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Hernia

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1203: 1336: 1396:, 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 357:
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.
388: 748:. 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 1246: 470:
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
888:), 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. 1254:
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.
2093:"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" 1325:
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.
1097:: 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. 590:
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,
931:. 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: 498:(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. 561:
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.
1690:"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" 1055:: 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. 644:
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.
3560: 838: 313:". 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 1177:: 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. 294:
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".
447:, 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. 4894: 333:. 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, 232:. 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 247:, 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 5005: 633:
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
240:. 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. 3608: 1636:
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).
1124:: a hernia involving only one sidewall of the bowel, which can result in bowel strangulation leading to perforation through ischaemia without causing 4112: 2091:
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
691:(2/3, depicted here), in which the inguinal canal is entered via a congenital weakness at its entrance (the internal inguinal ring), and the 2188:
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).
2333: 1047:: a hernia through Grynfeltt-Lesshaft triangle (superior lumbar triangle). It is named after physician Joseph Grynfeltt (1840–1913). 508:. By pushing on the hernia, it can be (reduced) pushed into the abdomen. When the pressure is removed, the hernia quickly reappears. 3565: 1332:). If complications have occurred, the surgeon will check the viability of the herniated organ and remove part of it if necessary. 1001:: an indirect inguinal hernia with two hernia sacs, without a concomitant direct hernia component (as seen in a pantaloon hernia). 3601: 2367: 811:
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
596: 259: 96: 3886: 3626: 1750: 4886: 2532:"Systematic Review and Meta-Regression of Factors Affecting Midline Incisional Hernia Rates: Analysis of 14,618 Patients" 1502: 187: 2807:"Tibialis Anterior Muscle Hernia: A Case of Chronic, Dull Pain and Swelling in Leg Diagnosed by Dynamic Ultrasonography" 1865: 1138:: occurs when an organ drags along part of the peritoneum, or, in other words, the organ is part of the hernia sac. The 4187: 3594: 3375:
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 (
715:(or saddlebag hernia) is a combined direct and indirect hernia when the hernial sac protrudes on either side of the 309:
Groin hernias that do not cause symptoms in males do not need immediate surgical repair, a practice referred to as "
4604: 4942: 4745: 4357: 4340: 3845: 3840: 3717: 1335: 892: 1347:). The mesh is placed either over the defect (anterior repair) or under the defect (posterior repair). At times 4599: 4555: 4449: 4271: 3870: 1367: 1147: 558: 4810: 4656: 2198: 1352: 5000: 4565: 4084: 3692: 2499:"An unexpected finding during an inguinal herniorrhaphy: report of an indirect hernia with two hernia sacs" 1550:(22nd ed.). Philadelphia, Pa.: Wolters Kluwer Health/Lippincott Williams & Wilkins. p. 562. 695:
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).
2264: 1168: 1007:: a hernia due to "short oesophagus" — insufficient elongation — stomach is displaced into the thorax 773:
They involve protrusion of intra-abdominal contents through a weakness at the site of passage of the
275: 112: 3058:"Robotic versus laparoscopic inguinal hernia repair: an updated systematic review and meta-analysis" 186:, through the wall of the cavity in which it normally resides. The term is also used for the normal 4764: 4444: 4079: 4037: 3850: 3725: 3712: 3682: 3653: 3491: 3309:
Nilsson, Hanna; Stylianidis, Georgios; Haapamäki, Markku; Nilsson, Erik; Nordin, Pär (April 2007).
2766:"Tibialis anterior herniation - a rare clinical entity: a case report and review of the literature" 1174: 1014: 696: 688: 40: 1037:: a hernia through Petit's triangle (inferior lumbar triangle). It is named after French surgeon 4689: 4466: 4207: 3999: 3658: 1197: 1154: 1129: 904: 705: 70: 407:
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)
1044: 992: 978: 638: 536: 244: 75: 2666:"Strangulated hernia through a defect of the broad ligament and mobile cecum: a case report" 2318: 2014: 4979: 4740: 4684: 4505: 4401: 3984: 3979: 3813: 3731: 3697: 2885:"Using Local Anesthesia for Inguinal Hernia Repair Reduces Complications in Older Patients" 2543: 1088: 950: 916: 912: 832: 816: 794: 322: 291: 287: 4916: 977:, sometimes referred to as brain hernia, is a potentially deadly side effect of very high 487:
obstruction. Also, the hernia bulge, in this case, may turn red, purple or dark and pink.
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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
781:. Umbilical hernias in adults are largely acquired, and are more frequent in 711:
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).
2406: 2334:"Hiatal Hernia Symptoms, Causes And Relation To Acid Reflux And Heartburn" 1950: 1515: 1245: 895:
is a distinct problem, occurring in up to 1 in 2000 births, and requiring
4969: 4854: 4616: 4594: 4425: 4345: 3989: 3890: 3643: 3515: 3264:"Risk factors and outcomes of acute versus elective groin hernia surgery" 2289:. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. 1932: 1915:
Gong Y, Shao C, Sun Q, Chen B, Jiang Y, Guo C, et al. (March 1994).
1418: 1262: 1258: 1167:: a hernia characterized by chronic groin pain in athletes and a dilated 986: 982: 790: 663: 634: 547: 431: 342: 334: 90: 16:
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.).
582: 4580: 4550: 4413: 4391: 4244: 4095: 4069: 3931: 3921: 3808: 3769: 3702: 3526: 3115:"Effectiveness of mesh hernioplasty in incarcerated inguinal hernias" 2390:"Surgical physiology of inguinal hernia repair--a study of 200 cases" 1966:"Trends of inguinal, femoral, and abdominal hernia from 1990 to 2019" 1393: 1343:
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
823:. These occur in about 13% of people at 2 years following surgery. 786: 572: 476: 421: 3308: 2439:
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
1104:, for example, when part of inguinal hernia projects from the 899:. Intestinal organs may herniate through several parts of the 4182: 3912: 3374: 2663: 1355:
are often called "tension free" repairs because, unlike some
1183:: a hernia in the groin in front of the femoral blood vessels 1100:
Properitoneal hernia: rare hernia located directly above the
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Less pain during the first few days following the procedure
1114:: entrapment of portions of the small intestine behind the 971:: containing the appendix vermiformis within the hernia sac 399:
Incarcerated umbilical hernia with surrounding inflammation
3616: 2882: 2714: 317:, which have more complications. If strangulation occurs, 178:, meaning 'rupture') is the abnormal exit of tissue or an 2939: 1261:, or robotic techniques. Fixing an inguinal hernia using 387: 868:) serves as a functional "defect", allowing part of the 3377:"Complications in groin hernia surgery and the way out" 2619: 2285:
Goers TA, Klingensmith ME, Chen LE, Glasgow SC (2008).
1146:
are often involved. The term also frequently refers to
3261: 2804: 2139: 1774:"Etiology of Inguinal Hernias: A Comprehensive Review" 1771: 1687: 3112: 2715:
Nguyen JT, Nguyen JL, Wheatley MJ, Nguyen TA (2013).
2438: 2278: 1871: 1257:
Three primary methods can be utilized: open surgery,
254:
Risk factors for the development of a hernia include
3435: 2770:
The Journal of the Canadian Chiropractic Association
1749:. U.S. National Library of Medicine. 9 August 2014. 251:
but may also cause chest pain or pain while eating.
