Late abscess formation following indirect hernia repair utilizing silk suture

2007 ◽  
Vol 23 (4) ◽  
pp. 349-352 ◽  
Author(s):  
Casey M. Calkins ◽  
Shawn D. St. Peter ◽  
Anthony Balcom ◽  
Patrick J. Murphy
Keyword(s):  
Hernia Repair ◽  
Abscess Formation ◽  
Silk Suture ◽  
Indirect Hernia

scholarly journals Acquired Umbilico-Inguinal Fistula with Persistent Discharge due to Suture Reaction: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Muazez Cevik
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Broad Spectrum ◽  
Initial Diagnosis ◽  
Silk Suture ◽  
Review Of The Literature ◽  
Broad Spectrum Antibiotics

The aim of this paper is to stay a very rare umbilico-inguinal fistula (UIF) resulting from a delayed suture reaction after the use of silk suture to repair an inguinal hernia. A 3-year-old boy presented with persistent umbilical discharge. The initial diagnosis was omphalitis and he was treated with broad-spectrum antibiotics but a UIF was subsequently diagnosed. Surgery was performed to ascertain the cause of the UIF. This case demonstrates that silk suture used in inguinal hernia repair can lead to a UIF, which should be considered in the differential diagnosis of a patient presenting with persistent umbilical discharge.

scholarly journals Anatomical variations of the inguinal morphometric features in patients with inguinal hernia and its association with the type of inguinal hernia: a prospective clinical study

2019 ◽  
Vol 6 (7) ◽  
pp. 2358
Author(s):  
Balaiya Anitha ◽  
Sathasivam Sureshkumar ◽  
Karuppusamy Aravindhan ◽  
Manwar Ali
Keyword(s):  
Inguinal Hernia ◽  
Clinical Study ◽  
Hernia Repair ◽  
Inguinal Ligament ◽  
Prospective Clinical Study ◽  
Indirect Inguinal Hernia ◽  
Transversalis Fascia ◽  
Indirect Hernia ◽  
Direct Hernia ◽  
The Mean

Background: Variations of inguinal canal and inguinal nerves are not uncommon. Knowledge about those variations is important to avoid inadvertent injury to the vital structures and to prevent recurrence.Methods: This prospective clinical study included all patients undergoing open inguinal hernia repair. Laparoscopic hernia repair, emergency surgery for complication and recurrent inguinal hernia were excluded. Parameters studied include interspinous distance, length and obliquity of inguinal ligament, attachment of conjoint tendon, condition of transversalis fascia and position and variations of ilioinguinal nerve.Results: The study included 192 patients. The mean interspinous distance (ISD) was 22±3.45 cm (CI: 30-32). ISD was not significant different among the two types of hernia. The mean length of internal oblique on inguinal ligament from anterior superior iliac spine was significantly longer in patients with indirect inguinal hernia (4±0.791 vs. 4.27±1.34; p=0.000). Significant patients in the direct hernia had weak transversalis fascia ((95% vs. 43%). 80% of the patients with direct hernia had defect in the transversalis fascia compared to only 8.8% in the indirect hernia. The difference is statistically significant. The nerve variation was present in only 1.3% in direct hernia group compared to 3.5% in the indirect hernia group.Conclusions: It was observed that the type of hernia did not significantly influenced by the length of inguinal ligament, the mean distance of midinguinal point, obliquity of the inguinal ligament. The nerve variation was present in only 1.3% in direct hernia group compared to 3.5% in the indirect hernia group.

scholarly journals Conversion of Total Extraperitoneal (TEP) to Transabdominal Preperitoneal (TAPP) for repair of inguinal hernia; Frequency and causes.

