BACKGROUND The creation of extraperitoneal space with the help of balloon is helpful in the learning curve of total extraperitoneal repair of inguinal hernia. But the cost of the balloon with other disposable items is one of the limiting factors in the popularity of this operation. By using a homemade balloon, nondispoasable ports and suturing the mesh we have been able to reduce the cost consi...

Intraperitoneal (i.p.) administration of small interfering RNA (siRNA) has, to date, shown promise in treating tumours located within the peritoneal cavity. The ability of these siRNA molecules to reach extraperitoneal tumours following i.p. administration is, however, yet to be investigated. Here, we examined the impact of PEGylation on the biodistribution of i.p. administered nucleic acids-co...

The treatment of bilateral inguinal hernias using totally extraperitoneal laparoscopy is usually done with general anaesthesia. The objective of this article is to evaluate the regional anaesthesia technique in extraperitoneal laparoscopic surgery for treating bilateral inguinal hernias in an outpatient surgery unit. Prospective clinical study of 30 patients with uncomplicated bilateral inguina...

we reviewed 55 cases with trauma to the urinary bladder. blunt trauma was the cause of injury in 78 percent of cases and associated pelvic fracture was present in 75 percent. eighty percent of extraperitoneal ruptures were associated with fracture of the pelvis. the most common cause of trauma was car accident (63%), followed by war injury (20%). nearly two-thirds of patients (63 %) had extrape...

PURPOSE We have treated 24 patients through laparoscopic totally extraperitoneal (TEP) repair without suprapubic port by using reliability and reducing the invasiveness of two surgery. This study is aimed to assess the safety and feasibility of the TEP repair without suprapubic port compared to conventional TEP repair. METHODS From September 2007 to 11 May 2010, we compared two groups that su...

Spigelian hernia occurs through slit like defect in the anterior abdominal wall adjacent to the semilunar line. Most of spigelian hernias occur in the lower abdomen where the posterior sheath is deficient. The hernia ring is a well-defined defect in the transverses aponeurosis. The hernial sac, surrounded by extraperitoneal fatty tissue, is often interparietal passing through the transversus an...

Rectal injuries are caused by a variety of causes, such as stab wounds, gunshot injuries, blunt trauma, and foreign bodies. In particular, extraperitoneal rectal injury secondary to blunt trauma is very rare in the civilian setting and usually seen in association with comminuted fractures of the pelvis or sacrum and evidence of intraperitoneal injury.[1] The management of extraperitoneal rectal...

INTRODUCTION While isolated traumatic urinary bladder injuries are rare, combined intra- and extraperitoneal traumatic urinary bladder ruptures without an underlying fracture are an absolute rarity. PRESENTATION OF CASE We report a case of combined intra- and extraperitoneal urinary bladder rupture without an underlying fracture resulting from blunt abdominal trauma during a high velocity car...

Both intraperitoneal and extraperitoneal colonic perforations have been reported after colonoscopy; however, cases with combined types of perforation are rare. We present the case of a 55-year-old man with a history of Crohn disease who complained of acute abdominal pain after a diagnostic colonoscopy. Abdominal computed tomography scan showed extensive pneumoperitoneum, pneumoretroperitoneum, ...