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    Tytuł:
    Outcomes of Endoscopic Totally Extraperitoneal (TEP) repair of clinically occult inguinal hernia diagnosed with ultrasonography
    Autorzy:
    Kebabci, Eyup
    Ozturk, Safak
    Unver, Mutlu
    Powiązania:
    https://bibliotekanauki.pl/articles/1391564.pdf
    Data publikacji:
    2021
    Wydawca:
    Index Copernicus International
    Tematy:
    Hernia repair
    laparoscopy
    inguinal hernia
    ultrasonography
    Opis:
    Inguinal hernias generally present with groin lump and pain. Although inguinal hernias can be diagnosed clinically in most cases, patients without a groin lump pose a considerable diagnostic challenge. The first-line diagnostic imaging tool in these cases is ultrasound (US) and the recommended surgical procedure is laparoscopic-endoscopic repair. This retrospective study aims at evaluating postoperative results and complication rates of TEP technique in patients with occult contralateral hernias diagnosed with US in comparison to patients with clinically diagnosed hernias. A retrospective study was conducted to evaluate the outcomes of TEP procedure in patients with radiologically diagnosed occult contralateral hernias in comparison to patients with clinically diagnosed hernias. All hernias included in this study were repaired by TEP technique and secured with an extraperitoneal mesh. Demographic data, patient characteristics and perioperative information were obtained by reviewing medical records. A total number of 109 patients were enrolled in the study. The majority of patients were male and the mean age was 48.9 ± 14.6 years. In 56 cases, hernias were repaired unilaterally, while the remaining 53 were repaired bilaterally. Right-sided hernias were more common than left-sided hernias. The morbidity rate was 7.1% in unilateral repairs and 3.8% in bilateral repairs. The recurrence rate was 3.6% for unilateral repairs and 5.7% for bilateral repair. Some studies report that the incidence of clinical contralateral inguinal hernias identified after primary unilateral surgery is approximately 10%. If these contralateral hernias were diagnosed prior to the primary surgery, the risk of performing another operation could be avoided. Laparoscopic surgery enables bilateral hernia repair without any additional incisions, presenting similar morbidity rates when compared to unilateral repair. There was no significant difference between unilateral and bilateral TEP repair in terms of intraoperative and postoperative surgical complications. These results suggest that laparoscopic inguinal hernia repair is a safe and effective surgical technique for both unilateral and bilateral procedures. In order to prevent second operation, all patients with suspected inguinal hernia should undergo an US examination before surgery.
    Źródło:
    Polish Journal of Surgery; 2021, 93, 4; 11-14
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Do we need changes in the organization of training in the hernia treatment in Poland? A survey on the acknowledgment of the recommendations of international hernia societies by surgeons
    Autorzy:
    Mitura, Kryspin
    Dąbrowiecki, Stanisław
    Śmietański, Maciej
    Matyja, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/1393285.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    groin hernia
    inguinal hernia
    recommendations
    hernia repair
    Opis:
    In the therapy of an inguinal hernia, there is a huge variety in the way of treating and the choice of surgical technique. Practice shows that the intraoperative improvisation and surgeons’ own modifications of the original techniques have become part of routine procedure. No mandatory hernia registration system causes the actual detailed herniology status in our country remains unknown. The aim of the study was to summarize the results of a survey on knowledge of a hernia according to the standards developed by international hernia societies compared with everyday clinical practice. During the International Conference Hernia in Poland, which took place on 10 December 2016 in Zakopane we conducted an interactive session among 106 surgeons dealing with hernias. Surgeons responded to 66 questions about daily surgical practice and decision making in their centers, and 27 questions for the assessment of the world’s latest treatment recommendations regarding groin hernias. The most common method of using the implant technique Lichtenstein, used by 91% of doctors. 20% of surgeons in planned operations in adult men routinely uses no mesh technique. Almost 80% of respondents do not apply TEP or TAPP. Only 45.7% of surgeons customize surgical technique to the patient. Only 7 of the 27 analyzed recommendation has been accepted by more than 90% of respondents. 9 of the 27 recommendations were approved by less than half of the surgeons. In the case of 11 recommendations, surgeons simultaneously failed to comply with these recommendations in daily practice. Deficiencies in the system of training and the underfunding of medical procedures cause insufficient TAPP/ TEP availability in Poland in an inguinal hernia. Improvement of the surgeons’ knowledge on how to perform surgery
