an obstructed inguinal hernia is a common surgical emergency, which presents with a variety of contents like the small intestine, omentum, and colon. intestinal knotting is a rare entity encountered in surgical practice; it occurs when one coil of intestine wraps around the other and eventually leads to complications such as intestinal obstruction, ischemia, and gangrene. both conditions are co...

INTRODUCTION With the establishment of a hernia specialist service at our medical centre in 1999, laparoscopic inguinal hernia repair was offered to all patients who presented with inguinal hernias. This is a report of our early experience of 100 consecutive laparoscopic totally extraperitoneal inguinal hernioplasties. MATERIALS AND METHODS Between June 1999 and January 2000, a total of 82 pa...

LAPAROSCOPIC TRANSABDOMINAL PRE-PERITONEAL (TAPP) FOR BILATERAL INGUINAL HERNIA (Abstract): The laparoscopic approach is not still the world wide accepted for the treatment of inguinal hernias. However, in the last years, this approach tends to become the gold standard procedure for the one day surgery of groin hernias. We present the laparoscopic TransAbdominal PrePeritoneal approach (TAPP) in...

Current issues in the management of clinically negative inguinal lymph nodes in squamous cell carcinoma of the anal canal. Quality of the available evidence. Background The first line of management of squamous cell carcinoma (SCC) of the anal canal is chemo-radiation. The radiation field includes, in addition to the anal region and the perirectal nodes, the iliac and both inguinal triangles to ...

Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to determine best practices for the management ...

BACKGROUND AND OBJECTIVES Conversion to open surgery is an important problem, especially during the learning curve of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. METHODS Here, we discuss conversion to the Stoppa procedure during laparoscopic TEP inguinal hernia repair. Outcomes of patients who underwent conversion to an open approach during laparoscopic TEP inguinal her...

We are interested in studying the genesis of a very common pathology: the human inguinal hernia. How the human inguinal hernia appears is not definitively clear, but it is accepted that it is caused by a combination of mechanical and biochemical alterations, and that muscular simulation plays an important role in this. This study proposes a model to explain how some physical parameters affect t...

An 8-month-old boy with a left-sided incarcerated inguinal hernia involving the appendix, cecum, and terminal ileum was successfully managed via an inguinal approach during an emergency operation. A mobile cecum seemed to have contributed to the left-sided incarceration. Only 13 similar cases with the left-sided Amyand's hernia have been reported in the literature.

BACKGROUND Recent trials have assessed the impact of elective nerve division on patient outcome after inguinal herniorrhaphy. The aim of this study was to establish UK surgical practice of handling of structures in the inguinal canal during herniorrhaphy. METHODS A cross-sectional survey of all Fellows (n = 1113) of the Association of Surgeons of Great Britain and Ireland (ASGBI) was performe...