Ultrasound Assessment of the contralateral groin in infants with unilateral inguinal hernia

1994 ◽  
Vol 49 (8) ◽  
pp. 546-548 ◽  
Author(s):  
K. Lawrenz ◽  
A.S. Hollman ◽  
R. Carachi ◽  
S. Cacciaguerra
Keyword(s):  
Inguinal Hernia ◽  
Unilateral Inguinal Hernia ◽  
Ultrasound Assessment

scholarly journals The role of laparoscopic approach in bilaterality assessment in patients with unilateral inguinal hernia

2017 ◽  
Vol 4 (6) ◽  
pp. 2047
Author(s):  
Ahmed M. S. M. Marzouk ◽  
Haitham S. E. Omar ◽  
Heba O. E. Ali
Keyword(s):  
Inguinal Hernia ◽  
Operative Time ◽  
Laparoscopic Approach ◽  
Unilateral Inguinal Hernia ◽  
Frequent Finding ◽  
Ultrasound Assessment ◽  
Group 3 ◽  
The Right ◽  
Unilateral Group

Background: Patients presented with unilateral inguinal hernia are at risk for the possibility of contra-lateral occult hernias; small early-developed hernias may be difficult to be elicited by clinical, imaging assessment and during open repair. This study to evaluate laparoscopic identification of contra-lateral occult hernia with regard to the pre-operative clinical and imaging study.Methods: Retrospective analysis of patients presented in the period of March to December 2015 with unilateral inguinal hernia for which medical and ultrasound imaging assessment were done. Laparoscopic trans abdominal pre-peritoneal (TAPP) approach was done with intraoperative evaluation of the presence of contra-lateral occult hernias.Results: During the study period (27) patients (25 Males and 2 females) presented with unilateral inguinal hernia were clinically evaluated, 18 (66.6%) patients had right sided hernia, 9 (33.33%) had left sided, In all the studied patients routine ultrasound assessment was done and no documented cases of presence of contra-lateral hernia, Intraoperative abdominal exploration successfully Identifies bilateral inguinal hernias in 7 cases (25.9%) with mean age (44.14 years, SD 10.99) compared to (34.97 years, SD 10.51) in the Unilateral group, 3 cases on the left side (16.6% of total right side patients) and 4 cases on the right side (44.4% of total left side patients). operative time for unilateral repair was (Mean 85.8 minutes, SD 18.8), and for discovered bilateral cases (Mean 145.9 minutes, SD 46.8).Conclusions: The presence of occult inguinal hernia is a frequent finding specially in older age group of patients, also in our study we found the percentage of occult hernias are more in patients presented with left side disease. Laparoscopic (TAPP) approach is a useful tool for assessment of the presence of such hernias, and gives the privilege of simultaneous repair in same operation with the advantage of avoiding the patient’s later surgery together with the laparoscopic surgery benefits of less pain, rapid recovery and shorter hospital stay.

Spermatic Cord Ultrasonography Guiding Strategy for Optimizing Treatment of Unilateral Inguinal Hernia

2020 ◽  
Author(s):  
Dengming Lai ◽  
Shoujiang Huang ◽  
Shuqi Hu ◽  
Luyin Zhang ◽  
Qi Qin ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Unilateral Inguinal Hernia

Contralateral occurrence after laparoscopic total extraperitoneal hernia repair for unilateral inguinal hernia

Hernia ◽  
2010 ◽  
Vol 14 (5) ◽  
pp. 481-484 ◽  
Author(s):  
H. Uchida ◽  
T. Matsumoto ◽  
H. Ijichi ◽  
Y. Endo ◽  
T. Koga ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Unilateral Inguinal Hernia ◽  
Total Extraperitoneal

Comparative Study Between Caudal Block And Local Wound Infiltration In Inguinal Hernia Repair In Pediatric Patients

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Azza Mohamed Shafeek Abdel Mageed ◽  
Wael Reda Hussaein ◽  
Rania Hassan Abdel Hafiez ◽  
Tarek Atef Abdullah Hammouda
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Pain Score ◽  
Inguinal Hernia Repair ◽  
Postoperative Analgesia ◽  
Pediatric Patients ◽  
Caudal Block ◽  
Wound Infiltration ◽  
Unilateral Inguinal Hernia ◽  
Significant Difference

