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A long journey： report of a case with pancreatic abscess extending to the groin

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Chinese Medical Journal 2010年第22期123卷 3362-3363页

作者： LU Hui-min ZHANG Zhao-da HU Wei-ming Department of Hepato-bilio-pancreatic surgery West China Hospital Sichuan University Chengdu Sichuan 610041 China

Acute pancreatitis is an inflammatory process with .variable involvement of regional tissue, remote organ systems, or both. Various complications of pancreatitis are common, including intra- or extrapancreatic fluid collections and development of a pancreatic pseudocyst or abscess, or even pancreatic tissue necrosis. Infected necrosis involves diffuse bacterial inflammation of necrotic pancreatic and peripancreatic tissue without significant pus collection. In contrast, a pancreatic abscess is a circumscribed collection of pus, usually in proximity to the pancreas, that is positive for bacteria, bounded by adjacent tissue and organs and has minimal amounts of associated necrosis.

关键词： pancreatic abscess groin

Fascinating history of groin hernias:Comprehensive recognition of anatomy,classic considerations for herniorrhaphy,and current controversies in hernioplasty

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World Journal of Methodology 2021年第4期11卷 160-186页

作者： Tomohide Hori Daiki Yasukawa Department of Surgery Shiga General HospitalMoriyama 524-8524ShigaJapan Department of Surgery Shiga University of Medical ScienceOtsu 520-2192Japan

groin hernias include indirect inguinal,direct inguinal,femoral,obturator,and supravesical ***,we summarize historical turning points,anatomical recognition and surgical *** hernias have a fascinating history in the fields of anatomy and *** concept of tension-free repair is generally accepted among *** repair with mesh is categorized as hernioplasty,while classic repair without mesh is considered *** various surgical approaches have been developed,the surgical technique should be carefully chosen for each *** as interesting history,crucial anatomy and important surgeries in the field of groin hernia,we here summarized them in detail,*** of debate are also reviewed;important points are shown using illustrations and *** hope this systematic review is surgical guide for general surgeons including *** a skillful technique and anatomical knowledge are indispensable for successful hernia surgery in the groin.

关键词： Inguinal hernia groin History Anatomy Hernioplasty Herniorrhaphy

Current trends in the diagnosis and management of post-herniorraphy chronic groin pain

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World Journal of Gastrointestinal Surgery 2011年第6期3卷 73-81页

作者： Abdul Hakeem Venkatesh Shanmugam Department of General Surgery Aintree University Hospital NHS TrustLongmoor LaneLiverpoolL9 7ALUnited Kingdom Department of General and Colorectal Surgery Nottingham University Hospital NHS TrustQueens Medical CentreNottinghamNG7 2UHUnited Kingdom

Inguinodynia(chronic groin pain) is one of the recognised complications of the commonly performed Lichtenstein mesh inguinal hernia *** has major impact on quality of life in a significant proportion of *** pain is classif ied as neuropathic and nonneuropathic related to nerve damage and to the mesh,*** diagnosis of this problem is relatively difficult.A thorough history and clinical examination are essential,as is a good knowledge of the groin nerve *** spite of the common nature of the problem,the literature evidence is *** this paper we discuss the diagnostic tools and treatment options,both non-surgical and *** addition,we discuss the criteria for surgical intervention and its optimal timing.

关键词： Hernia Lichtenstein repair Chronic groin pain Inguinodynia Neuropathic pain Neurectomy Nerve block

Pedicled omentum for coverage of extra-abdominal vascular bypass graft in the groin

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Plastic and Aesthetic Research 2018年第11期5卷 1-6页

作者： NeaI G.Moores Christopher J.Pannucci Department of Plastic Surgery University of UtahSLCUT 84123USA

The omentum is a well-established pedicled flap for coverage of intra-abdominal and thoracic pathology, and as a free-flap for a multitude of applications. Its use as a pedicled flap for extra-abdominal applications other than those on the chest is less well described. Here we present a case where a pedicled omental flap was utilized to provide circumferential and buried coverage of an in-line ilio-femoral bypass graft well below the level of the inguinal ligament. The reach of the omentum was more than adequate, and the delicate nature of the flap provided excellent circumferential coverage of a cryo-vein bypass graft.

关键词： Omentum pedicled omentum reconstruction groin reconstruction

The groin Physiology Revisited

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International Journal of Clinical Medicine 2014年第13期5卷 741-751页

作者： Ljubomir Kovachev Pencho Tonchev Department of General Surgery Medical University Pleven Bulgaria

The purpose is to contribute new information to the existing body of knowledge of the physiology of the groin. In a prospective ultrasonographic study, after an informed consent, 10 men and 10 women who were intact in the groin areas of surgery or relevant disease were involved. For a comparison, additional groups of 5 men and 5 women with abdominal wall hernias, but with no groin hernias, and other 5 men with inguinal hernias were included. The distal descent of the internal oblique muscle during the Valsalva’s manoeuvre in men was 0.8 cm ± 0.1 and in women it was 0.3 cm ± 0.1 (p groin are oriented in three frontal planes. It formulated the concept of a synchronous protective function of all myofascial structures in the groin. We established that the anatomic structures transform the inguinal canal into a hermetic entity, which protects both the ingunal canal and the spermatic cord.

