A 72-year-old female, retired trader, receiving multidisciplinary care for dilated cardiomyopathy and congestive cardiac failure, with massive cardiomegaly, endomyocardial fibrosis, pericardial effusion, atrial fibrillation, ascites umbilical hernia was scheduled elective herniorrhaphy at the University of Port Harcourt Teaching Hospital (UPTH). She successfully had surgery under lumbar epidura...

A patient was scheduled for inguinal herniorrhaphy under subarachnoid block. Lumbar puncture was difficult and several attempts were needed before it could be achieved. During the immediate postoperative period, the patient developed paraesthesia and anaesthesia on the right side of the face, mostly in the nose, cheek and upper lip areas. A CT scan showed a small pneumocephalus at the level of ...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1979 laparotomy, herniorrhaphy and mastectomy. Moreover, even low levels of residual pain are associated with decreased physical and social function as well as a diminished perception of overall health. Questions that confront a physician whose patient is about to undergo surgery include: “What is the process by which painful stimuli sensitize the nerv...

Laparoscopic ventral and incisional herniorrhaphy is gaining popularity among both surgeons and patients. The key to the success of this procedure is avoidance of complications. In this article, important considerations in the preoperative, intraoperative, and postoperative aspects of this procedure are reviewed, with a particular focus on the repair of incisional defects. Surgical consideratio...

BACKGROUND AND OBJECTIVES Laparoscopic adjustable gastric banding is considered the least invasive surgical option for the treatment of morbid obesity. Its initial popularity has been marred by recent long-term studies showing high complication rates. We sought to examine our experience with gastric banding and factors leading to reoperation. METHODS We reviewed retrospective data of 305 pati...

purpose: mesh technique is the standard for inguinal hernia repair because of less recurrence,   but it is inferior or equal to sutured technique in case of other post-operative complications   such as chronic pain. this clinical trial set out to compare these two techniques.   materials and methods: a total number of 322 cases of unilateral inguinal hernia in participants   older than 18 years...