s c C t t p p w p here is an ongoing debate about whether to repair priary, unilateral inguinal hernias by the laparoscopic or he open method. Many agree that laparoscopic repair is etter for bilateral or recurrent hernias, but its use for rimary, unilateral hernias is controversial. Sixteen ranomized, controlled trials and metaanalyses that compared hese two techniques demonstrated that laparo...

INTRODUCTION Boerhaave's syndrome is defined as the spontaneous perforation of the esophagus. Although it has been reported in association with different gastrointestinal pathologies, there are no previous reports in association with an incarcerated inguinal hernia containing ischemic small bowel. PRESENTATION OF CASE We present an unusual case of a gentleman who presented with severe chest p...

Objective The ideal agents for conscious sedation during ambulatory inguinal hernia repair are still unclear. We aimed to compare the analgesic, sedative, haemodynamic, and side effects of dexmedetomidine with those of propofol in combination with fentanyl for conscious sedation in patients undergoing inguinal hernia repair. Methods Eighty patients undergoing unilateral inguinal hernia repair w...

BACKGROUND & OBJECTIVE The inguinal hernia accounts for 50 percent in old age males. A Lichtenstein type of operation has now become the method of choice in most developed countries but in the developing world traditional simple suture repair is still in common practice in resource limited hospitals due to the scarcity and expensive nature of the commercial prosthetic mesh. Our objective was to...

BACKGROUND AND OBJECTIVES Laparoscopic preperitoneal hernia repair with mesh has been reported to result in improved patient outcomes. However, there are few published data on the use of a totally extraperitoneal (TEP) approach. The purpose of this study was to present our experience and evaluate early outcomes of TEP inguinal hernia repair with self-adhesive mesh. METHODS This cohort study w...

In recent years, general surgeons who perform inguinal hernia repair have paid attention to successful reduction in the recurrence rate. The Lichtenstein technique is widely used because it is easy to learn and is associated with a low rate of complication and recurrences. Today, the new objective in primary hernia surgery should be to reduce complications such as chronic pain. Chronic pain aft...

We present a case of a one month old female infant who presented with left inguinal swelling. She was prematurely born at 32 weeks of gestational age. Preoperative ultrasound showed features of sliding indirect inguinal hernia with both ovaries, fallopian tubes and uterus; which were also evident per operatively. Patient underwent successful hernia repair and uneventful post-operative period. P...

OBJECTIVES The aim of this review was to evaluate the epidemiologic evidence for (i) a causal effect of occupational mechanical exposures on incidence of inguinal hernia, and (ii) a prognostic effect of such exposures on hernia recurrence and persistent pain after inguinal hernia repair. METHODS We performed a literature search in Medline, Embase, and Web of Science up...

UNLABELLED INTRODUCTION Although blunt trauma to a hernia-containing bowel is known to cause bowel perforation, this report documents the first incident of a small bowel transection following a non-traumatic event. CASE PRESENTATION We report the case of a 49-year-old African American man with a chronic incarcerated inguinal hernia awaiting elective repair. He presented to the Emergency De...