scholarly journals Topographic and Anatomical Evaluation of the Effectiveness of Various Methods Reducing the Height of the Inguinal Space Used in Hernioplasty for Inguinal Hernias

2018 ◽  
Vol 7 (2) ◽  
pp. 95-98
Author(s):  
A. V. Chernykh ◽  
E. I. Zakurdaev ◽  
A. M. Zaytseva
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Anatomical Study ◽  
Exclusion Criteria ◽  
Triangular Form ◽  
Safe Method ◽  
Before And After ◽  
Male Subjects ◽  
Relaxing Incisions

Purpose - to evaluate efficiency of different methods reducing height of the inguinal canal with apply in inguinal hernia repair in randomized topographic anatomical study. Material and methods. The randomized topographic anatomical study was performed on 24 unfixed cadavers of male subjects who died at the age of 50.2±6.8 years. The criterion for inclusion in the study was a triangular form of the inguinal canal with a height 2-3 cm. Postoperative cicatrices in the inguinal region, signs of the inguinal hernia and lipoma of the spermatic cord were exclusion criteria. We determined the height of the inguinal canal before and after apply different methods for reducing of this parameter. Results. The dynamic of decrease of the height of the inguinal canal in case apply new method was 30% (from 2.3±0.3 to 1.6±0.2 cm). This result is comparable with the relaxing incision by C. B. MacVay (32%; 2.2±0.4 to 1.5±0.5 cm) and it is larger than the relaxing incisions by R. I. Venglovsky (25%; 2.4±0.2 to 1.8±0.4 cm) and M. M. Ginsberg (14%; 2.2±0.4 to 1.9±0.3 cm). In this case, to apply the performed method compared to relaxing incisions does not destruction of the anterior rectus and appearance of the new hernia portal in the abdominal wall. Conclusion. The developed method of reducing height of the inguinal canal is recommended for approbation in clinical practice because it is effective and safe method.

On the issue of radical inguinal hernia surgery

1936 ◽  
Vol 32 (7) ◽  
pp. 892-892
Author(s):  
B. Ivanov
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Oblique Muscle ◽  
Abdominal Muscles ◽  
Hernia Surgery ◽  
Internal Oblique Muscle ◽  
Hernial Sac ◽  
Inguinal Hernia Surgery ◽  
Internal Oblique

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 .

scholarly journals Inguinal canal spermatic cord leiomyoma presenting as an incarcerated inguinal hernia

2017 ◽  
pp. bcr-2016-218082
Author(s):  
Marijan Koprivanac ◽  
Steven D Billings ◽  
Vadim Khachaturov ◽  
Gareth Morris-Stiff
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Incarcerated Inguinal Hernia

scholarly journals HERNIOPLASTY METHOD

2020 ◽  
Vol 19 (4) ◽  
pp. 47-50
Author(s):  
I. Shkvarkovskyi
Keyword(s):  
Spermatic Cord ◽  
Inguinal Canal ◽  
Subcutaneous Tissue ◽  
Rectus Sheath ◽  
Pain Syndrome ◽  
Anatomical Study ◽  
Tissue Reaction ◽  
High Recurrence Rate ◽  
Chronic Groin Pain ◽  
Hernial Sac

Autoplasty of inguinal hernias is accompanied by a high recurrence rate of the disease - 10-12%. Therefore, the main principle of surgical treatment of hernias at the present time is the performance of plastics "without tension" using modern synthetic materials. However, in any type of aloplasty, despite the inertness of the synthetic material, a tissue reaction with a pronounced inflammatory component develops around it, causing a number of specific complications. Among them are seromas, hematomas, foreign body sensation, chronic groin pain syndrome. At the same time, there is an increasing number of reports on the risk of specific complications due to contact of the allograft with the spermatic cord. This study is based on the results of a topographic and anatomical study of 50 unfixed corpses of men on the first day after death at the age of 34 to 65 years, with a height of 160.0 to 190.0 cm. cord into the anterior rectal space and the method of fixing the allograft. The proposed method is used as follows. An oblique incision in the groin area above and in the middle of the groin folds cut through the skin and subcutaneous tissue. The aponeurosis of the external oblique abdominal muscle is isolated and opened. The hernial sac is differentiated and isolated. With an oblique hernia, the latter is stitched at the neck, the remainder is cut off. With a direct hernia, the hernial sac, without opening, is immersed in the anterior urethral space. The transverse fascia is dissected from the inner opening of the inguinal canal to the outer edge of the rectus sheath. After mobilization, the spermatic cord is placed in the anterior ureal space, and the edges of the transverse fascia are sutured with a continuous suture with the elimination of the inner opening of the inguinal canal. A new exit site of the spermatic cord is formed at the lateral edge of the sheath of the rectus abdominis muscle. Plasty of the hernial defect is performed using a mesh implant, along the upper edge of which a notch is formed, the size of which corresponds to the diameter of the spermatic cord. The proposed method prevents the contact of the spermatic cord with the aloprosthesis, thereby preventing the development of specific complications. In addition, suturing the deep inguinal ring, as one of the weakest points of the inguinal canal, prevents the development of hernia recurrence. 

