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Aim: to compare the results of lichenstein mesh repair with desarda-u2019s repair with inguinal hernia. On the 7th postop day, the main findings were surgical site infection, seroma, and postop pain assessment. Results: Desarda. u2019s group had significantly less operative times as compared to the lichenstein group's 40. 38. 26 vs 45. 97; Both groups had mean postop pain on 7th day, which was statistically significant in both groups. Conclusion: Desarda tissue-based repair, which is equally effective as traditional Lichtenstein tension-free mesh repair, can be used to successfully repair primary inguinal hernias without mesh installation.
Source link: https://doi.org/10.53350/pjmhs22167188
Purpose This paper aims to investigate the postoperative complications surrounding unilateral hernia repair and demonstrate their connection with Kingsnorth's preoperatively modified scoring system. Methods Prosecutors are patients who underwent surgery for unilateral inguinal hernia in a University Hospital, with the intention of obtaining data from patients. Conclusions The study included 403 patients who fulfilled the inclusion criteria, from which 62 patients experienced postoperative complications. Conclusions According to KN's classification, surgical wound problems in patients undergoing primary unilateral hernia surgery can be anticipated. wound complications are more likely in a KN score of 5u20138. The chances of postoperative complications reduce when abdominal wall surgery unit is performed.
Source link: https://doi.org/10.1007/s13304-022-01341-2
Abstract Background Laparoscopic inguinal hernia repair is one of the surgical procedures most commonly performed by paediatric surgeons. Current information on the learning curve for laparoscopic hernia repair in children is inconvenient. This research seeks to determine the clinical outcomes and learning curve of laparoscopic intra-corporeal hernia repair in children. Methods A retrospective single-centre review of all paediatric patients who underwent laparoscopic intra-corporeal hernia repair between 2010 and 2019 was conducted. With the CUSUM system, the results on surgical trainees' learning curve were assessed, with the emphasis on operating time. During the study period, there were 719 patients with laparoscopic intra-corporeal hernia repair, which was performed. Conclusions 18 procedures appear to be the number of procedures required to crack the learning curve plateau in terms of surgical time by surgical trainees.
Source link: https://doi.org/10.21203/rs.3.rs-1469768/v1
Both TEP and TAPP mesh repair methods were similar in terms of operative time, intraoperative complications, conversion to open, post-operative pain, time to return to normal life, and recurrence. In the TAPP group, the duration of hospital stay was significantly longer than in the TEP group than in the TEP group. Conclusion: In both techniques TAPP and TEPP, laparoscopic repair of inguinal hernias is associated with similar outcomes, although the decision between TAPP and TEPP is a personal choice of the concerned surgeon.
Source link: https://doi.org/10.47363/amr/2015(2)115
Objective We investigated the effect of postgraduate surgical education on inguinal hernia repair for resident surgeons. The surgical training course for inguinal hernia repair was divided into three separate parts: A, B, and C. The following sections were broken down as follows: the beginning of the procedure to hanging the spermatic cord, dissection of the hernia sac, and the placement of the hernia mesh were divided into three separate steps: A, B, and C. For inguinal hernia repair using open mesh mesh, we then reviewed the learning curve of the junior resident surgeons. Conclusions The mean operative time of the junior resident group was significantly longer than that of the senior resident group. The learning curve for junior resident surgeons who had completed the inguinal hernia repair training course was shorter than that for junior resident surgeons who were just starting the program.
Source link: https://doi.org/10.9738/intsurg-d-20-00002.1
Purpose The Lichtenstein hernioplasty has long been recognized as the gold standard for inguinal hernia repair. Many studies reported promising results of the TIPP and TEP relative to the Lichtenstein hernioplasty; however, no research is published on the results when comparing the TIPP and TEP procedures. This review was designed to measure results after the TIPP vs. TEP technique for inguinal hernia repair. A total of 300 patients with unilateral inguinal hernia were registered and randomized to the TIPP- or TEP method. After the TEP, we saw significantly less postoperative chronic groin pain, chronic inflammation at exertion, wound hypoesthesia, and wound infections after a follow-up of 12 months than those following the TIPP procedure. Conclusions We found that the TEP has a more effective result than the TIPP procedure, resulting in less postoperative pain and wound complications, although surgical rates and reoperations were similar in both groups.
Source link: https://doi.org/10.1007/s10029-022-02651-5
Inguinal hernia repair in the neonatal infant, which is one of the most commonly performed pediatric surgeries on an ambulatory basis, is covered in this chapter. However, a number of analgesic questions remain, such as comorbid chronic lung disease or the concurrent risk of postoperative apnea, depending on age at presentation. In addition, as acute pain in the neonatal population is often underappreciated and may have a long-term effect, several analgesic techniques should be considered. Following surgery, some neonates may need additional monitoring for apneic events.
Source link: https://doi.org/10.1093/med/9780190856649.003.0021
Is laparoscopic inguinal hernia repair with mesh better than traditional open mesh repair? Is it better than traditional open mesh repair?
Source link: https://doi.org/10.1093/med/9780199384075.003.0019
Abstract Purpose The inguinal hernia repair using surgical mesh is a common surgical procedure. We reviewed a collection of existing systematic reviews of randomised controlled trials to compare the risk of chronic pain and recurrence after open and laparoscopic inguinal hernia repair using various mesh fixation techniques. The risk of chronic pain after open mesh repair was lower with glue fixation than with suture and suture, and it was similar between self-gripping and suture. In laparoscopic repairs, the incidence of persistent pain was lower with glue fixation than with mechanical fixation. Despite no concrete evidence of differences among methods, two network meta-analyses rated glue fixation as the best treatment for reducing the risk of recurrence, despite there being no concrete evidence of them. Conclusion Glue fixation may be helpful in reducing the incidence of persistent pain without raising the risk of recurrence.
Source link: https://doi.org/10.1007/s10029-021-02546-x
Background: The aim of the investigation is to determine the effect of intrathecal fentanyl and intrathecal morphine mixed with 0. 5 percent hyperbaric bupivacaine on the quality of postoperative pain management for unilateral inguinal hernia repair in adult males.
Source link: https://doi.org/10.36106/ijar/6103739
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