3004:. Philadelphia: Lippincott Williams & Wilkins. 2805:Sharma N, Kumar N, Verma R, Jhobta A (2017-05-31). 1635: 1209:being performed aboard the amphibious assault ship 454:. In the case of reducible hernias, a bulge in the 415:, may protrude. Another common hernia involves the 1970:International Journal of Surgery (London, England) 963:, also known as spontaneous lateral ventral hernia 3219:The European Journal of Surgery = Acta Chirurgica 911:), or anteromedial-retrosternal (in the cleft of 575:bouts, sharp blows to the abdomen, and incorrect 323:laparoscopic surgery, or robotic-assisted surgery 321:is required. Repair may be done by open surgery, 85:< 1 year and > 50 years old (groin hernias) 4992: 1499: 1091:: a type of umbilical hernia occurring in adults 2763: 2228:"What is Hernia? - Causes, Symptoms, Diagnosis" 1914: 290:causing predisposition to hernias seem to have 5006:Congenital disorders of musculoskeletal system 4902: 3602: 3163: 2595:Revista Espanola de Enfermedades Digestivas / 2043: 1589: 675:An incarcerated inguinal hernia as seen on CT 282:, among others. Predisposition to hernias is 3708:Esophagogastric junction outflow obstruction 2999: 2582: 2441:"Management of Groin Hernias in Adults-2018" 1963: 1631: 1629: 3268:Journal of the American College of Surgeons 1917:"Genetic study of indirect inguinal hernia" 1683: 1681: 599:, and also, fluid in the abdominal cavity ( 450:Symptoms may or may not be present in some 429:occurs when the stomach protrudes into the 391:Frontal view of an inguinal hernia (right). 65:Pain especially with coughing, bulging area 4909: 4895: 3747:Esophageal intramural pseudodiverticulosis 3609: 3595: 2492: 2490: 2019:. I. K. International Pvt Ltd. p. 6. 1351:are used to keep the mesh in place. These 880:itself slides through the defect into the 286:and occur more often in certain families. 201:in the healthy embryo at about 7½ weeks. 30: 3410: 3392: 3342: 3230: 3189: 3140: 3130: 3089: 2916: 2830: 2781: 2740: 2691: 2681: 2565: 2555: 2514: 2503:Journal of Pediatric Surgery Case Reports 2415: 2405: 2250: 2165: 2116: 1989: 1940: 1848: 1799: 1789: 1772:Ă–berg S, Andresen K, Rosenberg J (2017). 1713: 1661: 1626: 1585: 1583: 1581: 1579: 1577: 1575: 1573: 1571: 1539: 1537: 1535: 1533: 1495: 1493: 1491: 1489: 1487: 1485: 1483: 1481: 1479: 1477: 1475: 1473: 1471: 1469: 1467: 1465: 1463: 1461: 1459: 1457: 1455: 1076:complicated by a large parastomal hernia. 1017:. It is named after the French anatomist 985:is squeezed across structures within the 443:caused by a disruption or opening in the 3559:) is being considered for deletion. See 1737: 1735: 1733: 1678: 1453: 1451: 1449: 1447: 1445: 1443: 1441: 1439: 1437: 1435: 1334: 1244: 1241:Inguinal hernia repair with mesh diagram 1236: 1201: 1067: 915:(sternocostal triangle), resulting in a 836: 678: 670: 662: 581: 517:Untreated hernia may be complicated by: 500: 394: 386: 2721:The Canadian Journal of Plastic Surgery 2487: 2387: 2133: 907:(lumbocostal triangle), resulting in a 490:In the diagnosis of abdominal hernias, 4993: 4920:diaphragm and abdominal wall defects, 3311:"Mortality after groin hernia surgery" 1568: 1543: 1530: 435:through the esophageal opening in the 4890: 4731: 3975:Small intestinal bacterial overgrowth 3590: 3370: 3368: 3366: 3364: 3362: 3051: 3049: 3023: 3021: 2995: 2993: 2991: 2496: 2357: 2012: 1730: 1432: 740:Femoral hernias occur just below the 667:Ultrasound showing an inguinal hernia 606:Also, if muscles are weakened due to 382: 260:chronic obstructive pulmonary disease 97:chronic obstructive pulmonary disease 3582:. U.S. National Library of Medicine. 2764:Masoumi A, Ramogida G (April 2020). 2016:Essentials of Abdominal Wall Hernias 1249:Laparoscopic hernia repair with mesh 1229:, trunks, belts, etc.) are unclear. 1031:), contains the following entities: 618:, hernias are more likely to occur. 3164:Sohail MR, Smilack JD (June 2004). 1503:The New England Journal of Medicine 1273:, as compared to open mesh surgery 1153:Sciatic hernia: this hernia in the 857:through a defect in the diaphragm. 411:, or abdominal organs covered with 188:development of the intestinal tract 163: 13: 3359: 3327:10.1097/01.sla.0000251364.32698.4b 3046: 3018: 2988: 1753:from the original on 16 March 2015 1547:The 5-minute clinical consult 2014 1417:Many patients are managed through 625:, the above-mentioned are only an 351:laparoscopic Nissen fundoplication 212:. Groin hernias are most commonly 14: 5027: 4860:Spontaneous bacterial peritonitis 4707:Exocrine pancreatic insufficiency 3563:to help reach a consensus. â€ş 3431: 3381:Journal of Minimal Access Surgery 3280:10.1016/j.jamcollsurg.2011.05.008 2670:World Journal of Gastroenterology 2358:Balentine JR. Stöppler MC (ed.). 220:. Other types of hernias include 4605:Secondary sclerosing cholangitis 3170:Journal of Clinical Microbiology 3002:The Washington Manual of Surgery 2889:The Journal of Surgical Research 2315:onlinedictionary.datasegment.com 2287:The Washington manual of surgery 2033:from the original on 2017-09-08. 