BACKGROUND Achieving complete cytoreduction of peritoneal surface malignancies (PSM) can be challenging. In most cases, delivery of heated intra-peritoneal chemotherapy (HIPEC) is straightforward. However, using the closed technique in some cases may be technically challenging; for example, in patients requiring abdominal closure using a large synthetic mesh. In cases where groin hernias are pr...

OBJECTIVE To identify the nerves in the groin during inguinal hernia repair by inguinotomy. METHODS We conducted a prospective, sequenced, non-randomized study comprising 38 patients undergoing inguinal hernia repair with placement of polypropylene mesh. RESULTS The male patients were 36 (94.7%), with a mean age and standard deviation of 43.1 ± 14.5, body mass index of 24.4 ± 2.8. Comorbidi...

1 Lichtenstein IL, Shulman AG, Amid PK, Montlor HM. The tension-free hernioplasty. Am J Surg 1989;157:188-93. 2 McCormack K, Scott NW, Go PM, Ross S, Grant AM, Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev 2003(1):CD001785. 3 Schumpelick V, Treutner KH, Arlt G. Inguinal hernia repair in adults. Lancet 1994;344:375-9. 4 EU Hernia Trialists ...

A rare case of inguinal hernia with tuberculous peritonitis is described, as well as a review of the pertinent literature. A 56-year-old male patient admitted to our emergency department because of reducible mass presenting in his left inguinal region. After preoperative preparation, we did a laparoscopic totally extraperitoneal hernia repair (TEP) for this patient. During TEP, we unexpectedly ...

The plug-and-patch technique is frequently used for the open repair of inguinal hernias; however, serious complications may arise on rare occasions. We present the case of a 69-year-old patient who presented with a colocutaneous fistula with the sigmoid colon 9 years after the repair of a left sliding inguinal hernia with the plug-and-patch technique. The patient underwent sigmoidectomy and exc...

BACKGROUND Several surgical techniques have been developed over the past years, and total extraperitoneal and transabdominal preperitoneal inguinal hernia repair are the endoscopic techniques that are most commonly used. AIM To describe and discuss Dulucq's technique and the modifications of using 3-D mesh in total extraperitoneal inguinal hernia repair. METHODS Patients who underwent an el...

conclusions magnesium infiltration did not decrease total dose and number of episodes needed for morphine rescue analgesic. bupivacaine infiltration into surgical site was more effective than magnesium sulfate infiltration in postoperative pain control. objectives to compare postoperative analgesic effect of infiltration of magnesium versus bupivacaine into incision of inguinal hernia repair. p...

PURPOSE Hernia repairs are the most common elective abdominal wall procedures performed by general surgeons. The use of a mesh has become the standard for hernia repair surgery. Herein, we discuss a management strategy for chronic mesh infections following open inguinal hernia repair with onlay prosthetic mesh. METHODS In this study, 15 patients with chronic mesh infections following open ing...

OBJECTIVE To determine whether the use of prophylactic antibiotics is effective in the prevention of postoperative wound infection after Lichtenstein open mesh inguinal hernia repair. SUMMARY BACKGROUND DATA A recent Cochrane meta-analysis (2003) concluded that "antibiotic prophylaxis for elective inguinal hernia repair cannot be firmly recommended or discarded." METHODS Patients with a pri...

BACKGROUND Although animal studies have indicated that general anesthetics may result in widespread apoptotic neurodegeneration and neurocognitive impairment in the developing brain, results from human studies are scarce. We investigated the association between exposure to surgery and anesthesia for inguinal hernia repair in infancy and subsequent academic performance. METHODS Using Danish bi...