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Inguinal pain

Henry Hoffmann, Daniela Walther, Reinhard Bittner, Ferdinand Köckerling, Daniela Adolf, Philipp Kirchhoff
OBJECTIVE: Impact of inguinal hernia defect size as stratified by the European Hernia Society (EHS) classification I to III on the rate of chronic postoperative inguinal pain (CPIP). BACKGROUND: CPIP is the most important complication after inguinal hernia repair. The impact of hernia defect size according to the EHS classification on CPIP is unknown. METHODS: In total, 57,999 male patients from the Herniamed registry undergoing primary unilateral inguinal hernia repair including a 1-year follow-up were selected between September 1, 2009 and November 30, 2016...
October 10, 2018: Annals of Surgery
Malene Theilmann Thinesen, Ove B Schaffalitzky de Muckadell, Sönke Detlefsen
IgG4-related disease is characterized by lymphoplasmacytic inflammation and fibrosis, often leading to mass-forming lesions in different organs. When IgG4-related disease affects the bile ducts, it is called IgG4-related sclerosing cholangitis. A 74-year-old male complained of dysphagia and abdominal pain. Endoscopic retrograde cholangiography and magnetic resonance cholangiography revealed bile duct changes suspicious of a bile duct carcinoma or cholangitis. Liver biopsy showed storiform fibrosis, lymphoplasmacytic infiltration, obliterative phlebitis, and a portal-based inflammatory nodule with expansion of a portal tract...
2018: Case Reports in Pathology
Nobuhito Nakamura, Takahiro Mihara, Toshiyuki Hijikata, Takahisa Goto, Koui Ka
BACKGROUND: Emergence agitation (EA) is a frequent phenomenon in children recovering from general anaesthesia and increases the risk of self-injury. Previously, our group reported that stimulating the heart 7 (HT7) acupuncture point bilaterally using two neuromuscular transmission monitoring devices (NTMs) decreased the incidence of EA. However, bilateral stimulation is a barrier to clinical use because two NTMs are needed for one patient. OBJECTIVE: The objective of this study was to examine the efficacy of unilateral electrical stimulation of HT7 using an NTM to prevent EA in children...
2018: PloS One
Yusheng Yao, Chao Yu, Xiaolan Zhang, Yanhua Guo, Xiaochun Zheng
BACKGROUND: Dexmedetomidine can prolong the duration of action of a local anesthetic agent, but the route of administration that is the most beneficial remains unclear. The purpose of this study was to compare the clinical effectiveness of caudal or intravenous dexmedetomidine administration on postoperative analgesia in children undergoing inguinal hernia repair given caudal levobupivacaine. METHODS: This was a prospective, randomized, double-blinded, placebo-controlled trial...
October 2018: Paediatric Anaesthesia
Xingwen Liu, Jing Hu, Liqun Gao, Xuewen Ji, Duxiu Zhai, Huixia Song, Xueying Wu, Liying Wang
Objective This study was performed to investigate the analgesic effects of intramuscular injection of dezocine-based local anesthesia in patients undergoing inguinal hernia repair. Methods A total of 120 patients underwent local herniorrhaphy from July 2015 to December 2016 and were randomly divided into 2 groups: the dezocine group, in which a preoperative intramuscular injection of dezocine was administered, and the control group, in which no dezocine injection was administered. The patients' pain and comfort levels were evaluated at 30 minutes, 2 hours, 6 hours, 12 hours, and 24 hours postoperatively...
October 8, 2018: Journal of International Medical Research
Hironobu Ueshima, Hiroshi Otake
RATIONALE: The relief of selective hip pain may be difficult to attain. Therefore, a deep nerve block such as epidural anesthesia or lumbar plexus nerve block is required. However, deep nerve blocks may not be possible in patients with complications, including severe cardiovascular disease. PATIENTS CONCERNS: The patient in our report had coronary stents inserted previously and required continuous anticoagulant therapy owing to severe heart failure. DIAGNOSIS: Bipolar hip arthroplasty was required in our patient because of a fracture of the neck of femur on the left side...