    Źródło:
    Polish Journal of Surgery; 2017, 89, 5; 12-18
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopic Treatment of Abdominal Hernia – 5 Years of Experience
    Autorzy:
    Litarski, Andrzej
    Pawełczyk, Jerzy
    Majcherek, Jarosław
    Janczak, Dawid
    Pawłowski, Lech
    Rucińska, Zuzanna
    Janczak, Dariusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1395771.pdf
    Data publikacji:
    2014-08-01
    Wydawca:
    Index Copernicus International
    Tematy:
    abdominal hernia repair
    laparoscopy
    complications
    Opis:
    Laparoscopic surgery has become a well approved method of abdominal hernias treatment in recent years. Due to the advancement of laparoscopy and the use of improved synthetic materials laparoscopic surgery is characterized not only by low complication but also by a short period of recovery after surgery. The aim of the study was a retrospective analysis of the results of laparoscopic abdominal hernia surgeries (IPOM). Material and methods. Between year 2007 and 2012, 65 patients aged between 29 to 76 underwent laproscopic abdominal hernia surgeries due to either primary or postoperative abdominal hernias. All patients were examined in perioperative period, after 12 and 24 months after surgery in search of complications, pain and reccurence. Recovery period was also estimated. Results. In most cases postoperative pain was estimated from 1 to 4 on VAS scale. The most frequent complications were seromas that occured in 3 patients. The other complications were pneumothorax, wound hematoma and wound infection that occured once each. One patient required reoperation due to wound hematoma. Chronic postoperative pain was diagnosed in 3 patients and 4 recurrences were stated. Conclusions. Laparoscopic therapy of abdominal hernias is a safe operative method characterized by low recurrence and complication rates as well as short hospital stay and quick recovery. This technique is restricted by high material costs and the lack of full refund for the procedure.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 8; 353-358
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    New techniques in ventral hernia surgery – an evolution of minimally-invasivehernia repairs
    Autorzy:
    Mitura, Kryspin
    Powiązania:
    https://bibliotekanauki.pl/articles/1391732.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    component separation
    eTEP
    hernia repair
    mesh
    sublay
    surgery
    ventral hernia
    Opis:
    Incisional ventral hernia occurs after almost every fourth laparotomy. Still, both simple suturing of the hernia defect and open mesh repair, lead to a high incidence of infections and recurrences. In recent years, we have observed a further evolution of operational techniques used in order to reduce the number of complications. The search for effective repair methods is currently going in two directions: on the one hand, techniques to reduce tissue tension in the suture line are being developed and disseminated (including modifications to the so-called Ramirez technique); on the other hand, minimally invasive techniques are introduced that allow placement of large synthetic meshes without the need for extensive tissue dissection using open repair. In the first group of presented techniques, emphasis is put on basics and access in the following repair method: original Ramirez technique, modified Ramirez technique, anterior component separation with periumbilical perforator-sparing, endoscopic anterior component separation and transversus abdominis release. In the second part of the manuscript, attention is drawn to the following hernia repair techniques: eTEP, reversed TEP, MILOS/eMILOS, stapler repair, TAPP, TARUP, TESLA, SCOLA, REPA, LIRA, IPOM, IPOM-plus. When choosing the optimal technique for a given patient, the surgeon should first of all be guided by technical feasibility, availability of materials, their own experience, as well as the characteristics of the patient and overall burdens. Nevertheless, surgeons undertaking reconstruction of the abdominal wall in the case of hernias should know different surgical accesses and individual spaces of the abdominal integument, in which a synthetic material may be placed. However, it should be emphasized that poor ergonomics of novel techniques, complex anatomy and complicated dissection of space, as well as the need for laparoscopic suturing in a difficult arrangement of tissue layers and in a narrow space, without a full triangulation of instruments, make these operations a challenge even for a surgeon experienced in minimally invasive surgeries.
