Commentary: Aortic homograft for tension-free caval translocation in adults: The resurrection of the Ehrenhaft operation

Background: In the practice of General Surgery, hernia repair is the second most common procedure after appendectomy. Several methods have been developed over the years to try to improve hernia repair. Good result can be expected using Bassini's, McVay's, Shouldice's techniques provided the exact nature of hernia is recognized and the repair is done without tension using healthy tissue. The introduction of synthetic mesh started a new era in hernia surgery. The use of synthetic mesh repair of primary and recurrent hernias has gradually gained acceptance among surgeons. Objective: To find out the outcome and complications of open inguinal hernia repair with prolene mesh. Methods: This is a prospective cross sectional study conducted at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from December, 2011 to May, 2012. One hundred patients of inguinal hernia admitted in different surgical units of BSMMU, Dhaka for elective surgery were studied. We have given 1 gm ijv Cephradine per operatively and then 500 gm cephradine ijv 6 hourly for 24 hours followed by oral form of Cephradine for next 5 days. Polypropylene mesh of 11 cm x 7 cm size was used in all cases. All the operations were done by open tension free prolene mesh repair technique. Patients were followed for one year to see the outcome. Results: Out of 100 cases of inguinal hernia, 71 patients (71%) had indirect inguinal hernia and 29 cases (29%) had direct inguinal hernia; 90 cases (90%) were primary hernia and only 10 cases (10%) were recurrent hernia; 58 cases were right sided, 34 cases (34%) were left sided and 8 cases (8%) were bilateral. Complications of mesh repair of groin hernia in this study included wound infection (5%), scrotal oedema (2%), mesh infection (0%), scrotal hematoma (2%), echymoces of peri-incisional skin (5%), early wound and groin pain (7%), chronic inguinodynia (2%), hernia recurrence (1%). Conclusion: In the present study an attempt is made to evaluate the outcome of patients undergoing inguinal hernia repair by prolene mesh. The results confirm that Lichtenstein tension free mesh repair of inguinal hernia is safe and reliable for both primary and recurrent groin hernia, with less recurrence rate. Patient's compliance was good with minimum morbidity. Journal of Surgical Sciences (2018) Vol. 22 (1): 21-24

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Faculty Opinions recommendation of Tension-free vaginal tape versus tension-free vaginal tape obturator in women with stress urinary incontinence.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1040368.489329 ◽

2006 ◽

Author(s):

Paul Hilton

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Tension Free ◽

Tension Free Vaginal Tape ◽

Vaginal Tape Obturator

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Faculty of 1000 evaluation for Multicenter prospective randomized study of single-incision mini-sling vs tension-free vaginal tape-obturator in management of female stress urinary incontinence: a minimum of 1-year follow-up.

F1000 - Post-publication peer review of the biomedical literature ◽

10.3410/f.718029942.793482792 ◽

2013 ◽

Author(s):

Altaf Mangera

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Single Incision ◽

Randomized Study ◽

Prospective Randomized Study ◽

Female Stress Urinary Incontinence ◽

Tension Free ◽

Vaginal Tape Obturator ◽

Mini Sling

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Faculty Opinions recommendation of Solifenacin in women with de novo overactive bladder after tension-free obturator vaginal tape--is it effective?

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718152285.793488270 ◽

2013 ◽

Author(s):

John Smith

Keyword(s):

Overactive Bladder ◽

De Novo ◽

Tension Free

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Clinical and Biochimical Comorbidities and Complications in Abdominal Surgery Using Synthetic Prosthetic Material

Revista de Chimie ◽

10.37358/rc.18.6.6359 ◽

2018 ◽

Vol 69 (6) ◽

pp. 1519-1523

Author(s):

Vlad Dumitru Baleanu ◽

Danut Vasile ◽

Alexandru Marian Goganau ◽

Paul Ioan Tomescu ◽

Dragos Davitoiu ◽

...

Keyword(s):

Inguinal Hernia ◽

Abdominal Wall ◽

Abdominal Wall Hernia ◽

Prosthetic Material ◽

Hernia Surgery ◽

Tension Free ◽

Elective Repair ◽

Scrotal Edema ◽

Remarkable Recovery ◽

Risks Assessment

Hernia can be defined as an organ disorder which protrudes the wall that contains it. Synthetic material for the repair of the abdominal wall are used frequently with good results and less complications. Our research included a number of 135 patients diagnosed with inguinal hernia hospitalized and operated in Clinical County Hospital of Craiova, between 1st January 2017-31 October 2017. The purpose of our work was to identify and analyze comorbidities and complications for inguinal hernia repaired with synthetic prosthetic material. hernia repair was performed in 135 patients, 16 were women and 119 were men. Tension free meshplasty was accomplished in 131 patients with uncomplicated inguinal hernia and herniorrhaphy was successfully performed at 4 patients with complicated inguinal hernia. From our study 107 patients had a remarkable recovery without any complication. Patients who underwent tension-free hernia surgery using prosthetic mesh,short-term complications were represented by 19 patients with urinary retention, 6 surgical local infection (superficial infections) and 2 scrotal edema. Nowadays surgeons try to find the best elective repair of inguinal hernia,to be safety for the patients despite of their age and with few complications and low mortality rate. Risks assessment include general conditions and associated comorbidities of the patients. In our study we reveal the type of comorbidities which we meet. We considered that it is significant to optimize cardiopulmonary status and the other comorbidities of the patient before to repair abdominal wall hernia in order to avoid both short and long term complication.

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