Inguinal Region and Hernias

2020 ◽  
pp. 125-138
Author(s):  
Jad M. Abdelsattar ◽  
Moustafa M. El Khatib ◽  
T. K. Pandian ◽  
Samuel J. Allen ◽  
David R. Farley
Keyword(s):  
Postoperative Complications ◽  
Urinary Retention ◽  
Skin Infection ◽  
Signs And Symptoms ◽  
Pubic Tubercle ◽  
Processus Vaginalis ◽  
Hollow Viscus ◽  
Early Postoperative Complications ◽  
Superficial Skin ◽  
Open Mesh

Failure of fusion of the processus vaginalis in childhood can predispose to indirect inguinal hernias. The inferior portion of the EO muscle runs between the ASIS and the pubic tubercle; as it folds underneath itself, it forms the inguinal ligament. A hernia is the protrusion of a hollow viscus through a musculoaponeurotic opening. Groin discomfort and a palpable bulge are common. Hernias should be diagnosed on the basis of signs and symptoms. Symptomatic hernias are repaired with open mesh or laparoscopic approaches. Early postoperative complications include urinary retention (1%-10%), hematoma (1%-2%), and superficial skin infection (about 1%).

scholarly journals EARLY POSTOPERATIVE COMPLICATIONS OF MESH REPAIR OF INGUINAL HERNIA BY LICHTENSTEIN TENSION-FREE REPAIR

1969 ◽  
Vol 4 (1) ◽  
pp. 413-420
Author(s):  
BAKHT SARWAR ◽  
MOHAMMAD AMIN
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Complications ◽  
Wound Infection ◽  
Urinary Retention ◽  
Mesh Repair ◽  
Tension Free ◽  
Early Postoperative Complications ◽  
Primary Inguinal Hernia ◽  
Scrotal Swelling

BACKGROUND: To find out the early postoperative complications of mesh repair of inguinal herniaby Lichtenstein tension free repair.METHODOLOGY: This descriptive study was done in Surgical Unit of District HeadquartersHospital, Timergara, Dir Lower, for 1 year, from 01-01-2013 to 31-12-2013. A total of 100 cases ofinguinal hernia, male, age 20 years and above, all inguinal hernias (direct and indirect) and recurrenthernias were included in the study in which mesh repair was performed. Females and complicatedhernias (strangulated/obstructed) cases were excluded from the study. Included cases were followed upin the ward and at 2 weeks and 1st month postoperatively for any complications.RESULTS: Majority 23% cases were in the age range of 51-60 years. The right sided hernia found in62% cases, in 55% cases indirect inguinal hernia and in majority 97% cases primary inguinal hernia wasrecorded. Postoperatively at 2 weeks follow up wound hematoma was found in 10% cases, seroma in09%, wound infection in 02%, pain in 12%, urinary retention in 06%, and scrotal swelling in 04% cases.Postoperatively at 1st month follow up wound hematoma was found in 06% cases, seroma in 04%,wound infection in 01%, pain in 07%, urinary retention in 03%, and scrotal swelling in 01% cases.CONCLUSIONS: In majority of cases right sided, indirect, primary inguinal hernia has been recorded.Older age males and patients with poor and unhygienic conditions were more affected with this disease.KEY WORDS: Inguinal hernia-primary; recurrent, mesh hemioplasty, postoperative pain, woundinfection, hematoma, seroma.

scholarly journals The Assessment of Early Complications and Risk Factors Affecting Their Occurrence in Breast Reconstructive Procedures

2021 ◽  
Author(s):  
Justyna Jończyk ◽  
Jerzy Jankau
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Breast Reconstruction ◽  
Complication Rate ◽  
Clinical Factors ◽  
Early Complications ◽  
Reconstructive Procedures ◽  
Factors Affecting ◽  
Rehospitalization Rate ◽  
Early Postoperative Complications

AbstractThe presence of postoperative complications may have a significant impact on the outcome of the breast reconstruction. The aim of this study was to investigate early postoperative complications and the risk factors for their occurrence. A prospective analysis was carried out to evaluate surgical outcomes after breast reconstructive surgeries performed over a 2-year period. Procedures included expander/implant (TE/IMP), pedicle transverse rectus abdominis musculocutaneous (pTRAM), and latissimus dorsi (LD) techniques. All adverse events which occurred within 6 weeks of surgery were ranked according to severity based on the contracted Accordion grading system. Outcomes were assessed for their association with surgical, demographic, and clinical variables. Sixty-one consecutive breast reconstruction procedures were analyzed. The overall complication rate was 60.7% (n = 37), and 8 patients (13.1%) required reoperation. The lowest complication rate was observed in implant-based reconstructions (TE/IMP, 18.8%; pTRAM, 72.7%; LD, 78.3%; p = 0.008). Mild complications occurred significantly more often after LD reconstructions (LD, 60.9%; pTRAM, 22.7%; TE/IMP, 12.5%; p = 0.031), while severe complications were significantly more frequent after the pTRAM procedures (pTRAM, 27.3%; TE/IMP, 6.2%; LD, 8.7%; p = 0.047). Severe complications were associated with higher rehospitalization rate (p = 0.010) and longer hospital stay. Study revealed a significant impact of the operative method on the incidence and severity of early complications after breast reconstruction procedures with little effect from other demographic and clinical factors.