October 2018: Medicine (Baltimore)
Krishan Pratap, Marlon Perera, Frances Malczewski, Rachel Esler
A 45-year-old man presented with right-sided testicular swelling and pain. An examination found a tender, firm right testis, a clinically normal left testis and no palpable lymphadenopathy. Tumour and inflammatory markers were within normal limits. A scrotal ultrasound scan showed an intratesticular, avascular lesion measuring 4.4×2.6×1.8 cm. A CT scan of his chest/abdomen/pelvis (CT C/A/P) showed no metastatic or primary lesions. An elective right-inguinal orchidectomy was subsequently performed. Histopathology showed a cystic mucinous tumour lined with intestinal-type epithelium...
October 3, 2018: BMJ Case Reports
M Sharma, O P Pathania, A Kapur, S Thomas, A Kumar
INTRODUCTION: Lichtenstein tension-free mesh hernioplasty of primary inguinal hernia is currently considered as the preferred method for the plastic reconstruction of inguinal hernia by the majority of surgeons. Several studies have examined the best way to manage the hernial sac in this surgery, but no consensus has been reached. This study was designed to compare the effects of excision of sac and invagination of sac on post-operative outcomes. METHODS AND METHODS: This prospective randomised study included a total of 70 patients with primary unilateral uncomplicated indirect inguinal hernia...
October 5, 2018: Annals of the Royal College of Surgeons of England
J Zhao, J-J Xu
OBJECTIVE: An inguinal hernia is the most common type of external abdominal hernia. Normal surgery utilized polypropylene mesh to fix a hernia, but often leads to adverse effects including pain and foreign body sensation. Adipose-derived stem cells are pluripotent stem cells that can be differentiated into adipocytes, chondrocytes, skeletal myoblast and osteoblast. The compatibility of stem cells with absorbent material mesh or cellular biology mesh has been studied. This study investigated the application of adipose-derived stem cells coated polypropylene mesh in treating an inguinal hernia...
September 2018: European Review for Medical and Pharmacological Sciences
J James Pilkington, M Rami Obeidallah, M Saad Zahid, Panagiotis Stathakis, Ajith K Siriwardena, Saurabh Jamdar, Aali J Sheen
Introduction: This study looks at the outcome of 352 patients that underwent the "Manchester groin repair" in the period from 2007 to 2016. The effect of laterality on chronic groin pain and the reduction of pain scores post-surgery are evaluated as well as the rate of hernia recurrence for the inguinal hernia repairs. Methods: The "Manchester groin repair" is a modification of a laparoscopic totally extra-peritoneal approach with fibrin sealant mesh fixation. Data were collected prospectively...
2018: Frontiers in Surgery
Anchalia Chandrakumaran, Henry R Bateman, Rehan Qayyum
A 35-year-old African American male, previously healthy, presented with lower back and bilateral lower extremity pain associated with intermitted night sweats and weight loss. Imaging was concerning diffuse vertebral metastatic lesions. He underwent extensive workup to evaluate for metastatic disease. However, right iliac crest, mediastinal, and left inguinal lymph node biopsies were consistent with sarcoidosis. He was started on methotrexate, folic acid, and prednisone.
2018: Case Reports in Medicine
S Yang, Y-M Shen, M-G Wang, Z-Y Zou, C-H Jin, J Chen
OBJECTIVE: We aimed to compare the clinical outcome of titanium-coated mesh and polypropylene mesh in laparoscopic inguinal hernia repair. METHODS: A total of 102 patients who received laparoscopic inguinal hernia repair in January-June 2016 in Beijing Chao-Yang Hospital were enrolled in this study. Patients were randomly divided into two groups, receiving either titanium-coated mesh (n = 50) or standard polypropylene mesh (n = 52). Multiple clinical parameters were collected and analyzed, including clinical manifestations, operative time, intraoperative blood loss, hospital stay, hospital cost, recovery time, and postoperative complications...
September 27, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
R Mancini, G Pattaro, E Spaziani
PURPOSE: This series was aimed to analyze feasibility, safety and postoperative quality of life of trans-abdominal pre-peritoneal repair in incarcerated hernia; the rationale was a safe hernia reduction, more accurate abdomen exploration, diagnosis and treatment of contralateral unknown hernia. METHODS: With a minimum follow-up of 30 months, 20 urgent incarcerated inguinal hernia patients were submitted to TAPP. Signs of strangulation, peritonitis and major comorbidity were exclusion criteria...