2020 ◽  
Vol 27 (02) ◽  
pp. 242-245
Author(s):  
Muhammad Ghayasuddin ◽  
Fareya Usmani ◽  
Imran Munir ◽  
Mahwash Anjum Shafiq ◽  
Syed Muhammad Sheraz Raza Naqvi
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
P Value ◽  
Indirect Hernia ◽  
Transabdominal Preperitoneal ◽  
Total Extraperitoneal ◽  
Direct Hernia ◽  
Study Population ◽  
Transabdominal Preperitoneal Inguinal Hernia

Objectives: Our study aims to determine the incidence of and reasons for the conversion of hernia operations from laparoscopic guided total extraperitoneal (TEP) to transabdominal preperitoneal inguinal hernia repair (TEPP). Study Design: Cross-sectional study. Setting: A large tertiary care hospital in Karachi Pakistan. Period: From August 2016 to November 2018. Material & Methods: The sampling technique utilized was consecutive non-probability sampling. The study population consisted of patients between the ages of 22 and 50 years, males, having unilateral inguinal hernia, both direct and indirect presentation. A complete history and physical examination was performed and recorded in a pre-designed proforma for all the patients. Laboratory investigations were performed per routine. The patients underwent laparoscopic total extraperitoneal hernia repair and were noted for complications and conversion to transabdominal preperitoneal inguinal hernia repair. Data was analyzed using IBM SPSS statistics version 20. Chi-square test was used to analyze categorical variables, while mean and percentages were used for numerical data. A p value of less than 0.05 is considered to be statistically significant. Results: The study population was n= 150, mean age of the patients was 36.25 +/- 7.08 with a minimum of 22 and a maximum of 50 years. The direct hernia was present in 47.33% (71 patients) while an indirect hernia was present in 52.67% (79 patients). Out of the total patient population, 21 (14%) of the patients (having a p-value of 0.013) were converted to the TAPP procedure of which 10 (14.08%) has a direct hernia and 11 (13.92%) had an indirect hernia respectively (having a p-value of 0.953). The most common reason for conversion was peritoneal tear, hemorrhage and instrument failure. Conclusion: According to the results of our study, 14% of cases of direct and indirect hernia had to convert from TEP to TAPP procedure, and the main reasons for this conversion were found to be hemorrhage, peritoneal tear and instrument failure.

Effect of peritoneal incision on immediate pain after inguinal hernia repair: A Prospective Cohort Study

2015 ◽  
Author(s):  
Yusuf Tanrikulu ◽  
Mithat Cagsar ◽  
Boran Yalcin ◽  
Furuzan Kokturk ◽  
Gokhan Yilmaz ◽  
...  
Keyword(s):  
Risk Factor ◽  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Surgical Procedure ◽  
Lichtenstein Repair ◽  
Indirect Hernia ◽  
Vas Scores

Abstract Objective: Hernia repair is a common surgical procedure, and postoperative pain is an inevitable result of hernia surgery. The prevention of postoperative pain is of considerable importance in terms of patient comfort and early discharge. In this study, we evaluated the effects of a peritoneal incision on pain in the early postoperative period.Summary of Background Data: This was a prospective clinical study with 75 patients undergoing inguinal hernia repair. Methods: Patients were divided into five groups: group 1: indirect hernia, Lichtenstein repair with peritoneal incision, group 2: indirect hernia, Lichtenstein repair without peritoneal incision, group 3: all hernias, trans-abdominal preperitoneal(TAPP) repair, group 4: all hernias, total extraperitoneal (TEP) repair, and group 5: direct hernia, Lichtenstein repair with no peritoneal incision. Groups were compared in terms of postoperative pain scores at three different times and complications.Results: There were 62 males and 13 females; their average age was 51.25 years. The visual analog scale (VAS) scores were lower in groups 2, 4, and 5, and there were differences among groups and within each group according to VAS changes assessed at all time points (p < 0.05). There was no difference, according to VAS analysis, between open and laparoscopic surgery groups. There was a difference according to VAS changes in each group between hernia sides (p < 0.001).Conclusion: Peritoneal incision is a significant risk factor for postoperative pain after inguinal hernia repair. But, surgical procedure was not a risk factor although VAS scores were higher in open than laparoscopic surgery.

Hernia Repair Combined With Prostatectomy

2006 ◽  
Vol 39 (24) ◽  
pp. 10
Author(s):  
JEFF EVANS
Keyword(s):  
Hernia Repair
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