INTRODUCTION Hip dysplasia is characterized by an excessively oblique and shallow acetabulum with insufficient coverage of the femoral head. It is a known cause of pain and the development of early osteoarthritis in young adults. The periacetabular osteotomy is the joint-preserving treatment of choice in young adults with symptomatic hip dysplasia. The surgical aim of this extensive procedure i...

Abstract Introduction There is currently no standardized approach to innervation in radial forearm phalloplasty. This includes both the number and combination of nerve coaptations that are performed. It also under-recognized executed phalloplasty equivalent sensory transfers. well documented a key component successful transfer sufficient donor:recipient (D:R) axon ratio. Evidence suggests minim...

Lichtenstein technique requires identification of the iliohypogastric, ilioinguinal, and genital branch of the genitofemoral nerves.The aim of the study was to verify if the transverse incision is suitable for identification of the iliohypogastric, ilioinguinal, and genital branch of the genitofemoral nerves.This study included 29 patients who underwent hernioplasty, and also 10 dissections of ...

We present three cases in which continuous ilioinguinal-iliohypogastric nerve block with 0.2% ropivacaine, together with oral ibuprofen, was used to provide analgesia after cesarean delivery. The catheters were placed under ultrasound guidance in the plane between the internal oblique and transversus abdominis muscles on both sides of the abdomen. Numeric pain rating was used for the assessment...

We present a case of torsion dystonia in a 35-yr-old primigravida who presented for a Caesarean section under general anaesthesia. She had limb contractures and severe kyphoscoliosis associated with limited respiratory reserve and function. General anaesthesia was induced using thiopental and divided doses of mivacurium for rapid sequence induction. After the delivery of a healthy male baby, sh...

BACKGROUND Previous studies have suggested that magnesium may be a useful adjuvant to postoperative analgesia. METHODS We randomized adults undergoing ambulatory ilioinguinal hernia repair or varicose vein operation under general anesthesia (propofol, fentanyl, isoflurane-N2O) to receive magnesium sulfate 4 g IV or physiological saline after induction. All patients preoperatively received dic...

purpose: surgeons performing an ilioinguinal exposure for acetabular fracture surgery need to be aware of aberrant findings such as inguinal hernias and spermatic cord lesions. the purpose of this study is to report these occurrences in a clinical series of adult males undergoing acetabular fracture fixation and a series of adult male cadavers. the secondary aim is to characterize these abnorma...

Femoral neck stress fracture . . . . . . . . . . . . e251 Acetabular labral tears . . . . . . . . . . . . . . . e252 Pubic ramus stress fracture . . . . . . . . . . . . . e252 Osteitis pubis . . . . . . . . . . . . . . . . . . . . e252 Groin hernia . . . . . . . . . . . . . . . . . . . . . e253 ‘Sports hernia’ or ‘groin disruption’ . . . . . . . . e254 Ilioinguinal neuralgia . . . . . . . . . ....

Foreign bodies in the bladder are among the strangest differential diagnoses in the lower urinary tract symptoms (LUTS) and may be missed in initial medical evaluations. We present a 63-year-old man who was visited in the emergency department because of obstructive and irritative lower urinary tract symptoms. Two months earlier, he had a pelvic fracture due to motor vehicle accident and underwe...