September 26, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Emanuele Rausa, Emanuele Asti, Michael Eamon Kelly, Alberto Aiolfi, Andrea Lovece, Gianluca Bonitta, Luigi Bonavina
The most troublesome complications of inguinal hernia repair are recurrent herniation and chronic pain. A multitude of technological products dedicated to abdominal wall surgery, such as self-gripping mesh (SGM) and glue fixation (GF), were introduced in alternative to suture fixation (SF) in the attempt to lower the postoperative complication rates. We conducted an electronic systematic search using MEDLINE databases that compared postoperative pain and short- and long-term surgical complications after SGM or GF and SF in open inguinal hernia repair...
September 24, 2018: World Journal of Surgery
Mark P Zoland, Joseph C Iraci, Srino Bharam, Leah E Waldman, John P Koulotouros, Devon Klein
Background: "Athletic pubalgia," a term that has gained acceptance over "sports hernia," is more common in men than women; however, it represents a significant source of morbidity for patients of both sexes. Inconsistent terminology surrounding this entity poses a diagnostic challenge and makes studying the populations at risk difficult. Purpose: To review a case series of women with athletic pubalgia by analyzing their presentations, concomitant pathologies, and surgical outcomes...
September 2018: Orthopaedic Journal of Sports Medicine
A M Persoon, W J V Bökkerink, W L Akkersdijk, C J H M van Laarhoven, G G Koning
INTRODUCTION: The Trans REctussheath PrePeritoneal (TREPP) mesh repair was introduced in 2006 to decrease the risk of postoperative inguinal pain in hernia surgery. For the repair of a recurrent inguinal hernia after a primary TREPP an alternative open anterior route (Lichtenstein) may seem the most logical option, but coincides with an increased risk of chronic postoperative inguinal pain. Therefore, this study aimed to evaluate the feasibility of a second TREPP procedure to repair a recurrent inguinal hernia after an initial TREPP repair...
September 12, 2018: International Journal of Surgery Case Reports
A Nair, J Dolan, K E Tanner, C M Kerr, B Jones, P J Pollock, C F Kellett
BACKGROUND: Placement of local anaesthetic within the adductor canal using ultrasonography is an alternative to femoral nerve blocks for postoperative pain relief after knee joint replacement surgery. However, the effect of an inflated thigh tourniquet on the distribution of local anaesthetic within the adductor canal is unknown. The aim of this cadaveric study was to compare the distribution of radio-opaque dye within the adductor canal in the presence or absence of an inflated thigh tourniquet...
October 2018: British Journal of Anaesthesia
S Vukovic, A Anagnostopoulos, R Zbinden, L Schönenberger, C Guillod, L E French, A Navarini, E Roider
Tularemia is a bacterial zoonosis which is commonly transmitted through tick or insect bites or contact with meat of infected animals. We report the case of a 36-year-old man who developed fever, chills, headaches, and a painful, unilateral, inguinal lymphadenopathy with a red-livid skin discoloration after an insect bite on his abdomen. Ulceroglandular tularemia was diagnosed through polymerase chain reaction (PCR) and serology. Treatment with doxycycline for 21 days resulted in an excellent outcome.
September 18, 2018: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
Ryu Matsumoto, Yoshio Nagahisa, Kazuki Hashida, Mitsuru Yokota, Michio Okabe, Kazuyuki Kawamoto
Purposes: Seroma is a postoperative complication following laparoscopic transabdominal preperitoneal repair (TAPP) for inguinal hernioplasty. Seroma naturally resolves in most cases, but it can lead to an increased amount of visits to the outpatient clinic and can result in anxiety of the patient. Local inflammation of the inguinal area is etiology of seroma formation. Strangulated hernia involves severe inguinal pain and can lead to severe inflammation and subsequent seroma. There have been no reports demonstrating the links of seroma and strangulated hernia...
2018: Minimally Invasive Surgery
Cihan Kaya, İsmail Alay, Günay Babayeva, Hakan Güraslan, Murat Ekin, Levent Yaşar
Round ligament fibroids are rare tumors and can present as inguinal, adnexal, or vulvar masses. Preoperative diagnosis can be made by ultrasonography or magnetic resonance imaging (MRI). A 28-year-old virgin female presented with pelvic pain that persisted for a few days. Her sonographic evaluation detected a well-defined hyperechoic 45 × 40 mm right adnexal mass interfering endometrioma. A contrast-enhanced pelvic MRI showed a 43 × 39 × 32 mm solid mass located in the right adnexa. Laparoscopic exploration revealed a well-defined double torsion around the peduncle pinky solid mass arising from the right round ligament...
September 2018: Oman Medical Journal
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