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Inguinal pain

Parikshaa Gupta, Gurwinder Kaur, Arvind Rajwanshi, Sandeep Bansal, Rajeev Kamble, R Ranjini
16-year-old male child. Presented with bilateral proptosis (more on right than left) over the last 8 years, which was painless and gradually increasing in size. He had slight blurring of vision in right eye with restriction of eye movements. In addition, he had difficulty in breathing from nose. There was no history of fever, fatigue, weight loss, night sweats or joint pains. The clinical suspicion was of a lymphoma or an invasive fungal infection. On examination, there was no significant cervical, axillary or inguinal lymphadenopathy or hepatosplenomegaly...
August 12, 2018: Cytopathology: Official Journal of the British Society for Clinical Cytology
Takahiro Arima, Ken Muroya, Ken Kawamoto, Yuji Koba, Takashi Omura
INTRODUCTION: Reduction en masse is a rare complication of inguinal hernia. This condition is defined as the displacement of a strangulated hernia mass into the preperitoneal space. CASE PRESENTATION: A 62-year-old man presented with severe abdominal pain after a forcible reduction of an incarcerated right inguinal hernia. Abdominal computed tomography (CT) scan suggested strangulated bowel. Emergency exploratory laparoscopy was performed and the incarcerated bowel was successfully released...
July 27, 2018: International Journal of Surgery Case Reports
Ibnouf Sulieman, Ahmed Mahfouz, Einas AlKuwari, Lajos Szabados, Walid Elmoghazy, Ahmed Elaffandi, Hatem Khalaf
INTRODUCTION: Most patients with pancreatic masses pose a diagnostic challenge when a benign lesion is suspected, and often, resection is needed before a benign diagnosis is confirmed. PRESENTATION OF CASE: A 57 years old male patient presented with a pancreatic head mass, obstructive jaundice and submandibular lymph node enlargement. He also had a history of recurrent eye pain and redness, skin lesions, and benign prostatic hypertrophy. MRI showed a pancreatic head mass with double duct sign, aortic thickening, bilateral renal lesions, diffuse lymph node enlargement, and prostatic enlargement...
July 31, 2018: International Journal of Surgery Case Reports
Benedetto Ielpo, Javier Nuñez-Alfonsel, Hipolito Duran, Eduardo Diaz, Isabel Fabra, Riccardo Caruso, Luis Malavé, Valentina Ferri, Ernesto Barzola, Yolanda Quijano, Emilio Vicente
OBJECTIVE: The aim of this study is to compare the clinical and cost-effective outcomes of the open Lichtenstein repair (OL) and laparoscopic trans-abdominal preperitoneal (TAPP) repair for bilateral inguinal hernias. SUMMARY BACKGROUND DATA: A cost-effective analysis of laparoscopic versus open inguinal hernia repair is still not well addressed, especially regarding bilateral hernia. METHODS: This is a clinical and cost-effectiveness analysis within a randomized prospective study conducted at Sanchinarro University Hospital...
August 7, 2018: Annals of Surgery
Yuchen Cao, Atsushi Kohga, Akihiro Kawabe, Kiyoshige Yajima, Takuya Okumura, Kimihiro Yamashita, Jun Isogaki, Kenji Suzuki
The early and accurate diagnosis of reduction en masse followed by proper treatment is important but has been difficult. Here, we report the case of a 58-year-old Japanese man who presented with abdominal pain and vomiting at a nearby clinic. He was referred to our hospital on suspicion of small bowel obstruction. Despite the total disappearance of his symptoms, the abdominal X-ray examination showed distended loops of small bowel. The preoperative diagnosis of small bowel strangulation due to an internal hernia was made by CT, and we therefore performed emergency exploratory laparoscopy...
August 5, 2018: Asian Journal of Endoscopic Surgery
Lisa N Abaid, John S Cupp, Miles Chang, Steven R Beanes, Bram H Goldstein
Endometriosis is a condition wherein an ectopic layer of endometrial tissue arises in an extra-uterine location, often effecting significant pelvic pain and infertility. While very uncommon, there have been reported cases of endometriosis undergoing malignant transformation, frequently involving the ovaries and seldom in extra-gonadal regions. We recount a case depicting a 63 year-old woman who presented with an apparent inguinal hernia in 2017; she was ultimately diagnosed with a pelvic side wall clear cell carcinoma and attendant metastatic disease to the medial groin, which emanated from endometriosis...
August 2018: Gynecologic Oncology Reports
Emel Yılmaz, Ebru Karakaya, Hakan Baydur, İdil Tekin
BACKGROUND AND AIMS: This study was conducted to investigate the effect of transcutaneous electrical nerve stimulation on postoperative pain, changes in patients' vital signs, and patient satisfaction after inguinal herniorrhaphy. DESIGN: This study used a randomized controlled design. SETTING: A state hospital in the west of Turkey. PARTICIPANTS/SUBJECTS: The study was conducted on 52 patients who had inguinal herniorrhaphy between January and July 2015...
