The presence of a vermiform appendix in an inguinal hernia sac is known as a Amyand’s hernia. It’s an atypical and rare disease. The diagnosis is usually made intraoperatively. The management of this type of hernia should be tailored to each patient according to their clinical presentation and often poses problems of repair due to the infection risk associated with the appendectomy.
Surgeons should have a complete knowlege of Amyand’s hernia treatement modalities. It’s an imperative condition for a good repair without complications and with avoidance of recurrence.
Here, we describe a patient with an Amyand hernia who underwent appendectomy along with a mesh repair of his hernia.
Introduction: Pediatric inguinal hernia is a common congenital anomaly, and herniotomy is the most commonly used method for treatment, including traditional open high ligation or laparoscopic approach.
Aim: Evaluation of feasibility, efficacy, operative time, cosmetic results, recurrence rate and possible complications of one trocar needlescopic assisted peritoneal disconnection and closure using Mediflex® Disposable Suture Grasper Closure Device, homemade long micro-diathermy probe and epidural needle in treatment of pediatric inguinal hernia.
Patient and methods: A prospective clinical trial included 33 cases with 50 inguinal hernias that was done in the Pediatric surgery unit, General Surgery department, Tanta University Hospitals.
Conclusion: Needlescopic assisted peritoneal disconnection and closure for congenital inguinal hernia is safe, simple, easy, effective, less invasive and more cosmetic way for repair. The procedure does not leave visible scars and doesn’t require expensive instruments or advanced laparoscopic suturing skills.
Introduction: Colorectal cancer is health problem because of its high incidence and high morbidity and mortality associated, so being implemented strategies for early detection or prevention.
Objective: To determine the effectiveness of occult blood test stool for early diagnosis of colorectal lesions.
Materials and Methods: A descriptive, retrospective and transversal study of 220 patients attending consultation coloproctology Hospital programAbel Santamaria Cuadradoprogram of Pinar del Rio for presumptive symptoms of colorectal disease in the period June / 2013 to June / 2015 was made, studied variables such as age, sex, medical history, presentation and symptoms at baseline, occult blood test stool, colonoscopy results and location of lesions.
Statistical Processing: descriptive statistics were used, percentage calculation was performed and sensitivity, specificity, positive and negative predictive value and efficacy index was calculated on the gold standard colonoscopy to determine the effectiveness of the test, the results were expressed in tables and shapes.
Results: It was determined that these injuries are more frequent in females and in patients older than 60 years, the tumor prior colon was the antecedent more found, change in bowel habits was the most frequent symptoms, colonoscopy is the fundamental review for positive diagnosis, the greater sensitivity and specificity of the test is to malignant lesions.
Conclusions: The blood test fecal occult employed, has a sensitivity and high specificity for colorectal cancer.
Background: Laparoscopic inguinal hernia repair has emerged as a viable alternative to the open procedure. However, laparoscopic hernioplasty by totally extraperitoneal repair (TEP) technically eliminates the hazards of intra operational injuries. The present study was undertaken to compare the effectiveness of laparoscopic repair (TEP) Vs open (Lichtenstein Method) repair of inguinal hernia.
Methods: This prospective analytical study was conducted in the Department of General Surgery in a tertiary referral hospital during a period of 30 months from June 2018 to November 2020 comprising of total 150 patients with unilateral or bilateral inguinal hernia in two groups : laparoscopic TEP group (study group) and open mesh repair group (control group).
Results: Operative time for laparoscopic TEP hernioplasty was more (82.13 min) as compared to open repair (65.6min). In bilateral hernia cases, TEP had significantly lower operative time than open repair while in unilateral hernia cases open repair had lower operative time. The frequency of postoperative chronic pain was found to be more with laparoscopic TEP hernioplasty (12%) as compared to open (6.67%). Postoperative complication rate was 34.66% in the study group and 45.33% in the control group. Recovery was faster with laparoscopic repair with a mean postoperative hospital stay of 2.41days compared to 3.61days for open mesh repair. Only one recurrence was noted among TEP repair.
Conclusion: Laparoscopic TEP hernioplasty offers a significant advantage over open Lichtenstein hernioplasty like early recovery, reduced hospital stay, lesser analgesic dose requirement, early resumption of normal activity and better quality of life in consideration with bodily pain.