1564:from the original on 2017-08-22. 922: 884:, or non-sliding (also known as 826: 512: 483:may occur in these cases due to 4943:Congenital diaphragmatic hernia 3846:Gastric antral vascular ectasia 3841:Portal hypertensive gastropathy 3718:Gastroesophageal reflux disease 3302: 3255: 3206: 3182:10.1128/JCM.42.6.2858-2860.2004 3157: 3106: 2933: 2876: 2865:from the original on 2017-07-14 2847: 2798: 2757: 2708: 2657: 2613: 2523: 2432: 2381: 2370:from the original on 2010-05-31 2351: 2326: 2303: 2251:Lee HK, Park SJ, Yi BH (2010). 2244: 2220: 2209:from the original on 2010-02-13 2191: 2182: 2084: 2037: 2006: 1957: 981:that occurs when a part of the 893:congenital diaphragmatic hernia 373: 364: 4600:Primary sclerosing cholangitis 4450:Hepatic veno-occlusive disease 4272:Solitary rectal ulcer syndrome 3000:Klingensmith, Mary E. (2008). 1392:formation, urinary retention, 1148:sliding hernias of the stomach 797:may be a contributing factor. 1: 4657:Sphincter of Oddi dysfunction 3548: 2158:10.1016/S0140-6736(14)61682-2 2109:10.1016/s0140-6736(15)60692-4 1706:10.1016/s0140-6736(16)31012-1 1654:10.1016/S0140-6736(16)31678-6 1425: 1400:, including rejection of the 800: 4566:Postcholecystectomy syndrome 4085:Intestinal pseudoobstruction 3693:Esophageal motility disorder 2958:10.1097/SLA.0b013e318165b0ff 2859:U.K. National Health Service 2557:10.1371/journal.pone.0138745 2062:10.1067/j.cpsurg.2006.02.004 1982:10.1097/JS9.0000000000000217 1379:Post-Operative Complications 1187: 762: 647: 7: 2811:Polish Journal of Radiology 2050:Current Problems in Surgery 1921:Journal of Medical Genetics 1412: 1361:tension-free suture methods 1108:to the preperitoneal space. 717:inferior epigastric vessels 683:X-ray of colonic herniation 652: 115:, connective tissue disease 10: 5032: 4551:Gallstone / Cholelithiasis 4075:Functional colonic disease 3871:Zollinger–Ellison syndrome 3232:10.1080/110241502321116451 3074:10.1007/s11701-021-01312-6 3062:Journal of Robotic Surgery 2733:10.1177/229255031302100408 2516:10.1016/j.epsc.2013.09.002 2263:(5): 27–31. Archived from 1300:Lower risk of chronic pain 1232: 1191: 830: 804: 766: 733: 729: 656: 629:symptom of the underlying 4960: 4928: 4845: 4724: 4665: 4579: 4536: 4382: 4373: 4326: 4280: 4235: 4121: 4008: 3898: 3885: 3760: 3752:Acute esophageal necrosis 3634: 3625: 3506: 3439: 2901:10.1016/j.jss.2020.08.054 2388:Desarda MP (April 2003). 1886:10.1007/s10029-013-1147-y 1841:10.1007/s10029-016-1491-9 1271:Laparoscopic mesh surgery 1169:superficial inguinal ring 878:gastroesophageal junction 849:, viewed from the front). 566: 276:collagen vascular disease 148: 140: 132: 119: 113:collagen vascular disease 89: 81: 69: 59: 47: 38: 29: 24: 3851:Gastric dumping syndrome 3726:Laryngopharyngeal reflux 3713:Diffuse esophageal spasm 3561:templates for discussion 3132:10.5114/wiitm.2014.43080 1791:10.3389/fsurg.2017.00052 1339:da Vinci Surgical System 1220: 1175:Tibialis anterior hernia 704:cases, they may require 697:indirect inguinal hernia 689:indirect inguinal hernia 586:Common sites for hernias 216:hernias but may also be 41:indirect inguinal hernia 4467:Alcoholic liver disease 4000:Bile acid malabsorption 3944:Peptic (duodenal) ulcer 3394:10.4103/0972-9941.27734 2683:10.3748/wjg.v12.i9.1479 2457:10.1001/jama.2018.10680 2046:"Abdominal Wall Hernia" 1198:Inguinal hernia surgery 1155:greater sciatic foramen 1130:August Gottlieb Richter 1013:: a hernia involving a 949:: a hernia through the 208:, and specifically the 4477:Hepatic encephalopathy 3861:Buried bumper syndrome 3792:Peptic (gastric) ulcer 3676:Mallory–Weiss syndrome 3619:human digestive system 1368:tension suture methods 1340: 1250: 1242: 1217: 1077: 999:Double indirect hernia 850: 724:double indirect hernia 701:direct inguinal hernia 693:direct inguinal hernia 684: 676: 668: 587: 529:of any lumen, such as 509: 400: 392: 347:proton pump inhibitors 4922:abdominopelvic cavity 4702:Pancreatic pseudocyst 4571:Porcelain gallbladder 3683:Zenker's diverticulum 2407:10.1186/1471-2482-3-2 1516:10.1056/NEJMcp1404068 1338: 1310:Longer operation time 1248: 1240: 1205: 1071: 1015:Meckel's diverticulum 993:Broad ligament hernia 979:intracranial pressure 903:, posterolateral (in 840: 682: 674: 666: 639:transversus abdominis 585: 533:in intestinal hernias 504: 398: 390: 288:Deleterious mutations 4980:Prune belly syndrome 4506:Hepatorenal syndrome 4445:Budd–Chiari syndrome 4402:Autoimmune hepatitis 4227:Intestinal adhesions 3985:Short bowel syndrome 3814:Functional dyspepsia 3732:Esophageal stricture 3698:Nutcracker esophagus 2323:Citing: Webster 1913 1933:10.1136/jmg.31.3.187 1778:Frontiers in Surgery 1700:(10053): 1459–1544. 1648:(10053): 1545–1602. 