Round Ligament Management in Women Undergoing Inguinal Hernia Repair: Should We Divide or Preserve?

This study aimed to identify the impact of round ligament division (RLD) or preservation (RLP) on short and medium-term quality of life.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: General Surgery Source Type: research

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Surg Clin North Am. 2021 Dec;101(6):1067-1079. doi: 10.1016/j.suc.2021.06.005.ABSTRACTInguinal hernias represent one of the most common pathologic conditions presenting to the general surgeon. In surgical practice, several controversies persist: when to operate, the utility of a laparoscopic versus open approach, the applicability of robotic surgery, the approach to bilateral hernias, management of athletic-related groin pain ("sports hernia"), and the role of tissue-based repairs in modern hernia surgery. Ideally, surgeons should approach each patient individually and tailor their approach based on patient facto...
Source: The Surgical Clinics of North America - Category: Surgery Authors: Source Type: research
Oper Orthop Traumatol. 2021 Nov 5. doi: 10.1007/s00064-021-00747-2. Online ahead of print.ABSTRACTOBJECTIVE: Treatment of non-responding pain to conservative treatment located at the anterolateral thigh with surgical decompression of the lateral femoral cutaneous nerve of the thigh (LFCN).INDICATIONS: Compression syndrome of the LFCN; patients suffering from the following symptoms: pain (dysesthesia), numbness (paresthesia), hypersensibility to temperature (or temperature changes) along the course of the LFCN located at the anterolateral thigh.CONTRAINDICATIONS: A new or recrudescent hernia with additional pain or recent l...
Source: Operative Orthopadie und Traumatologie - Category: Orthopaedics Authors: Source Type: research
Conclusion: Indirect sac transection during laparoscopic indirect inguinal hernia repair is associated with a higher incidence of postoperative seroma. Additional adjuncts to the divided distal hernia sac, including distal sac fixation with either suture or tacks, are effective methods to prevent postoperative seroma.
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - Category: Surgery Tags: Review Articles Source Type: research
ConclusionAfter this TAR technique are effective and reliable method in experienced hands.
Source: QJM - Category: Internal Medicine Source Type: research
AbstractBackgroundLaparoscopic surgery has led to many changes in the management of surgical patients and significantly reduced the incidence of complications associated with open surgical procedures 1. At present, laparoscopic hernia repair has gained clinical significance in patients with bilateral or recurrent hernia. 2ObjectivesThe aim of this study is to compare open hernioplasty and laparoscopic hernia repair in unilateral non recurrent inguinal hernia. The present study will be performed on 30 patients to compare the effectiveness of laparoscopic hernia repair and open hernioplasty and to assess the intra operative ...
Source: QJM - Category: Internal Medicine Source Type: research
CONCLUSIONS: Caecum wall necrosis secondary to an incarcerated Richter's femoral hernia is a rare but dangerous event. Surgical approach is selected on surgeon's expertise. The use of prosthetic mesh is always recommended.KEY WORDS: Bowel necrosis, Emergency surgery, Hernia repair, Richter's hernia.PMID:34569468
Source: Annali Italiani di Chirurgia - Category: Surgery Authors: Source Type: research
Surg Clin North Am. 2021 Oct;101(5):755-766. doi: 10.1016/j.suc.2021.05.018. Epub 2021 Jul 30.ABSTRACTVentral and inguinal hernia repairs are some of the most commonly performed general surgery operations worldwide. This review focuses on the management of postoperative complications, which include surgical site infection, hernia recurrence, postoperative pain, and mesh-related issues. In each section, we aim to discuss classifications, risk factors, diagnostic modalities, and treatment options for common complications following hernia repair.PMID:34537141 | DOI:10.1016/j.suc.2021.05.018
Source: The Surgical Clinics of North America - Category: Surgery Authors: Source Type: research
CONCLUSIONS: Patients with TAP block required less morphine equivalence of opioid within a 24 hours period after an inguinal hernia repair.PMID:34533827 | DOI:10.5055/jom.2021.0665
Source: Journal of Opioid Management - Category: Addiction Authors: Source Type: research
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