    Źródło:
    Polish Journal of Surgery; 2020, 92, 4; 38-46
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Modeling of the fascia-mesh system and sensitivity analysis of a junction force after a laparoscopic ventral hernia repair
    Modelowanie układu powięź-siatka i analiza wrażliwości siły połączenia po laparoskopowej operacji przepukliny brzusznej
    Autorzy:
    Szymczak, C.
    Lubowiecka, I.
    Tomaszewska, A.
    Śmietański, M.
    Powiązania:
    https://bibliotekanauki.pl/articles/279958.pdf
    Data publikacji:
    2010
    Wydawca:
    Polskie Towarzystwo Mechaniki Teoretycznej i Stosowanej
    Tematy:
    biomechanics
    ventral hernia repair
    cable model
    sensitivity analysis
    Opis:
    In the paper, a simple model of the fascia-mesh system is considered to assess the junction force after a laparoscopic hernia repair. The aim of this study is to develop a cable model of the system in order to find the junction force and to distinguish the most important parameters affecting the system junction force. The cable is subjected to a pressure in the abdominal cavity and displacements of the cable edges caused by bends of the patient body. The attention is paid to the junction force sensitivity analysis with respect to initial tension of the mesh, its length and elasticity as well as fascia flexibility. All these parameters are crucial for ventral hernia repair safety. Finally, some concluding remarks important for practicing surgeons and for further more advanced study using two dimensional fascia-mesh models are presented.
    W pracy rozpatrywano prosty model układu powięź-siatka do oszacowania siły połączenia siatki z powięzią po laparoskopowej operacji przepukliny brzusznej. Celem pracy jest zastosowanie modelu cięgna do wyznaczenia siły połączenia tego układu oraz do wyznaczenia najważniejszych parametrów mających wpływ na siłę połączenia implantu z powięzią. W tym celu zastosowano analizę wrażliwości siły połączenia względem wariacji początkowej siły rozciągającej siatki, jej długości i modułu sprężystości oraz podatności powięzi. Cięgno jest obciążone ciśnieniem wewnątrz brzusznym oraz przemieszczeniami jego końców wywołanymi skłonami ciała pacjenta. Wszystkie podane wyżej parametry są istotne dla bezpieczeństwa operacji przepukliny. W wyniku pracy sformułowano pewne wnioski ważne dla chirurgów oraz dla dalszych bardziej zaawansowanych badań z zastosowaniem modeli dwuwymiarowych układu powięź-siatka.
    Źródło:
    Journal of Theoretical and Applied Mechanics; 2010, 48, 4; 933-950
    1429-2955
    Pojawia się w:
    Journal of Theoretical and Applied Mechanics
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Inguinal pain syndrome. The influence of intraoperative local administration of 0.5% bupivacaine on postoperative pain control following Lichtenstein hernioplasty. A prospective case-control study.
    Autorzy:
    Cybułka, Bartosz
    Powiązania:
    https://bibliotekanauki.pl/articles/1393193.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    groin pain syndrome
    genitofemoral neuralgia
    inguinal hernia
    bupivacaine
    Lichtenstein hernia repair.
