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Hernia

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1214: 1407:, testicular pain/swelling, mesh infection/wound infection, and recurrence. A seroma is often seen after an indirect hernia repair and resolves spontaneously over 4–6 weeks. To prevent a seroma it's important to reduce the amount of cutting around the hernia sac where it's connected to the cord structures. Additionally, securely attaching the hernia sac to the pubic bone and creating small openings in the tissue around a direct hernia can help. In cases of heavy bleeding or extensive cutting, certain surgeons may opt to insert a drain. Urinary retention is often seen in elderly patients, these patients can be catheterized prior to surgery if there is a risk. Other complications may arise 1347: 368:
reflect a 36.00% increase in prevalent cases and a 63.67% increase in incident cases compared to the numbers reported in 1990. About 27% of males and 3% of females develop a groin hernia at some point in their lives. Inguinal, femoral and abdominal hernias were present in 18.5 million people and resulted in 59,800 deaths in 2015. Groin hernias occur most often before the age of 1 and after the age of 50. It is not known how commonly hiatus hernias occur, with estimates in North America varying from 10% to 80%. The first known description of a hernia dates back to at least 1550 BC, in the
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additional health issues, leads to fewer complications and reduced costs. Studies show that compared to regional or general anesthesia, local anesthesia results in less postoperative pain, shorter recovery times, and decreased unplanned overnight stays. However, it might not be enough for repairing large hernias or in patients with abdominal domain loss, where general anesthesia is preferred.
407: 683: 759:. They can be hard to distinguish from the inguinal type (especially when ascending cephalad): however, they generally appear more rounded, and, in contrast to inguinal hernias, there is a strong female preponderance in femoral hernias. The incidence of strangulation in femoral hernias is high. Repair techniques are similar for femoral and 399: 481:
Irreducible abdominal hernias or incarcerated hernias may be painful, but their most relevant symptom is that they cannot return to the abdominal cavity when pushed in. They may be chronic, although painless, and can lead to strangulation (loss of blood supply), obstruction (kinking of intestine), or
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About 27% of males and 3% of females develop a groin hernia at some time in their lives. In 2013 about 25 million people had a hernia. Inguinal, femoral and abdominal hernias resulted in 32,500 deaths globally in 2013 and 50,500 in 1990. Healthcare costs associated with abdominal wall hernias account
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The frequency of surgical correction ranges from 10 per 100,000 (U.K.) to 28 per 100,000 (U.S.). After elective surgery, the 30-day mortality rate for inguinal or femoral hernia repair stands at 0.1 percent, but it increases to 2.8 to 3.1 percent after urgent surgery. When a bowel resection is part
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Surgery is recommended for some types of hernias to prevent complications such as obstruction of the bowel or strangulation of the tissue, although umbilical hernias and hiatus hernias may be watched, or are treated with medication. Most abdominal hernias can be surgically repaired, but surgery has
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that is used to repair the hernia. In the event of a mesh rejection, the mesh will very likely need to be removed. Mesh rejection can be detected by obvious, sometimes localized swelling and pain around the mesh area. Continuous discharge from the scar is likely for a while after the mesh has been
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hernia surgery has also recently gained popularity as safe alternatives to open surgery. Robotic surgery for inguinal hernia repair shows outcomes comparable to laparoscopic surgery. The rates of overall complications, long-lasting postoperative pain, urinary retention, and 30-day re-admission are
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Hernias might manifest with pain in the area, a noticeable lump, or less specific symptoms caused by pressure on an organ stuck within the hernia, potentially leading to organ dysfunction. Typically, fatty tissue is the initial entrant into a hernia, but it might also involve an organ. Hernias are
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Most hernias happen when the muscles and tendons in the belly weaken or get damaged, which makes it hard for them to keep the insides in place and support the body properly. The belly and pelvis act like a container made of muscles, tendons and bones. When pressure builds up inside this container,
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Globally in 2019, there were 32.53 million prevalent cases of inguinal, femoral, and abdominal hernias, with a 95% uncertainty interval ranging from 27.71 to 37.79 million. Additionally, there were 13.02 million incident cases, with an uncertainty interval of 10.68 to 15.49 million. These figures
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can be distinguished by their positioning in relation to the inferior epigastric vessels. An indirect hernia is situated laterally to these vessels, whereas a direct hernia is positioned medially to them. Inguinal hernias are the most common type of hernia in both men and women. In some selected
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centers and are able to return to work within a week or two, though intense activities are prohibited for a longer period. People who have their hernias repaired with mesh often recover within a month, but pain can last longer. Surgical complications may include pain that lasts more than three
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causes less pain, speeds up recovery, and shows similar low rates of the hernia coming back compared to the traditional open repair method. However, open surgery can be done sometimes without general anesthesia. Using local anesthesia for open groin hernia repair, particularly in patients with
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or in another abdominal area can often be seen and felt. When standing, such a bulge becomes more obvious. Besides the bulge, other symptoms include pain in the groin that may also include a heavy or dragging sensation, and in men, there is sometimes pain and swelling in the
1257: 1213: 899:), in which case the junction remains fixed while another portion of the stomach moves up through the defect. Non-sliding or para-esophageal hernias can be dangerous as they may allow the stomach to rotate and obstruct. Repair is usually advised. 1265:
complications. Prior to surgery patients should be medically optimized receive guidance about changing factors that can be controlled, such as quitting smoking, managing medical conditions like diabetes effectively, and working on losing weight.
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the muscles push back to keep everything in place. If the pressure gets too high, it may cause the belly's wall to break, leading to a hernia. Once a hernia starts, it keeps enlarging, because the tension on the wall there increases.
2104:"Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013" 1336:
very similar between these two methods. Just like in other areas of general surgery, it has been noted that robotic surgery for inguinal hernia repair takes more time in the operating room compared to the laparoscopic approach.
4902: 1108:: a perineal hernia protrudes through the muscles and fascia of the perineal floor. It may be primary but usually is acquired following perineal prostatectomy, abdominoperineal resection of the rectum, or pelvic exenteration. 601:
Furthermore, conditions that increase the pressure of the abdominal cavity may also cause hernias or worsen the existing ones. Some examples would be: obesity, straining during a bowel movement or urination (constipation,
942:. The above article deals mostly with "visceral hernias", where the herniating tissue arises within the abdominal cavity. Other hernia types and unusual types of visceral hernias are listed below, in alphabetical order: 509:(MDCT) can show with precision the anatomic site of the hernia sac, the contents of the sac, and any complications. MDCT also offers clear detail of the abdominal wall allowing wall hernias to be identified accurately. 572:
or incarceration, in which it cannot be reduced, or pushed back into place, at least not without very much external effort. In intestinal hernias, this also substantially increases the risk of bowel obstruction and
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Ozben V, Aliyeva Z, Barbur E, Guler I, Karahasanoglu T, Baca B (September 2020). "Laparoscopic management of incarcerated broad ligament hernia in a patient with bilateral parametrium defects - a video vignette".
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months, surgical site infections, nerve and blood vessel injuries, injury to nearby organs, and hernia recurrence. Pain that lasts more than three months occurs in about 10% of people following hernia repair.
1701:"Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015" 1066:: two adjacent loops of small intestine are within a hernial sac with a tight neck. The intervening portion of bowel within the abdomen is deprived of its blood supply and eventually becomes necrotic. 655:
Abdominal wall hernia may occur due to trauma. If this type of hernia is due to blunt trauma it is an emergency condition and could be associated with various solid organs and hollow viscus injuries.
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is a femoral hernia with two sacs, the first being in the femoral canal, and the second passing through a defect in the superficial fascia and appearing almost immediately beneath the skin.
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of the hernia repair, the mortality rate is even higher. Older age, femoral hernias, female sex, and urgent repair are identified as other factors linked to a higher risk of mortality.
4999: 324:". However most men tend to eventually undergo groin hernia surgery due to the development of pain. For women, however, repair is generally recommended due to the higher rate of 1188:: can present as a bulge in the shins. Pain on rest, walking, or during exercise may occur. The bulge can typically not be present unless pressure or flexing of the leg occurs. 3602: 305:
inheritance (especially for men). It is unclear if groin hernias are associated with heavy lifting. Hernias can often be diagnosed based on signs and symptoms. Occasionally,
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Causes of hiatus hernia vary depending on each individual. Among the multiple causes, however, are the mechanical causes which include: improper heavy weight lifting, hard
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Uncomplicated hernias are principally repaired by pushing back, or "reducing", the herniated tissue, and then mending the weakness in muscle tissue (an operation called
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Sezer S, ĹžimĹźek N, Celik HT, Erden G, Ozturk G, DĂĽzgĂĽn AP, et al. (August 2014). "Association of collagen type I alpha 1 gene polymorphism with inguinal hernia".
458:, or fibrous tissue, which forms the abdominal wall. It is possible for the bulge associated with a hernia to come and go, but the defect in the tissue will persist. 344:. Laparoscopic surgery generally has less pain following the procedure. A hiatus hernia may be treated with lifestyle changes such as raising the head of the bed, 243:. Symptoms are present in about 66% of people with groin hernias. This may include pain or discomfort in the lower abdomen, especially with coughing, exercise, or 258:, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness in the area. Hiatus, or hiatal hernias often result in 644:
cause. They contend that the risk of hernia is due to a physiological difference between patients who have hernia and those who do not, namely the presence of
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Balentine, Courtney J.; Meier, Jennie; Berger, Miles; Reisch, Joan; Cullum, Munro; Lee, Simon C.; Skinner, Celette Sugg; Brown, Cynthia J. (February 2021).
