Rectus sheath hematoma (RSH) is an uncommon clinical event usually associated with trauma or coagulation disorders. It can also occur spontaneously. RSH usually runs a benign course but it can present with hypovolemic shock. When conservative management fails, surgical exploration becomes mandatory. We propose a technique of emergency ligation of the inferior epigastric artery. This is a simple...

Apixaban is an oral anticoagulant that directly inhibits Factor Xa and is indicated for the prophylaxis and treatment of deep venous thrombosis and stroke prevention in non-valvular atrial fibrillation. Rectus sheath hematoma is a rare, life-threatening complication of anticoagulant treatment. We describe a case of an elderly patient on apixaban for the treatment of deep venous thrombosis who d...

Rectus sheath hematoma (RSH) is a rare entity [1] which is caused by rupture of the perforating branches of the inferior epigastric artery running in the preperitoneal fat, causing a large haematoma spreading in the looser rectus sheath space. Non-invasive imaging modalities including CT scan are the key to establish its early diagnosis. It is often misdiagnosed as many other serious intra-abdo...

Background: Laparoscopic surgery is associated with considerable postoperative pain, though it is less compared to open surgery. Post laparoscopic pain results from phrenic nerve irritation caused by residual gas, stretching of the intraabdominal cavity and peritoneal inflammation. The Modified Rectus Sheath Block (MRSB) is fairly easy and reliable procedure when performed using ultrasound guid...

OBJECTIVE This study aimed to evaluate the effects of ultrasound-guided rectus sheath block in gynaecological surgery with Pfannenstiel incision. METHODS After the approval of the ethics committee and the patients' consent, 75 ASA I-II patients who were aged between 20 and 70 years and scheduled for a gynaecological surgery with Pfannenstiel incision were included in this study. After inducti...

BACKGROUND Atelectasis is commonly encountered in patients undergoing rectus abdominus tissue transfer. Primary closure of the anterior rectus sheath may contribute to this process. Augmentation of the closure with mesh may decrease the incidence of Atelectasis. METHODS In this retrospective review 32 patients with preoperative and postoperative augmentation were compared to 23 who had primar...

Chronic pain is the most serious long-term complication after groin hernia repair. The aim of this preliminary research was to assess the quality of life before and after standard tension-free mesh repair and new method of tension-free inguinal hernia repair using anterior rectus sheath. Total of 62 patients were evaluated. Anterior rectus sheath method was performed in 29 patients and in 33 pa...

this study was conducted on 48 specimens of rectus abdominis muscles for recognition and definition of passage and ramification of lower intercostal nerves. the main results of this study are as follows: 1- the seventh and eight intercostal nerves penetrated to posterior layer of the rectus sheath while other intercostal nerves perforated to dorsal layer of internal oblique abdominis aponeurosi...