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Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The paper covers diagnoses indicating removal of bone from the iliac crest, positioning, an approach to the iliac crest, and techniques for removing bone. The hazards incident to the removal of spongiosa, cortical substance, or spongeous-cortical bone chips are described. Haemorrhages from the spongiosa must be staunched carefully with wax plugs or fibrin glue (Tissucol1). Complications such as perforation, hernia, hyperaesthesia, muscular atrophy, and changes in contour are discussed, as well as suitable measures to avoid complications.
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PMID:[Removal of the iliac crest bone]. 395 93

Conventional hernia repair is effective in terms of cure but is associated with considerable postoperative pain and delay in return to normal activity. Laparoscopic repair has the potential to reduce pain and speed return to normal activity, but there have been few published reports of the outcome of this operation in the UK. We present a prospective audit of 94 patients who underwent laparoscopic repair. Of the 94 patients, 87 (92.6%) were male and 7 (7.4%) were female. Thirteen of the repairs were bilateral and 12 were recurrent. Two had to be converted to open repair. The mean operating time for unilateral repair was 56 min and for bilateral repair 98 min. Sixty-three patients (67%) were discharged within 24 h and 21 (22.4%) were discharged within 48 h. There were minor complications in 20 patients (21%), eight of whom (8.5%) developed a haematoma. The other minor complications included seromas (2), bruising at the site of the entry port (2), hyperaesthesia in the groin (2), port hernia (1), shoulder tip pain after surgery (3) and postoperative urinary retention (2). Nine (9.5%) patients claimed to have had no pain or discomfort at all; 35 (37.2%) were pain and discomfort free in 2 weeks. Thirty-two (34%) patients returned to normal activities in 2 weeks. With a median follow-up of 8 months 3 (3.2%) recurrences were noted. It is emphasised that this series represents a learning curve and that the operation is developmental. We are now restricting laparoscopic repair to recurrent and bilateral hernias where the technique offers particular advantages.
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PMID:Laparoscopic hernia repair in Leicester General Hospital: a prospective audit of 94 patients. 871 51

Results of a prospective study of 776 TAPP procedures performed on 600 patients are reported. We found rates of 0.5% for intraoperative complications and 1.3% for early-postoperative complications. Late postoperative complications have been observed in an incidence of 4.4% for haematomas, 7.9% for scrotal discomfort, 1.2% for hyperaesthesia and trocar hernias have occurred in 0.9%. The recurrence rate was 3.9%. Results suggest that improvement of the technique of laparoscopic hernia repair may prevent complications and may lower future complication rates.
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PMID:[Laparoscopic transperitoneal inguinal hernia repair (TAPP)--complications and results of a prospective study]. 957 51

A total of 186 consecutive patients underwent open tension-free inguinal hernia repair, either on one or both sides. Overall, 220 hernias were repaired under local anesthesia conditions after intraoperatively classifying the size of the hernia. The follow-up investigation took place as planned in 165 hernias. The mean follow-up time was 15.5 months, with a range from 6.6 to 30. 8 months, and the follow-up rate was 75.0 %. During this first follow-up it was especially interesting to read the patients, self-assessment concerning their physical restrictions during the first month after the operation. Furthermore, we were interested in learning about the objective and subjective operation-linked consequences in the patients, inguinal region. Most patients (89.7 %) were able to do sports and drive their car; 86.1 % were able to manage their usual physical activity 4 weeks after the operation. Focusing on the operation site, patients complained about chronic unpleasant effects, such as mild pain (21.2 %), local hypoesthesia (12.1 %), weather-dependent changes in sensitivity (7.2 %), moderate pain (3.6 %), inguinal syndrome (1.8 %) and hyperesthesia (1.2 %). Persistent swelling in the parainguinal region was found in 1.8 % of the patients and only one recurrence was found (0.6 %). In the analysis we found that mild chronic pain was not related to the time period after the operation and the age or sex of the patient, but there was a correlation with the size of the hernia. Patients with small hernias significantly more often experienced chronic pain than patients with bigger hernias. These results suggest that open tension-free inguinal hernia repair according to Lichtenstein appears to be overtreatment in patients with small inguinal hernias.
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PMID:[Long-term results after tension-free inguinal hernia repair]. 1050 66