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Since many organs or parts of organs can herniate through many orifices, it is very difficult to give an exhaustive list of hernias, with all synonyms and
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Evidence suggests that tension-free methods (with or without mesh) often have lower percentage of recurrences and the fastest recovery period compared to
251:. Often, it gets worse throughout the day and improves when lying down. A bulge may appear at the site of hernia, that becomes larger when bending down. 3740: 1647:
Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. (GBD 2015 Disease and Injury Incidence and Prevalence Collaborators) (October 2016).
1135:: a hernia involving only one sidewall of the bowel, which can result in bowel strangulation leading to perforation through ischaemia without causing 2102:
Vos T, Barber RM, Bell B, Bertozzi-Villa A, Biryukov S, Bolliger I, et al. (Global Burden of Disease Study 2013 Collaborators) (August 2015).
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most commonly presents as an uncomfortable mass in the gluteal area. Bowel obstruction may also occur. This type of hernia is only a rare cause of
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Wang H, Naghavi M, Allen C, Barber RM, Bhutta ZA, Carter A, et al. (GBD 2015 Mortality and Causes of Death Collaborators) (October 2016).
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methods (e.g., Shouldice), muscle is not pulled together under tension. However, this widely used terminology is misleading, as there are many
3968: 3020: 2305: 702:(2/3, depicted here), in which the inguinal canal is entered via a congenital weakness at its entrance (the internal inguinal ring), and the 607: 270: 107: 2199:
Park AE, Roth JS, Kavic SM. Abdominal wall hernia. Curr Probl Surg. 2006 May;43(5):326-75. doi: 10.1067/j.cpsurg.2006.02.004. PMID 16679124.
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Naghavi M, Wang H, Lozano R, Davis A, Liang X, Zhou M, et al. (GBD 2013 Mortality and Causes of Death Collaborators) (January 2015).
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The benefits of the use of an external device to maintain reduction of the hernia without repairing the underlying defect (such as hernia
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By far the most common hernias (up to 75% of all abdominal hernias) are inguinal hernias, which are further divided into the more common
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aponeurotic arch. There isn't any proof that being physically active will cause a hernia to get stuck or make an existing hernia worse.
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van Veen, Ruben N.; Mahabier, Chander; Dawson, Imro; Hop, Wim C.; Kok, Niels F. M.; Lange, Johan F.; Jeekel, Johannus (March 2008).
2344: 2035: 1566: 1058:: a hernia through Grynfeltt-Lesshaft triangle (superior lumbar triangle). It is named after physician Joseph Grynfeltt (1840–1913). 519:. By pushing on the hernia, it can be (reduced) pushed into the abdomen. When the pressure is removed, the hernia quickly reappears. 3559: 1343:). If complications have occurred, the surgeon will check the viability of the herniated organ and remove part of it if necessary. 1012:: an indirect inguinal hernia with two hernia sacs, without a concomitant direct hernia component (as seen in a pantaloon hernia). 4598: 2378: 4936: 4739: 4351: 4334: 3839: 3834: 3711: 903: 822:
An incisional hernia occurs when the defect is the result of an incompletely healed surgical wound. When these occur in median
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Higher in the abdomen, an (internal) "diaphragmatic hernia" results when part of the stomach or intestine protrudes into the
569: 4804: 1761: 4650: 4880: 2543:"Systematic Review and Meta-Regression of Factors Affecting Midline Incisional Hernia Rates: Analysis of 14,618 Patients" 4994: 4559: 4078: 3686: 2818:"Tibialis Anterior Muscle Hernia: A Case of Chronic, Dull Pain and Swelling in Leg Diagnosed by Dynamic Ultrasonography" 1149:: occurs when an organ drags along part of the peritoneum, or, in other words, the organ is part of the hernia sac. The 3773: 3386:
Chowbey, Pradeep K; Pithawala, Murtaza; Khullar, Rajesh; Sharma, Anil; Soni, Vandana; Baijal, Manish (September 2006).
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is a particular variant of this type, in which the normal passageway through which the esophagus meets the stomach (
726:(or saddlebag hernia) is a combined direct and indirect hernia when the hernial sac protrudes on either side of the 320:
Groin hernias that do not cause symptoms in males do not need immediate surgical repair, a practice referred to as "
4139: 4068: 4412: 4368: 4321: 4127: 3745: 1179: 286: 123: 4438: 1358:). The mesh is placed either over the defect (anterior repair) or under the defect (posterior repair). At times 4758: 4073: 4031: 3844: 3719: 3706: 3647: 3502: 1185: 707: 699: 51: 3676: 1025: 2209: 4683: 4460: 4201: 3993: 3652: 1208: 1165: 1140: 915: 716: 81: 2510:"An unexpected finding during an inguinal herniorrhaphy: report of an indirect hernia with two hernia sacs" 4763: 4487: 4470: 3880: 3854: 3730: 3681: 3642: 3620: 3612: 1561:(22nd ed.). Philadelphia, Pa.: Wolters Kluwer Health/Lippincott Williams & Wilkins. p. 562. 1378: 1371: 1363: 1355: 1332: 1039: 1009: 734: 711: 706:
type (1/3), where the hernia contents push through a weak spot in the back wall of the inguinal canal. An
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is the principal means of detecting internal diaphragmatic and other nonpalpable or unsuspected hernias.
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Symptoms and signs vary depending on the type of hernia. By far the most common hernias develop in the
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Solaini, Leonardo; Cavaliere, Davide; Avanzolini, Andrea; Rocco, Giuseppe; Ercolani, Giorgio (2022).
2554: 2275: 1099: 1018:: a hernia due to "short oesophagus" — insufficient elongation — stomach is displaced into the thorax 961: 927: 923: 843: 827: 805: 784:
They involve protrusion of intra-abdominal contents through a weakness at the site of passage of the
333: 302: 298: 3069:"Robotic versus laparoscopic inguinal hernia repair: an updated systematic review and meta-analysis" 197:, through the wall of the cavity in which it normally resides. The term is also used for the normal 5009: 4911: 4828: 4638: 4531: 4514: 4475: 4448: 4400: 4243: 4220: 4213: 4162: 4134: 4056: 4051: 4046: 3963: 3487: 3320:
Nilsson, Hanna; Stylianidis, Georgios; Haapamäki, Markku; Nilsson, Erik; Nordin, Pär (April 2007).
2777:"Tibialis anterior herniation - a rare clinical entity: a case report and review of the literature" 1132: 1079: 911: 876: 857: 282: 119: 1048:: a hernia through Petit's triangle (inferior lumbar triangle). It is named after French surgeon 4923: 4840: 4705: 4688: 4673: 4660: 4643: 4509: 4036: 4008: 3768: 3664: 3629: 2988: 2657: 2487: 1908: 1626: 1221: 1116: 447: 341: 329: 71: 4144: 3942: 979: 418:
when a weakness in the abdominal wall evolves into a localized hole, or "defect", through which
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Mihailov E, Nikopensius T, Reigo A, Nikkolo C, Kals M, Aruaas K, et al. (February 2017).
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Additionally, though very rare, two or more indirect hernias may appear together such as in a
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Wideochirurgia I Inne Techniki Maloinwazyjne = Videosurgery and Other Miniinvasive Techniques
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Bosanquet DC, Ansell J, Abdelrahman T, Cornish J, Harries R, Stimpson A, et al. (2015).
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Needs a surgeon who is highly experienced in inguinal hernia repair (>200 operations/year)
5004: 4941: 4865: 4785: 4780: 4770: 4632: 4504: 4432: 4250: 4157: 4152: 4082: 4041: 3849: 3814: 3417: 3399: 3349: 3333: 3286: 3237: 3196: 3188: 3147: 3137: 3096: 3080: 2964: 2923: 2907: 2837: 2829: 2788: 2747: 2739: 2698: 2688: 2677:"Strangulated hernia through a defect of the broad ligament and mobile cecum: a case report" 2641: 2572: 2562: 2521: 2463: 2422: 2412: 2329: 2172: 2164: 2123: 2115: 2068: 2025: 1996: 1988: 1947: 1939: 1892: 1855: 1847: 1806: 1796: 1720: 1712: 1668: 1660: 1610: 1522: 1237: 1093: 1069: 1049: 1029: 985: 971: 952: 919: 779: 723: 349: 337: 321: 240: 2896:"Using Local Anesthesia for Inguinal Hernia Repair Reduces Complications in Older Patients" 4823: 4753: 4619: 4554: 4519: 4390: 4255: 4191: 4093: 4012: 4003: 3953: 3893: 3778: 3755: 1367: 1359: 1154: 1150: 1105: 1073: 988:, sometimes referred to as brain hernia, is a potentially deadly side effect of very high 865: 760: 690: 669: 633: 516: 502: 498:
obstruction. Also, the hernia bulge, in this case, may turn red, purple or dark and pink.
462: 306: 266: 224: 190: 137: 64: 3580: 2953:"Spinal or local anesthesia in lichtenstein hernia repair: a randomized controlled trial" 2558: 2001: 1976: 1511:
Fitzgibbons RJ, Forse RA (February 2015). "Clinical practice. Groin hernias in adults".