1089:Paraumbilical hernia 913:foramina of Morgagni 905:Bochdalek's triangle 833:Diaphragmatic hernia 637:extensions from the 597:chronic lung disease 136:Observation, surgery 43:(view from the side) 5001:Disorders of fascia 4645:Choledocholithiasis 4516:Metabolic disorders 4482:Acute liver failure 4455:Portal hypertension 4407:Alcoholic hepatitis 4250:Radiation proctitis 4169:Mesenteric ischemia 4141:Gastroenterocolitis 3970:Blind loop syndrome 3780:MĂ©nĂ©trier's disease 3688:Barrett's esophagus 2823:10.12659/PJR.900846 2548:2015PLoSO..1038745B 2364:eMedicineHealth.com 2340:on October 28, 2008 2232:www.pristyncare.com 1353:mesh repair methods 1274: 272:peritoneal dialysis 245:bowel strangulation 144:18.5 million (2015) 125:Based on symptoms, 109:peritoneal dialysis 76:Bowel strangulation 4930:Thoracic diaphragm 4820:Undefined location 4811:Grynfeltt–Lesshaft 4712:Pancreatic fistula 4695:Pancreatic abscess 4650:Biliary dyskinesia 4621:Mirizzi's syndrome 4122:Large and/or small 3802:Dieulafoy's lesion 3671:Boerhaave syndrome 3507:External resources 2635:10.1111/codi.15039 2623:Colorectal Disease 2257:Diagnostic Imaging 1544:Domino FJ (2014). 1341: 1269: 1251: 1243: 1218: 1106:deep inguinal ring 1078: 1045:Grynfeltt's hernia 1029:lumbar disc hernia 851: 819:, they are termed 685: 677: 669: 588: 544:of the hernial sac 510: 401: 393: 383:Signs and symptoms 353:may be an option. 341:. The medications 331:general anesthesia 278:and previous open 4988: 4987: 4884: 4883: 4880: 4879: 4720: 4719: 4322: 4321: 4179:Bowel obstruction 3881: 3880: 3544: 3543: 3315:Annals of Surgery 3011:978-0-7817-7447-5 2946:Annals of Surgery 2451:(10): 1029–1030. 2296:978-0-7817-7447-5 2199:"Inguinal hernia" 2103:(9995): 743–800. 2013:Nigam VK (2009). 1604:10.1136/bmj.g6154 1319: 1318: 1126:bowel obstruction 1112:Retrocolic hernia 1061:: hernia through 947:Epigastric hernia 917:Morgagni's hernia 897:pediatric surgery 866:esophageal hiatus 815:incisions in the 807:Incisional hernia 793:of fibers at the 742:inguinal ligament 593:enlarged prostate 531:bowel obstruction 319:immediate surgery 302:is often done by 230:umbilical hernias 156: 155: 121:Diagnostic method 19:Medical condition 5023: 4948:Bochdalek hernia 4911: 4904: 4897: 4888: 4887: 4872:Pneumoperitoneum 4729: 4728: 4639:Common bile duct 4521:Wilson's disease 4511:Peliosis hepatis 4380: 4379: 4257:Proctalgia fugax 4164:Abdominal angina 4089:Ogilvie syndrome 4038:Pseudomembranous 3896: 3895: 3856:Gastric volvulus 3821:Pyloric stenosis 3632: 3631: 3617:Diseases of the 3611: 3604: 3597: 3588: 3587: 3583: 3437: 3436: 3425: 3424: 3414: 3396: 3372: 3357: 3356: 3346: 3306: 3300: 3299: 3259: 3253: 3252: 3234: 3225:(8–9): 460–463. 3210: 3204: 3203: 3193: 3161: 3155: 3154: 3144: 3134: 3110: 3104: 3103: 3093: 3053: 3044: 3043: 3041: 3040: 3025: 3016: 3015: 2997: 2986: 2985: 2937: 2931: 2930: 2920: 2880: 2874: 2873: 2871: 2870: 2851: 2845: 2844: 2834: 2802: 2796: 2795: 2785: 2761: 2755: 2754: 2744: 2712: 2706: 2705: 2695: 2685: 2661: 2655: 2654: 2629:(9): 1197–1198. 2617: 2611: 2610: 2586: 2580: 2579: 2569: 2559: 2527: 2521: 2520: 2518: 2497:Jones R (2013). 2494: 2485: 2484: 2436: 2430: 2429: 2419: 2409: 2385: 2379: 2378: 2376: 2375: 2355: 2349: 2348: 2346: 2345: 2336:. Archived from 2330: 2324: 2322: 2317:. Archived from 2307: 2301: 2300: 2282: 2276: 2275: 2273: 2272: 2248: 2242: 2241: 2239: 2238: 2224: 2218: 2217: 2215: 2214: 2195: 2189: 2186: 2180: 2179: 2169: 2152:(9963): 117–71. 2137: 2131: 2130: 2120: 2088: 2082: 2081: 2041: 2035: 2034: 2010: 2004: 2003: 1993: 1961: 1955: 1954: 1944: 1912: 1906: 1905: 1869: 1863: 1862: 1852: 1820: 1814: 1813: 1803: 1793: 1769: 1763: 1762: 1760: 1758: 1739: 1728: 1727: 1717: 1685: 1676: 1675: 1665: 1633: 1624: 1623: 1587: 1566: 1565: 1541: 1528: 1527: 1497: 1398:post-operatively 1288:Quicker recovery 1275: 1268: 1122:Richter's hernia 1059:Obturator hernia 1039:Jean Louis Petit 995:, of the uterus. 975:Brain herniation 961:Spigelian hernia 942:Umbilical hernia 909:Bochdalek hernia 876:", in which the 789:women. Abnormal 769:Umbilical hernia 713:pantaloon hernia 496:Multidetector CT 452:inguinal hernias 327:local anesthesia 311:watchful waiting 165: 34: 22: 21: 5031: 5030: 5026: 5025: 5024: 5022: 5021: 5020: 4991: 4990: 4989: 4984: 4956: 4924: 4915: 4885: 4876: 4841: 4830:Internal hernia 4716: 4661: 4626:Biliary fistula 4584: 4575: 4561:Adenomyomatosis 4556:Cholesterolosis 4532: 4526:Hemochromatosis 4397:Viral hepatitis 4369: 4318: 4276: 4262:Rectal prolapse 4231: 4198:Fecal impaction 4188:Intussusception 4151:Crohn's disease 4117: 4100:Toxic megacolon 4012: 4010:Large intestine 4004: 3949:Curling's ulcer 3902: 3900:Small intestine 3889: 3877: 3785:Gastroenteritis 3756: 3621: 3615: 3574: 3564: 3545: 3540: 3539: 3502: 3501: 3448: 3434: 3429: 3428: 3373: 3360: 3307: 3303: 3260: 3256: 3211: 3207: 3162: 3158: 3111: 3107: 3054: 3047: 3038: 3036: 3033:www.nice.org.uk 3027: 3026: 3019: 3012: 2998: 2989: 2938: 2934: 2881: 2877: 2868: 2866: 2853: 2852: 2848: 2803: 2799: 2762: 2758: 2713: 2709: 2662: 2658: 2618: 2614: 2587: 2583: 2542:(9): e0138745. 2528: 2524: 2509:(10): 331–332. 