    Opis:
    With current technological advancement and availability of synthetic materials used in inguinal hernia repair, a recurrence after first intervention is not a common and important adverse event. On the other hand, however, some patients complain about chronic pain of the operated site after surgeries using a polypropylene mesh. Many patients are constrained to a prolonged use of analgesics and increased frequency of control visits, which may eventually result in loss of trust in the operator. Every surgical intervention is associated with the risk of immediate or delayed complications. Genitofemoral neuralgia is associated with dysfunction of peripheral nerves passing through the inguinal canal or the surrounding tissue and it is a chronic, troublesome and undesired complication of an inguinal hernia repair. The possibility of minimizing chronic inguinal pain by proper management during herniorraphy should be considered in all cases of an inguinal canal reconstruction. The aim of the study was to investigate whether an intraoperative injection of 0.5% bupivacaine into the operated site (preemptive analgesia) has an influence on the postoperative pain assessed on the day of operation as well as the 1st and 2nd postoperative day after Lichtenstein hernioplasty of an inguinal, scrotal or recurrent hernia. In the studied population, we attempted to identify risk factors affecting pain level after surgical repair of an inguinal, scrotal or recurrent hernia. Materials and methods. During the period between December 2015 and May 2016, 133 patients with preoperative diagnosis of an inguinal (81.95%, n=109), scrotal (13.53%, n=18) or recurrent hernia (4.51%, n=6) underwent an elective intervention and were randomly allocated to the group, which intraoperatively received 20 mL of 0.5% bupivacaine locally in selected anatomical points of the inguinal canal. In the group with preoperative diagnosis of an inguinal hernia, this intervention was applied in 56.88% of cases (n=62). In the case of scrotal or recurrent hernia, a similar intervention was applied in 41.67% (n=10) of patients. During the hospital stay, pain was assessed four times a day using the NRS numeric scale. All patients received preoperative antibiotic prophylaxis, and, during observation, analgesics and low-molecular-weight heparin were used. In the studied group, risk factor were identified, which affect the pain level associated with surgical treatment of an inguinal hernia. Results: Mean pain level score according to the NRS scale (0-10) for an inguinal hernia was 4.17 on day 0 (standard deviation 2.22; minimum 0; maximum 10). On day 1 – 2.86 (standard deviation 1.86; minimum 0; maximum 8). On day 2 – 0.84 (standard deviation 1.21; minimum 0; maximum 5). The values of those parameters for a scrotal and recurrent hernia were as follows: on day 0 – 3.67 (standard deviation 1.76; minimum 0; maximum 7). On day 1 – 3.79 (standard deviation 1.67; minimum 0; maximum 7). On day 2 – 2.25 (standard deviation 1.54; minimum 0; maximum 4). Intraoperative application of 20 mL 0.5% bupivacaine did not reduce the postoperative pain on the postoperative day 0, 1, 2. Among independent risk factors exacerbating pain, the following variables were identified: local complications of the operated site including edema, ecchymosis and hematoma of the inguinal region. More frequent dressing changes were directly correlated with an increased pain sensation. Postoperative urethral catheterization due to urinary retention was associated with an increased pain immediately after surgery. In the case of intraoperative diagnosis of concurrent direct and indirect hernia (so-called pantaloon hernia), less intense pain was observed on postoperative day 0. Other parameters such as age, sex, duration of operation, duration of hospitalization and wound drainage did not influence the pain sensation. Conclusions: Local injection of an analgesic into the operated site was not associated with the reduction of pain assessed on postoperative day 0, 1 and 2 after an isolated inguinal, scrotal or recurrent hernia repair. Pathologies of the operated site such as edema, ecchymosis or hematoma were associated with an increased pain sensations on observation. Also, postoperative urinary retention and urethral catheterization increased the pain sensation after an inguinal hernia repair. A lack of wound complications significantly decreased the pain sensation during the immediate postoperative period after hernia repair.
    Źródło:
    Polish Journal of Surgery; 2017, 89, 2; 11-25
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Mechanical behaviour of the implant used in human hernia repair under physiological loads
    Autorzy:
    Szepietowska, K.
    Lubowiecka, I.
    Powiązania:
    https://bibliotekanauki.pl/articles/307096.pdf
    Data publikacji:
    2013
    Wydawca:
    Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
    Tematy:
    finite element modelling
    hernia repair
    implants
    membrane structure
    metoda elementów skończonych
    implanty
    konstrukcja membranowa
    Opis:
    In laparoscopic operations of abdominal hernias some recurrences still take place, even when applying a surgical mesh. This is usually caused by a failure of the connection between the tissue and the implant. The study deals with the influence of an implant’s orientation on forces in joints, which connect the mesh to human tissues. In the paper, the implant is modelled as a membrane structure within framework of the Finite Element Method. Two models are analysed: in the first one interaction between the mesh and a fascia is taken into account, in the second this interaction is not considered. Computations are conducted for two different material types of the implants: one with isotropic properties and second one with orthotropic properties. The models are validated by comparing dynamic numerical analysis with experimental outcomes, where load was simulating intraabdominal pressure during postoperative cough. Due to displacements of joints during activities like bending sideways or torsion of an abdomen, influence of kinematic extortions on forces in the joints is analysed. The outcome shows that position of the orthotropic implants is crucial and may strongly change the level of forces in the joints.
