scholarly journals Prophylaxis of pain syndrome associated with inguinal hernia alloplasty

2017 ◽  
Vol 95 (8) ◽  
pp. 749-750
Author(s):  
Viktor G. Chernykh ◽  
P. E. Krainyukov ◽  
V. M. Skorobogatov ◽  
A. V. Simonenko ◽  
S. V. Oshmarin ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Suture Material ◽  
Pain Syndrome ◽  
Oblique Muscle ◽  
External Oblique Muscle ◽  
Prolonged Pain ◽  
External Oblique

Prolonged pain syndrome after hernia alloplasty may be due to the capture of an inguinal nerve within a suture loop. We propose a method to fix the upper edge of the mesh to the aponeurosis of abdominal external oblique muscle from inside. To this effect, a hook is used to roll up the dissected aponeurosis and thereby to form a fold from the mobilized portion of aponeurosis. Fixation of the upper mesh edge to the inner aponeurosis surface allows to avoid injury to the vessels, include n. ilioinguinalis in the suture, achieve stronger connection of the sieve graft with the aponeurotic tissue, and reduce the amount of suture material remaining in the tissues. No prolonged pain syndrome was documented in 170 patients treated by the proposed method in the period from 2010 to 2014 .

Sphincteroplasty with aponeurosis

1927 ◽  
Vol 23 (4) ◽  
pp. 467-467
Author(s):  
I. Tsimkhes
Keyword(s):  
Inguinal Hernia ◽  
Operative Treatment ◽  
Oblique Muscle ◽  
Medial Side ◽  
External Oblique Muscle ◽  
External Oblique

After the examination of sphincteroplasty as a method of operative treatment of inguinal hernia, Bleek, based on his own experience (12 cases), suggests that after exposing the aponeurosis of the external oblique muscle, it should be dissected in the usual way, making two parallel incisions immediately next to the pouparticular ligament and on the medial side.

scholarly journals Comparative study: repair of congenital inguinal hernia with and without opening the inguinal canal

2021 ◽  
Vol 8 (2) ◽  
pp. 459
Author(s):  
Tamer Fakhry ◽  
Hassan Ibrahim Elhaw ◽  
Ahmed Nabil Fawzy
Keyword(s):  
Inguinal Hernia ◽  
Operative Time ◽  
Inguinal Canal ◽  
Operation Time ◽  
Oblique Muscle ◽  
Early Complications ◽  
External Oblique Muscle ◽  
Muscle Fascia ◽  
External Oblique ◽  
Repair Techniques

Background: Inguinal herniotomy is the most common surgery performed by paediatric surgeons.Methods: 100 Male and female cases with congenital inguinal hernia aging from one month till the age of two years. randomly allocated into two groups for undergoing two types of hernia repair techniques, with and without opening the external oblique muscle fascia. Surgical complications such as fever, scrotal oedema and hematoma, and wound infections classified as early complication. The rates of mentioned early complications and operative time were compared in the two interventional groups. In this study, 100 cases were selected and allocated to the two interventional groups.Results: The prevalence of early complications in two studied groups were not different significantly in two interventional groups. Operation time was significantly shorter in inguinal repair techniques without opening the external oblique muscle fascia than the other studied techniqueConclusions: The findings of our study indicated that though early complications of the two repair methods were similar, but the time of procedure was shorter in herniotomy without opening the external oblique muscle both methods are safe and feasible, choosing one of them depend on surgeon prefer.

scholarly journals A rare case of Spigelian hernia penetrating the external oblique muscle

2013 ◽  
Vol 2 (2) ◽  
Author(s):  
T Mariolis-Sapsakos ◽  
V Kalles ◽  
I Papapanagiotou ◽  
A Mekras ◽  
K Birbas ◽  
...  
Keyword(s):  
Rare Case ◽  
Spigelian Hernia ◽  
Oblique Muscle ◽  
External Oblique Muscle ◽  
External Oblique

scholarly journals Quantification of the Differences in Electromyographic Activity Magnitude Between the Upper and Lower Portions of the Rectus Abdominis Muscle During Selected Trunk Exercises

2001 ◽  
Vol 81 (5) ◽  
pp. 1096-1101 ◽  
Author(s):  
Gregory J Lehman ◽  
Stuart M McGill
Keyword(s):  
Muscle Activity ◽  
Abdominal Muscle ◽  
Rectus Abdominis ◽  
Oblique Muscle ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Rectus Abdominis Muscle ◽  
Emg Signal ◽  
External Oblique Muscle ◽  
External Oblique

Abstract Background and Purpose. Controversy exists around exercises and clinical tests that attempt to differentially activate the upper or lower portions of the rectus abdominis muscle. The purpose of this study was to assess the activation of the upper and lower portions of the rectus abdominis muscle during a variety of abdominal muscle contractions. Subjects. Subjects (N=11) were selected from a university population for athletic ability and low subcutaneous fat to optimize electromyographic (EMG) signal collection. Methods. Controlling for spine curvature, range of motion, and posture (and, therefore, muscle length), EMG activity of the external oblique muscle and upper and lower portions of rectus abdominis muscle was measured during the isometric portion of curl-ups, abdominal muscle lifts, leg raises, and restricted or attempted leg raises and curl-ups. A one-way repeated-measures analysis of variance was used to test for differences in activity between exercises in the external oblique and rectus abdominis muscles as well as between the portions of the rectus abdominis muscle. Results. No differences in muscle activity were found between the upper and lower portions of the rectus abdominis muscle within and between exercises. External oblique muscle activity, however, showed differences between exercises. Discussion and Conclusion. Normalizing the EMG signal led the authors to believe that the differences between the portions of the rectus abdominis muscle are small and may lack clinical or therapeutic relevance.

On the question of parainguinal hernias

1930 ◽  
Vol 26 (12) ◽  
pp. 1215-1219
Author(s):  
P. I. Korzon
Keyword(s):  
Inguinal Canal ◽  
Abdominal Cavity ◽  
Inguinal Region ◽  
Oblique Muscle ◽  
Internal Opening ◽  
External Opening ◽  
External Oblique Muscle ◽  
External Oblique

Paraguinal hernias include hernias of the inguinal region, which, like oblique hernias, exit the abdominal cavity through the internal opening of the inguinal canal, pass the latter, but exit not through the external opening, but away from it through the slit of the aponeurosis of the external oblique muscle. These gaps in the aponeurosis are located between the arcuate fibers, rounding the outer opening of the inguinal canal, then on the median or lateral leg of the inguinal opening.

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