2495: 2488: 2437: 2433: 2386: 2382: 2373: 2371: 2360:"Hernia Causes" 2356: 2352: 2343: 2341: 2332: 2331: 2327: 2309: 2308: 2304: 2297: 2283: 2279: 2270: 2268: 2249: 2245: 2236: 2234: 2226: 2225: 2221: 2212: 2210: 2203:The Mayo Clinic 2197: 2196: 2192: 2187: 2183: 2138: 2134: 2089: 2085: 2042: 2038: 2027: 2011: 2007: 1962: 1958: 1913: 1909: 1870: 1866: 1821: 1817: 1770: 1766: 1756: 1754: 1741: 1740: 1731: 1686: 1679: 1634: 1627: 1588: 1569: 1558: 1542: 1531: 1498: 1433: 1428: 1415: 1380: 1345:mesh prosthesis 1235: 1223: 1200: 1192:Main articles: 1190: 1144:urinary bladder 1095:Perineal hernia 1072:Patient with a 1063:obturator canal 1011:Littre's hernia 969:Amyand's hernia 925: 886:para-esophageal 847:coronal section 835: 829: 821:ventral hernias 809: 803: 771: 765: 757:Cooper's hernia 750:inguinal hernia 738: 732: 661: 659:Inguinal hernia 655: 650: 623:inguinal hernia 569: 515: 506:Inguinal hernia 385: 376: 367: 315:femoral hernias 296:medical imaging 218:femoral hernias 127:medical imaging 54:General surgery 20: 17: 12: 11: 5: 5029: 5019: 5018: 5013: 5008: 5003: 4986: 4985: 4983: 4982: 4977: 4972: 4966: 4964: 4962:Abdominal wall 4958: 4957: 4955: 4954: 4953: 4952: 4951: 4950: 4934: 4932: 4926: 4925: 4914: 4913: 4906: 4899: 4891: 4882: 4881: 4878: 4877: 4875: 4874: 4869: 4867:Hemoperitoneum 4864: 4863: 4862: 4851: 4849: 4843: 4842: 4840: 4839: 4838: 4837: 4832: 4827: 4816: 4815: 4814: 4813: 4808: 4795: 4794: 4789: 4784: 4779: 4774: 4773: 4772: 4767: 4756: 4755: 4750: 4749: 4748: 4737: 4735: 4726: 4722: 4721: 4718: 4717: 4715: 4714: 4709: 4704: 4699: 4698: 4697: 4692: 4687: 4682: 4671: 4669: 4663: 4662: 4660: 4659: 4654: 4653: 4652: 4647: 4634: 4633: 4628: 4623: 4614: 4613: 4612: 4607: 4602: 4591: 4589: 4577: 4576: 4574: 4573: 4568: 4563: 4558: 4553: 4548: 4542: 4540: 4534: 4533: 4531: 4530: 4529: 4528: 4523: 4513: 4508: 4503: 4502: 4501: 4496: 4486: 4485: 4484: 4479: 4469: 4464: 4463: 4462: 4457: 4452: 4447: 4435: 4434: 4433: 4423: 4422: 4421: 4411: 4410: 4409: 4404: 4399: 4388: 4386: 4377: 4371: 4370: 4368: 4367: 4366: 4365: 4355: 4354: 4353: 4348: 4338: 4336:Blood in stool 4332: 4330: 4324: 4323: 4320: 4319: 4317: 4316: 4311: 4309:Anal dysplasia 4306: 4301: 4296: 4286: 4284: 4278: 4277: 4275: 4274: 4269: 4264: 4259: 4254: 4253: 4252: 4241: 4239: 4233: 4232: 4230: 4229: 4224: 4223: 4222: 4212: 4211: 4210: 4200: 4195: 4190: 4185: 4176: 4174:Angiodysplasia 4171: 4166: 4155: 4154: 4153: 4143: 4138: 4137: 4136: 4125: 4123: 4119: 4118: 4116: 4115: 4109:Diverticulosis 4105:Diverticulitis 4102: 4093: 4092: 4091: 4082: 4072: 4067: 4066: 4065: 4060: 4055: 4050: 4045: 4040: 4030: 4024: 4022: 4006: 4005: 4003: 4002: 3997: 3995:Milroy disease 3992: 3987: 3982: 3977: 3972: 3967: 3965:Tropical sprue 3962: 3953: 3952: 3951: 3941: 3940: 3939: 3934: 3929: 3918: 3916: 3893: 3887:Lower GI tract 3883: 3882: 3879: 3878: 3876: 3875: 3874: 3873: 3863: 3858: 3853: 3848: 3843: 3838: 3833: 3828: 3823: 3818: 3817: 3816: 3806: 3805: 3804: 3799: 3789: 3788: 3787: 3782: 3777: 3766: 3764: 3758: 3757: 3755: 3754: 3749: 3744: 3739: 3734: 3729: 3723: 3722: 3721: 3715: 3710: 3705: 3700: 3690: 3685: 3680: 3679: 3678: 3673: 3663: 3662: 3661: 3656: 3651: 3640: 3638: 3629: 3627:Upper GI tract 3623: 3622: 3614: 3613: 3606: 3599: 3591: 3585: 3584: 3572: 3542: 3541: 3538: 3537: 3523: 3511: 3510: 3508: 3504: 3503: 3500: 3499: 3488: 3469: 3449: 3444: 3443: 3441: 3440:Classification 3433: 3432:External links 3430: 3427: 3426: 3387:(3): 174–177. 3358: 3321:(4): 656–660. 3301: 3274:(3): 363–369. 3254: 3205: 3176:(6): 2858–60. 3156: 3105: 3068:(4): 775–781. 3045: 3017: 3010: 2987: 2952:(3): 428–433. 2932: 2875: 2846: 2797: 2756: 2707: 2676:(9): 1479–80. 2656: 2612: 2581: 2522: 2486: 2431: 2380: 2350: 2325: 2321:on 2008-11-20. 2311:"Incarcerated" 2302: 2295: 2277: 2243: 2219: 2190: 2181: 2132: 2083: 2056:(5): 326–375. 2036: 2025: 2005: 1976:(3): 333–342. 1956: 1907: 1864: 1815: 1764: 1729: 1677: 1625: 1567: 1556: 1529: 1430: 1429: 1427: 1424: 1414: 1411: 1378: 1322:Robot-assisted 1317: 1316: 1315: 1314: 1311: 1308: 1303: 1302: 1301: 1298: 1292: 1289: 1283: 1282: 1281:Disadvantages 1279: 1234: 1231: 1222: 1219: 1189: 1186: 1185: 1184: 1181:Velpeau hernia 1178: 1172: 1162: 1151: 1136:Sliding hernia 1133: 1119: 1109: 1098: 1092: 1086: 1066: 1065: 1056: 1053:Maydl's hernia 1050: 1049: 1048: 1042: 1035:Petit's hernia 1022: 1008: 1002: 996: 990: 972: 966: 965: 964: 958: 944: 936:Abdominal wall 924: 921: 831:Main article: 828: 825: 805:Main article: 802: 799: 779:abdominal wall 775:umbilical cord 767:Main article: 764: 761: 736:Femoral hernia 734:Main article: 731: 728: 657:Main article: 654: 651: 649: 646: 608:poor nutrition 568: 565: 564: 563: 562:strangulation. 