July 30, 2018: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Shelly D Sedberry, Michael I Gazes, Elizabeth Zellner, Steven D Vyce
INTRODUCTION: Squamous cell carcinoma (SCC) is most commonly found on sun-damaged skin and less often occurs on the toes and feet. CASE REPORT: A 41-year-old man with a history of human immunodeficiency virus and asthma, who had received highly active antiretroviral therapy for 7 years while incarcerated, presented to the emergency department with a primary SCC of the left foot with inguinal lymph node metastasis. The patient underwent a left foot transmetatarsal amputation; due to noncompliance, he underwent a below-the-knee amputation 17 days later as a result of surgical findings and extent of infection...
July 2018: Wounds: a Compendium of Clinical Research and Practice
Joshua Dean Horton, Suqrat Munawar, Corinne Corrigan, David White, Robert A Cina
OBJECTIVES: Opioid misuse has reached epidemic proportions in the United States. Post-operative opioids have been linked to overdose, diversion, and dependency in adults, but comparatively less is known in children. We evaluated opioid prescriptions following tonsillectomy and hernia repair at our institution. METHODS: Retrospective chart review of all outpatient tonsillectomies and inguinal/umbilical hernia repairs at a single institution. Data on opioid and non-opioid analgesic prescription characteristics and post-operative pain control were reviewed...
July 7, 2018: Journal of Pediatric Surgery
Xitao Wang, Gengwen Huang, Dingcheng Shen, Jiayan Lin, Caihong Ning, Xintong Cao, Liandong Ji, Yebin Lu, Wei Wei
OBJECTIVE: To explore the appropriate operative strategy in recurrent groin hernia repair. METHODS: Clinical and follow-up data of 82 patients with recurrent groin hernia undergoing operation at Department of Pancreatobiliary Surgery, Xiangya Hospital of Central South University from April 2010 to April 2017 were analyzed retrospectively. The operative approaches included laparoscopic transabdominal preperitoneal (TAPP) hernia repair, Lichtenstein repair and hybrid repair...
July 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Taicheng Zhou, Ning Ma, Hongyan Yu, Zhipeng Jiang, Yingru Li, Wenchang Gan, Zehui Hou, Shuang Cheng
OBJECTIVE: To investigate the efficacy of single-hand four-needle suture with sled-shaped needle three-tail fixed stitch in closure of pesudohernia sac of direct hernia under transabdominal preperitoneal (TAPP) inguinal hernia repair. METHODS: A randomized controlled trail was conducted on adult patients with unilateral direct inguinal hernia undergoing laparoscopic TAPP repair from January 2014 to January 2018 at the Sixth Affiliated Hospital of Sun Yat-sen University...
July 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Ahmed I Eid, Christopher DePesa, Ask T Nordestgaard, Napaporn Kongkaewpaisan, Jae Moo Lee, Manasnun Kongwibulwut, Kelsey Han, April Mendoza, Martin Rosenthal, Noelle Saillant, Jarone Lee, Peter Fagenholz, David King, George Velmahos, Haytham M A Kaafarani
BACKGROUND: Diversion of unused prescription opioids is a major contributor to the current United States opioid epidemic. We aimed to study the variation of opioid prescribing in emergency surgery. METHODS: Between October 2016 and March 2017, all patients undergoing laparoscopic appendectomy, laparoscopic cholecystectomy, or inguinal hernia repair in the acute care surgery service of 1 academic center were included. For each patient, we systematically reviewed the electronic medical record and the prescribing pharmacy platform to identify: (1) history of opioid abuse, (2) opioid intake 3 months preoperatively, (3) number of opioid pills prescribed, (4) prescription of nonopioid pain medications (eg, acetaminophen, ibuprofen), and (5) the need for opioid prescription refills...
July 23, 2018: Surgery
Masakazu Ohuchi, Masaki Fukunaga, Kunihiko Nagakari, Daisuke Azuma, Shintaro Kohama, Jun Nomoto, Kazuhiro Sakamoto
PURPOSE: The question as to whether laparoscopic surgery should be applied for inguinal hernia after radical prostatectomy remains a debate due to surgical difficulty arising from adhesions in the prevesical space. We report the surgical technique used in our department, its outcomes, and its safety and effectiveness compared with the surgical outcomes of primary transabdominal preperitoneal inguinal hernia repair (TAPP) cases. METHODS AND MATERIALS: From February 2013 to January 2017, 30 patients with inguinal hernia were treated with TAPP after radical prostatectomy...