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Roman S, Kahrilas PJ (October 2014). "The diagnosis and management of hiatus hernia".
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is used to confirm the diagnosis or rule out other possible causes. The diagnosis of
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Arenal, Juan J.; RodrĂ­guez-Vielba, Paloma; Gallo, Emiliano; Tinoco, Claudia (2002).
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Kamtoh G, Pach R, Kibil W, Matyja A, Solecki R, Banas B, Kulig J (September 2014).
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Hiraiwa K, Morozumi K, Miyazaki H, Sotome K, Furukawa A, Nakamaru M (March 2006).
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both. Strangulated hernias are always painful and pain is followed by tenderness.
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Groin hernias occur more often on the right than left side. The main concern is
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Increased recurrence of primary hernias if a surgeon is not experienced enough
1112: 823: 792:. Umbilical hernias in adults are largely acquired, and are more frequent in 722:
There are special cases where a direct and indirect hernia appear together. A
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may help. If the symptoms do not improve with medications, a surgery known as
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to (periodically) "herniate" into the chest. Hiatus hernias may be either "
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Abi-Haidar, Youmna; Sanchez, Vivian; Itani, Kamal M. F. (September 2011).
2417: 2345:"Hiatal Hernia Symptoms, Causes And Relation To Acid Reflux And Heartburn" 1961: 1526: 906:
is a distinct problem, occurring in up to 1 in 2000 births, and requiring
848: 4208: 4186: 3898: 3275:"Risk factors and outcomes of acute versus elective groin hernia surgery" 2300:. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. 1943: 1926:
Gong Y, Shao C, Sun Q, Chen B, Jiang Y, Guo C, et al. (March 1994).
1400: 1178:: a hernia characterized by chronic groin pain in athletes and a dilated 797: 583: 487: 432: 27:
Abnormal exit of tissues or organs from the cavity they usually reside in
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Ma, Q.; Jing, W.; Liu, X.; Liu, J.; Liu, M.; Chen, J. (24 March 2023).
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removed. A surgically treated hernia can lead to complications such as
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that do not use mesh (e.g., Desarda, Guarnieri, Lipton-Estrin, etc.).
4344: 4230: 3563: 3468: 3126:"Effectiveness of mesh hernioplasty in incarcerated inguinal hernias" 2401:"Surgical physiology of inguinal hernia repair--a study of 200 cases" 1977:"Trends of inguinal, femoral, and abdominal hernia from 1990 to 2019" 1396: 1354:
Muscle reinforcement techniques often involve synthetic materials (a
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for an annual expenditure of approximately 2.5 to 3 billion dollars.
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Fewer postoperative complications such as infections, bleeding and
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Montgomery, John; Dimick, Justin B.; Telem, Dana A. (2018-09-11).
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Arráez-Aybar LA, González-Gómez CC, Torres-García AJ (May 2009).
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Park, Adrian E.; Roth, J. Scott; Kavic, Stephen M. (2006-05-01).
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Some complications from surgery in order of prevalence include a
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Parastomal hernias, which is when tissue protrudes adjacent to a
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hernia: a hernia in the lumbar region (not to be confused with a
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The physiological school of thought contends that in the case of
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Various types of hernias can occur, most commonly involving the
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or any of its warning signs. It is named after German surgeon
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are often called "tension free" repairs because, unlike some
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Properitoneal hernia: rare hernia located directly above the
336:. Open surgery has the benefit of possibly being done under 1302:
Less pain during the first few days following the procedure
1125:: entrapment of portions of the small intestine behind the 982:: containing the appendix vermiformis within the hernia sac 410:
Incarcerated umbilical hernia with surrounding inflammation
328:, which have more complications. If strangulation occurs, 189:, meaning 'rupture') is the abnormal exit of tissue or an 1272:, or robotic techniques. Fixing an inguinal hernia using 879:) serves as a functional "defect", allowing part of the 3388:"Complications in groin hernia surgery and the way out" 2296:
Goers TA, Klingensmith ME, Chen LE, Glasgow SC (2008).
1157:
are often involved. The term also frequently refers to
1785:"Etiology of Inguinal Hernias: A Comprehensive Review" 2726:
Nguyen JT, Nguyen JL, Wheatley MJ, Nguyen TA (2013).
1268:
Three primary methods can be utilized: open surgery,
265:
Risk factors for the development of a hernia include
3446: 2781:
The Journal of the Canadian Chiropractic Association
1760:. U.S. National Library of Medicine. 9 August 2014. 262:
but may also cause chest pain or pain while eating.
4954: 4922: 4839: 4725: 4718: 4659: 4573: 4530: 4376: 4367: 4320: 4274: 4229: 4115: 4002: 3892: 3879: 3754: 3628: 3619: 3517: 3450: 3015:. Philadelphia: Lippincott Williams & Wilkins. 2816:Sharma N, Kumar N, Verma R, Jhobta A (2017-05-31). 1220:being performed aboard the amphibious assault ship 465:. In the case of reducible hernias, a bulge in the 426:, may protrude. Another common hernia involves the 159: 151: 143: 130: 100: 92: 80: 70: 58: 35: 1981:International Journal of Surgery (London, England) 974:, also known as spontaneous lateral ventral hernia 3230:The European Journal of Surgery = Acta Chirurgica 922:), or anteromedial-retrosternal (in the cleft of 586:bouts, sharp blows to the abdomen, and incorrect 334:laparoscopic surgery, or robotic-assisted surgery 332:is required. Repair may be done by open surgery, 96:< 1 year and > 50 years old (groin hernias) 1102:: a type of umbilical hernia occurring in adults 2239:"What is Hernia? - Causes, Symptoms, Diagnosis" 301:causing predisposition to hernias seem to have 5000:Congenital disorders of musculoskeletal system 4896: 3596: 2606:Revista Espanola de Enfermedades Digestivas / 686:An incarcerated inguinal hernia as seen on CT 293:, among others. Predisposition to hernias is 8: 3702:Esophagogastric junction outflow obstruction 2452:"Management of Groin Hernias in Adults-2018" 1642: 1640: 3279:Journal of the American College of Surgeons 1928:"Genetic study of indirect inguinal hernia" 1694: 1692: 610:, and also, fluid in the abdominal cavity ( 461:Symptoms may or may not be present in some 440:occurs when the stomach protrudes into the 402:Frontal view of an inguinal hernia (right). 