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Perineal hernia is a common complication of coccygectomy in adults, [1] [2] but not in infants and children (see coccygectomy). The standard surgical technique for repair of perineal hernia uses a prosthetic mesh, [ 3 ] but this technique has a high rate of failure due to insufficient anchoring.
The mesh distributes tension across the repaired area and is intended to both seal and strengthen the area to prevent future hernias. [15] Most hernias, including obturator hernias, have a strong rate of recurrence. After clinical intervention, mesh vs. non-mesh repair are two of the most common ways to finish the procedure.
In the male it can occur after the testicle has passed through the deep inguinal ring. It is the most common cause of groin hernia. A double indirect inguinal hernia has two sacs. In the male fetus, the peritoneum gives a coat to the testicle as it passes through this ring, forming a temporary connection called the processus vaginalis. In ...
A Richter's hernia occurs when the antimesenteric wall of the intestine protrudes through a defect in the abdominal wall. This is distinct from other types of abdominal hernias in that only one intestinal wall protrudes through the defect, such that the lumen of the intestine is incompletely contained in the defect, while the rest remains in the peritoneal cavity.
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 cases, they may require surgery. There are special cases where a direct and indirect hernia appear together.
A strangulated femoral hernia occurs when a constriction of the hernia limits or completely obstructs blood supply to part of the bowel involved in the hernia. Strangulation can occur in all hernias, but is more common in femoral and inguinal hernias due to their narrow "weaknesses" in the abdominal wall.
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