scholarly journals Options for the treatment of the femoral hernia with atrophy of the public bone in the formed femoral canal

2021 ◽  
Author(s):  
V. I. Belokonev ◽  
S. Yu. Pushkin ◽  
B. D. Grachev ◽  
A. V. Zharov ◽  
N. S. Burnaeva ◽  
...  
Keyword(s):  
Femoral Hernia ◽  
Femoral Vein ◽  
Pubic Bone ◽  
Horizontal Branch ◽  
Lower Edge ◽  
Femoral Canal ◽  
The Public ◽  
Number Of Patients ◽  
Medial Edge ◽  
Hernial Orifice

Femoral hernias make up 2–4 % of the total number of patients with hernias [1], the results of their treatment do not tend to improve [2–6].The aim of the study was to establish the incidence of atrophy of the pubic periosteum in patients with femoral hernia and to analyze the possible methods of surgery in their treatment.Material and methods. The analysis of the treatment of 249 patients with femoral hernias for the period from 1996 to 2021 was carried out. There were 61 men (24.5%), women – 188 (75.5%). in 14 (5.6%), atrophy of the pubic periosteum was revealed during operations. Since 2009, patients with femoral hernia and atrophy of the pubic periosteum began to use the "Method for the treatment of inguinal and femoral hernias" (patent for invention No. 2445002, authors V.I. Belokonev, A.V. Vavilov, A.V. Zharov, Yu. V. Ponomareva, A.G. Nogoga) [11], which was performed by inguinal access.Conclusions. In 5.6% of patients with femoral hernia and a long history, under the influence of the hernial sac, atrophy of the pubic periosteum occurs.A method of treating femoral and inguinal hernias by closing the hernial orifice with an elastic mesh with a protrusion at the medial edge of the mesh corresponding to the distance from the medial edge of the pupar ligament at the level of the femoral vein to the lower edge of the superior horizontal branch of the pubic bone (patent for invention No. 2445002) is an effective method of treating patients with hernias with destruction of the pubic bone periosteum in the femoral canal. 

Flow Distrubance in the Femoral Vein in a Case of Femoral Hernia Containing Appendices

Choonpa Igaku ◽  
2006 ◽  
Vol 33 (3) ◽  
pp. 363-368 ◽  
Author(s):  
Masao HIRAGA ◽  
Katsuya NAKAMURA ◽  
Yuuki SAKAGUCHI ◽  
Masako SUENAGA ◽  
Naomi HATANAKA ◽  
...  
Keyword(s):  
Femoral Hernia ◽  
Femoral Vein

scholarly journals SARS-CoV-2 in peritoneal swabs from asymptomatic patients undergoing emergency abdominal surgery

2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
Jasim AlAradi ◽  
Rawan A Rahman AlHarmi ◽  
Mariam AlKooheji ◽  
Sayed Ali Almahari ◽  
Mohamed Abdulla Isa ◽  
...  
Keyword(s):  
Peritoneal Fluid ◽  
Case Series ◽  
Rapid Test ◽  
Nasopharyngeal Swab ◽  
Rt Pcr ◽  
Protective Measures ◽  
The Public ◽  
Asymptomatic Patients ◽  
Number Of Patients ◽  
Viral Transfer

Abstract This is a case series of five patients with acute abdomen requiring surgery who tested positive for coronavirus disease 2019 (COVID-19) and were asymptomatic, with the purpose of detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in peritoneal fluid. Nasopharyngeal swab was done as a prerequisite for admission or prior to admission as part of random testing. Two methods of viral testing were employed: Xpert® Xpress SARS-CoV-2 (rapid test) and real-time reverse transcription polymerase chain reaction (RT-PCR). Either or both tests were done, with the former performed for patients requiring surgery immediately. Surgery was performed within 24–36 h from admission. Peritoneal fluid swabs were obtained for the detection of SARS-CoV-2 using RT-PCR test. Swabs were immediately placed in viral transfer media and delivered to the public health laboratory in an ice bag. SARS-CoV-2 was not detected in peritoneal swabs. Due to the limited number of patients, further studies are required; yet, protective measures should still be taken by surgeons when dealing with COVID-19 cases.

Where have all the appendicectomies gone?