scholarly journals Missed Lipoma of the Spermatic Cord

2013 ◽  
Vol 114 (1) ◽  
pp. 5-8 ◽  
Author(s):  
Oktay Yener ◽  
M. Demir ◽  
R. Yiğitbaşı ◽  
A. Yilmaz
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Open Repair ◽  
Inguinal Canal ◽  
Round Ligament ◽  
Adequate Treatment ◽  
Inguinal Hernias

The aim of the research was to determine the incidence, significance, and anatomy of spermatic cord and round ligament lipomas. Between 2000 and 2010 we evaluated 969 consecutive patients with 1,070 indirect inguinal hernias, who underwent open repair.  A total of 22 lipomas of the spermatic cord or round ligament were identified and resected in 22 patients. No neoplastic changes confirmed in histopathologic examinations of the specimens were reported. Lipomas of the cord and round ligament occur with a considerable incidence. We believe that even if there is no peritoneal sac, the herniation of extraperitoneal fat through the inguinal canal should be counted as an inguinal hernia, and it requires adequate treatment.

scholarly journals SCIENTIFIC STUDY OF VITAP MARMA

2021 ◽  
Vol 9 (12) ◽  
pp. 3017-3020
Author(s):  
Rajesh Kumar ◽  
Mahesh Kumar ◽  
Santosh Kumar Singh ◽  
Gupta S.S.
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Clinical Importance ◽  
Signs And Symptoms ◽  
The Body ◽  
Posterior Aspect ◽  
Indirect Injury ◽  
Injury Causes

Marma is a vital point of the body where trauma or injury may cause a various range of signs and symptoms from Ruja (pain) to even death. Ayurvedic Acharya’s has explained 107 Marma” that are present in the anterior and posterior aspect of the human body. Depending upon the effect of injury on Marma is five types like Sadhyo pranhara, Kalantara pranhara, Vishlyaghna, Vaikalykara & Rujakara Marma. Out of them, Vaikalykar Marma are the points where an injury causes structural or functional deformity. Another type of classification of Marma has also been made as Mamsa (muscle) marma, Sira (artery/vein) marma, Snayu (ligament) marma, Asthi (bone) marma and Sandhi (joint) marma. The Vitap Marma is placed under the Snayu Marma by Acharya Sushrut and Sira Marma by Acharya Vaghbhata. Vitap Marma is situated between Vankshan (Groin) and Vrishna (Testes) and the Viddha lakshan (symptoms of trauma) is Shandata (impotency) and Alpashukrata (oligospermia). The struc- ture present at this point is the inguinal canal. The clinical importance of the inguinal canal is related to the inguinal hernia. Direct or indirect Injury at this particular point affects the physiology of the reproductive system and may cause sterility, which is similar to Viddha lakshan of Vitap marma as described by Sushrut. Keywords: Vitap marma, Vaikalyakar marma, Inguinal canal, Spermatic cord, round ligament

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

scholarly journals The effect of rTMS in the management of pain associated with CRPS

2020 ◽  
Vol 11 (1) ◽  
pp. 363-370
Author(s):  
Min Cheol Chang ◽  
Sang Gyu Kwak ◽  
Donghwi Park
Keyword(s):  
Repetitive Transcranial Magnetic Stimulation ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Pain Syndrome ◽  
Treatment Session ◽  
Cochrane Library ◽  
Exclusion Criteria ◽  
Analgesic Effects ◽  
Randomized Controlled ◽  
Before And After

