scholarly journals LAPAROSCOPIC TAPR HERNIA PLASTY WITH SUTURING OF THE INTERNAL INGUINAL RING AND RISKS OF POSTOPERATIVE COMPLICATIONS

Author(s):  
A.B. Fursov ◽  
A.A. Mendybaev ◽  
T.F. Kovalenko ◽  
B.A. Ismagambetova ◽  
I.S. Volchkova ◽  
...  
2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Hiroshi Hirukawa

Abstract Aim In Japan, the de novo type inguinal hernia is defined as a hernia that develops without being related to the vaginal process of peritoneum. The pathological condition of a de novo type hernia is considered similar to that of a sliding hernia. the aim of this study is to discuss about the operative procedure for de novo type inguinal hernia, with a particular focus on lipomas. Material and Methods We examined surgical procedures, rate of combined lipoma, postoperative complications, and recurrence rates of de novo cases among TAPP cases performed in our department from 2018 to 2020. Results We performed 230 TAPP repairs during the period, included 56 de novo type hernia. 19 cord lipomas were found in de novo type hernias but none in non de novo type hernias. The lipomas prolapsed from the lateral side of the internal inguinal ring in 6 cases, medial side in 9 cases, In 4 cases, lipoma or lipomatous tissue were embedded in the spermatic cord and they could not be extracted. There were no postoperative complications. The average postoperative hospital stay was 1.2 days. There were no chronic pain nor recurrence. Conclusions It is important to note that the de novo hernia is associated with a high incidence of lipoma. Since lipomas are often attached to the peritoneum, dissecting the peritoneum at the internal inguinal ring has the risk of missing the presence of lipomas, and in de novo hernias, the peritoneum must be pulled out.


2004 ◽  
Vol 171 (4S) ◽  
pp. 215-216
Author(s):  
Christopher L. Amling ◽  
Sara R. Williams ◽  
Raymond S. Lance ◽  
David G. McLeod ◽  
Leo Kusuda ◽  
...  

1994 ◽  
Vol 07 (03) ◽  
pp. 110-113 ◽  
Author(s):  
D. L. Holmberg ◽  
M. B. Hurtig ◽  
H. R. Sukhiani

SummaryDuring a triple pelvic osteotomy, rotation of the free acetabular segment causes the pubic remnant on the acetabulum to rotate into the pelvic canal. The resulting narrowing may cause complications by impingement on the organs within the pelvic canal. Triple pelvic osteotomies were performed on ten cadaver pelves with pubic remnants equal to 0, 25, and 50% of the hemi-pubic length and angles of acetabular rotation of 20, 30, and 40 degrees. All combinations of pubic remnant lengths and angles of acetabular rotation caused a significant reduction in pelvic canal-width and cross-sectional area, when compared to the inact pelvis. Zero, 25, and 50% pubic remnants result in 15, 35, and 50% reductions in pelvic canal width respectively. Overrotation of the acetabulum should be avoided and the pubic remnant on the acetabular segment should be minimized to reduce postoperative complications due to pelvic canal narrowing.When performing triple pelvic osteotomies, the length of the pubic remnant on the acetabular segment and the angle of acetabular rotation both significantly narrow the pelvic canal. To reduce post-operative complications, due to narrowing of the pelvic canal, overrotation of the acetabulum should be avoided and the length of the pubic remnant should be minimized.


2019 ◽  
Author(s):  
Giuliana Frasson ◽  
Diego Cazzador ◽  
Filippo Perozzo ◽  
Giuseppe Rolma ◽  
Sara Munari ◽  
...  

Author(s):  
Herman Romero Ramírez ◽  
Norma Muñoz Albán ◽  
Consuelo Albán Meneses ◽  
Alicia Escobar Torres

The article´s goal isto determine if socioeconomic factors influence the postoperative complications of cholecystectomy. For this, the observational study was defined, analytical and quantitative study was conducted in 100 patients who underwent cholecystectomy. A logistic regression model was applied in which risk factors, socioeconomic characteristics, along with a control variable, were incorporated as variables. Three models were run with alternative dependent variables that are delimited by the type of postoperative complication recorded. The results found showed that women show a higher risk of presenting complications after cholecystectomy, the same occurs in older patients. Likewise, the risk is much lower in people with higher education levels and in patients who underwent laparoscopic cholecystectomy, they only have a 5% risk of presenting complications. Postoperative complications after cholecystectomy are minimized by using the laparoscopic technique and socioeconomic factors would influence the risk of suffering postoperative complications after said surgery, which makes laparoscopic cholecystectomy a safe operation with many other benefits and advantages over traditional or conventional surgery.


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