76:Pain especially with coughing, bulging area 4903: 4889: 4881: 4722: 4373: 3889: 3741:Esophageal intramural pseudodiverticulosis 3625: 3603: 3589: 3581: 3447: 2503: 2501: 2030:. I. K. International Pvt Ltd. p. 6. 1362:are used to keep the mesh in place. These 891:itself slides through the defect into the 297:and occur more often in certain families. 212:in the healthy embryo at about 7½ weeks. 41: 32: 3421: 3403: 3353: 3241: 3200: 3151: 3141: 3100: 2927: 2841: 2792: 2751: 2702: 2692: 2576: 2566: 2525: 2514:Journal of Pediatric Surgery Case Reports 2426: 2416: 2176: 2127: 2000: 1951: 1859: 1810: 1800: 1783:Ă–berg S, Andresen K, Rosenberg J (2017). 1724: 1672: 1596: 1594: 1592: 1590: 1588: 1586: 1584: 1582: 1550: 1548: 1546: 1544: 1506: 1504: 1502: 1500: 1498: 1496: 1494: 1492: 1490: 1488: 1486: 1484: 1482: 1480: 1478: 1476: 1474: 1472: 1470: 1468: 1466: 1087:complicated by a large parastomal hernia. 1028:. It is named after the French anatomist 996:is squeezed across structures within the 454:caused by a disruption or opening in the 1748: 1746: 1744: 1464: 1462: 1460: 1458: 1456: 1454: 1452: 1450: 1448: 1446: 1279: 1252:Inguinal hernia repair with mesh diagram 926:(sternocostal triangle), resulting in a 592: 528:Untreated hernia may be complicated by: 2732:The Canadian Journal of Plastic Surgery 1442: 918:(lumbocostal triangle), resulting in a 501:In the diagnosis of abdominal hernias, 4914:diaphragm and abdominal wall defects, 3322:"Mortality after groin hernia surgery" 446:through the esophageal opening in the 3969:Small intestinal bacterial overgrowth 3381: 3379: 3377: 3375: 3373: 3062: 3060: 3034: 3032: 3006: 3004: 3002: 751:Femoral hernias occur just below the 678:Ultrasound showing an inguinal hernia 617:Also, if muscles are weakened due to 271:chronic obstructive pulmonary disease 108:chronic obstructive pulmonary disease 7: 3576:. U.S. National Library of Medicine. 2775:Masoumi A, Ramogida G (April 2020). 2027:Essentials of Abdominal Wall Hernias 1260:Laparoscopic hernia repair with mesh 1240:, trunks, belts, etc.) are unclear. 1042:), contains the following entities: 629:, hernias are more likely to occur. 3175:Sohail MR, Smilack JD (June 2004). 1514:The New England Journal of Medicine 1284:, as compared to open mesh surgery 1164:Sciatic hernia: this hernia in the 868:through a defect in the diaphragm. 422:, or abdominal organs covered with 199:development of the intestinal tract 174: 3338:10.1097/01.sla.0000251364.32698.4b 1764:from the original on 16 March 2015 1558:The 5-minute clinical consult 2014 1428:Many patients are managed through 636:, the above-mentioned are only an 362:laparoscopic Nissen fundoplication 223:. Groin hernias are most commonly 25: 4854:Spontaneous bacterial peritonitis 4701:Exocrine pancreatic insufficiency 3392:Journal of Minimal Access Surgery 3291:10.1016/j.jamcollsurg.2011.05.008 2681:World Journal of Gastroenterology 2369:Balentine JR. Stöppler MC (ed.). 231:. Other types of hernias include 4599:Secondary sclerosing cholangitis 3181:Journal of Clinical Microbiology 3013:The Washington Manual of Surgery 2900:The Journal of Surgical Research 2326:onlinedictionary.datasegment.com 2298:The Washington manual of surgery 2044:from the original on 2017-09-08. 1575:from the original on 2017-08-22. 895:, or non-sliding (also known as 494:may occur in these cases due to 4937:Congenital diaphragmatic hernia 3840:Gastric antral vascular ectasia 3835:Portal hypertensive gastropathy 3712:Gastroesophageal reflux disease 3193:10.1128/JCM.42.6.2858-2860.2004 2876:from the original on 2017-07-14 2381:from the original on 2010-05-31 2262:Lee HK, Park SJ, Yi BH (2010). 2220:from the original on 2010-02-13 992:that occurs when a part of the 904:congenital diaphragmatic hernia 4594:Primary sclerosing cholangitis 4444:Hepatic veno-occlusive disease 4266:Solitary rectal ulcer syndrome 3011:Klingensmith, Mary E. (2008). 1403:formation, urinary retention, 1159:sliding hernias of the stomach 808:may be a contributing factor. 1: 4651:Sphincter of Oddi dysfunction 2169:10.1016/S0140-6736(14)61682-2 2120:10.1016/s0140-6736(15)60692-4 1717:10.1016/s0140-6736(16)31012-1 1665:10.1016/S0140-6736(16)31678-6 1411:, including rejection of the 4560:Postcholecystectomy syndrome 4079:Intestinal pseudoobstruction 3687:Esophageal motility disorder 2969:10.1097/SLA.0b013e318165b0ff 2870:U.K. National Health Service 2568:10.1371/journal.pone.0138745 2073:10.1067/j.cpsurg.2006.02.004 1993:10.1097/JS9.0000000000000217 1390:Post-Operative Complications 2822:Polish Journal of Radiology 2061:Current Problems in Surgery 1932:Journal of Medical Genetics 1372:tension-free suture methods 1119:to the preperitoneal space. 728:inferior epigastric vessels 694:X-ray of colonic herniation 126:, connective tissue disease 5026: 4545:Gallstone / Cholelithiasis 4069:Functional colonic disease 3865:Zollinger–Ellison syndrome 3243:10.1080/110241502321116451 3085:10.1007/s11701-021-01312-6 3073:Journal of Robotic Surgery 2744:10.1177/229255031302100408 2527:10.1016/j.epsc.2013.09.002 2274:(5): 27–31. Archived from 1311:Lower risk of chronic pain 1202: 841: 815: 777: 744: 667: 640:symptom of the underlying 3746:Acute esophageal necrosis 2912:10.1016/j.jss.2020.08.054 2399:Desarda MP (April 2003). 1897:10.1007/s10029-013-1147-y 1852:10.1007/s10029-016-1491-9 1282:Laparoscopic mesh surgery 1180:superficial inguinal ring 889:gastroesophageal junction 860:, viewed from the front). 287:collagen vascular disease 124:collagen vascular disease 49: 40: 3845:Gastric dumping syndrome 3720:Laryngopharyngeal reflux 3707:Diffuse esophageal spasm 3143:10.5114/wiitm.2014.43080 1802:10.3389/fsurg.2017.00052 1350:da Vinci Surgical System 1186:Tibialis anterior hernia 715:cases, they may require 708:indirect inguinal hernia 700:indirect inguinal hernia 597:Common sites for hernias 227:hernias but may also be 52:indirect inguinal hernia 4461:Alcoholic liver disease 3994:Bile acid malabsorption 3938:Peptic (duodenal) ulcer 3405:10.4103/0972-9941.27734 2694:10.3748/wjg.v12.i9.1479 2468:10.1001/jama.2018.10680 2057:"Abdominal Wall Hernia" 1209:Inguinal hernia surgery 1166:greater sciatic foramen 1141:August Gottlieb Richter 1024:: a hernia involving a 960:: a hernia through the 219:, and specifically the 4471:Hepatic encephalopathy 3855:Buried bumper syndrome 3786:Peptic (gastric) ulcer 3670:Mallory–Weiss syndrome 3613:human digestive system 1379:tension suture methods 1351: 1261: 1253: 1228: 1088: 1010:Double indirect hernia 861: 735:double indirect hernia 712:direct inguinal hernia 704:direct inguinal hernia 695: 687: 679: 598: 540:of any lumen, such as 520: 411: 403: 358:proton pump inhibitors 4916:abdominopelvic cavity 4696:Pancreatic pseudocyst 4565:Porcelain gallbladder 3677:Zenker's diverticulum 2418:10.1186/1471-2482-3-2 1527:10.1056/NEJMcp1404068 1349: 1321:Longer operation time 1259: 1251: 1216: 1082: 1026:Meckel's diverticulum 1004:Broad ligament hernia 990:intracranial pressure 914:, posterolateral (in 851: 693: 685: 677: 650:transversus abdominis 596: 544:in intestinal hernias 515: 409: 401: 299:Deleterious mutations 4974:Prune belly syndrome 4500:Hepatorenal syndrome 4439:Budd–Chiari syndrome 4396:Autoimmune hepatitis 4221:Intestinal adhesions 3979:Short bowel syndrome 3808:Functional dyspepsia 3726:Esophageal stricture 3692:Nutcracker esophagus 2334:Citing: Webster 1913 1944:10.1136/jmg.31.3.187 1789:Frontiers in Surgery 1711:(10053): 1459–1544. 