Spermatic Cord Ultrasonography Guiding Strategy for Optimizing Treatment of Unilateral Inguinal Hernia

2020 ◽  
Author(s):  
Dengming Lai ◽  
Shoujiang Huang ◽  
Shuqi Hu ◽  
Luyin Zhang ◽  
Qi Qin ◽  
...  
2013 ◽  
Vol 5 (4) ◽  
pp. 74
Author(s):  
Kathleen Eddy ◽  
Bruce Piercy ◽  
Richard Eddy

Vasitis or inflammation of the vas deferens is a rarely describedcondition categorized by Chan & Schlegel1 as either generallyasymptomatic vasitis nodosa or the acutely painful infectious vasitis.Clinically, infectious vasitis presents with nonspecific symptomsof localized pain and swelling that can be confused with other,more common conditions such as epididymitis, orchitis, testiculartorsion, and inguinal hernia. Ultrasound with duplex Doppler scanningcan be used to exclude epididymitis, orchitis, and testiculartorsion. On the other hand, while inguinal hernia is difficult todifferentiate from vasitis using ultrasound, computed tomography(CT) is diagnostic. We describe 2 cases of vasitis with clinicaland ultrasound findings that initially were interpreted as inguinalhernias. In both patients, CT was diagnostic for vasitis showing anedematous spermatic cord and no hernia. Urine cultures in bothpatients were negative, but the symptoms resolved with antibiotictreatment.


Hernia ◽  
2010 ◽  
Vol 14 (5) ◽  
pp. 481-484 ◽  
Author(s):  
H. Uchida ◽  
T. Matsumoto ◽  
H. Ijichi ◽  
Y. Endo ◽  
T. Koga ◽  
...  

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Azza Mohamed Shafeek Abdel Mageed ◽  
Wael Reda Hussaein ◽  
Rania Hassan Abdel Hafiez ◽  
Tarek Atef Abdullah Hammouda

Abstract Background Postoperative analgesia can be provided by a multimodal approach includes opioids, nonsteroidal anti-inflammatory drugs, paracetamol infusion and regional anesthetic techniques such as local infiltration or nerve blocks. In contrast to opioids, local anesthetics can be administered safely and in recent guidelines regional anesthesia is accepted as the cornerstone of postoperative pain relief in the pediatric patients. Objective Compare the postoperative analgesic effectiveness of local wound infiltration of bupivacaine against bupivacaine administered caudally in pediatric patients undergoing unilateral inguinal hernia repair. Patients and methods This study was carried out in Ain Shams University hospitals on 40 pediatric patients of both sexes aged from 6 months to 7 years belonging to ASA I or II undergoing elective unilateral inguinal hernia repair. They were randomly allocated into two groups: group C receiving caudal block, group L receiving local wound infiltration. Hemodynamic changes, postoperative pain score using FLACC pain score, postoperative analgesia and complications were recorded. Results There was no significant difference between the two groups as regard demographic data or hemodynamic variables. Pain score shows no statically significant differences between two groups in the first hour. But statistically significant decrease in FLACC score after (1, 2 and 3 hours) in group C in comparison with group L.decreased significantly in group C after 1 hour postoperative. Duration of analgesia longer in group C with no significant difference in total amount of postoperative analgesia. There was significant increase in incidence in complications in group C than group L Conclusion Caudal block provides better and longer analgesia but requires experience and may lead to complications. In contrast, wound infiltration is simple without significant side effects. Therefore, local wound infiltration may be a preferred technique for producing postoperative analgesia in pediatric inguinal hernia repair.


2015 ◽  
Vol 25 (8) ◽  
pp. 675-680 ◽  
Author(s):  
Sherif M. Shehata ◽  
Akram M. ElBatarny ◽  
Mohamed A. Attia ◽  
Ashraf A. El Attar ◽  
AbdelGhani M. Shalaby

1998 ◽  
Vol 91 (Supplement) ◽  
pp. S34
Author(s):  
Jeff Swanson ◽  
Jude Ozuzu ◽  
Coleen Amato ◽  
Angel Fermin ◽  
Gary R. Dunkerley

2013 ◽  
Vol 144 (5) ◽  
pp. S-1109-S-1110
Author(s):  
Muhammad Asad Khan ◽  
Roman Grinberg ◽  
John Afthinos ◽  
Karen E. Gibbs

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