On the issue of radical inguinal hernia surgery

1936 ◽  
Vol 32 (7) ◽  
pp. 892-892
Author(s):  
B. Ivanov

Stiasnу, H. K Describes his method of radical inguinal hernia surgery, which he recommended for cases where a simple Bassi operation is not applicable due to the weakness of the fascia and abdominal muscles, to strengthen the weakest parts of the inguinal canal the lower inguinal triangle and the site of the spermatic cord exit , the hernial sac, after its isolation from the latter, is cut off as high as possible, and the cord after the incision of the internal oblique muscle of the abdomen is pushed upward at an angle of 45-90 .

1936 ◽  
Vol 32 (9) ◽  
pp. 1147-1147
Author(s):  
Тг. Bona

Description of a new method of radical surgery for an inguinal hernia, which probably prevents, in A.'s opinion, the development of relapses and other complications after this city of operations (suppuration, hematomas). After the usual incision of the soft tissues parallel to the inguinal ligament, isolation of the spermatic cord and hernial sac, and resection of the latter, two rows of sutures are applied.


Author(s):  
Sang-Yeol Lee ◽  
Se-Yeon Park

BACKGROUND: Recent clinical studies have revealed the advantages of using suspension devices. Although the supine, lateral, and forward leaning bridge exercises are low-intensity exercises with suspension devices, there is a lack of studies directly comparing exercise progression by measuring muscular activity and subjective difficulty. OBJECTIVE: To identify how the variations in the bridge exercise affects trunk muscle activity, the present study investigated changes in neuromuscular activation during low-intensity bridge exercises. We furthermore explored whether the height of the suspension point affects muscle activation and subjective difficulty. METHODS: Nineteen asymptomatic male participants were included. Three bridge exercise positions, supine bridge (SB), lateral bridge (LB), forward leaning (FL), and two exercise angles (15 and 30 degrees) were administered, thereby comparing six bridge exercise conditions with suspension devices. Surface electromyography and subjective difficulty data were collected. RESULTS: The rectus abdominis activity was significantly higher with the LB and FL exercises compared with the SB exercise (p< 0.05). The erector spinae muscle activity was significantly higher with the SB and LB exercises, compared with the FL exercise (p< 0.05). The LB exercise significantly increased the internal oblique muscle activity, compared with other exercise variations (p< 0.05). The inclination angle of the exercise only affected the internal oblique muscle and subjective difficulty, which were significantly higher at 30 degrees compared with 15 degrees (p< 0.05). CONCLUSIONS: Relatively higher inclination angle was not effective in overall activation of the trunk muscles; however, different bridge-type exercises could selectively activate the trunk muscles. The LB and SB exercises could be good options for stimulating the internal oblique abdominis, and the erector spinae muscle, while the FL exercise could minimize the erector spinae activity and activate the abdominal muscles.


2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Christian Gröger ◽  
Lena Kundel ◽  
Hardwig Riediger

Abstract Aim Repair of inguinal hernia is one of the most common operations in general surgery in industrialized countries. Isolated spermatic cord liposarcoma is a very rare soft tissue tumor. Despite standardized diagnostic algorithms for inguinal hernia, it could be difficult to predict such a rare finding. Material and Methods We report a case of inadvertent inguinal liposarcoma excision during hernia surgery in a 72-year-old male patient. Except for polyposis coli there were no further illnesses. Results After a minimal invasive transabdominal preperitoneal (TAPP) repair of a symptomatic inguinal hernia last year a persistent scrotal swelling developed. Computed tomography (CT) showed a protrusion of fatty tissue into the scrotal sac. Diagnosis of scrotal hernia was made. We performed an open Lichtenstein procedure. The final pathologic examination revealed a highly differentiated liposarcoma. Staging was completed and the case was presented to a multidisciplinary sarcoma tumor board at our institution. As recommended, a inguinal reoperation was performed with wide excision. Conclusions Although a very rare condition, spermatic cord liposarcoma should be considered as a possible differential diagnosis for inguinal hernia surgery.


2021 ◽  
Vol 25 (11) ◽  
pp. 1235-1235
Author(s):  
I. Tsimkhes

E. Balogh (Zentrbl. F. Chir. No. 44/1929) suggests, when opening the inguinal canal, to dissect longitudinally the fascia transversa and separate it from all sides as far as possible from the underlying preperitoneal fatty tissue. Then, on the inside of the transverse fascia, apply a purse-string suture, removing the peritoneum with the instrument inward. Further, the operation ends, typically according to Basini.


1927 ◽  
Vol 23 (12) ◽  
pp. 1229-1240
Author(s):  
V. A. Astrakhansky

Anatomical conditions play an important role in the results of any operation, including herniotomy. On the other hand, however, we see that whatever these conditions may be, the imperfection of some methods, e.g., the same Bascini method, remains unchanged. The frequent complaints of operated patients about heaviness in the groin, pain in the testicular and spermatic cord after operations performed lege artis according to this method convince us of this. All this prompts us to turn surgeons' attention to the method of inguinal hernia surgery, once proposed by the late Prof. I.A. Praxin, a method based on the idea of meeting all the requirements of anatomy and physiology, imitating nature itself in detail.


2004 ◽  
Vol 36 (5) ◽  
pp. 318-322 ◽  
Author(s):  
F.H. Berndsen ◽  
L.-M. Bjursten ◽  
M. Simanaitis ◽  
A. Montgomery

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