1659:(10053): 1545–1602. 1100:Paraumbilical hernia 924:foramina of Morgagni 916:Bochdalek's triangle 844:Diaphragmatic hernia 648:extensions from the 608:chronic lung disease 147:Observation, surgery 54:(view from the side) 4995:Disorders of fascia 4639:Choledocholithiasis 4510:Metabolic disorders 4476:Acute liver failure 4449:Portal hypertension 4401:Alcoholic hepatitis 4244:Radiation proctitis 4163:Mesenteric ischemia 4135:Gastroenterocolitis 3964:Blind loop syndrome 3774:MĂ©nĂ©trier's disease 3682:Barrett's esophagus 2834:10.12659/PJR.900846 2559:2015PLoSO..1038745B 2375:eMedicineHealth.com 2351:on October 28, 2008 2243:www.pristyncare.com 1364:mesh repair methods 1285: 283:peritoneal dialysis 256:bowel strangulation 155:18.5 million (2015) 136:Based on symptoms, 120:peritoneal dialysis 87:Bowel strangulation 18:Strangulated hernia 4924:Thoracic diaphragm 4814:Undefined location 4805:Grynfeltt–Lesshaft 4706:Pancreatic fistula 4689:Pancreatic abscess 4644:Biliary dyskinesia 4615:Mirizzi's syndrome 4116:Large and/or small 3796:Dieulafoy's lesion 3665:Boerhaave syndrome 3518:External resources 2646:10.1111/codi.15039 2634:Colorectal Disease 2268:Diagnostic Imaging 1555:Domino FJ (2014). 1352: 1280: 1262: 1254: 1229: 1117:deep inguinal ring 1089: 1056:Grynfeltt's hernia 1040:lumbar disc hernia 862: 830:, they are termed 696: 688: 680: 599: 555:of the hernial sac 521: 412: 404: 394:Signs and symptoms 364:may be an option. 352:. The medications 342:general anesthesia 289:and previous open 4982: 4981: 4878: 4877: 4874: 4873: 4714: 4713: 4316: 4315: 4173:Bowel obstruction 3875: 3874: 3555: 3554: 3326:Annals of Surgery 3022:978-0-7817-7447-5 2957:Annals of Surgery 2462:(10): 1029–1030. 2307:978-0-7817-7447-5 2210:"Inguinal hernia" 2114:(9995): 743–800. 2024:Nigam VK (2009). 1615:10.1136/bmj.g6154 1330: 1329: 1137:bowel obstruction 1123:Retrocolic hernia 1072:: hernia through 958:Epigastric hernia 928:Morgagni's hernia 908:pediatric surgery 877:esophageal hiatus 826:incisions in the 818:Incisional hernia 804:of fibers at the 753:inguinal ligament 604:enlarged prostate 542:bowel obstruction 330:immediate surgery 313:is often done by 241:umbilical hernias 167: 166: 132:Diagnostic method 30:Medical condition 16:(Redirected from 5017: 4942:Bochdalek hernia 4905: 4898: 4891: 4882: 4866:Pneumoperitoneum 4723: 4633:Common bile duct 4515:Wilson's disease 4505:Peliosis hepatis 4374: 4251:Proctalgia fugax 4158:Abdominal angina 4083:Ogilvie syndrome 4032:Pseudomembranous 3890: 3850:Gastric volvulus 3815:Pyloric stenosis 3626: 3611:Diseases of the 3605: 3598: 3591: 3582: 3577: 3448: 3436: 3435: 3425: 3407: 3383: 3368: 3367: 3357: 3317: 3311: 3310: 3270: 3264: 3263: 3245: 3236:(8–9): 460–463. 3221: 3215: 3214: 3204: 3172: 3166: 3165: 3155: 3145: 3121: 3115: 3114: 3104: 3064: 3055: 3054: 3052: 3051: 3036: 3027: 3026: 3008: 2997: 2996: 2948: 2942: 2941: 2931: 2891: 2885: 2884: 2882: 2881: 2862: 2856: 2855: 2845: 2813: 2807: 2806: 2796: 2772: 2766: 2765: 2755: 2723: 2717: 2716: 2706: 2696: 2672: 2666: 2665: 2640:(9): 1197–1198. 2628: 2622: 2621: 2597: 2591: 2590: 2580: 2570: 2538: 2532: 2531: 2529: 2508:Jones R (2013). 2505: 2496: 2495: 2447: 2441: 2440: 2430: 2420: 2396: 2390: 2389: 2387: 2386: 2366: 2360: 2359: 2357: 2356: 2347:. Archived from 2341: 2335: 2333: 2328:. Archived from 2318: 2312: 2311: 2293: 2287: 2286: 2284: 2283: 2259: 2253: 2252: 2250: 2249: 2235: 2229: 2228: 2226: 2225: 2206: 2200: 2197: 2191: 2190: 2180: 2163:(9963): 117–71. 2148: 2142: 2141: 2131: 2099: 2093: 2092: 2052: 2046: 2045: 2021: 2015: 2014: 2004: 1972: 1966: 1965: 1955: 1923: 1917: 1916: 1880: 1874: 1873: 1863: 1831: 1825: 1824: 1814: 1804: 1780: 1774: 1773: 1771: 1769: 1750: 1739: 1738: 1728: 1696: 1687: 1686: 1676: 1644: 1635: 1634: 1598: 1577: 1576: 1552: 1539: 1538: 1508: 1409:post-operatively 1299:Quicker recovery 1286: 1133:Richter's hernia 1070:Obturator hernia 1050:Jean Louis Petit 1006:, of the uterus. 986:Brain herniation 972:Spigelian hernia 953:Umbilical hernia 920:Bochdalek hernia 887:", in which the 800:women. Abnormal 780:Umbilical hernia 724:pantaloon hernia 507:Multidetector CT 463:inguinal hernias 338:local anesthesia 322:watchful waiting 176: 45: 33: 21: 5025: 5024: 5020: 5019: 5018: 5016: 5015: 5014: 4985: 4984: 4983: 4978: 4950: 4918: 4909: 4879: 4870: 4835: 4824:Internal hernia 4710: 4655: 4620:Biliary fistula 4578: 4569: 4555:Adenomyomatosis 4550:Cholesterolosis 4526: 4520:Hemochromatosis 4391:Viral hepatitis 4363: 4312: 4270: 4256:Rectal prolapse 4225: 4192:Fecal impaction 4182:Intussusception 4145:Crohn's disease 4111: 4094:Toxic megacolon 4006: 4004:Large intestine 3998: 3943:Curling's ulcer 3896: 3894:Small intestine 3883: 3871: 3779:Gastroenteritis 3750: 3615: 3609: 3568: 3556: 3551: 3550: 3513: 3512: 3459: 3445: 3440: 3439: 3385: 3384: 3371: 3319: 3318: 3314: 3272: 3271: 3267: 3223: 3222: 3218: 3174: 3173: 3169: 3123: 3122: 3118: 3066: 3065: 3058: 3049: 3047: 3044:www.nice.org.uk 3038: 3037: 3030: 3023: 3010: 3009: 3000: 2950: 2949: 2945: 2893: 2892: 2888: 2879: 2877: 2864: 2863: 2859: 2815: 2814: 2810: 2774: 2773: 2769: 2725: 2724: 2720: 2674: 2673: 2669: 2630: 2629: 2625: 2599: 2598: 2594: 2553:(9): e0138745. 2540: 2539: 2535: 2520:(10): 331–332. 