2021 ◽  
Author(s):  
NG Mowbray ◽  
L Hurt ◽  
A Powell-Chandler ◽  
N Reeves ◽  
S Chandler ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Health Professionals ◽  
Prospective Observational Study ◽  
Management Approach ◽  
Significant Shift ◽  
The Public ◽  
Number Of Patients ◽  
Negative Appendicectomy ◽  
American Society ◽  
The Uk

Introduction The COVID-19 pandemic stimulated a national lockdown in the UK. The public were advised to avoid unnecessary hospital attendances and health professionals were advised to avoid aerosol-generating procedures wherever possible. The authors hypothesised that these measures would result in a reduction in the number of patients presenting to hospital with acute appendicitis and alter treatment choices. Methods A multicentred, prospective observational study was undertaken during April 2020 to identify adults treated for acute appendicitis. Searches of operative and radiological records were performed to identify patients treated during April 2018 and April 2019 for comparison. Results A total of 190 patients were treated for acute appendicitis pre-lockdown compared with 64 patients treated during lockdown. Patients treated during the pandemic were more likely to have a higher American Society of Anesthesiology (ASA) score (p = 0.049) and to have delayed their presentation to hospital (2 versus 3 days, p = 0.03). During the lockdown, the use of computed tomography (CT) increased from 36.3% to 85.9% (p < 0.001), the use of an antibiotic-only approach increased from 6.2% to 40.6% (p < 0.001) and the rate of laparoscopic appendicectomy reduced from 85.3% to 17.2% (p < 0.001). The negative appendicectomy rate decreased from 21.7% to 7.1% during lockdown (p < 0.001). Conclusions The COVID-19 lockdown was associated with a decreased incidence of acute appendicitis and a significant shift in the management approach. The increased use of CT allows the identification of simple appendicitis for conservative treatment and decreases the negative appendicectomy rate.

scholarly journals Right Recurrent Femoral Hernia with Left Inguinal Hernia - A Case Report

2021 ◽  
Vol 04 (11) ◽  
Author(s):  
Dr. D. B. Choksi ◽  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Femoral Hernia ◽  
Groin Hernia ◽  
Bone Structure ◽  
Femoral Canal ◽  
Female Pelvis ◽  
Naturally Occurring ◽  
Males And Females ◽  
Pass Through

Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and females, they occur approximately 10 times as frequently in women than in men because of the wider bone structure of the female pelvis³. Femoral hernias develop in the upper part of the thigh near the groin just below the inguinal ligament, where abdominal contents pass through a naturally occurring weakness called the femoral canal. Femoral hernia have the highest rate of incarceration amongst groin hernia, 5%–20%⁵

scholarly journals LOCAL MEDIA IN THE CORONA CRISIS: SIGNIFICANCE AND CHALLENGES ON THE EXAMPLE OF POŽEGA 034 PORTAL

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ante Mandarić ◽  
Goran Matijević
Keyword(s):  
Public Health ◽  
Digital Media ◽  
Crisis Communication ◽  
The State ◽  
Public Research ◽  
The Public ◽  
Number Of Patients ◽  
Local Media ◽  
The World ◽  
The Creation

The epidemic of the disease COVID-19, in Požeština in relation to China, where it originated in other parts of Croatia, appeared somewhat later, while Požega-Slavonia County in terms of total share in relation to other counties in Croatia remained relatively well , 16th place, out of a total of 20 counties, ie a smaller number of patients was recorded. In the conditions of public health danger to the health and lives of people with expressed uncertainty, citizens around the world were flooded with numerous information, about the disease, ways of prevention, treatment that at one point threatened to turn into an infodemia, as warned by the WHO. The importance of crisis communication in such conditions is of great importance, and how governments and headquarters communicate messages about the crisis to the public, which is discussed in the first parts of the paper and points out several inconsistencies and illogicalities in the actions of the state headquarters. prohibition and permission to make recommendations contrary to the epidemiologist’s recommendations. But more important than the recommendations of headquarters and governments, today are the recommendations and news transmitted by digital media, and especially the local ones that bring news and recommendations for the area where we live. Therefore, the aim of this paper was to investigate in the central part the significance of the local 034 Portal in the Corona crisis, and its monitoring of the crisis and its impact on the public. Research through several segments, it was found that the portal maintained the level of reporting on regular events and adjusted reporting on the Crown to the conditions and situation in the county, not leading to sensationalism, concern, fear, but was a carrier of preventive activities and a good ally in the fight. against the epidemic, that is, he followed the guidelines for informing the WHO and did not contribute to the creation of an infodemia.