scholarly journals Early postoperative complications have long-term impact on quality of life after restorative proctocolectomy

Medicine ◽  
2016 ◽  
Vol 95 (27) ◽  
pp. e3966 ◽  
Author(s):  
Andrew McCombie ◽  
Yun Lee ◽  
Rutvik Vanamala ◽  
Richard Gearry ◽  
Frank Frizelle ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Postoperative Complications ◽  
Restorative Proctocolectomy ◽  
Early Postoperative Complications ◽  
Long Term Impact

scholarly journals Prevention of pain syndrome and immediate postoperative complications in the surgical treatment of chronic hemorrhoids

2020 ◽  
pp. 68-71
Author(s):  
V. N. Ishchenko ◽  
A. E. Krasnobaev ◽  
A. A. Grigoryuk
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Surgical Intervention ◽  
Pain Syndrome ◽  
Modified Technique ◽  
Postoperative Urinary Retention ◽  
Clinical Comparison ◽  
Suggested Technique

Objective: To assess the efficacy of hemorrhoidectomy with Milligan-Morgan technique in the author’s modification.Methods: Results of surgical treatment of 558 patients aged 21–72 years with complicated hemorrhoids of III–IV stage were analyzed. The group of clinical comparison (207 patients) was operated according to standard scheme, the main group (351 patients) – according to author’s technology with modified technique for treating the hemorrhoid bolus using betamethasone.Results: When using the author’s technique, a more significant decrease in postoperative pain syndrome severity was achieved: injection analgesics were not required already in a day, and after 6 days the pain syndrome was stopped in all cases. Only three patients (0.9%) demonstrated an acute urinary retention up to two days. The group of clinical comparison maintained a longterm (up to three months) pain syndrome; postoperative urinary retention was registered in 38 cases (18.4%); 9 patients (4.3%) developed blood loss in the area of surgical intervention.Conclusions: Suggested technique of surgical treatment for hemorrhoids is quite effective, simple and can be implemented in any surgical inpatient facility. 

scholarly journals Results obtained after the surgical treatment of Graves’ disease depending on the levels of anti-thyroid antibodies

2021 ◽  
Author(s):  
S. L. Shliakhtych ◽  
V. R. Antoniv
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Surgical Technique ◽  
Hormone Receptors ◽  
Thyroid Stimulating Hormone ◽  
Endocrine Surgery ◽  
Graves Disease ◽  
Autoimmune Thyroid ◽  
Early Postoperative Complications ◽  
Surgery Duration

Graves' disease (GD) is a hereditary autoimmune disease which is characterized by persistent abnormal hypersecretion of thyroid hormones and thyrotoxicosis syndrome development. GD affects from 0.5 % to 2.0 % of population in different regions. 46 % of these patients develop ophthalmopathy. GD is a common cause of disabilities in patients under 60 years of age. In recent years, the incidence of GD in Ukraine has increased by 9.9 % — from 106.2 to 117.9 per 100,000 individuals. This can be connected with the improved diagnostic possibilities and active disease detection as well as with the increased number of autoimmune thyroid disorders. The recent studies focus on prevention of specific complications and recurrences of GD after surgery. Objective — to compare the levels of antibodies to the thyroid‑stimulating hormone receptors (TSHR‑Ab) during different postoperative periods as well as the incidence of early and late complications depending on the surgical technique used for the treatment of GD. Materials and methods. The results of surgical treatment of 130 patients, with GD were compared. 29 male patients and 101 female patients aged from 19 to 76 (average — 44.1 ± 3.2 years), receiving their treatment for GD in Kyiv Center of Endocrine Surgery during 2010—2018, were randomly selected and divided into two groups. At the time of operation the duration of disease was from 1 to 30 years (average — 4.6 ± 1.2 years). Group  1 included 65 patients that underwent total thyreoidectomy (TT) and group 2 included 65 patients that underwent subtotal thyreoidectomy (ST). The following parameters were compared: surgery duration, the incidence of early postoperative complications, including bleedings and damage to the recurrent laryngeal nerves, and late outcomes of surgical treatment (persistent hypoparathyreoidism disorder and disorder recurrences) depending on the method of surgery (ST or TT). Furthermore, the patterns of the TSHR‑Ab level reduction were studied for different postoperative periods. Results. The comparison of surgical outcomes following TТ and ST didn’t reveal any statistically significant differences in such evaluation criteria as the average surgery duration, the average volume of intraoperative blood loss and the average duration of the postoperative inpatient treatment. The comparative assessment of the thyroid stump volume and the average amount of drained discharge showed statistically significant differences for TТ. It allows considering TТ as a surgery which causes less complications than ST. The studied parameters of early postoperative complications had no significant differences for ST and TТ. The long‑term (5 years) postoperative level of TSHR‑Ab was statistically significantly lower in patients after TT and made up 1.15 ± 0.13 IU/L (thus corresponding to the normal level). Conclusions. Total thyroidectomy is an optimal surgical technique and is more appropriate compared with subtotal thyroid gland resection. It should be noted that TT provides lower risk of complications due to significantly lower level of TSHR‑Ab in late postoperative period.  

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