2507: 2506: 2499: 2449: 2448: 2444: 2398: 2397: 2393: 2384: 2382: 2371:"Hernia Causes" 2368: 2367: 2363: 2354: 2352: 2343: 2342: 2338: 2320: 2319: 2315: 2308: 2295: 2294: 2290: 2281: 2279: 2261: 2260: 2256: 2247: 2245: 2237: 2236: 2232: 2223: 2221: 2214:The Mayo Clinic 2208: 2207: 2203: 2198: 2194: 2150: 2149: 2145: 2101: 2100: 2096: 2054: 2053: 2049: 2038: 2023: 2022: 2018: 1974: 1973: 1969: 1925: 1924: 1920: 1882: 1881: 1877: 1833: 1832: 1828: 1782: 1781: 1777: 1767: 1765: 1752: 1751: 1742: 1698: 1697: 1690: 1646: 1645: 1638: 1600: 1599: 1580: 1569: 1554: 1553: 1542: 1510: 1509: 1444: 1439: 1426: 1391: 1356:mesh prosthesis 1246: 1234: 1211: 1203:Main articles: 1201: 1155:urinary bladder 1106:Perineal hernia 1083:Patient with a 1074:obturator canal 1022:Littre's hernia 980:Amyand's hernia 936: 897:para-esophageal 858:coronal section 846: 840: 832:ventral hernias 820: 814: 782: 776: 768:Cooper's hernia 761:inguinal hernia 749: 743: 672: 670:Inguinal hernia 666: 661: 634:inguinal hernia 580: 526: 517:Inguinal hernia 396: 387: 378: 326:femoral hernias 307:medical imaging 229:femoral hernias 138:medical imaging 65:General surgery 31: 28: 23: 22: 15: 12: 11: 5: 5023: 5021: 5013: 5012: 5007: 5002: 4997: 4987: 4986: 4980: 4979: 4977: 4976: 4971: 4966: 4960: 4958: 4956:Abdominal wall 4952: 4951: 4949: 4948: 4947: 4946: 4945: 4944: 4928: 4926: 4920: 4919: 4910: 4908: 4907: 4900: 4893: 4885: 4876: 4875: 4872: 4871: 4869: 4868: 4863: 4861:Hemoperitoneum 4858: 4857: 4856: 4845: 4843: 4837: 4836: 4834: 4833: 4832: 4831: 4826: 4821: 4810: 4809: 4808: 4807: 4802: 4789: 4788: 4783: 4778: 4773: 4768: 4767: 4766: 4761: 4750: 4749: 4744: 4743: 4742: 4731: 4729: 4720: 4716: 4715: 4712: 4711: 4709: 4708: 4703: 4698: 4693: 4692: 4691: 4686: 4681: 4676: 4665: 4663: 4657: 4656: 4654: 4653: 4648: 4647: 4646: 4641: 4628: 4627: 4622: 4617: 4608: 4607: 4606: 4601: 4596: 4585: 4583: 4571: 4570: 4568: 4567: 4562: 4557: 4552: 4547: 4542: 4536: 4534: 4528: 4527: 4525: 4524: 4523: 4522: 4517: 4507: 4502: 4497: 4496: 4495: 4490: 4480: 4479: 4478: 4473: 4463: 4458: 4457: 4456: 4451: 4446: 4441: 4429: 4428: 4427: 4417: 4416: 4415: 4405: 4404: 4403: 4398: 4393: 4382: 4380: 4371: 4365: 4364: 4362: 4361: 4360: 4359: 4349: 4348: 4347: 4342: 4332: 4330:Blood in stool 4326: 4324: 4318: 4317: 4314: 4313: 4311: 4310: 4305: 4303:Anal dysplasia 4300: 4295: 4290: 4280: 4278: 4272: 4271: 4269: 4268: 4263: 4258: 4253: 4248: 4247: 4246: 4235: 4233: 4227: 4226: 4224: 4223: 4218: 4217: 4216: 4206: 4205: 4204: 4194: 4189: 4184: 4179: 4170: 4168:Angiodysplasia 4165: 4160: 4149: 4148: 4147: 4137: 4132: 4131: 4130: 4119: 4117: 4113: 4112: 4110: 4109: 4103:Diverticulosis 4099:Diverticulitis 4096: 4087: 4086: 4085: 4076: 4066: 4061: 4060: 4059: 4054: 4049: 4044: 4039: 4034: 4024: 4018: 4016: 4000: 3999: 3997: 3996: 3991: 3989:Milroy disease 3986: 3981: 3976: 3971: 3966: 3961: 3959:Tropical sprue 3956: 3947: 3946: 3945: 3935: 3934: 3933: 3928: 3923: 3912: 3910: 3887: 3881:Lower GI tract 3877: 3876: 3873: 3872: 3870: 3869: 3868: 3867: 3857: 3852: 3847: 3842: 3837: 3832: 3827: 3822: 3817: 3812: 3811: 3810: 3800: 3799: 3798: 3793: 3783: 3782: 3781: 3776: 3771: 3760: 3758: 3752: 3751: 3749: 3748: 3743: 3738: 3733: 3728: 3723: 3717: 3716: 3715: 3709: 3704: 3699: 3694: 3684: 3679: 3674: 3673: 3672: 3667: 3657: 3656: 3655: 3650: 3645: 3634: 3632: 3623: 3621:Upper GI tract 3617: 3616: 3610: 3608: 3607: 3600: 3593: 3585: 3579: 3578: 3566: 3553: 3552: 3549: 3548: 3534: 3522: 3521: 3519: 3515: 3514: 3511: 3510: 3499: 3480: 3460: 3455: 3454: 3452: 3451:Classification 3444: 3443:External links 3441: 3438: 3437: 3398:(3): 174–177. 3369: 3332:(4): 656–660. 3312: 3285:(3): 363–369. 3265: 3216: 3187:(6): 2858–60. 3167: 3116: 3079:(4): 775–781. 3056: 3028: 3021: 2998: 2963:(3): 428–433. 2943: 2886: 2857: 2808: 2767: 2718: 2687:(9): 1479–80. 2667: 2623: 2592: 2533: 2497: 2442: 2391: 2361: 2336: 2332:on 2008-11-20. 2322:"Incarcerated" 2313: 2306: 2288: 2254: 2230: 2201: 2192: 2143: 2094: 2067:(5): 326–375. 2047: 2036: 2016: 1987:(3): 333–342. 1967: 1918: 1875: 1826: 1775: 1740: 1688: 1636: 1578: 1567: 1540: 1441: 1440: 1438: 1435: 1425: 1422: 1389: 1333:Robot-assisted 1328: 1327: 1326: 1325: 1322: 1319: 1314: 1313: 1312: 1309: 1303: 1300: 1294: 1293: 1292:Disadvantages 1290: 1245: 1242: 1233: 1230: 1200: 1197: 1196: 1195: 1192:Velpeau hernia 1189: 1183: 1173: 1162: 1147:Sliding hernia 1144: 1130: 1120: 1109: 1103: 1097: 1077: 1076: 1067: 1064:Maydl's hernia 1061: 1060: 1059: 1053: 1046:Petit's hernia 1033: 1019: 1013: 1007: 1001: 983: 977: 976: 975: 969: 955: 947:Abdominal wall 935: 932: 842:Main article: 839: 836: 816:Main article: 813: 810: 790:abdominal wall 786:umbilical cord 778:Main article: 775: 772: 747:Femoral hernia 745:Main article: 742: 739: 668:Main article: 665: 662: 660: 657: 619:poor nutrition 579: 576: 575: 574: 573:strangulation. 570:Irreducibility 567: 561: 556: 550: 545: 535: 525: 522: 420:adipose tissue 395: 392: 386: 383: 377: 374: 348:and adjusting 311:hiatus hernias 193:, such as the 165: 164: 161: 157: 156: 153: 149: 148: 145: 141: 140: 134: 128: 127: 104: 98: 97: 94: 90: 89: 84: 78: 77: 74: 68: 67: 62: 56: 55: 50:Diagram of an 47: 46: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 5022: 5011: 5008: 5006: 5003: 5001: 4998: 4996: 4993: 4992: 4990: 4975: 4972: 4970: 4969:Gastroschisis 4967: 4965: 4962: 4961: 4959: 4957: 4953: 4943: 4940: 4939: 4938: 4935: 4934: 4933: 4930: 4929: 4927: 4925: 4921: 4917: 4913: 4906: 4901: 4899: 4894: 4892: 4887: 4886: 4883: 4867: 4864: 4862: 4859: 4855: 4852: 4851: 4850: 4847: 4846: 4844: 4842: 4838: 4830: 4827: 4825: 4822: 4820: 4817: 4816: 4815: 4812: 4811: 4806: 4803: 4801: 4798: 4797: 4796: 4795: 4791: 4790: 4787: 4784: 4782: 4779: 4777: 4774: 4772: 4769: 4765: 4762: 4760: 4757: 4756: 4755: 4752: 4751: 4748: 4745: 4741: 4738: 4737: 4736: 4735:Diaphragmatic 4733: 4732: 4730: 4728: 4724: 4721: 4717: 4707: 4704: 4702: 4699: 4697: 4694: 4690: 4687: 4685: 4682: 4680: 4677: 4675: 4672: 4671: 4670: 4667: 4666: 4664: 4662: 4658: 4652: 4649: 4645: 4642: 4640: 4637: 4636: 4635: 4634: 4630: 4629: 4626: 4623: 4621: 4618: 4616: 4612: 4609: 4605: 4602: 4600: 4597: 4595: 4592: 4591: 4590: 4587: 4586: 4584: 4582: 4576: 4572: 4566: 4563: 4561: 4558: 4556: 4553: 4551: 4548: 4546: 4543: 4541: 4540:Cholecystitis 4538: 4537: 4535: 4533: 4529: 4521: 4518: 4516: 4513: 4512: 4511: 4508: 4506: 4503: 4501: 4498: 4494: 4491: 4489: 4486: 4485: 4484: 4483:Liver abscess 4481: 4477: 4474: 4472: 4469: 4468: 4467: 4466:Liver failure 4464: 4462: 4459: 4455: 4452: 4450: 4447: 4445: 4442: 4440: 4437: 4436: 4435: 4434: 4430: 4426: 4423: 4422: 4421: 4418: 4414: 4411: 4410: 4409: 4406: 4402: 4399: 4397: 4394: 4392: 4389: 4388: 4387: 4384: 4383: 4381: 4379: 4375: 4372: 4370: 4366: 4358: 4355: 4354: 4353: 4350: 4346: 4343: 4341: 4338: 4337: 4336: 4333: 4331: 4328: 4327: 4325: 4323: 4319: 4309: 4306: 4304: 4301: 4299: 4296: 4294: 4291: 4289: 4285: 4282: 4281: 4279: 4277: 4273: 4267: 4264: 4262: 4259: 4257: 4254: 4252: 4249: 4245: 4242: 4241: 4240: 4237: 4236: 4234: 4232: 4228: 4222: 4219: 4215: 4212: 4211: 4210: 4207: 4203: 4200: 4199: 4198: 4195: 4193: 4190: 4188: 4185: 4183: 4180: 4178: 4174: 4171: 4169: 4166: 4164: 4161: 4159: 4155: 4154: 4150: 4146: 4143: 4142: 4141: 4138: 4136: 4133: 4129: 4126: 4125: 4124: 4123:Enterocolitis 4121: 4120: 4118: 4114: 4108: 4104: 4100: 4097: 4095: 4091: 4088: 4084: 4080: 4077: 4075: 4072: 4071: 4070: 4067: 4065: 4062: 4058: 4055: 4053: 4050: 4048: 4045: 4043: 4040: 4038: 4035: 4033: 4030: 4029: 4028: 4025: 4023: 4020: 4019: 4017: 4014: 4010: 4005: 4001: 3995: 3992: 3990: 3987: 3985: 3982: 3980: 3977: 3975: 3972: 3970: 3967: 3965: 3962: 3960: 3957: 3955: 3951: 3950:Malabsorption 3948: 3944: 3941: 3940: 3939: 3936: 3932: 3929: 3927: 3924: 3922: 3919: 3918: 3917: 3914: 3913: 3911: 3908: 3904: 3900: 3895: 3891: 3888: 3886: 