559:Irreducibility 556: 550: 545: 539: 534: 524: 514: 511: 409:adipose tissue 384: 381: 375: 372: 366: 363: 337:and adjusting 300:hiatus hernias 182:, such as the 154: 153: 150: 146: 145: 142: 138: 137: 134: 130: 129: 123: 117: 116: 93: 87: 86: 83: 79: 78: 73: 67: 66: 63: 57: 56: 51: 45: 44: 39:Diagram of an 36: 35: 27: 26: 18: 15: 9: 6: 4: 3: 2: 5028: 5017: 5014: 5012: 5009: 5007: 5004: 5002: 4999: 4998: 4996: 4981: 4978: 4976: 4975:Gastroschisis 4973: 4971: 4968: 4967: 4965: 4963: 4959: 4949: 4946: 4945: 4944: 4941: 4940: 4939: 4936: 4935: 4933: 4931: 4927: 4923: 4919: 4912: 4907: 4905: 4900: 4898: 4893: 4892: 4889: 4873: 4870: 4868: 4865: 4861: 4858: 4857: 4856: 4853: 4852: 4850: 4848: 4844: 4836: 4833: 4831: 4828: 4826: 4823: 4822: 4821: 4818: 4817: 4812: 4809: 4807: 4804: 4803: 4802: 4801: 4797: 4796: 4793: 4790: 4788: 4785: 4783: 4780: 4778: 4775: 4771: 4768: 4766: 4763: 4762: 4761: 4758: 4757: 4754: 4751: 4747: 4744: 4743: 4742: 4741:Diaphragmatic 4739: 4738: 4736: 4734: 4730: 4727: 4723: 4713: 4710: 4708: 4705: 4703: 4700: 4696: 4693: 4691: 4688: 4686: 4683: 4681: 4678: 4677: 4676: 4673: 4672: 4670: 4668: 4664: 4658: 4655: 4651: 4648: 4646: 4643: 4642: 4641: 4640: 4636: 4635: 4632: 4629: 4627: 4624: 4622: 4618: 4615: 4611: 4608: 4606: 4603: 4601: 4598: 4597: 4596: 4593: 4592: 4590: 4588: 4582: 4578: 4572: 4569: 4567: 4564: 4562: 4559: 4557: 4554: 4552: 4549: 4547: 4546:Cholecystitis 4544: 4543: 4541: 4539: 4535: 4527: 4524: 4522: 4519: 4518: 4517: 4514: 4512: 4509: 4507: 4504: 4500: 4497: 4495: 4492: 4491: 4490: 4489:Liver abscess 4487: 4483: 4480: 4478: 4475: 4474: 4473: 4472:Liver failure 4470: 4468: 4465: 4461: 4458: 4456: 4453: 4451: 4448: 4446: 4443: 4442: 4441: 4440: 4436: 4432: 4429: 4428: 4427: 4424: 4420: 4417: 4416: 4415: 4412: 4408: 4405: 4403: 4400: 4398: 4395: 4394: 4393: 4390: 4389: 4387: 4385: 4381: 4378: 4376: 4372: 4364: 4361: 4360: 4359: 4356: 4352: 4349: 4347: 4344: 4343: 4342: 4339: 4337: 4334: 4333: 4331: 4329: 4325: 4315: 4312: 4310: 4307: 4305: 4302: 4300: 4297: 4295: 4291: 4288: 4287: 4285: 4283: 4279: 4273: 4270: 4268: 4265: 4263: 4260: 4258: 4255: 4251: 4248: 4247: 4246: 4243: 4242: 4240: 4238: 4234: 4228: 4225: 4221: 4218: 4217: 4216: 4213: 4209: 4206: 4205: 4204: 4201: 4199: 4196: 4194: 4191: 4189: 4186: 4184: 4180: 4177: 4175: 4172: 4170: 4167: 4165: 4161: 4160: 4156: 4152: 4149: 4148: 4147: 4144: 4142: 4139: 4135: 4132: 4131: 4130: 4129:Enterocolitis 4127: 4126: 4124: 4120: 4114: 4110: 4106: 4103: 4101: 4097: 4094: 4090: 4086: 4083: 4081: 4078: 4077: 4076: 4073: 4071: 4068: 4064: 4061: 4059: 4056: 4054: 4051: 4049: 4046: 4044: 4041: 4039: 4036: 4035: 4034: 4031: 4029: 4026: 4025: 4023: 4020: 4016: 4011: 4007: 4001: 3998: 3996: 3993: 3991: 3988: 3986: 3983: 3981: 3978: 3976: 3973: 3971: 3968: 3966: 3963: 3961: 3957: 3956:Malabsorption 3954: 3950: 3947: 3946: 3945: 3942: 3938: 3935: 3933: 3930: 3928: 3925: 3924: 3923: 3920: 3919: 3917: 3914: 3910: 3906: 3901: 3897: 3894: 3892: 3888: 3884: 3872: 3869: 3868: 3867: 3864: 3862: 3859: 3857: 3854: 3852: 3849: 3847: 3844: 3842: 3839: 3837: 3834: 3832: 3831:Gastroparesis 3829: 3827: 3824: 3822: 3819: 3815: 3812: 3811: 3810: 3807: 3803: 3800: 3798: 3797:Cushing ulcer 3795: 3794: 3793: 3790: 3786: 3783: 3781: 3778: 3776: 3773: 3772: 3771: 3768: 3767: 3765: 3763: 3759: 3753: 3750: 3748: 3745: 3743: 3742:Megaesophagus 3740: 3738: 3735: 3733: 3730: 3727: 3724: 3719: 3716: 3714: 3711: 3709: 3706: 3704: 3701: 3699: 3696: 3695: 3694: 3691: 3689: 3686: 3684: 3681: 3677: 3674: 3672: 3669: 3668: 3667: 3664: 3660: 3657: 3655: 3652: 3650: 3647: 3646: 3645: 3642: 3641: 3639: 3637: 3633: 3630: 3628: 3624: 3620: 3612: 3607: 3605: 3600: 3598: 3593: 3592: 3589: 3581: 3577: 3573: 3571: 3567: 3562: 3558: 3557: 3552: 3547: 3546: 3536: 3533: 3529: 3528: 3524: 3522: 3518: 3517: 3513: 3512: 3509: 3505: 3498: 3494: 3493: 3489: 3487: 3483: 3479: 3478: 3474: 3470: 3468: 3464: 3460: 3459: 3455: 3451: 3450: 3447: 3442: 3438: 3422: 3418: 3413: 3408: 3404: 3400: 3395: 3390: 3386: 3382: 3378: 3371: 3369: 3367: 3365: 3363: 3354: 3350: 3345: 3340: 3336: 3332: 3328: 3324: 3320: 3316: 3312: 3305: 3297: 3293: 3289: 3285: 3281: 3277: 3273: 3269: 3265: 3258: 3250: 3246: 3242: 3238: 3233: 3228: 3224: 3220: 3216: 3209: 3201: 3197: 3192: 3187: 3183: 3179: 3175: 3171: 3167: 3160: 3152: 3148: 3143: 3138: 3133: 3128: 3124: 3120: 3116: 3109: 3101: 3097: 3092: 3087: 3083: 3079: 3075: 3071: 3067: 3063: 3059: 3052: 3050: 3034: 3030: 3024: 3022: 3013: 3007: 3003: 2996: 2994: 2992: 2983: 2979: 2975: 2971: 2967: 2963: 2959: 2955: 2951: 2947: 2943: 2936: 2928: 2924: 2919: 2914: 2910: 2906: 2902: 2898: 2894: 2890: 2886: 2879: 2864: 2860: 2856: 2850: 2842: 2838: 2833: 2828: 2824: 2820: 2816: 2812: 2808: 2801: 2793: 2789: 2784: 2779: 2775: 2771: 2767: 2760: 2752: 2748: 2743: 2738: 2734: 2730: 2726: 2722: 2718: 2711: 2703: 2699: 2694: 2689: 2684: 2679: 2675: 2671: 2667: 2660: 2652: 2648: 2644: 2640: 2636: 2632: 2628: 2624: 2616: 2608: 2604: 2601:(5): 357–66. 2600: 2596: 2592: 2585: 2577: 2573: 2568: 2563: 2558: 2553: 2549: 2545: 2541: 2537: 2533: 2526: 2517: 2512: 2508: 2504: 2500: 2493: 2491: 2482: 2478: 2474: 2470: 2466: 2462: 2458: 2454: 2450: 2446: 2442: 2435: 2427: 2423: 2418: 2413: 2408: 2403: 2399: 2395: 2391: 2384: 2369: 2365: 2361: 2354: 2339: 2335: 2329: 2320: 2316: 2312: 2306: 2298: 2292: 2288: 2281: 2267:on 2010-06-18 2266: 2262: 2258: 2254: 2247: 2233: 2229: 2223: 2208: 2204: 2200: 2194: 2185: 2177: 2173: 2168: 2163: 2159: 2155: 2151: 2147: 2143: 2136: 2128: 2124: 2119: 2114: 2110: 2106: 2102: 2098: 2094: 2087: 2079: 2075: 2071: 2067: 2063: 2059: 2055: 2051: 2047: 2040: 2032: 2028: 2026:9788189866938 2022: 2018: 2017: 2009: 2001: 1997: 1992: 1987: 1983: 1979: 1975: 1971: 1967: 1960: 1952: 1948: 1943: 1938: 1934: 1930: 1927:(3): 187–92. 