Cost-conscious decisions in the timing of operation for minimally symptomatic inguinal hernias in male patients

2016 ◽  
Vol 211 (6) ◽  
pp. 975-981
Author(s):  
Aliasgher Khaku ◽  
Christopher S. Hollenbeak ◽  
David I. Soybel
2008 ◽  
Vol 90 (5) ◽  
pp. 386-388 ◽  
Author(s):  
Oliver Anderson ◽  
Sandy Shiralkar

INTRODUCTION The aim of this study was to determine the prevalence of abdominal aortic aneurysms (AAAs) in over 65-year-old men who have inguinal hernias and discuss if pre-operative selective screening of this population is appropriate. PATIENTS AND METHODS A prospective study on 70 consecutive male patients with an age range of 65–88 years (mean, 74 years) who were referred to a single vascular consultant's out-patient clinic with an inguinal hernia were screened for the presence of an AAA with an ultrasound scan before hernia repair over a period of 3 years. RESULTS Two patients were found to have an AAA measuring 3.8 cm and 6.0 cm giving an AAA prevalence of 3% (exact 95% confidence interval = 0–10%). CONCLUSIONS This study does not demonstrate an increased AAA prevalence in over 65-year-old male patients with inguinal hernias, scanned pre-operatively when compared to screening programmes. Selective screening of this cohort cannot be justified on this evidence.


2019 ◽  
Vol 27 (6) ◽  
pp. 691-699
Author(s):  
R.E. Magomedbekov ◽  
◽  
M.M. Magomedov ◽  

2010 ◽  
Vol 17 (01) ◽  
pp. 50-54
Author(s):  
QUDDUS-UR- REHMAN ◽  
USMAN LATIF ◽  
TAJAMMAL ABBAS SHAH

Objectives: To compare the rate of wound infection, recurrence and haematoma formation following Darn & Lichtenstein repair.Design: Prospective, comparative study. Place & Duration: Surgical Unit-ll, Allied Hospital, Faisalabad. Period: One year study from 15-01-2003 to 15-01-2004. Patients & Methods: Total of 50 male patients between 16-60 years of age having right sided, left sided and bilateralinguinal hernias were divided by odd and even numbers into two groups, each group consisting of 25 patients. In 1s t group of patients,Lichtenstein repair was done. While in 2n d group, Darn repair of posterior inguinal wall was performed. Patients were examined postoperativelyfor wound infection, haematoma formation & recurrence. Most of them presented with reducible inguinal hernias (84%) while others withirreducible inguinal hernias (16%). Results: Wound infection and hematoma formation were not observed in any patient in case of Lichtensteinrepair. Wound infection was not observed in any patient and hematoma formation in two patients in case of Darn repair. Recurrence occurredin one patient with Darn repair while non was observed in case of Lichtenstein repair. Conclusion: Lichtenstein repair (mesh repair) of inguinalhernia is safe & has less rate of recurrence and haematoma formation.


2007 ◽  
Vol 6 (1) ◽  
pp. 146-147
Author(s):  
S STOERK ◽  
G GUEDER ◽  
S FRANTZ ◽  
J BAUERSACHS ◽  
D WEISMANN ◽  
...  

2008 ◽  
Author(s):  
M. S. Venetikou ◽  
T. Lampou ◽  
D. Gizani

Phlebologie ◽  
2008 ◽  
Vol 37 (06) ◽  
pp. 287-297 ◽  
Author(s):  
P.-M. Baier ◽  
Z. T. Miszczak

Summary Background: Platelet function inhibitors (PFI) are used for prophylaxis of atherothrombosis. These drugs cause a prolongation of the bleeding time and should eventually be stopped before an elective operation. However, there is a risk that a perioperative pause of PFI lead to acute atherothrombosis. Objective: Our aim was to study whether a discontinuation of PFI therapy is necessary to avoid bleeding complications in patients undergoing varicose vein surgery. Methods: Selective review of the literature and retrospective analysis of clinical data of our own patients. Results: In the years 2002 to 2007 a total of 10 827 patients have been operated on varicose veins, 673 (6.2%) of these aged 32–86 years (67 ± 7.9) receiving permanent PFI therapy: 256 male patients (38.0%) and 417 female (62.0%), 39.1% categorized as ASA III patients: male 11.6%, female 27.5%. 38 patients who continued PFI therapy did not demonstrate haemorrhagic complications and none of those pausing anti-platelet medication experienced thromboembolic complications. The literature survey confirmed our finding that it is not necessary to suspend PFI medication for varicose vein surgery as the bleeding risk can be controlled for by technical means. Conclusion: Discontinuation of PFI therapy prior to interventions on varicose veins does not seem to be necessary, further studies are essential though.


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