3882: 3878: 3866: 3863: 3862: 3861: 3858: 3856: 3853: 3851: 3848: 3846: 3843: 3841: 3838: 3836: 3833: 3831: 3828: 3826: 3825:Gastroparesis 3823: 3821: 3818: 3816: 3813: 3809: 3806: 3805: 3804: 3801: 3797: 3794: 3792: 3791:Cushing ulcer 3789: 3788: 3787: 3784: 3780: 3777: 3775: 3772: 3770: 3767: 3766: 3765: 3762: 3761: 3759: 3757: 3753: 3747: 3744: 3742: 3739: 3737: 3736:Megaesophagus 3734: 3732: 3729: 3727: 3724: 3721: 3718: 3713: 3710: 3708: 3705: 3703: 3700: 3698: 3695: 3693: 3690: 3689: 3688: 3685: 3683: 3680: 3678: 3675: 3671: 3668: 3666: 3663: 3662: 3661: 3658: 3654: 3651: 3649: 3646: 3644: 3641: 3640: 3639: 3636: 3635: 3633: 3631: 3627: 3624: 3622: 3618: 3614: 3606: 3601: 3599: 3594: 3592: 3587: 3586: 3583: 3575: 3571: 3567: 3565: 3561: 3558: 3557: 3547: 3544: 3540: 3539: 3535: 3533: 3529: 3528: 3524: 3523: 3520: 3516: 3509: 3505: 3504: 3500: 3498: 3494: 3490: 3489: 3485: 3481: 3479: 3475: 3471: 3470: 3466: 3462: 3461: 3458: 3453: 3449: 3442: 3433: 3429: 3424: 3419: 3415: 3411: 3406: 3401: 3397: 3393: 3389: 3382: 3380: 3378: 3376: 3374: 3370: 3365: 3361: 3356: 3351: 3347: 3343: 3339: 3335: 3331: 3327: 3323: 3316: 3313: 3308: 3304: 3300: 3296: 3292: 3288: 3284: 3280: 3276: 3269: 3266: 3261: 3257: 3253: 3249: 3244: 3239: 3235: 3231: 3227: 3220: 3217: 3212: 3208: 3203: 3198: 3194: 3190: 3186: 3182: 3178: 3171: 3168: 3163: 3159: 3154: 3149: 3144: 3139: 3135: 3131: 3127: 3120: 3117: 3112: 3108: 3103: 3098: 3094: 3090: 3086: 3082: 3078: 3074: 3070: 3063: 3061: 3057: 3045: 3041: 3035: 3033: 3029: 3024: 3018: 3014: 3007: 3005: 3003: 2999: 2994: 2990: 2986: 2982: 2978: 2974: 2970: 2966: 2962: 2958: 2954: 2947: 2944: 2939: 2935: 2930: 2925: 2921: 2917: 2913: 2909: 2905: 2901: 2897: 2890: 2887: 2875: 2871: 2867: 2861: 2858: 2853: 2849: 2844: 2839: 2835: 2831: 2827: 2823: 2819: 2812: 2809: 2804: 2800: 2795: 2790: 2786: 2782: 2778: 2771: 2768: 2763: 2759: 2754: 2749: 2745: 2741: 2737: 2733: 2729: 2722: 2719: 2714: 2710: 2705: 2700: 2695: 2690: 2686: 2682: 2678: 2671: 2668: 2663: 2659: 2655: 2651: 2647: 2643: 2639: 2635: 2627: 2624: 2619: 2615: 2612:(5): 357–66. 2611: 2607: 2603: 2596: 2593: 2588: 2584: 2579: 2574: 2569: 2564: 2560: 2556: 2552: 2548: 2544: 2537: 2534: 2528: 2523: 2519: 2515: 2511: 2504: 2502: 2498: 2493: 2489: 2485: 2481: 2477: 2473: 2469: 2465: 2461: 2457: 2453: 2446: 2443: 2438: 2434: 2429: 2424: 2419: 2414: 2410: 2406: 2402: 2395: 2392: 2380: 2376: 2372: 2365: 2362: 2350: 2346: 2340: 2337: 2331: 2327: 2323: 2317: 2314: 2309: 2303: 2299: 2292: 2289: 2278:on 2010-06-18 2277: 2273: 2269: 2265: 2258: 2255: 2244: 2240: 2234: 2231: 2219: 2215: 2211: 2205: 2202: 2196: 2193: 2188: 2184: 2179: 2174: 2170: 2166: 2162: 2158: 2154: 2147: 2144: 2139: 2135: 2130: 2125: 2121: 2117: 2113: 2109: 2105: 2098: 2095: 2090: 2086: 2082: 2078: 2074: 2070: 2066: 2062: 2058: 2051: 2048: 2043: 2039: 2037:9788189866938 2033: 2029: 2028: 2020: 2017: 2012: 2008: 2003: 1998: 1994: 1990: 1986: 1982: 1978: 1971: 1968: 1963: 1959: 1954: 1949: 1945: 1941: 1938:(3): 187–92. 1937: 1933: 1929: 1922: 1919: 1914: 1910: 1906: 1902: 1898: 1894: 1891:(4): 507–12. 1890: 1886: 1879: 1876: 1871: 1867: 1862: 1857: 1853: 1849: 1846:(1): 95–100. 1845: 1841: 1837: 1830: 1827: 1822: 1818: 1813: 1808: 1803: 1798: 1794: 1790: 1786: 1779: 1776: 1763: 1759: 1755: 1749: 1747: 1745: 1741: 1736: 1732: 1727: 1722: 1718: 1714: 1710: 1706: 1702: 1695: 1693: 1689: 1684: 1680: 1675: 1670: 1666: 1662: 1658: 1654: 1650: 1643: 1641: 1637: 1632: 1628: 1624: 1620: 1616: 1612: 1608: 1604: 1597: 1595: 1593: 1591: 1589: 1587: 1585: 1583: 1579: 1574: 1570: 1568:9781451188509 1564: 1560: 1559: 1551: 1549: 1547: 1545: 1541: 1536: 1532: 1528: 1524: 1521:(8): 756–63. 1520: 1516: 1515: 1507: 1505: 1503: 1501: 1499: 1497: 1495: 1493: 1491: 1489: 1487: 1485: 1483: 1481: 1479: 1477: 1475: 1473: 1471: 1469: 1467: 1465: 1463: 1461: 1459: 1457: 1455: 1453: 1451: 1449: 1447: 1443: 1436: 1434: 1431: 1423: 1421: 1419: 1414: 1410: 1406: 1402: 1398: 1393: 1392: 1386: 1382: 1380: 1375: 1373: 1369: 1365: 1361: 1357: 1348: 1344: 1342: 1341:herniorrhaphy 1337: 1334: 1323: 1320: 1317: 1316: 1315: 1310: 1308: 1304: 1301: 1298: 1297: 1296: 1295: 1291: 1288: 1287: 1283: 1278: 1275: 1271: 1266: 1258: 1250: 1243: 1241: 1239: 1231: 1226: 1225: 1219: 1218:Hernia repair 1215: 1210: 1206: 1205:Hernia repair 1198: 1193: 1190: 1187: 1184: 1181: 1177: 1176:Sports hernia 1174: 1171: 1167: 1163: 1160: 1156: 1152: 1148: 1145: 1142: 1138: 1134: 1131: 1128: 1124: 1121: 1118: 1114: 1110: 1107: 1104: 1101: 1098: 1095: 1091: 1090: 1086: 1081: 1075: 1071: 1068: 1065: 1062: 1057: 1054: 1051: 1047: 1044: 1043: 1041: 1037: 1034: 1031: 1030:Alexis LittrĂ© 1027: 1023: 1020: 1017: 1016:Hiatus hernia 1014: 1011: 1008: 1005: 1002: 999: 995: 991: 987: 984: 981: 978: 973: 970: 967: 963: 959: 956: 954: 951: 950: 948: 945: 944: 943: 941: 934:Other hernias 933: 931: 929: 925: 921: 917: 913: 909: 905: 900: 898: 894: 890: 886: 882: 878: 874: 873:hiatus hernia 869: 867: 859: 855: 854:hiatus hernia 852:Diagram of a 850: 845: 838:Diaphragmatic 837: 835: 833: 829: 825: 819: 811: 809: 807: 803: 799: 795: 791: 787: 781: 773: 771: 769: 764: 762: 758: 757:femoral canal 754: 748: 740: 738: 736: 731: 729: 725: 720: 718: 713: 709: 705: 701: 692: 684: 676: 671: 663: 658: 656: 653: 651: 647: 643: 642:physiological 639: 635: 630: 628: 624: 620: 615: 613: 609: 605: 595: 591: 589: 585: 577: 571: 568: 565: 562: 560: 557: 554: 551: 549: 548:Strangulation 546: 543: 539: 536: 534: 531: 530: 529: 524:Complications 523: 518: 514: 510: 508: 504: 499: 497: 493: 489: 485: 479: 477: 473: 468: 464: 459: 457: 451: 449: 445: 444: 439: 438:hiatus hernia 435: 434: 429: 425: 421: 417: 408: 400: 393: 391: 384: 382: 375: 373: 371: 370:Ebers Papyrus 365: 363: 359: 355: 351: 350:eating habits 347: 343: 339: 335: 331: 327: 323: 318: 316: 312: 308: 304: 300: 296: 292: 288: 284: 280: 276: 272: 268: 263: 261: 257: 252: 250: 246: 242: 238: 234: 230: 226: 222: 218: 213: 211: 207: 204: 200: 196: 192: 188: 184: 180: 172: 163:59,800 (2015) 162: 158: 154: 150: 146: 142: 139: 135: 133: 129: 125: 121: 117: 113: 109: 105: 103: 99: 95: 91: 88: 85: 83: 82:Complications 79: 75: 73: 69: 66: 63: 61: 57: 53: 48: 44: 39: 34: 19: 4931: 4813: 4792: 4726: 4669:Pancreatitis 4631: 4581:biliary tree 4454:Nutmeg liver 4431: 4357:Hematochezia 4308:Pruritus ani 4293:Anal abscess 4288:Anal fistula 4284:Anal fissure 4197:Constipation 4151: 4022:Appendicitis 3830:Gastroptosis 3820:Achlorhydria 3659: 3648:Eosinophilic 3573: 3536: 3525: 3501: 3482: 3463: 3395: 3391: 3329: 3325: 3315: 3282: 3278: 3268: 3233: 3229: 3219: 3184: 3180: 3170: 3136:(3): 415–9. 3133: 3129: 3119: 3076: 3072: 3048:. Retrieved 3046:. 2004-09-22 3043: 3012: 2960: 2956: 2946: 2903: 2899: 2889: 2878:. Retrieved 2869: 2860: 2825: 2821: 2811: 2787:(1): 88–91. 2784: 2780: 2770: 2738:(4): 243–7. 