1926: 1922: 1918: 1911: 1903: 1899: 1895: 1891: 1887: 1883: 1880:(4): 507–12. 1879: 1875: 1868: 1860: 1856: 1851: 1846: 1842: 1838: 1835:(1): 95–100. 1834: 1830: 1826: 1819: 1811: 1807: 1802: 1797: 1792: 1787: 1783: 1779: 1775: 1768: 1752: 1748: 1744: 1738: 1736: 1734: 1725: 1721: 1716: 1711: 1707: 1703: 1699: 1695: 1691: 1684: 1682: 1673: 1669: 1664: 1659: 1655: 1651: 1647: 1643: 1639: 1632: 1630: 1621: 1617: 1613: 1609: 1605: 1601: 1597: 1593: 1586: 1584: 1582: 1580: 1578: 1576: 1574: 1572: 1563: 1559: 1557:9781451188509 1553: 1549: 1548: 1540: 1538: 1536: 1534: 1525: 1521: 1517: 1513: 1510:(8): 756–63. 1509: 1505: 1504: 1496: 1494: 1492: 1490: 1488: 1486: 1484: 1482: 1480: 1478: 1476: 1474: 1472: 1470: 1468: 1466: 1464: 1462: 1460: 1458: 1456: 1454: 1452: 1450: 1448: 1446: 1444: 1442: 1440: 1438: 1436: 1431: 1423: 1420: 1410: 1408: 1403: 1399: 1395: 1391: 1387: 1382: 1381: 1375: 1371: 1369: 1364: 1362: 1358: 1354: 1350: 1346: 1337: 1333: 1331: 1330:herniorrhaphy 1326: 1323: 1312: 1309: 1306: 1305: 1304: 1299: 1297: 1293: 1290: 1287: 1286: 1285: 1284: 1280: 1277: 1276: 1272: 1267: 1264: 1260: 1255: 1247: 1239: 1230: 1228: 1215: 1214: 1208: 1207:Hernia repair 1204: 1199: 1195: 1194:Hernia repair 1182: 1179: 1176: 1173: 1170: 1166: 1165:Sports hernia 1163: 1160: 1156: 1152: 1149: 1145: 1141: 1137: 1134: 1131: 1127: 1123: 1120: 1117: 1113: 1110: 1107: 1103: 1099: 1096: 1093: 1090: 1087: 1084: 1080: 1079: 1075: 1070: 1064: 1060: 1057: 1054: 1051: 1046: 1043: 1040: 1036: 1033: 1032: 1030: 1026: 1023: 1020: 1019:Alexis LittrĂ© 1016: 1012: 1009: 1006: 1005:Hiatus hernia 1003: 1000: 997: 994: 991: 988: 984: 980: 976: 973: 970: 967: 962: 959: 956: 952: 948: 945: 943: 940: 939: 937: 934: 933: 932: 930: 923:Other hernias 920: 918: 914: 910: 906: 902: 898: 894: 889: 887: 883: 879: 875: 871: 867: 863: 862:hiatus hernia 858: 856: 848: 844: 843:hiatus hernia 841:Diagram of a 839: 834: 827:Diaphragmatic 824: 822: 818: 814: 808: 798: 796: 792: 788: 784: 780: 776: 770: 760: 758: 753: 751: 747: 746:femoral canal 743: 737: 727: 725: 720: 718: 714: 709: 707: 702: 698: 694: 690: 681: 673: 665: 660: 645: 642: 640: 636: 632: 631:physiological 628: 624: 619: 617: 613: 609: 604: 602: 598: 594: 584: 580: 578: 574: 560: 557: 554: 551: 549: 546: 543: 540: 538: 537:Strangulation 535: 532: 528: 525: 523: 520: 519: 518: 513:Complications 507: 503: 499: 497: 493: 488: 486: 482: 478: 474: 468: 466: 462: 457: 453: 448: 446: 440: 438: 434: 433: 428: 427:hiatus hernia 424: 423: 418: 414: 410: 406: 397: 389: 380: 371: 362: 360: 359:Ebers Papyrus 354: 352: 348: 344: 340: 339:eating habits 336: 332: 328: 324: 320: 316: 312: 307: 305: 301: 297: 293: 289: 285: 281: 277: 273: 269: 265: 261: 257: 252: 250: 246: 241: 239: 235: 231: 227: 223: 219: 215: 211: 207: 202: 200: 196: 193: 189: 185: 181: 177: 173: 169: 161: 152:59,800 (2015) 151: 147: 143: 139: 135: 131: 128: 124: 122: 118: 114: 110: 106: 102: 98: 94: 92: 88: 84: 80: 77: 74: 72: 71:Complications 68: 64: 62: 58: 55: 52: 50: 46: 42: 37: 33: 28: 23: 4937: 4819: 4798: 4732: 4675:Pancreatitis 4637: 4587:biliary tree 4460:Nutmeg liver 4437: 4363:Hematochezia 4314:Pruritus ani 4299:Anal abscess 4294:Anal fistula 4290:Anal fissure 4203:Constipation 4157: 4028:Appendicitis 3836:Gastroptosis 3826:Achlorhydria 3665: 3654:Eosinophilic 3579: 3554: 3525: 3514: 3490: 3471: 3452: 3384: 3380: 3318: 3314: 3304: 3271: 3267: 3257: 3222: 3218: 3208: 3173: 3169: 3159: 3125:(3): 415–9. 3122: 3118: 3108: 3065: 3061: 3037:. 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Retrieved 1746: 1697: 1693: 1645: 1641: 1595: 1591: 1546: 1507: 1501: 1416: 1407:inguinodynia 1383: 1377: 1376: 1372: 1365: 1342: 1327: 1320: 1270: 1256: 1252: 1224: 1212: 1132:(1742–1812). 1041:(1674–1750). 1021:(1658–1726). 926: 890: 885: 873: 859: 855:chest cavity 852: 810: 777:through the 772: 756: 754: 739: 721: 710: 686: 643: 620: 616:overexertion 605: 589: 570: 522:Inflammation 516: 489: 469: 449: 441: 430: 420: 417:spinal discs 402: 377: 374:Epidemiology 368: 365:Pathogenesis 361:from Egypt. 355: 329:rather than 308: 280:appendectomy 253: 242: 203: 171: 167: 159: 157: 91:Risk factors 4970:Omphalocele 4855:Peritonitis 4617:Cholestasis 4595:Cholangitis 4538:Gallbladder 4426:Fatty liver 4346:Hematemesis 4328:GI bleeding 4134:Necrotizing 4063:Lymphocytic 4058:Collagenous 4053:Microscopic 3990:Steatorrhea 3891:Enteropathy 3737:Inlet patch 3659:Herpetiform 3644:Esophagitis 3580:MedlinePlus 3549:‹ The 3516:MedlinePlus 2817:: 293–295. 