scholarly journals South African Renal Registry Annual Report 2018

2020 ◽  
Vol 23 (1) ◽  
Author(s):  
M. Razeen Davids ◽  
Thabiet Jardine ◽  
Nicola Marais ◽  
Julian C. Jacobs ◽  
Sajith Sebastian
Keyword(s):  
Public Sector ◽  
South African ◽  
Annual Report ◽  
Population Group ◽  
Healthcare Sector ◽  
Western Cape ◽  
The South ◽  
The Public ◽  
Number Of Patients ◽  
Kidney Replacement Therapy

The seventh annual report of the South African Renal Registry summarises the 2018 data on kidney replacement therapy (KRT) for patients with kidney failure in South Africa. In December 2018, the number of patients who were being treated with chronic dialysis or transplantation stood at 10 730, a prevalence of 186 per million population (pmp). Most patients are treated with haemodialysis in the private healthcare sector, where the prevalence was 839 pmp. In the public sector, which serves 85% of the South African population, the prevalence of KRT (67 pmp) remained below the level reported for 1994. Limpopo and Mpumalanga remain the most under-served provinces and Blacks the most under-served population group. The Western Cape province had the highest public sector treatment rates by a large margin and was also where most of the country’s public sector kidney transplants were performed.

Preliminary Tuberculosis Survey in a Mental Hospital

1946 ◽  
Vol 92 (386) ◽  
pp. 96-109 ◽  
Author(s):  
Donal F. Early
Keyword(s):  
Public Health ◽  
Mental Hospital ◽  
Psychiatric Treatment ◽  
Hospital Staff ◽  
Point Of View ◽  
The Public ◽  
Mental Hospitals ◽  
Number Of Patients ◽  
Hospital Patients ◽  
Disproportionate Number

The problem of tuberculosis amongst mental hospital patients is of importance from both the psychiatric and public health point of view. Most of the active methods of psychiatric treatment must be abandoned or discontinued when physical illness intervenes. The problem is even more far-reaching from the standpoint of public health. Wingfield, Trail, Banks and McDougall (1942) have estimated that there is probably a reservoir of 250,000 infectious cases recognized and unrecognized in England, Scotland and Wales, and several authors have pointed out that mental hospitals contribute a disproportionate number to this reservoir. Modern methods of mental hospital administration with parole and leave privileges applied to the maximum number of patients lend importance to the public health aspect, not only the patients themselves and hospital staff being menaced, but also patients' visitors and relatives and other contacts outside hospital. The incidence of tuberculosis in mental hospitals has been variously estimated at 5 to 10 times and the mortality in peace-time 8 or 9 times that of the general population. These figures are sufficient to justify all efforts to bring the problem under control.

Are Pipelines Being Held to an Unreasonably High Standard of Performance?

2018 ◽  
Author(s):  
Alan Murray
Keyword(s):  
High Standard ◽  
Petroleum Products ◽  
Risk Tolerance ◽  
Operational Performance ◽  
Published Data ◽  
The Public ◽  
Injurious Falls ◽  
Number Of Patients ◽  
Common Thread ◽  
The Media

The media and sections of the public have shown recently an acute interest in Pipeline operational performance incident statistics. Published data for North America shows that 99.999% of crude oil and petroleum products shipped by pipelines reach their destination safely. Some pipeline operators claim even better performance, 99.9996 % being one example. However, should failing to deliver 4 barrels of product for every million shipped be a legitimate cause for concern? If not how about the more general case of 1 per one hundred thousand? Is pipeline performance being singled out unreasonably when compared to other threats to public and environmental wellbeing such as medical malpractice or industrial waste contamination? Evidence from Canada and elsewhere, indicates that, during their hospital stay, an appreciable number of patients, one in every 18, experience adverse events, such as medication error, injurious falls, infections, and other medical misadventures. Errors (mostly minor), in fulfilling pharmaceutical prescriptions show an even higher error rate — 1 in 4 in one recent study, yet the public appears to be unperturbed. A common thread is determining what constitutes an acceptable level of risk whether individual or societal, voluntary or involuntary. Besides providing a broader context for pipeline risk, the paper explores the origin and intent of the environmental screening standard of 1 in 10−6, as well as the concept of setting risk tolerance to be as low as reasonably practicable — ALARP. The question of why there may be a reticence for many Pipeline Regulators to set, as other industries have, a prescriptive value for ALARP is considered.

