Showing 3 results for Hernioplasty
Talebpour M, Niazie M, Jafari Javid M,
Volume 65, Issue 1 (3-2008)
Abstract
Background: The incidence of inguinal hernia is 15 cases per 1,000 populations.
The most common surgical methods of hernia repair are conventional open hernioplasty and laparoscopic hernioplasty. The advantages of laparoscopic hernioplasty are that the regional anatomy is observable, and bilateral herniorrhaphy can be performed at the same time. Since laparoscopic hernia is usually performed under general anesthesia, to shorten the length of hospital stay and to prevent complications, in this study, we evaluated the use of epidural anesthesia during hernioplasty.
Methods: This study included 20 male patients treated by a single surgeon. We recorded the PCO2 levels before, during and after surgery, as well as the pain and intra-abdominal pressure.
Results: Only one patient required conversion to general anesthesia. Three patients had hernia on the left side only, 14 patients on the right only and three patients had bilateral hernia. The PCO2 levels did not change (P=0.789).
Fifty percent of patients had no postoperative pain. The median time to return to work or normal physical activity was 7 days.
Conclusion: Laparoscopic inguinal herniorrhaphy is a feasible alternative to open surgical hernia repair. Employing epidural anesthesia prevents the complications of general anesthesia. This method achieves a shorter hospital stay and time to return to normal activity, as well as reduction in pain. Controlled trials comparing laparoscopic and tension-free open herniorrhaphy are needed to further assess the relative benefits of this procedure.
Talebpour M, Yagoobi A, Zargar M,
Volume 65, Issue 5 (8-2007)
Abstract
Background: Laparoscopic hernioplasty is a standard technique with increasing interest of patients and surgeons. Bilateral hernioplasty can be performed by laparoscopy as well. The aim of this study is to show laparoscopic bilateral hernioplasty is an acceptable method and use of eye-shaped mesh getting the best result.
Methods: In 54 cases with bilateral inguinal hernia, under general anesthesia laparos-copic reconstruction with eye-shaped prolene mesh performed. All cases of recurrent, big, direct, indirect and femoral hernia were entered in the study.
Results: Seven of 54 cases were female. Four cases (male) had direct hernia, four female had femoral hernia and remaining of the study group had indirect form. Direct hernia 4 case (male), femoral hernia 4 (female) and remaining were indirect hernia. Operation performed without any complications in all cases. In 12 cases sac of hernia was too much enlarged so technique of bridge at the base of sac used. In five cases diameter of defect was more than 2 centimeter. In three of them defect repaired by suture before mesh insertion. Postoperative complications were seroma at distal of mesh in 23 cases (absorbed during 3 weeks spontaneously), reaction to mesh in one case (mesh and protack removed after 3 months of operation. Conservative management was ineffective and anterior repair performed), recurrence in one case (after 2 months of operation due to displacement of mesh in big direct hernia). Post operative hospital stay was 1.3 day (mean time). Painless movement and mobilization was obvious after 48 hours.
Conclusion: Laparoscopic bilateral hernioplasty using eye-shaped prolene mesh is an acceptable method with good results especially in indirect hernia. In direct hernia, repair of defect by suturing and fixation of mesh is preferred.
Shajari H, Ashrafi M R, Ghanjizadeh F, Seyyed Ali Naghi S A, Zandieh S, Hosseini S M,
Volume 65, Issue 13 (3-2008)
Abstract
Background: Mongolian spots are the most frequently encountered pigmented lesions in
newborns. The patches appear at birth or shortly there after, rarely later the MS in term
newborns in always present at birth. The shape of MS was commonly either irregular or
indefinite, with its borders gradually blending with the surrounding skin. The color most
frequently observed in all ethnic groups was blue- green. For the Negro population the
color was commonly greenish– blue the next most common color in the total population
was blue- gray. Brown coloration in the form of brown specks on a back ground of blue
was present in ten percent Negro Newborns. The most common location is the sacragluteal
region, which frequently is the only part affected. MS occasionally are found in
the extremities in those cases with extensive involvement, particularly in the shoulders.
The presence of MS in the head or neck has been called aberrant Mongolian spot. The
macula has been variously described as irregularly round, oval, roughly triangular, heart
shaped, resembling a tennis racket, and angular. The size may vary from a dot of a few
millimeters to six or more centimeters in diameter the mark of ten disappears during the
first or second year of life. Those marks distant from the sacral region are said to be more
apt to persist than the typical sacral one and the buttocks was the site of predilection. Its
incidence varies from over 80% in Asians (Mongolian and Chinese) to 10% of white
infants. Only a limited number of studies were carried out in Iran. Our objective was to
study Mongolian spots incidence and common locations in newborns at Shariati hospital.
Methods: During 2004-06, 2305 consecutive newborns were examined at Shariati hospital.
Diagnosis of Mongolian spot was based on clinical impression with Pediatricians.
Results: Mongolian spot was observed in 11.4% neonates. The most frequent site of
involvement is the sacral, followed by the gluteal area. Mongolian spot did not show a
significant relationship to sex, gestational age, mother’s age groups and delivery type
(p>0.05) but the relationship between Mongolian spot and birth weight groups was
significant (p<0.05).
Conclusion: Incidence of mongolian spots in our patients was simila