    Źródło:
    Acta of Bioengineering and Biomechanics; 2013, 15, 3; 89-96
    1509-409X
    2450-6303
    Pojawia się w:
    Acta of Bioengineering and Biomechanics
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Physico-Mechanical Performance Evaluation of Large Pore Synthetic Meshes with Different Textile Structures for Hernia Repair Applications
    Ocena właściwości fizyko-mechanicznych syntetycznych chirurgicznych siatek przepuklinowych
    Autorzy:
    Liu, P.
    Shao, H.
    Chen, N.-L.
    Jiang, J.-H.
    Powiązania:
    https://bibliotekanauki.pl/articles/233556.pdf
    Data publikacji:
    2018
    Wydawca:
    Sieć Badawcza Łukasiewicz - Instytut Biopolimerów i Włókien Chemicznych
    Tematy:
    hernia repair
    large-pore meshes
    physico-mechanical properties
    warp knitted meshes
    pore shape
    meshes with inlays
    przepuklina
    siatki o dużych porach
    właściwości fizykomechaniczne
    osnowowe siatki dzianinowe
    kształt porów
    siatki z wkładkami
    Opis:
    This paper studied the relationship between the textile structure of warp knitted hernia repair meshes and their physico-mechanical properties to solve the problem of hernia patch application evaluation and clear the mechanism of hernia patch structure-performance for clinical application. Six different prototypes of large pore meshes were fabricated, including four kinds of meshes with different pore shapes: H (hexagonal), D (diamond), R (round) and P (pentagonal); and two kinds of meshes with inlays: HL (hexagonal with inlays) and DL (diamond with inlays), using the same medical grade polypropylene monofilament. All meshes were designed with the same walewise density and coursewise density. Then the influence of other structural parameters on the physico-mechanical properties of the meshes was analysed. The physico-mechanical properties of these meshes tested meet the requirements of hernia repair, except mesh DL, whose tear resistance strength (12.93±2.44 N in the transverse direction) was not enough. Mesh R and P demonstrated less anisotropy, and they exhibited similar physico-mechanical properties. These four kinds of meshes without inlays demonstrated similar ball burst strength properties, but mesh HL and DL exhibited better ball burst strength than the others. All in all, uniform structures are expected to result in less anisotropy, and meshes with inlays, to some extent, possess higher mechanical properties. And the ratio of open loop number to closed loop number in a repetition of weave of fabric has marked effect on the physico-mechanical properties. Thus we can meet the demands of specific patients and particular repair sites by designing various meshes with appropriate textile structures.
    W pracy przeanalizowano zależność między strukturą chirurgicznych siatek przepuklinowych a ich właściwościami fizyczno-mechanicznymi. Opracowano sześć różnych prototypów siatek o dużych porach, w tym cztery rodzaje oczek o różnych kształtach porów: H (sześciokąt), D (romb), R (okrąg) i P (pięciokąt); oraz dwa rodzaje oczek z inkrustacją: HL (sześciokątne z inkrustacją) i DL (romb z inkrustacją), z wykorzystaniem tego samego monofilamentu z polipropylenu klasy medycznej. Wszystkie oczka zostały zaprojektowane z taką samą gęstością. Następnie analizowano wpływ pozostałych parametrów strukturalnych na właściwości fizyczno-mechaniczne oczek. Właściwości fizyczno-mechaniczne badanych siatek spełniają wymagania, z wyjątkiem siatki DL, której wytrzymałość na rozdarcie (12,93 ± 2,44 N w kierunku poprzecznym) nie była wystarczająca. Siatki R i P wykazywały mniejszą anizotropię i podobne właściwości fizyko-mechaniczne. Powyższe cztery rodzaje siatek bez inkrustacji wykazywały podobne właściwości wytrzymałości na pękanie, a siatki HL i DL wykazywały lepszą wytrzymałość na rozerwanie niż pozostałe. Stwierdzono, że jednolite struktury charakteryzują się mniejszą anizotropią, a siatki z inkrustacją, do pewnego stopnia, mają lepsze właściwości mechaniczne.