scholarly journals Estimation of Premature Deaths From Lack of Access to Anti-HER2 Therapy for Advanced Breast Cancer in the Brazilian Public Health System

2017 ◽  
Vol 3 (3) ◽  
pp. 201-207 ◽  
Author(s):  
Márcio Debiasi ◽  
Tomás Reinert ◽  
Rafael Kaliks ◽  
Gilberto Amorim ◽  
Maira Caleffi ◽  
...  
Keyword(s):  
Public Health ◽  
Breast Cancer ◽  
Health System ◽  
Advanced Breast Cancer ◽  
Public Health System ◽  
Her2 Positive ◽  
The Public ◽  
Premature Deaths ◽  
Number Of Patients ◽  
Positive Breast Cancer

Purpose Patients with human epidermal growth factor receptor 2 (HER2) -positive metastatic tumors treated in the public health system in Brazil do not have access to trastuzumab. This study aimed to estimate the impact of the lack of access to anti-HER2 therapies on the mortality of these patients. Methods On the basis of published data, the number of patients with HER2-positive advanced breast cancer in 2016 who should receive anti-HER2 targeted therapy was estimated. Three different treatment groups were considered for this hypothetical cohort: chemotherapy alone, chemotherapy plus trastuzumab, and chemotherapy plus trastuzumab and pertuzumab. The number of patients alive after 2 years of follow-up was estimated on the basis of the efficacy results of the pivotal trials considering these interventions. Results It was calculated that 2,008 women will be diagnosed with advanced HER2-positive breast cancer in Brazil in 2016. It was estimated that only 808 women would be alive in 2018 if they receive only chemotherapy (which is the treatment offered by the public health system). On the other hand, the bar rises to 1,408 women alive in 2018 if they receive chemotherapy plus trastuzumab and 1,576 women alive in 2018 if they receive the gold standard of chemotherapy plus trastuzumab and pertuzumab. Conclusion Trastuzumab is included in the WHO’s list of essential medications, but the Brazilian public health system does not yet provide this treatment to its population with advanced disease. The introduction of trastuzumab and pertuzumab would have a positive effect, preventing premature deaths in women with metastatic HER2-positive breast cancer in Brazil.

scholarly journals Raising awareness of unspecified living kidney donation: an ELPAT* view

2019 ◽  
Vol 13 (2) ◽  
pp. 159-165
Author(s):  
Lisa Burnapp ◽  
Kristof Van Assche ◽  
Annette Lennerling ◽  
Dorthe Slaats ◽  
David Van Dellen ◽  
...  
Keyword(s):  
Living Donor ◽  
Kidney Donation ◽  
Public Healthcare ◽  
Living Kidney Donation ◽  
Donor Pool ◽  
Individual Country ◽  
The Public ◽  
Raising Awareness ◽  
Number Of Patients ◽  
Stage Renal Disease

Abstract Background Living donor kidney transplantation (LDKT) is the preferred treatment for patients with end-stage renal disease and unspecified living kidney donation is morally justified. Despite the excellent outcomes of LDKT, unspecified kidney donation (UKD) is limited to a minority of European countries due to legal constraints and moral objections. Consequently, there are significant variations in practice and approach between countries and the contribution of UKD is undervalued. Where UKD is accepted as routine, an increasing number of patients in the kidney exchange programme are successfully transplanted when a ‘chain’ of transplants is triggered by a single unspecified donor. By expanding the shared living donor pool, the benefit of LDKT is extended to patients who do not have their own living donor because a recipient on the national transplant list always completes the chain. Is there a moral imperative to increase the scope of UKD and how could this be achieved? Methods An examination of the literature and individual country practices was performed to identify the limitations on UKD in Europe and recommend strategies to increase transplant opportunities. Results Primary limitations to UKD, key players and their roles and responsibilities were identified. Conclusions Raising awareness to encourage the public to volunteer to donate is appropriate and desirable to increase UKD. Recommendations are made to provide a framework for increasing awareness and engagement in UKD. The public, healthcare professionals, policy makers and society and religious leaders have a role to play in creating an environment for change.

Sign in / Sign up

Export Citation Format

Share Document