Preperitoneal hematomas are rare and can develop after surgery or trauma. A 74-year-old woman, receiving systemic anticoagulation, developed a massive preperitoneal hematoma after a subcutaneous injection of teriparatide using a 32-gauge, 4 mm needle. In this patient, there were two factors, the subcutaneous injection of teriparatide and systemic anticoagulation, associated with development of ...

The safest and most effective inguinal hernia repair (laparoscopic versus open mesh) is being debated. As the authors point out, the former accounts for the minority of hernia repairs performed in the United States and around the world. The reasons for this are a demonstration in the literature of increased operative times, increased costs, and a longer learning curve. But the laparoscopic appr...

Correspondence limiting screening to women over 35 years, but as there has not been an overwhelming demand for the interpretation of smears these days are past. Incidentally in our area, where the incidence of cervical cancer is falling,' there have been no fewer than five women with overt clinical cervical cancer in the past two years who were multiparous and under 30 years of age.-I am, etc.,...

BACKGROUND The objective of this study was to examine the outcomes of comparisons between laparoscopic and open mesh repairs in the setting of recurrent inguinal hernia. METHODS The electronic databases MEDLINE, Embase, Pubmed, and the Cochrane Library were used to search for articles from 1990 to 2008. The present meta-analysis pooled the effects of outcomes of a total of 1,542 patients enro...

PURPOSE To describe a case of safe placement of an inflatable penile prosthesis reservoir for postoperative erectile dysfunction (ED) with a history of radical cystoprostatectomy with an orthotopic Studer neobladder. MATERIALS AND METHODS A 55-year-old bladder cancer patient, who underwent radical cystoprostatectomy with orthotopic Studer neobladder 2 years prior, suffered from postoperative ...

•A simple endometriosis can result in malignancy pathology, as a neoplasia.•Wall-abdominal tumors and soft tissue as a possible differential diagnosis of abdominal wall endometriosis•Preperitoneal node-metastasis as malignancy of endometriosis in previous cesarean scar.

Inguinal hernias (IH) are widespread in the human population and occur 27–43 % of men 3–6 women. Many risk factors for IH have been overestimated last decade: male gender is considered leading factor (the ratio between women approximately 1:7), less significant heredity (most women), physical activity (more men), age (peak prevalence occurs at 5 years 70–80 years), congenital or acquired connec...

BACKGROUND AND OBJECTIVES Although considerable experimental and clinical knowledge exists on the physiology of pneumoperitoneum, insufflation of the preperitoneal space has not been extensively studied. The purpose of this study is to evaluate the physiology associated with preperitoneal carbon dioxide (CO2) insufflation in a porcine model. METHODS Eleven pigs weighing 35 to 45 kg were anest...