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Hello I Have Qestion About - Internal Hernias As It
Question: Hello
I have qestion about - internal hernias
As it is rare or small that dont cause any problems !
Internal hernias are rare. They are found in 0.2% to 0.9% of autopsies, but a substantial proportion of these remain asymptomatic.
https://www.sciencedirect.com/topics/medicine-and-dentistry/internal-hernia
But i understand ufter colon cancer surgery asymptomatic internal hernias are common
IH was noted to be much higher in the postoperative CT scans occurring in 22 of 105 (21%) patients.
https://pubmed.ncbi.nlm.nih.gov/0000/
So as i understand internal hernias are common after colon cancer or bariatric surgery
But they are very rare after other bowel surgery like Appendicitis
https://pubmed.ncbi.nlm.nih.gov/0000/
and other abdomenal surgery
Thank you very much
I have qestion about - internal hernias
As it is rare or small that dont cause any problems !
Internal hernias are rare. They are found in 0.2% to 0.9% of autopsies, but a substantial proportion of these remain asymptomatic.
https://www.sciencedirect.com/topics/medicine-and-dentistry/internal-hernia
But i understand ufter colon cancer surgery asymptomatic internal hernias are common
IH was noted to be much higher in the postoperative CT scans occurring in 22 of 105 (21%) patients.
https://pubmed.ncbi.nlm.nih.gov/0000/
So as i understand internal hernias are common after colon cancer or bariatric surgery
But they are very rare after other bowel surgery like Appendicitis
https://pubmed.ncbi.nlm.nih.gov/0000/
and other abdomenal surgery
Thank you very much
Brief Answer:
True to some extent. CT scan has changed the picture of diagnosis.
Detailed Answer:
Hi.
Nice to hear from you.
Noted the history.
What you have noted is to the point.
But these are studies.
Which in our long experience of practical surgical life is very rare.
Many are diagnosed on table on exploration - open or by laparoscopy.
But with the advent of Contrast enhanced CT scan study of abdomen the pre-operative diagnosis has become easier than before. The degree of suspicion of such a problem is also less as such conditions are less common.
But also to be noted is the fact that there can be just an incidental finding, particularly after surgeries that you have mentioned above. These may not be symptomatic.
I hope this additional information helps you to see into the practical problems.
Please let me know.
Feel free to ask for further relevant queries.
Dr T Chandrakant.
General and Gastro Surgeon.
True to some extent. CT scan has changed the picture of diagnosis.
Detailed Answer:
Hi.
Nice to hear from you.
Noted the history.
What you have noted is to the point.
But these are studies.
Which in our long experience of practical surgical life is very rare.
Many are diagnosed on table on exploration - open or by laparoscopy.
But with the advent of Contrast enhanced CT scan study of abdomen the pre-operative diagnosis has become easier than before. The degree of suspicion of such a problem is also less as such conditions are less common.
But also to be noted is the fact that there can be just an incidental finding, particularly after surgeries that you have mentioned above. These may not be symptomatic.
I hope this additional information helps you to see into the practical problems.
Please let me know.
Feel free to ask for further relevant queries.
Dr T Chandrakant.
General and Gastro Surgeon.
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Above answer was peer-reviewed by :
Dr. Kampana
Answered by
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