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Inguinal hernia, hydrocele, and other hernias of the abdominal wall
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Sophia Abdulhai, Todd A. Ponsky
Sometimes there may be an associated direct inguinal hernia and definite posterior wall weakness. Again, this may be repaired by inserting a few non-absorbable sutures between the conjoint tendon and the inguinal ligament (Bassini repair).
Answers
Published in Kristen Davies, Shadaba Ahmed, Core Conditions for Medical and Surgical Finals, 2020
Complications of inguinal hernia repair surgery can be divided into general and specific complications. Specific complications of this surgery include damage to local structures such as the ilioinguinal nerve, resulting in pain/paraesthesia, the vas deferens or the blood supply to the testicle.
SBA Answers and Explanations
Published in Vivian A. Elwell, Jonathan M. Fishman, Rajat Chowdhury, SBAs for the MRCS Part A, 2018
Vivian A. Elwell, Jonathan M. Fishman, Rajat Chowdhury
In the case of the plumber, he has an inguinal hernia. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. A direct inguinal hernia enters through a weak point in the fascia of the abdominal wall, and its sac is noted to be medial to the inferior epigastric vessels. Direct inguinal hernias are more common in males (10x). These hernias protrude through a weakened area in the transversalis fascia within the inguinal or Hesselbach’s triangle. They are capable of protruding through the superficial inguinal ring and are not able to extend into the scrotum. Direct hernias tend to occur in the middle-aged and elderly. Additional risk factors include chronic constipation, overweight/obesity, chronic cough, and heavy lifting.
Effectiveness of Sugammadex on muscle relaxant reversal in preterm neonates
Published in Egyptian Journal of Anaesthesia, 2023
Ahmed Mohamed Ahmed Elshafie, Ahmed Ezzat Marzouq Sad Elrouby, Yasser Mohamed Osman
Following approval from the local ethics council, this randomised clinical trial was conducted on 60 preterm newborns at the Shatby University Hospital, Alexandria University, Egypt. Under general anaesthesia, elective inguinal hernia repair was planned for each participant in the study. The research was conducted between August 2020 and February 2021. Following a thorough explanation of the trial’s advantages and risks, the patient’s parents or legal guardian who consented to participate provided their signed informed permission. All procedures were carried out in compliance with the 1964 Helsinki Declaration and its later amendments, as well as the institutional, national, and research committee ethical standards. The study was approved by the ethical committee of faculty Medicine, Alexandria University (No.11/2019OBSGN27) and the study protocol was registered at Clinical Trials.gov (Identifier: NCT04566796).
Genetic Analysis Reveals Complete Androgen Insensitivity Syndrome in Female Children Surgically Treated for Inguinal Hernia
Published in Journal of Investigative Surgery, 2021
Nurin A. Listyasari, Gorjana Robevska, Ardy Santosa, Aurore Bouty, AZ Juniarto, Jocelyn van den Bergen, Katie L. Ayers, Andrew H. Sinclair, Sultana MH Faradz
In summary, an inguinal hernia during childhood can be a clear early sign of CAIS. In cases of inguinal hernia, we urge clinicians to carry out appropriate examination to establish the definitive diagnosis and guide comprehensive management. In Indonesia, especially in rural areas, a karyotype should be requested as a first-tier test [23]. A thorough medical history, a cautious physical examination to discover the location and structure of the gonads should be considered. In addition, imaging to evaluate the hernia sac and other internal structures, hormonal assays, immunohistochemistry testing, cytogenetic analysis, and molecular studies such as SRY and AR gene sequencing are all suggested to establish a definitive diagnosis [1]. This comprehensive diagnostic procedure for CAIS in patients presenting with inguinal hernia will reduce mis-diagnosis and when combined with increased awareness among medical professionals, will ultimately lead to improved clinical management and health outcomes for patients and their families.
Ultrasound-guided transverse abdominis plane and ilioinguinal-iliohypogastric nerve block versus illioinguinal- illiohypogastric nerve block for inguinal hernia repair in patients with liver cirrhosis
Published in Egyptian Journal of Anaesthesia, 2021
Dina Salah, Wael Sayed Algharabawy
Inguinal hernia repairs are considered one of the most commonly performed day case surgeries. There is an increased incidence rate of inguinal hernias in patients with a cirrhotic liver accompanied by ascites when comparing them to the general population. Patients with liver cirrhosis posted for abdominal surgeries are unquestionably at a high risk of developing perioperative complications [9]. Although all cases of inguinal hernias must be treated surgically by hernia repair due to the possibility of strangulation or incarceration, there is a controversy regarding patients with liver cirrhosis due to the poor physical status, low hepatic reserve and increased risk with using general anesthesia. Horn et al. [10] stated that high-risk patients with advanced portal hypertension and ascites must be treated conservatively whenever possible to decrease the risk of significant perioperative complications, such as recurrence, and leakage of ascitic fluid. While others as Hurst et al. [11] reported that life-threatening complications from inguinal hernia repair in such patients are not very common, and should not prevent hernia repair. Others stated that elective hernia repair for patients with cirrhosis should be done after medical optimization [12,13].