Impact of slit and nonslit mesh technique on testicular perfusion and volume in the early and late postoperative period of the totally extraperitoneal preperitoneal technique in patients with inguinal hernia

2009 ◽  
Vol 198 (2) ◽  
pp. 287-291 ◽  
Author(s):  
Aysun Simsek Celik ◽  
Naim Memmi ◽  
Fatih Celebi ◽  
Deniz Guzey ◽  
Atilla Celik ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Period ◽  
Totally Extraperitoneal ◽  
Testicular Perfusion ◽  
Late Postoperative Period ◽  
Mesh Technique

A Randomized Trial of the Long-term Effects of Digital Ocular Compression in the Late Postoperative Period

2001 ◽  
Vol 10 (4) ◽  
pp. 266-270 ◽  
Author(s):  
Jeffrey D. Henderer ◽  
Michael C. Heeg ◽  
George L. Spaeth ◽  
Marlene R. Moster ◽  
Jonathan S. Myers ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Postoperative Period ◽  
Long Term Effects ◽  
Late Postoperative Period

The preperitoneal loop in inguinal hernia repair following the totally extraperitoneal technique

Hernia ◽  
2010 ◽  
Vol 14 (4) ◽  
pp. 361-367 ◽  
Author(s):  
F. Mainik ◽  
G. Quast ◽  
R. Flade-Kuthe ◽  
A. Kuthe ◽  
F. Schroedl
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Totally Extraperitoneal

Optimization of pregravidare training of women with hysteromyoma

2017 ◽  
pp. 59-60
Author(s):  
A.A. Dovgan ◽  
Keyword(s):  
Key Words ◽  
Postoperative Period ◽  
Main Diagnosis ◽  
Advanced Technique ◽  
Late Postoperative Period

The objective: to improve tactics of pregravidare training of women with hysteromyoma. Patients and methods. Under observation there were 100 patients of active and late genesial age (from 22 to 44 years), with the main diagnosis hysteromyoma established on the basis of complex inspection. To all patients the conservative myomectomy by laparotomny that laparoscopic accesses out of pregnancy was made, a course of complex rehabilitational therapy in the early and late postoperative period is conducted, the next and remote results are tracked. Results. Efficiency of pregravidarny training of patients with a hysteromyoma made 67.0%, thus authentically larger frequency of offensive of pregnancy is noted in group of the patients receiving in the postoperative period therapy by agonists of GNRG (73.0%), including at women with genesial problems (52.0%). Besides, purpose of agonists of GNRG after operation allows to reduce number of recurrence of a disease in the remote period. Conclusions. The advanced technique of pregravidarny preparation allows to improve the genesial forecast of women with hysteromyoma. Key words: hysteromyoma, pregravidarny preparation, optimization.

scholarly journals A New Proposal for Learning Curve of TEP Inguinal Hernia Repair: Ability to Complete Operation Endoscopically as a First Phase of Learning Curve

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Mustafa Hasbahceci ◽  
Fatih Basak ◽  
Aylin Acar ◽  
Orhan Alimoglu
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Learning Curve ◽  
Inguinal Hernia Repair ◽  
Exact Nature ◽  
Conversion To Open Surgery ◽  
Totally Extraperitoneal ◽  
Surgeon Experience ◽  
Repair Ability ◽  
Complete Operation

Background. The exact nature of learning curve of totally extraperitoneal inguinal hernia and the number required to master this technique remain controversial.Patients and Methods. We present a retrospective review of a single surgeon experience on patients who underwent totally extraperitoneal inguinal hernia repair.Results. There were 42 hernias (22 left- and 20 right-sided) in 39 patients with a mean age of48.8±15.1years. Indirect, direct, and combined hernias were present in 18, 12, and 12 cases, respectively. The mean operative time was55.1±22.8minutes. Peritoneal injury occurred in 9 cases (21.4%). Conversion to open surgery was necessitated in 7 cases (16.7%). After grouping of all patients into two groups as cases between 1–21 and 22–42, it was seen that the majority of peritoneal injuries (7 out of 9, 77.8%,P=0.130) and all conversions (P=0.001) occurred in the first 21 cases.Conclusions. Learning curve of totally extraperitoneal inguinal hernia repair can be divided into two consequent steps: immediate and late. At least 20 operations are required for gaining anatomical knowledge and surgical pitfalls based on the ability to perform this operation without conversion during immediate phase.

scholarly journals Intrapleural analgesia after endoscopic thoracic sympathectomy

2011 ◽  
Vol 26 (6) ◽  
pp. 508-513 ◽  
Author(s):  
Patrícia Gomes da Silva ◽  
Daniele Cristina Cataneo ◽  
Fernanda Leite ◽  
Erica Nishida Hasimoto ◽  
Guilherme Antonio Moreira de Barros
Keyword(s):  
Postoperative Period ◽  
Inspiratory Capacity ◽  
Intense Pain ◽  
Thoracic Sympathectomy ◽  
Group A ◽  
Group B ◽  
Intrapleural Analgesia ◽  
Higher Doses ◽  
Late Postoperative Period ◽  
Different Doses

PURPOSE: To compare analgesia traditionally used for thoracic sympathectomy to intrapleural ropivacaine injection in two different doses. METHODS: Twenty-four patients were divided into three similar groups, and all of them received intravenous dipyrone. Group A received intravenous tramadol and intrapleural injection of saline solution. Group B received intrapleural injection of 0.33% ropivacaine, and Group C 0.5% ropivacaine. The following aspects were analyzed: inspiratory capacity, respiratory rate and pain. Pain was evaluated in the immediate postoperative period by means of the visual analog scale and over a one-week period. RESULTS: In Groups A and B, reduced inspiratory capacity was observed in the postoperative period. In the first postoperative 12 hours, only 12.5% of the patients in Groups B and C showed intense pain as compared to 25% in Group A. In the subsequent week, only one patient in Group A showed mild pain while the remainder reported intense pain. In Group B, half of the patients showed intense pain, and in Group C, only one presented intense pain. CONCLUSION: Intrapleural analgesia with ropivacaine resulted in less pain in the late postoperative period with better analgesic outcomes in higher doses, providing a better ventilatory pattern.

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