What is a Richter hernia?

What is a Richter hernia?

Richter hernia is the protrusion and/or strangulation (without obstruction) of only part of the. circumference of the intestine’s anti-mesenteric border through a rigid small defect of the abdominal wall.

Why is it difficult to diagnose Richter hernia?

Richter’s hernia may be difficult to diagnose because of the innocuous initial symptoms and sparse clinical findings. The symptoms and clinical course vary widely depending on the degree of obstruction, which is related to the extent of bowel circumference involved.

Can large hernias be repaired laparoscopically?

Hernia Repair Surgery. A hernia is usually treated with surgery. The three main types of hernia surgery are open repair, laparoscopic (minimally invasive) repair, and robotic repair. This article provides details of each procedure .

Where is a Richter hernia?

Richter hernia (partial enterocele) is the protrusion and/or strangulation of only part of the circumference of the intestine’s antimesenteric border through a rigid small defect of the abdominal wall.

How do you diagnose a Richter hernia?

Outside of physical examination is the use of various imaging modalities. Ultrasound and computed tomography (CT) scans are useful adjuncts in diagnosis. However, as a Richter type hernia only involves a portion of the bowel wall, these imaging modalities can result in a false-negative result.

What is the best method of hernia repair?

The open surgical repair of primary inguinal hernias is better than the laparoscopic technique for mesh repair, a new study has shown (New England Journal of Medicine 2004;350: 1819-27 [PubMed] [Google Scholar]).

Is mesh better than Shouldice?

The recurrence rate with Shouldice techniques was higher than mesh techniques (OR 3.80, 95% CI 1.99 to 7.26) but lower than non‐mesh techniques (OR 0.62, 95% CI 0.45 to 0.85). There were no significant differences in chronic pain, complications and post‐operative stay. Female were nearly 3% of included patients.

What is a a Richter hernia?

A Richter hernia occurs when only the antimesenteric border of the bowel herniates through the fascial defect. This hernia involves only a portion of the circumference of the bowel. Thus, the bowel may not be obstructed, even if the hernia is incarcerated or strangulated, and the patient may not present with vomiting.

What is the prevalence of richrichter hernia?

Richter hernias can occur at 2: femoral ring (36-88%) inguinal ring (12-36%) abdominal wall incisional hernia (4-25%) rare: umbilical, ventral, Spigelian, supravesical, sacral foramen, triangle of Petit, retrosternal, and diaphragmatic hernias. trocar ports for laparoscopic surgery.

How are hernias repaired?

Repair of the hernia defect depends on the defect. The current standard of care for repairing most hernias, including femoral, inguinal, and incisional hernias, involves the placement of a prosthetic mesh. However, as there is often strangulated bowel requiring bowel resection in Richter type hernias, mesh placement is controversial.

What is the history of abdominal hernia?

The first description was given by German surgeon August Gottlieb Richter (1742-1812) in 1778 in his “Treatise on the Ruptures”, but the first case was described by Fabricius Hildanus (1560-1634) as early as 1606 2. An abdominal hernia containing only one wall of a bowel loop is known as a… 1.