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Dzheng Sh.

Kafedra gospital'noĭ khirurgii s kursom detskoĭ khirurgii Rossiĭskogo universiteta druzhby narodov, Moskva

Dobrovolsky S.R.

Chair of Hospital Surgery with course of Pediatric Surgery of the Russian University of Peoples’ Friendship

Connective tissue dysplasia as a reason of recurrent inguinal hernia

Authors:

Dzheng Sh., Dobrovolsky S.R.

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Journal: Pirogov Russian Journal of Surgery. 2014;(9): 61‑63

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To cite this article:

Dzheng Sh, Dobrovolsky SR. Connective tissue dysplasia as a reason of recurrent inguinal hernia. Pirogov Russian Journal of Surgery. 2014;(9):61‑63. (In Russ.)

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The examination results of 78 patients with recurrent inguinal hernia revealed presence of systemic connective tissue abnormalities in addition to dysplasia of posterior wall of inguinal canal in 48 (61.6%) patients. Hernial disease was observed in 37 (47.4%) patients including umbilical hernia in 12 cases, femoral hernia in 8 patients, hiatal hernia in 3 patients and bilateral inguinal hernia in 14 cases. Group of other diseases included varicose veins of lower limbs in 15 (19.2%) patients, mitral valve prolapse in 3 (3.8%) patients, violation of skin elasticity (striae) in 6 (7.7%) cases, diverticulum of bladder in 2 (2.6%) patients, diverticulum of esophagus in 1 (1.3%) patient, diverticulosis of small intestine in 2 (2.6%) cases. Our data prove that inguinal hernia is local manifestation of systemic disease.

Keywords:

inguinal hernia
recurrent hernias
connective tissue dysplasia

Authors:

Dzheng Sh.

Kafedra gospital'noĭ khirurgii s kursom detskoĭ khirurgii Rossiĭskogo universiteta druzhby narodov, Moskva

Dobrovolsky S.R.

Chair of Hospital Surgery with course of Pediatric Surgery of the Russian University of Peoples’ Friendship

Received:

10.06.2014

List of references:

  1. Viktorova I.А. Metodologiya kuratsii patsientov s displaziej soedinitel'noj tkani semejnym vrachom v aspekte profilaktiki rannej i vnezapnoj smerti [Methodology of Supervision of patients with connective tissue dysplasia by family physician for prevention of early and sudden death]: Аvtoref. dis. ... kand. med. nauk. Omsk 2005; 432. (in Russian)
  2. Vol'nyj S.V. Kliniko-morfologicheskie osobennosti pakhovykh gryzh v svete narusheniya kollagenovogo obmena 2011 [Clinical and morphological features of inguinal hernias in the light of violations of collagen metabolism]; 5. (in Russian)
  3. Ershov E.G. Gernioplastika pakhovogo kanala u bol'nykh s sindromom nedifferentsirovannoj displazii soedinitel'noj tkani 2010; 1-2 [Inguinal hernia repair in patients with the syndrome of undifferentiated connective tissue dysplasia]. (in Russian)
  4. Nechaeva G.I., Viktorova I.А., Gromova O.А., Vershinina M.V., YAkovlev V.M., Torshin I.YU. i dr. Displazii soedinitel'noj tkani u detej i podrostkov. Innovatsionnye statsionarsberegayushhie tekhnologii diagnostiki i lecheniya v pediatrii [Connective tissue dysplasia in children and adolescents. Innovative hospital-saving technologies of diagnosis and treatment in pediatrics]. M 2010. (in Russian)
  5. Pisunov А.S. Vybor operatsii u bol'nykh s pakhovymi gryzhami s uchetom displazii soedinitel'noj tkani 2011; 1-3 [The choice of surgery in patients with inguinal hernias with the connective tissue dysplasia]. (in Russian)
  6. Timoshin А.D., YUrasov А.V., SHestakov А.L., Fedorov D.А. Sovremennye metodiki khirurgicheskogo lecheniya pakhovykh gryzh (Metodicheskie rekomendatsii) [Modern methods of surgical treatment of inguinal hernias (Guidelines)]. M 2003; 2-3. (in Russian)
  7. Abrahamson J. Ethiology and pathophysiology of primary and recurrent groin hernia formation. Surg Clin Amer 2003; 83: 1045-1053.
  8. Di Ferrante N., Leachman R.D., Angelini P., Donnelly P.V., Francis G., Almazan A. Lysyl oxidase deficiency in Ehlers-Danlos syndrome type V. Connect Tissue Res 1975; 3: 1: 49-53.
  9. Guo H., Lee J.D., Uzui H., Yue H., Wang J., Toyoda K., Geshi Т., Ueda T. Effects of folic acid and magnesium on the production of homocysteine-induced extracellular matrix metalloproteinase-2 in cultured rat vascular smooth muscle cells. Cire J 2006; 70: 1: 141-146.
  10. Pages N., Gogly В., Godeau G., Igondjo-Tchen S., Maurois P., Durlach J., Вас P. Structural alterations of the vascular wall in magnesium-deficient mice. A possible role of gelatinases A (MMP-2) and В (ММР-9). Magnes Res 2003; 16: 1: 43-48.
  11. Wagh P.V., Read R.D. Defective collagen synthesis in inguinal hernia formation. Amer J Surg 1972; 124: 819-822.

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