AbstractBackgroundTherapeutic management of pain in patients with complex regional pain syndrome (CRPS) is challenging. Repetitive transcranial magnetic stimulation (rTMS) has analgesic effects on several types of pain. However, its effect on CRPS has not been elucidated clearly. Therefore, we conducted a meta-analysis of the available clinical studies on rTMS treatment in patients with CRPS.Materials and methodsA comprehensive literature search was conducted using the PubMed, EMBASE, Cochrane Library, and SCOPUS databases. We included studies published up to February 09, 2020, that fulfilled our inclusion and exclusion criteria. Data regarding measurement of pain using the visual analog scale before and after rTMS treatment were collected to perform the meta-analysis. The meta-analysis was performed using Comprehensive Meta-analysis Version 2.ResultsA total of three studies (one randomized controlled trial and two prospective observational studies) involving 41 patients were included in this meta-analysis. No significant reduction in pain was observed immediately after one rTMS treatment session or immediately after the entire schedule of rTMS treatment sessions (5 or 10 sessions; P > 0.05). However, pain significantly reduced 1 week after the entire schedule of rTMS sessions (P < 0.001).ConclusionrTMS appears to have a functional analgesic effect in patients with CRPS.

scholarly journals Mediastinal anatomical landmarks, their variants and tips for video-assisted thoracoscopic navigation during oesophageal extirpation

2021 ◽  
Author(s):  
Sergey Dydykin ◽  
Friedrich Paulsen ◽  
Tatyana Khorobykh ◽  
Natalya Mishchenko ◽  
Marina Kapitonova ◽  
...  
Keyword(s):  
Prone Position ◽  
Anatomical Study ◽  
Structural Features ◽  
Posterior Mediastinum ◽  
Visual Navigation ◽  
Anatomical Landmarks ◽  
Video Assisted ◽  
Before And After ◽  
Human Cadavers ◽  
The Right

Abstract Purpose There is no systematic description of primary anatomical landmarks that allow a surgeon to reliably and safely navigate the superior and posterior mediastinum’s fat tissue spaces near large vessels and nerves during video-assisted endothoracoscopic interventions in the prone position of a patient. Our aim was to develop an algorithm of sequential visual navigation during thoracoscopic extirpation of the esophagus and determine the most permanent topographic and anatomical landmarks allowing safe thoracoscopic dissection of the esophagus in the prone position. Methods The anatomical study of the mediastinal structural features was carried out on 30 human cadavers before and after opening the right pleural cavity. Results For thoracoscopic extirpation of the esophagus in the prone position, anatomical landmarks are defined, their variants are assessed, and an algorithm for their selection is developed, allowing their direct visualization before and after opening the mediastinal pleura. Conclusion The proposed algorithm for topographic and anatomical navigation based on the key anatomical landmarks in the posterior mediastinum provides safe performance of the video-assisted thoracoscopic extirpation of the esophagus in the prone position.

scholarly journals Vasitis: clinical and ultrasound confusion with inguinal hernia clarified by computed tomography

2013 ◽  
Vol 5 (4) ◽  
pp. 74
Author(s):  
Kathleen Eddy ◽  
Bruce Piercy ◽  
Richard Eddy
Keyword(s):  
Computed Tomography ◽  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Vas Deferens ◽  
The Other ◽  
Other Hand ◽  
Ultrasound Computed Tomography ◽  
Ultrasound Findings ◽  
Duplex Doppler

Vasitis or inflammation of the vas deferens is a rarely describedcondition categorized by Chan & Schlegel1 as either generallyasymptomatic vasitis nodosa or the acutely painful infectious vasitis.Clinically, infectious vasitis presents with nonspecific symptomsof localized pain and swelling that can be confused with other,more common conditions such as epididymitis, orchitis, testiculartorsion, and inguinal hernia. Ultrasound with duplex Doppler scanningcan be used to exclude epididymitis, orchitis, and testiculartorsion. On the other hand, while inguinal hernia is difficult todifferentiate from vasitis using ultrasound, computed tomography(CT) is diagnostic. We describe 2 cases of vasitis with clinicaland ultrasound findings that initially were interpreted as inguinalhernias. In both patients, CT was diagnostic for vasitis showing anedematous spermatic cord and no hernia. Urine cultures in bothpatients were negative, but the symptoms resolved with antibiotictreatment.

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