2735: 2731: 2721: 2684: 2680: 2670: 2637: 2633: 2626: 2609: 2605: 2595: 2550: 2546: 2536: 2517: 2513: 2459: 2455: 2445: 2408: 2404: 2394: 2383:. Retrieved 2374: 2364: 2353:. Retrieved 2349:the original 2339: 2330:the original 2325: 2316: 2297: 2291: 2280:. Retrieved 2276:the original 2271: 2267: 2257: 2246:. Retrieved 2242: 2233: 2222:. Retrieved 2213: 2204: 2195: 2160: 2156: 2146: 2111: 2107: 2097: 2064: 2060: 2050: 2026: 2019: 1984: 1980: 1970: 1935: 1931: 1921: 1888: 1884: 1878: 1843: 1839: 1829: 1792: 1788: 1778: 1766:. Retrieved 1757: 1708: 1704: 1656: 1652: 1606: 1602: 1557: 1518: 1512: 1427: 1418:inguinodynia 1394: 1388: 1387: 1383: 1376: 1353: 1338: 1331: 1281: 1267: 1263: 1235: 1223: 1143:(1742–1812). 1052:(1674–1750). 1032:(1658–1726). 937: 901: 896: 884: 870: 866:chest cavity 863: 821: 788:through the 783: 767: 765: 750: 732: 721: 697: 654: 631: 627:overexertion 616: 600: 581: 533:Inflammation 527: 500: 480: 460: 452: 441: 431: 428:spinal discs 413: 388: 385:Epidemiology 379: 376:Pathogenesis 372:from Egypt. 366: 340:rather than 319: 291:appendectomy 264: 253: 214: 182: 178: 170: 168: 102:Risk factors 4964:Omphalocele 4849:Peritonitis 4611:Cholestasis 4589:Cholangitis 4532:Gallbladder 4420:Fatty liver 4340:Hematemesis 4322:GI bleeding 4128:Necrotizing 4057:Lymphocytic 4052:Collagenous 4047:Microscopic 3984:Steatorrhea 3885:Enteropathy 3731:Inlet patch 3653:Herpetiform 3638:Esophagitis 3574:MedlinePlus 3527:MedlinePlus 2828:: 293–295. 2405:BMC Surgery 1758:MedlinePlus 1430:day surgery 1289:Advantages 1274:laparoscopy 1270:laparoscopy 802:decussation 646:aponeurotic 538:Obstruction 474:around the 443:mediastinum 430:and causes 354:H2 blockers 346:weight loss 93:Usual onset 5010:Acute pain 4989:Categories 4912:Congenital 4841:Peritoneal 4819:Incisional 4740:Congenital 4684:Hereditary 4661:Pancreatic 4625:Haemobilia 4298:Hemorrhoid 4276:Anal canal 4214:Infectious 4202:Functional 4037:Ulcerative 3921:Duodenitis 3860:Gastrinoma 3050:2023-11-09 2880:2017-07-23 2385:2010-05-24 2355:2010-05-24 2282:2010-06-25 2248:2023-12-16 2224:2010-05-24 1437:References 1405:neuralgias 1172:neuralgia. 1113:peritoneum 964:above the 962:linea alba 828:linea alba 824:laparotomy 812:Incisional 806:linea alba 638:anatomical 564:Autoimmune 559:Hemorrhage 476:testicular 424:peritoneum 249:defecating 237:incisional 4829:Richter's 4786:Spigelian 4781:Obturator 4771:Umbilical 4604:Ascending 4575:Bile duct 4408:Cirrhosis 4386:Hepatitis 4369:Accessory 4239:Proctitis 4090:Megacolon 4064:Dysentery 3974:Whipple's 3926:Jejunitis 3916:Enteritis 3803:Dyspepsia 3764:Gastritis 3697:Achalasia 3630:Esophagus 3543:emerg/251 3538:eMedicine 3414:0972-9941 3346:0003-4932 3299:1879-1190 3252:1102-4151 3093:1863-2483 2977:0003-4932 2920:1095-8673 2906:: 64–72. 2662:212739555 2492:205095374 2476:1538-3598 2377:. WebMD. 2081:0011-3840 1609:: g6154. 1199:Treatment 1127:mesocolon 1085:colostomy 966:umbilicus 949:hernias: 912:diaphragm 774:Umbilical 659:Diagnosis 553:Hydrocele 448:diaphragm 315:endoscopy 279:pregnancy 260:heartburn 245:urinating 208:into the 152:Frequency 144:Treatment 116:pregnancy 106:Smoking, 60:Specialty 4759:Indirect 4754:Inguinal 4488:Pyogenic 4433:Vascular 4209:Diarrhea 4187:Volvulus 4153:Vascular 4092: / 4081: / 4042:Ischemic 4009:Appendix 3899:Duodenum 3769:Atrophic 3643:Candidal 3570:"hernia" 3546:ped/2559 3432:21187992 3364:17414617 3307:21680204 3260:12549685 3211:15184492 3162:25337167 3111:34609697 2993:22487510 2985:18376185 2938:33002663 2874:Archived 2866:"Hernia" 2852:28638493 2803:32476672 2762:24497767 2713:16552826 2654:32180330 2618:19527083 2587:26389785 2547:PLOS ONE 2484:30128503 2437:12697071 2379:Archived 2218:Archived 2187:25530442 2138:26063472 2089:16679124 2042:Archived 2011:37093073 2002:10389329 1913:22999363 1905:23925543 1870:27115767 1821:29018803 1768:12 March 1762:Archived 1754:"Hernia" 1735:27733281 1683:27733282 1623:25341679 1573:Archived 1535:25693015 1424:Recovery 1401:hematoma 1153:and the 798:pregnant 664:Inguinal 584:coughing 566:problems 488:vomiting 433:sciatica 303:dominant 225:inguinal 72:Symptoms 5005:Hernias 4800:Petit's 4776:Femoral 4679:Chronic 4493:Amoebic 4261:Anismus 4027:Colitis 3954:Coeliac 3931:Ileitis 3903:Jejunum 3756:Stomach 3660:Rupture 3508:D006547 3423:2999781 3355:1877035 3153:4198637 3102:9314304 2929:7968932 2843:5462483 2794:7250514 2753:3910527 2704:4124335 2578:4577082 2555:Bibcode 2178:4340604 2129:4561509 1962:8014965 1953:1049739 1861:5281683 1812:5614933 1726:5388903 1674:5055577 1631:7141090 1360:staples 1307:seromas 1244:Surgery 1238:trusses 1170:sciatic 940:eponyms 885:sliding 881:stomach 741:Femoral 717:surgery 710:and a 623:smoking 612:ascites 588:posture 503:imaging 472:scrotum 416:abdomen 295:genetic 275:obesity 267:smoking 217:abdomen 210:abdomen 185:, from 183:herniae 179:hernias 112:obesity 4932:Hernia 4794:Lumbar 4764:Direct 4747:Hiatus 4727:Hernia 4579:Other 4345:Melena 4231:Rectum 3714:(GERD) 3564:Curlie 3560:Hernia 3532:000960 3430:  3420:  3412:  3362:  3352:  3344:  3305:  3297:  3258:  3250:  3209:  3202:427896 3199:  3160:  3150:  3109:  3099:  3091:  3019:  2991:  2983:  2975:  2936:  2926:  2918:  2850:  2840:  2801:  2791:  2760:  2750:  2711:  2701:  2660:  2652:  2616:  2585:  2575:  2490:  2482:  2474:  2435:  2428:155644 2425:  2304:  2185:  2175:  2157:Lancet 2136:  2126:  2108:Lancet 2087:  2079:  2034:  2009:  1999:  1960:  1950:  1911:  1903:  1885:Hernia 1868:  1858:  1840:Hernia 1819:  1809:  1795:: 52. 1733:  1723:  1705:Lancet 1681:  1671:  1653:Lancet 1629:  1621:  1565:  1533:  1397:seroma 1368:suture 1224:Bataan 1096:tract. 1036:Lumbar 625:, and 578:Causes 484:Nausea 478:area. 456:fascia 239:, and 233:hiatus 206:coelom 171:hernia 160:Deaths 36:Hernia 4719:Other 4674:Acute 4425:MASLD 4378:Liver 4352:Lower 4335:Upper 4177:Ileus 4013:Colon 3907:Ileum 3722:(LPR) 2989:S2CID 2658:S2CID 2488:S2CID 2411:: 2. 1909:S2CID 1627:S2CID 1232:Truss 1151:colon 1094:stoma 998:skull 994:brain 893:chest 794:obese 496:bowel 492:fever 490:, or 467:groin 221:groin 203:navel 195:bowel 191:organ 187:Latin 4107:SCAD 3503:MeSH 3488:9-CM 3428:PMID 3410:ISSN 3360:PMID 3342:ISSN 3303:PMID 3295:ISSN 3256:PMID 3248:ISSN 3207:PMID 3158:PMID 3107:PMID 3089:ISSN 3017:ISBN 2981:PMID 2973:ISSN 2934:PMID 2916:ISSN 2848:PMID 2799:PMID 2758:PMID 2709:PMID 2650:PMID 2614:PMID 2583:PMID 2480:PMID 2472:ISSN 2456:JAMA 2433:PMID 2302:ISBN 2183:PMID 2134:PMID 2085:PMID 2077:ISSN 2032:ISBN 2007:PMID 1958:PMID 1901:PMID 1866:PMID 1817:PMID 1770:2015 1731:PMID 1679:PMID 1619:PMID 1563:ISBN 1531:PMID 1413:mesh 1222:USS 1207:and 436:. 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Index

Strangulated hernia

indirect inguinal hernia
Specialty
General surgery
Symptoms
Complications
Bowel strangulation
Risk factors
chronic obstructive pulmonary disease
obesity
pregnancy
peritoneal dialysis
collagen vascular disease
Diagnostic method
medical imaging
Latin
organ
bowel
development of the intestinal tract
navel
coelom
abdomen
abdomen
groin
inguinal
femoral hernias
hiatus
incisional
umbilical hernias

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