medworm.com/index.php?rid=512454&cid=t_92866_87_f&fid=34969&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FUnboundedMedicine%2F%7E3%2F105541085%2F This is the case of a 69 years old diabetic female patient with history of subtotal colectomy for advanced colon cancer a year ago. She had a surgical complication of the abdominal wall called postincisional hernia and came to surgical consult because of this giant ventral hernia. This is one of the largest hernias I’ve ever seen. A laparoscopic repair of the defect was made with Prolene mesh (2 sheets of 12″ x 12″) sutured to the fascia and now she is doing very well. abdominal wall, giant hernia, ventral hernia (Source: Unbounded Medicine) Unbounded Medicine blogs http://www.medworm.com/rss/comments.php?id=512454 Sat, 31 Mar 2007 07:08:05 +0100 512454 http://www.medworm.com/index.php?rid=478735&cid=t_92866_87_f&fid=34865&url=http%3A%2F%2Fwww.thecancerblog.com%2F2007%2F03%2F14%2Fthought-for-the-day-see-how-the-flesh-grows-back%2F Filed under: All Cancers, Magazines, Cancer Survivors, Thought for the DayI'm in another hospital lobby -- this time waiting while my three-year-old son has surgery to repair a hernia.So I'm back to reading a magazine. This time I brought my own not-so-outdated publication -- The Oprah Magazine, April 2007. And as I sit here flipping and turning the pages, there is so much I want to tell you.I'll be back with more. But for now, think about this: "...see how the flesh grows backacross a wound, with a great vehemence,more strongthan the simple, untested surface before.There's a name for it on horses,when it comes back darker and raised: proud flesh.as all fleshis proud of its wounds, wears themas honors given out after battle,small triumphs pinned to the chest."Jane Hirshfield, From What Bin... The Cancer Blog blogs http://www.medworm.com/rss/comments.php?id=478735 Wed, 14 Mar 2007 04:00:00 +0100 478735 http://www.medworm.com/index.php?rid=479958&cid=t_92866_130_f&fid=34941&url=http%3A%2F%2Forthosportsrehab.blogspot.com%2F2007%2F02%2Fsports-hernia-part-2.html In a previous post I mentioned that I had been to a presentation on the topic of sports hernias, which featured three guest speakers who presented current research/information on the topic. The speakers included Dr. Alan Schuricht, Dr. William Meyers, and Dr. Adam Zoga. The first two have previously published on the sports hernia (see reference articles below), while Dr. Adam Zoga from Jefferson University Hospital presented his unpublished research on the use of MRI to diagnose sports hernia. Here is my summary of the event...So what exactly is a sports hernia? From my understanding, each speaker seemed to have a slightly different opinion on what specifically a sports hernia is, but it seems to be more of a 'catch-all' term to describe any pain localized to the lower abdominal region (ie... Concepts in Orthopaedic and Sports Medicine Rehab blogs http://www.medworm.com/rss/comments.php?id=479958 Sun, 18 Feb 2007 20:35:00 +0100 479958 http://www.medworm.com/index.php?rid=478614&cid=t_92866_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2Findex.php%3Fitemid%3D359 Lichtenstein Repair (aka tension-free repair or plug-and-patch repair) Indications Indirect inguinal hernia - this type of hernia occurs because of the weakness of the tissue in and around the inguinal canal. The tissue in this hernia projects through the internal inguinal ring that the spermatic cord and vessels traverse. By definition this hernia lies lateral to the inferior epigastric vessles. Contents of indirect inguinal hernias can include fat, bowel, peritoneum, and bladder. These hernias are extremely common and occur in 5% of men - they are the hernia that is most common in young men. Direct inguinal hernia - these hernias are more common in older men. They are caused by a weakness in the anterior abdominal wall muscles and by definition protrude medial to the inferior epigastr... Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=478614 Sun, 18 Feb 2007 13:26:39 +0100 478614 http://www.medworm.com/index.php?rid=479962&cid=t_92866_130_f&fid=34941&url=http%3A%2F%2Forthosportsrehab.blogspot.com%2F2007%2F02%2Fsports-hernia-part-1.html Last week I attended a presentation at one of the local hospitals here in Philadelphia on the topic of sports hernias. The standard format for the meeting is a review of selected articles on a particular topic in sports medicine, followed by a 'lively' discussion. This is often well attended by physicians, physical therapists, athletic trainers, etc. At this meeting, three guest speakers were invited to present their current research in the area of the sports hernia. The speakers included Dr. Alan Schuricht, Dr. William Meyers, and Dr. Adam Zoga. The first two have previously published on this topic (see below), while Dr. Adam Zoga from Jefferson University Hospital presented his unpublished research on the use of MRI to diagnose sports hernia.I will try to post my summary of the evening l... Concepts in Orthopaedic and Sports Medicine Rehab blogs http://www.medworm.com/rss/comments.php?id=479962 Thu, 08 Feb 2007 04:03:00 +0100 479962