We decided to open this section due to the great number of questions we have received in our email, that sometimes it caused the delay to be able to answer them.
We appreciate the support and will continue to answer all of your emails as soon as possible.
We have also received questions from the medical guild, especially about Incisional Hernias and different techniques to handle this type of hernias, mesh and suture materials.
Thank you for trusting us, we will answer all your questions individually, because every case is different.
Amyand hernia is a rare form of an inguinal hernia in which the vermiform appendix is located within the hernial sac. It is seen in less than 1% of inguinal hernia. It should not be confused with an appendix-containing femoral hernia, known as De Garengeot hernia.
It is a hernia that contains inside the hernia sac only a part of the wall of a loop of bowel (antimesenterico edge).
It is a hernia that inside their hernial sac contains a Meckel's diverticulum, is more common in men and more frequent is located on the right side.
Is the dilation of veins at the level of the spermatic cord by alteration of the valves that prevent blood from flowing freely and become inflamed, its development is usually slow and is one of the causes of infertility, the left testicle is the most frequently affected and is diminished in size relative to each other; when presented in a sudden need to investigate that is not caused by a kidney tumor that is blocking the venous blood flow.
To make a diagnosis, we need to do a physical exam with a lamp that is placed at the level of the skin of the affected testicle (scrotum). It is usually required to make an ultrasound to make a diagnosis. With the exception of the increase in volume This is rarely painful and does not affect fertility.
The diagnostic is Indirect Inguinal Hernia (inguinoscrotal), this is the most common type of the abdominal wall hernia, predominating in men 2-3 to 1 with respect to women, and is the age range (30 to 60 years) when most commonly are presented.
No hay tratamiento médico para este problema, el tratamiento es quirúrgico, según me refieres no tienes dolor y se reduce al acostarte por lo que la intervención no es urgente, pero debieras visitar a tu cirujano para programar tu cirugía, ya que en muchas ocasiones se deja pasar el tiempo y se hace mayor el defecto herniario o se encarcela, lo que la convierte en una verdadera urgencia.
In most cases a physical exploration is enough to get a diagnosis, in your case overweight makes difficult to get a diagnostic. Different diagnostic studies like Ultrasound, Computed Axial Tomography, Magnetic Resonance Imaging, that can be useful must be realized with effort and rest.
It's the term used when a person has an hernia that can be reduced, but right after it is reduced the hernia is made again. It is considered a relative emergency and the person should not waste time to have a surgery.
In kids of every age it is contraindicated to put mesh, because they have not reach the correct anthropometric development, the kid grows and the mesh with time will shrink
The responsible factors of hernia appearance are many (herniosis), metabolic alterations like cicatrization, that decreases in people 60 and over, tabaquism; anatomical factors could also predispose hernia formation, there are fisiological factors due to the frequent increase of intraabdominal pressure, like prostatic patients, chronic coughers or people who carry heavy objects.
First of all, congratulations for being alive; referring to the incision's size, it is important its size, it is proven that wounds larger than 18 cms. have a bigger risk to cause hernia, adding in your case abdominal contusion, hypovolemia, sepsis due to the intestinal perforations, etc.
You have to go with your doctor to be checked and he will inform you about your problem. It is very probable that the protuberance is a hernia, due to the lack of closure or the inadequate closure of the orifice of the laparoscopic port used on the surgery. Trocar orifices longer than 5 mm., should be closed.
Prosthetic biomaterials used are safe and it is proven that they do NOT produce sterility, it is just a rumor. There is no ideal biomaterial for all the cases, these are safe as surgical prosthesis.
• Rumors are commentaries without fundaments.
Even though it is not indicated the chronological age or the number of cigarette boxes smoked every day, it is proven that tobacco smoking is one of the causes that originate hernia, between the metabolic factors there is an accelerated degradation of collagen that influence tissues, being a smoker you have a 80% possibilities of having a dehiscence of the tissues in the first 30 days after the surgery, also a greater incidence of respiratory complications in the postoperative period are presented in smokers.
Incisional hernias appear during the first 3 years after a surgery and its frequency "increases even more" if an infection is presented in the quirurgical wound, talk to your doctor to schedule and realize the abdominoplasty, the hernia's size will grow and depending on the size of the hernia ring and the intraabdominal structures involved this could become an emergency.