Re-recurrence After Operation for Recurrent Inguinal Hernia. A Nationwide 8-Year Follow-up Study on the Role of Type of Repair

2008 ◽  
Vol 247 (4) ◽  
pp. 707-711 ◽  
Author(s):  
Thue Bisgaard ◽  
Morten Bay-Nielsen ◽  
Henrik Kehlet
Author(s):  
Camilla Toulmin

This book describes the choices open to farming families in the Sahelian village of Kala, in central Mali. Life in this drought-prone region is harsh and full of risk to health, crops, and livestock, yet there are also opportunities open to the hard-working, audacious and lucky, bringing considerable returns if the timing is right. Three inter-related themes underlie the analysis of production and investment decisions faced by households; the role of risk, the long timeframe within which decisions are made, and the close links between economic performance and household size and organisation. Climatic variability and demographic uncertainty lie at the heart of domestic structures; the extreme vulnerability faced by single individuals means people cluster in large kin-based groups, pooling risks and providing protection. The very limited development of labour markets means that households rely almost entirely on their own members for their workforce, and generating the capital needed for investing in ploughs, wells, carts and livestock must stem from a good year’s grain surplus and migration earnings. Based on field-research over the period 1980-82, this study illustrates a successful response to making ends meet in a land abundant region, despite high risks of drought. A follow-up study of this village was published in 2020: Land, Investment, and Migration. Thirty-five years of village life in Mali (OUP).


2020 ◽  
Vol 16 (4) ◽  
pp. 581-589 ◽  
Author(s):  
Elionora Peña ◽  
Assumpta Caixàs ◽  
Concepción Arenas ◽  
Mercedes Rigla ◽  
Sara Crivillés ◽  
...  

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Lysanne van Silfhout ◽  
Ludo van Hout ◽  
Myrthe Jolles ◽  
Hilco P. Theeuwes ◽  
Willem J.V. Bökkerink ◽  
...  

Abstract Aim To report feasibility and surgical outcomes of recurrent inguinal hernia repair after TransInguinal PrePeritoneal (TIPP) repair. Material and Methods Patients who underwent recurrent IHR after TIPP between January 2013 and January 2015 in a single hernia-dedicated teaching hospital were included. Exclusion criteria were femoral hernia, incarcerated hernia and reasons for unreliable follow-up. Electronic medical records were assessed retrospectively to register surgical outcomes and complications. Results Thirty-three patients underwent surgical repair of recurrent inguinal hernia after TIPP. Twenty patients were treated with a “re-TIPP when possible” strategy; resulting in 13 successful re-tipps and 7 conversions to Lichtenstein repair. Eleven patients underwent primarily a Lichtenstein’s repair, the remaining two patients underwent recurrent IHR using other techniques (transrectus sheath Pre-Peritoneal and transabdominal preperitoneal repair). Mean time of surgery was 44.7 minutes (standard deviation 16.7). There was one patient (3.0%) with a re-recurrent inguinal hernia during follow-up. Other minor complications included urinary tract infection. There were no significant differences in post-operative results between the different surgical techniques used for recurrent IHR. Conclusions These results indicate that after TIPP it is feasible and safe to perform re-surgery for recurrence with an anterior approach again. For these recurrences, a Lichtenstein can be performed, or a ‘re-TIPP if possible’ strategy can be applied by experienced TIPP surgeons. Whether a re-TIPP has the same advantages over Lichtenstein as is for primary inguinal hernia surgery, needs to be evaluated in a prospective manner.


1980 ◽  
Vol 5 (03) ◽  
pp. 455-500 ◽  
Author(s):  
Marc A. Franklin

This article summarizes the results of a study of 534 reported defamation cases decided over a period beginning in 1976 and ending just before the Hutchinson and Wolston decisions of mid-1979. A major aspect of the study was the comparison of media and nonmedia defamation cases, which appear quite different. Each case was studied to identify, among other things, the plaintiff and the defendant, the statement that provoked the suit, the context of that statement, the role of state and federal law in resolving the case, and the procedural stages at which each case was resolved. A follow-up study to identify changes since Hutchinson and Wolston is in progress.


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