    Źródło:
    Fibres & Textiles in Eastern Europe; 2018, 2 (128); 79-86
    1230-3666
    2300-7354
    Pojawia się w:
    Fibres & Textiles in Eastern Europe
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Mesh repair of umbilical hernia without a visible abdominal scar
    Autorzy:
    Kurpiewski, Waldemar
    Kiliańczyk, Michał
    Szynkarczuk, Rafał
    Tenderenda, Michał
    Powiązania:
    https://bibliotekanauki.pl/articles/1395715.pdf
    Data publikacji:
    2014-02-01
    Wydawca:
    Index Copernicus International
    Tematy:
    umbilical hernia
    mesh repair
    invisible scar
    Opis:
    Experience in the use of Single Incision Laparoscopic Surgery procedures and the persistent urge to improve the cosmetic effect have contributed to the introduction of mesh repair of an umbilical hernia by means of a small incision in the natural position of the umbilicus. The aim of the study was to present the surgical technique and assess its postoperative results. Material and methods. During the period between 24.08.2011 and 01.01.2013, twenty-three umbilical hernia repair operations with the use of a polypropylene mesh by means of a small incision in the natural position of the umbilicus were performed. The synthetic material was placed in the preperitoneal space. The wound was closed and the umbilicus was reconstructed simultaneously, in order to make the scar invisible. Cutaneous stitches were not used. Results. The average duration of the operation was 49 minutes. In one case of an obese patient with coexisting linea alba dehiscence, hernia recurrence was observed. All wounds healed without complications. The cosmetic effect was very good. Conclusions. Based on the presented experience mesh repair of the umbilical hernia by means of a small incision in the natural position of the umbilicus contributes essential benefits, such as a very good cosmetic effect without consecutive increasing costs, as compared to standard treatment by means of an infraumbilical incision.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 2; 68-72
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Open mesh repair of a voluminous recurrent inguinal hernia complicated by strangulation and intestinal obstruction
    Autorzy:
    Edeh, Anthony Jude
    Nwangwu, Chukwuemeka Chijioke
    Okenwa, Wilfred Okwudili
    Anekpo, Chijioke Chinedu
    Eze, Balantine Ugochukwu Nicholas
    Basil-Nwachukwu, Chinonso Chibueze
    Powiązania:
    https://bibliotekanauki.pl/articles/454908.pdf
    Data publikacji:
    2019
    Wydawca:
    Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
    Tematy:
    Inguinal hernia
    recurrent
    voluminous
    strangulated
    mesh repair
    Opis:
    Introduction. Inguinal hernia is a common surgical pathology in Nigeria but a giant (voluminous) recurrent strangulated inguino-scrotal hernia causing intestinal obstruction is very uncommon. Such a hernia, when it is recurrent and becomes complicated with strangulation and dynamic intestinal obstruction, presents many difficulties in management. Aim. To present the successful management of a case of a strangulated and obstructed giant recurrent inguinal hernia. Description of the case. Here we present the case of 47 year old man who had intestinal resection and anastomosis with prolene mesh repair of the posterior wall for a strangulated recurrent large inguinal hernia using the technique of tension free sutured prolene mesh popularized by Lichtenstein Conclusion. The patient recovered, was satisfied with his care and has been symptom free at 18 months of follow up. Giant recurrent hernias complicated by strangulated and intestinal obstruction are uncommon in Nigeria today, despite our resource-poor status. When they occur, tension free repair with sutured onlay prolene mesh after Lichtenstein, can be a useful and the best option with satisfactory results, as in the case reported.
    Źródło:
    European Journal of Clinical and Experimental Medicine; 2019, 3; 270-273
    2544-2406
    2544-1361
    Pojawia się w:
    European Journal of Clinical and Experimental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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