July 25, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Peter Vanlangenhove
Anatomical differences between adults and adolescents and between left and right varicoceles were shown in this work. We designed a standardized and reproducible method for pressure measurement in the inguinal internal spermatic vein (ISV). We demonstrated that the mean absolute pressure in the ISV in the upright position is higher than the veno-capillary pressure in the testicle, and hence could impair spermatogenesis prompting the need for treatment in varicoceles. Histoacryl transparent and Glubran2, the current commercially available adhesives for the treatment of varicoceles, do not differ with regard to efficiency, safety and tolerance during and after embolization...
February 9, 2018: Journal of the Belgian Society of Radiology
Ali Fuat Atmaca, Nurullah Hamidi, Abdullah Erdem Canda, Murat Keske, Arslan Ardicoglu
PURPOSE: To assessment the safety of concurrent repair of inguinal hernia (IH) with mesh application during transperitoneal robotic-assisted radical prostatectomy(RARP). MATERIALS AND METHODS: Data of 20 patients (totally 25 procedures) who performed concurrent IH repair with mesh application during RARP were retrospectively enrolled in this study. Preoperative patient characteristics, intra and postoperative parameters (pathological Gleason grade, prostate volume at surgical specimen, operative time, herniorrhaphy time, estimated blood loss, complications, time of hospitalization, catheterization, and drainage) were evaluated...
July 23, 2018: Urology Journal
Manmohan Kamat, Neerajpratap Singh, Kartik Nattey
INTRODUCTION: Direct Obstructed inguinal hernias of sliding variety with bladder as its content is extremely rare. CASE REPORT: We report the case of an 83-year-old male known case of DM, presented with irreducible and painful swelling over the right inguinal region and cough impulse on right inguinal region. On exploration of the right side, the obstructed hernia was found to be a direct type sliding hernia with sac wall forming anterior covering layer and containing congested small bowel loops (ileum) and bladder forming the medial wall of the hernia sac...
June 28, 2018: International Journal of Surgery Case Reports
Charlotte Delcourt, Jean Cyr Yombi, Halil Yildiz
CLINICAL INTRODUCTION: A 37-year-old man with history of lymph node tuberculosis presented with bilateral inguinal swelling with night sweats but no fever for 2 weeks. He had a cat but he had no history of scratches. He had an extraconjugal sexual intercourse a few weeks before. Physical examination revealed 5 cm tender, erythematous and painful bilateral inguinal adenopathy (figure 1A) and a small ulceration at the base of the penis (figure 1B). Vital signs were normal.emermed;35/8/522/F1F1F1Figure 1(A) Inguinal lymphadenopathy...
August 2018: Emergency Medicine Journal: EMJ
Çiğdem Akyol Beyoğlu, Aylin Özdilek, Emre Erbabacan, Elif Aybike Özmumcu, Birsel Ekici, Güniz Köksal, Fatiş Altıntaş, Sevim Purisa
OBJECTIVES: The effect of subcostal transversus abdominis plane (TAP) block on postoperative pain is contradictive. The aim of this study was to evaluate the effect of subcostal TAP block on subacute pain in patients who have undergone inguinal herniography. METHODS: Patients aged between 18 and 75 years with American Society of Anesthesiologists 1-3 and who were to undergo elective unilateral inguinal herniography with mesh under general anesthesia were included...
July 2018: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
Fei-Ran Zhang, Yang Zheng, Li-Jun Yan, Chan-Shan Ma, Jun-Tian Chen, Wei Li
CONTEXT: Tension-free hernioplasty under local anesthetic infiltration is a reasonable choice for end-stage renal disease patients with hernia. OBJECTIVES: The purpose of the study was to investigate the feasibility of cryotherapy after hernioplasty surgery to relieve pain and scrotal edema. METHODS: This was a prospective, randomized, and controlled trial held in a large integrated health care facility in South China. One hundred sixty-nine male patients on hemodialysis and scheduled for hernioplasty were enrolled between March 2013 and February 2017...
July 17, 2018: Journal of Pain and Symptom Management
Daijiro Morimoto, Kyongsong Kim, Rinko Kokubo, Takao Kitamura, Naotaka Iwamoto, Juntaro Matsumoto, Atsushi Sugawara, Toyohiko Isu, Akio Morita
OBJECTIVE: Meralgia paresthetica is a mononeuropathy of the lateral femoral cutaneous nerve (LFCN) caused by compression around the inguinal ligament. We report a surgical alternative for the treatment of meralgia paresthetica under local anesthesia and its outcomes. METHODS: We operated on 12 patients with unilateral meralgia paresthetica whose age at surgery ranged from 62 to 75 years. The mean postoperative follow-up period was 19 months. Microsurgical deep decompression of LFCN was performed with the patient under local anesthesia...
July 11, 2018: World Neurosurgery
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