关键词： Inguinal Hernia Inguinal Canal groin Physiology

A Case of Local groin Abscess Caused by Transfemoral Coronary Procedures

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Open Journal of Clinical Diagnostics 2015年第2期5卷 54-57页

作者： Dongfeng Zhang Shuzheng Lyu Xiantao Song Department of Cardiology Beijing An Zhen Hospital Capital Medical University Beijing Institute of Heart Lung and Blood Vessel Disease Beijing China

Bacterial infection due to coronary angiography is an uncommon but important complication of percutaneous coronary intervention (PCI) which is responsible for significant morbidity and extended hospital stay. The reasons for this symptom are still unclear. We report a case of local groin abscess two weeks after the latest procedure. The reasons responsible for the groin abscess in this case might be diabetes mellitus without being properly controlled, left ventricular (LV) systolic dysfunction, multiple operations in the same site, the usage of vascular closure device (VCD), and long time pressure after the procedure. We should pay enough attention to these risk factors in the future clinical practice to avoid this serious complication.

关键词： groin Abscess Angiography Percutaneous Coronary Intervention Fractional Flow Reserve Coronary Artery Bypass Grafting

Single Incision Laparoscopic Transabdominal Preperitoneal Repair for Strangulated groin Hernia

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International Journal of Clinical Medicine 2013年第6期4卷 35-38页

作者： Po Ching Cathy Ng George Pei Cheung Yang Michael Ka Wah Li Department of Surgery Pamela Youde Nethersole Eastern Hospital Hong Kong China

Introduction: Single incision laparoscopic surgery (SILS) has become more popular for various surgical procedures including hernia surgery. Initial results of SILS in elective hernia repair were comparable to those of conventional laparoscopic approaches. However the use of SILS in emergency case has not been widely reported. This study aimed to evaluate the feasibility of the use of single incision laparoscopic transabdominal preperitoneal (TAPP) repair for patients presenting with strangulated groin hernia. Method: Emergency single incision laparoscopic TAPP repair were performed in our unit from June 2011 onwards for selected patients. Retrospectively data including the patient demographics, operative time, type of hernia, hospital stay, complications and recurrence rate were collected and analyzed. Result: There were a total of five patients in this series from June 2011 to June 2012. The median age was 62 years old with a male to female ratio of 4:1. Four patients had unilateral hernia (one femoral and three inguinal hernias) and one had bilateral hernia (unilaterally strangulated femoral hernia and bilaterally reducible indirect inguinal hernia). The median operative time was 75 minutes for patients with unilateral repair. None of the patients required bowel resection. The conversion rate to either conventional laparoscopic or open repair was zero. The median hospital stay was 2 days. No major complication or recurrence was detected. Conclusion: This series showed that single port laparoscopic TAPP repair for strangulated groin hernia is a feasible option with no major complication reported.

关键词： Single Incision Laparoscopic Surgery Transabdominal Preperitoneal Repair Strangulated Hernia groin Hernia

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SCOUR AROUND groinS

International Journal of Sediment Research 2001年第1期16卷 60-68页

作者： Masoud GHODSIAN and S. M. Hoseini TEHRANI Assistant professor of Civil Engineering, Tarbiat Modarres University, P.O. Box 14115/143, Tehran- Iran. Post graduate student, I. A. University and Research Engineer, Water Research Center, Tehran- Iran. Tarbiat Modarres University P.O. Box 14115/143 Tehran- Iran I. A. University and Research Engineer Water Research Center Tehran- Iran

Based on the experimental data, the characteristics of maximum clear water scour hole around groins were studied by correlating to the approach velocity of flow, mean sediment size, depth of flow and ratio of length of permeable to impermeable part of groin. Empirical equations for prediction of scour hole characteristics were proposed based upon dimensional analysis and laboratory experiments.

关键词： Scour groin Permeable Impermeable Semipermeable

Study on Coastal Protection Engineering in the Area of Abandoned Yellow River Mouth

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China Ocean Engineering 1998年第2期13卷 223-234页

作者： Zhang, YF Yu, GH Sheng, ZC Xu, M Nanjing Hydraul Res Inst River & Harbour Dept Nanjing 210024 Peoples R China

This paper reviews the history of coast evolution and coastal protection in the area of the abandoned Yellow River mouth in Jiangsu Province, analyzes the erosion characteristics and dynamic environment, evaluates the efficiency of coastal protection engineering works and designs the dimensions of the main seadike and offshore submerged dam. A gerneral scheme of shore protection for this area is proposed.

关键词： coastal protection coastal erosion wave calculation main seadike groin offshore submerged dam