2394:BMC Surgery 1747:MedlinePlus 1419:day surgery 1278:Advantages 1263:laparoscopy 1259:laparoscopy 791:decussation 635:aponeurotic 527:Obstruction 463:around the 432:mediastinum 419:and causes 343:H2 blockers 335:weight loss 82:Usual onset 5016:Acute pain 4995:Categories 4918:Congenital 4847:Peritoneal 4825:Incisional 4746:Congenital 4690:Hereditary 4667:Pancreatic 4631:Haemobilia 4304:Hemorrhoid 4282:Anal canal 4220:Infectious 4208:Functional 4043:Ulcerative 3927:Duodenitis 3866:Gastrinoma 3039:2023-11-09 2869:2017-07-23 2374:2010-05-24 2344:2010-05-24 2271:2010-06-25 2237:2023-12-16 2213:2010-05-24 1426:References 1394:neuralgias 1161:neuralgia. 1102:peritoneum 953:above the 951:linea alba 817:linea alba 813:laparotomy 801:Incisional 795:linea alba 627:anatomical 553:Autoimmune 548:Hemorrhage 465:testicular 413:peritoneum 238:defecating 226:incisional 4835:Richter's 4792:Spigelian 4787:Obturator 4777:Umbilical 4610:Ascending 4581:Bile duct 4414:Cirrhosis 4392:Hepatitis 4375:Accessory 4245:Proctitis 4096:Megacolon 4070:Dysentery 3980:Whipple's 3932:Jejunitis 3922:Enteritis 3809:Dyspepsia 3770:Gastritis 3703:Achalasia 3636:Esophagus 3532:emerg/251 3527:eMedicine 3403:0972-9941 3335:0003-4932 3288:1879-1190 3241:1102-4151 3082:1863-2483 2966:0003-4932 2909:1095-8673 2895:: 64–72. 2651:212739555 2481:205095374 2465:1538-3598 2366:. WebMD. 2070:0011-3840 1598:: g6154. 1188:Treatment 1116:mesocolon 1074:colostomy 955:umbilicus 938:hernias: 901:diaphragm 763:Umbilical 648:Diagnosis 542:Hydrocele 437:diaphragm 304:endoscopy 268:pregnancy 249:heartburn 234:urinating 197:into the 141:Frequency 133:Treatment 105:pregnancy 95:Smoking, 49:Specialty 4765:Indirect 4760:Inguinal 4494:Pyogenic 4439:Vascular 4215:Diarrhea 4193:Volvulus 4159:Vascular 4098: / 4087: / 4048:Ischemic 4015:Appendix 3905:Duodenum 3775:Atrophic 3649:Candidal 3576:"hernia" 3551:template 3535:ped/2559 3421:21187992 3353:17414617 3296:21680204 3249:12549685 3200:15184492 3151:25337167 3100:34609697 2982:22487510 2974:18376185 2927:33002663 2863:Archived 2855:"Hernia" 2841:28638493 2792:32476672 2751:24497767 2702:16552826 2643:32180330 2607:19527083 2576:26389785 2536:PLOS ONE 2473:30128503 2426:12697071 2368:Archived 2207:Archived 2176:25530442 2127:26063472 2078:16679124 2031:Archived 2000:37093073 1991:10389329 1902:22999363 1894:23925543 1859:27115767 1810:29018803 1757:12 March 1751:Archived 1743:"Hernia" 1724:27733281 1672:27733282 1612:25341679 1562:Archived 1524:25693015 1413:Recovery 1390:hematoma 1142:and the 787:pregnant 653:Inguinal 573:coughing 555:problems 477:vomiting 422:sciatica 292:dominant 214:inguinal 61:Symptoms 5011:Hernias 4806:Petit's 4782:Femoral 4685:Chronic 4499:Amoebic 4267:Anismus 4033:Colitis 3960:Coeliac 3937:Ileitis 3909:Jejunum 3762:Stomach 3666:Rupture 3553:below ( 3497:D006547 3412:2999781 3344:1877035 3142:4198637 3091:9314304 2918:7968932 2832:5462483 2783:7250514 2742:3910527 2693:4124335 2567:4577082 2544:Bibcode 2167:4340604 2118:4561509 1951:8014965 1942:1049739 1850:5281683 1801:5614933 1715:5388903 1663:5055577 1620:7141090 1349:staples 1296:seromas 1233:Surgery 1227:trusses 1159:sciatic 929:eponyms 874:sliding 870:stomach 730:Femoral 706:surgery 699:and a 612:smoking 601:ascites 577:posture 492:imaging 461:scrotum 405:abdomen 284:genetic 264:obesity 256:smoking 206:abdomen 199:abdomen 174:, from 172:herniae 168:hernias 101:obesity 4938:Hernia 4800:Lumbar 4770:Direct 4753:Hiatus 4733:Hernia 4585:Other 4351:Melena 4237:Rectum 3720:(GERD) 3570:Curlie 3566:Hernia 3556:Curlie 3521:000960 3419:  3409:  3401:  3351:  3341:  3333:  3294:  3286:  3247:  3239:  3198:  3191:427896 3188:  3149:  3139:  3098:  3088:  3080:  3008:  2980:  2972:  2964:  2925:  2915:  2907:  2839:  2829:  2790:  2780:  2749:  2739:  2700:  2690:  2649:  2641:  2605:  2574:  2564:  2479:  2471:  2463:  2424:  2417:155644 2414:  2293:  2174:  2164:  2146:Lancet 2125:  2115:  2097:Lancet 2076:  2068:  2023:  1998:  1988:  1949:  1939:  1900:  1892:  1874:Hernia 1857:  1847:  1829:Hernia 1808:  1798:  1784:: 52. 1722:  1712:  1694:Lancet 1670:  1660:  1642:Lancet 1618:  1610:  1554:  1522:  1386:seroma 1357:suture 1213:Bataan 1085:tract. 1025:Lumbar 614:, and 567:Causes 473:Nausea 467:area. 445:fascia 228:, and 222:hiatus 195:coelom 160:hernia 149:Deaths 25:Hernia 4725:Other 4680:Acute 4431:MASLD 4384:Liver 4358:Lower 4341:Upper 4183:Ileus 4019:Colon 3913:Ileum 3728:(LPR) 2978:S2CID 2647:S2CID 2477:S2CID 2400:: 2. 1898:S2CID 1616:S2CID 1221:Truss 1140:colon 1083:stoma 987:skull 983:brain 882:chest 783:obese 485:bowel 481:fever 479:, or 456:groin 210:groin 192:navel 184:bowel 180:organ 176:Latin 4113:SCAD 3492:MeSH 3477:9-CM 3417:PMID 3399:ISSN 3349:PMID 3331:ISSN 3292:PMID 3284:ISSN 3245:PMID 3237:ISSN 3196:PMID 3147:PMID 3096:PMID 3078:ISSN 3006:ISBN 2970:PMID 2962:ISSN 2923:PMID 2905:ISSN 2837:PMID 2788:PMID 2747:PMID 2698:PMID 2639:PMID 2603:PMID 2572:PMID 2469:PMID 2461:ISSN 2445:JAMA 2422:PMID 2291:ISBN 2172:PMID 2123:PMID 2074:PMID 2066:ISSN 2021:ISBN 1996:PMID 1947:PMID 1890:PMID 1855:PMID 1806:PMID 1759:2015 1720:PMID 1668:PMID 1608:PMID 1552:ISBN 1520:PMID 1402:mesh 1211:USS 1196:and 425:. 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Index


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
urinating

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