Abstract Background Postoperative analgesia can be provided by a multimodal approach includes opioids, nonsteroidal anti-inflammatory drugs, paracetamol infusion and regional anesthetic techniques such as local infiltration or nerve blocks. In contrast to opioids, local anesthetics can be administered safely and in recent guidelines regional anesthesia is accepted as the cornerstone of postoperative pain relief in the pediatric patients. Objective Compare the postoperative analgesic effectiveness of local wound infiltration of bupivacaine against bupivacaine administered caudally in pediatric patients undergoing unilateral inguinal hernia repair. Patients and methods This study was carried out in Ain Shams University hospitals on 40 pediatric patients of both sexes aged from 6 months to 7 years belonging to ASA I or II undergoing elective unilateral inguinal hernia repair. They were randomly allocated into two groups: group C receiving caudal block, group L receiving local wound infiltration. Hemodynamic changes, postoperative pain score using FLACC pain score, postoperative analgesia and complications were recorded. Results There was no significant difference between the two groups as regard demographic data or hemodynamic variables. Pain score shows no statically significant differences between two groups in the first hour. But statistically significant decrease in FLACC score after (1, 2 and 3 hours) in group C in comparison with group L.decreased significantly in group C after 1 hour postoperative. Duration of analgesia longer in group C with no significant difference in total amount of postoperative analgesia. There was significant increase in incidence in complications in group C than group L Conclusion Caudal block provides better and longer analgesia but requires experience and may lead to complications. In contrast, wound infiltration is simple without significant side effects. Therefore, local wound infiltration may be a preferred technique for producing postoperative analgesia in pediatric inguinal hernia repair.

Laparoscopic Interrupted Muscular Arch Repair in Recurrent Unilateral Inguinal Hernia Among Children

2015 ◽  
Vol 25 (8) ◽  
pp. 675-680 ◽  
Author(s):  
Sherif M. Shehata ◽  
Akram M. ElBatarny ◽  
Mohamed A. Attia ◽  
Ashraf A. El Attar ◽  
AbdelGhani M. Shalaby
Keyword(s):  
Inguinal Hernia ◽  
Unilateral Inguinal Hernia

Mo1761 Laparoscopic vs. Open Unilateral Inguinal Hernia Repairs: A NSQIP Analysis

2013 ◽  
Vol 144 (5) ◽  
pp. S-1109-S-1110
Author(s):  
Muhammad Asad Khan ◽  
Roman Grinberg ◽  
John Afthinos ◽  
Karen E. Gibbs
Keyword(s):  
Inguinal Hernia ◽  
Unilateral Inguinal Hernia

scholarly journals COMPARATIVE STUDY OF INGUINAL HERNIA REPAIR WITH PLACEMENT OF MESH ANTERIOR AND POSTERIOR TO FASCIA TRANSVERSALIS IN CASES OF UNILATERAL INGUINAL HERNIA

2020 ◽  
pp. 39-41
Author(s):  
Angshuman Mukherjee ◽  
Dhrubajyoti Maulik
Keyword(s):  
Inguinal Hernia ◽  
Wound Complications ◽  
Hernia Surgery ◽  
Mesh Placement ◽  
Unilateral Inguinal Hernia ◽  
Fascia Transversalis ◽  
Inguinal Pain ◽  
Duration Of Surgery ◽  
Pain Duration ◽  
Superiority Trial

Background: Since inception hernia surgery evolved a lot and achieved the gold standard of Lichtenstein hernioplasty. Chronic post-surgical inguinal pain and mesh related wound complications are still issues of concern for surgeons. To minimize these problems different modifications are being evaluated worldwide. OBJECTIVE: To compare the incidence of post-surgical chronic inguinal pain duration of surgery between two different techniques of mesh placement, one is placing the mesh anterior to Fascia Transversalis and other is placing the mesh posterior to Fascia Transversalis. STUDY DESIGN: Randomized superiority trial done among patients selected from opd and divided in two groups undergone hernioplasty by two different techniques of mesh placement. MATERIALS AND METHODS: Each group of patients contained fifty patients of 18 to 65 years of age with unilateral inguinal hernia. Duration of surgery recorded and post-surgical chronic inguinal pain evaluated at 2 weeks 2 months 4 months and 6 months after surgery. CONCLUSION: The study showed that placement of mesh posterior to fascia tranversalis gave better result than placing it anterior to FT in respect of post operative chronic pain but with a longer operative duration.

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