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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

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Incidence and Concurrent Laparoscopic Repair of ypertrophic Pyloric Stenosis and Patent Processus Vaginalis

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Chinese Medical Journal 2015年第7期128卷 982-984页

作者： Xue-Qiang Yan Nan-Nan Zheng Fu-Zhong Xing Lei YU Wei Lu Xu-Fei Duan Jun Yang Hong-Qiang Bian Department of General Surgery Wuhan Medical and Health Center for Women and Children Wuhan Hubei 430016 China Department of Radiology Wuhan Medical and Health Center for Women and Children Wuhan Hubei 430016 China Department of Neonatal Surgery Wuhan Medical and Health Center for Women and Children Wuhan Hubei 430016 China

INTRODUCTIONAlthough laparoscopic herniorrhaphy is the most common procedure performed by pediatric surgeons at present, herniorrhaphy with an asymptomatic patent processus vaginalis （PPV） remains controversial. The incidence of contralateral PPV on laparoscopy in previous studies was reported as 20%-50%, but it is believed to approach 100% in premature infants. It has been reported that 4%-34% patients have the risk of developing subsequent metachronous contralateral hernia after a repair of an ipsilateral *** If this is true, then the identification and closure of a PPV at the time of ipsilateral hernia repair will obviate the need for a second operation in thousands of children every year. With recent advances in minimally invasive surgery, transinguinal diagnostic laparoscopy has emerged as a safe and effective method for evaluating a pediatric patient with PPV. Meanwhile, the laparoscopy has been widely used to manage the infantile hypertrophic pyloric stenosis （IHPS）, due to equally high success rate, minimal complications, and a shorter hospital stay.

关键词： herniorrhaphy Hypertrophic Pyloric Stenosis Inguinal Hernia Internal Ring Laparoscopy: Patent Processus Vaginalis:Pediatric

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Morbidity and Mortality of Emergency Hernia Surgery in Children in Bujumbura: Analysis of Favourable Factors

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Surgical Science 2023年第12期14卷 738-747页

作者： Jean Claude Mbonicura Prudence Bukuru Paul Banderembako Révérien Ndayirorere Guy Darcy Nibogora Jean Marie Nizeyimana Stève Nkurunziza General and Gastro-Intestinal Surgery Universitary Center for Health Research Faculty of Medicine University of Burundi Bujumbura Burundi Association Burundaise de Chirurgie (ABUC) Bujumbura Burundi Faculty of Health Sciences Department of Anesthesia-Resuscistation Hope Africa University Bujumbura Burundi Department of Anesthesia-Resuscistation Prince Louis Rwagasore Clinic Bujumbura Burundi Andro-Urology Universitary Center for Health Research Faculty of Medicine University of Burundi Bujumbura Burundi

Background: Management of emergency hernias surgery should include certain complications most often up after 30 days of the operation. Aim: To analyze the factors contributing to morbidity and mortality after 30 days of emergency hernia surgery in children in the surgical departments of 8 Bujumbura hospitals. Patients and Methods: This is a prospective study over a period of one year which included all hernias operated on in emergency from January 1, 2022 to February 29, 2023. Results: During the period, 282 patients (children) were admitted to the operating theatre for abdominal parietal hernias, of which 46 were admitted for emergency hernia surgery. Males accounted for 86.96% (40), sex ratio 6.6. The average age was 3.4 years. The persistence of the peritoneo-vaginal canal represented 52.17% of cases. Inguino-scrotal hernia was prevalent (43.48%). The main complication was strangulation (80.43%). Morbidity accounted for 1.3% of complications (infection, residual pain, testicular atrophy, hernia recurrence). No deaths were found. Altemeier stage and gender were statistically related to morbi-mortality of emergency hernia surgery in adults at 30 days post-op (p = 0.0260 and p = 0.0212 respectively). Conclusion: Abdominal parietal hernias are common in children, dominated by groin hernias. The high frequency of strangulation calls for awareness of cold hernia repairs.

关键词： Hernia Strangulation herniorrhaphy Morbidity Mortality Early

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Morbidity and Mortality of Emergency Hernia Surgery in Adults in Bujumbura: Analysis of Favourable Factors

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Surgical Science 2023年第12期14卷 758-769页

作者： Stève Nkurunziza Prudence Bukuru Stany Harakandi Paul Banderembako Révérien Ndayirorere Guy Darcy Nibogora Jean Marie Nizeyimana Jean Claude Mbonicura General and Gastro-Intestinal Surgery Universitary Center for Health Research Faculty of Medicine University of Burundi Bujumbura Burundi Faculty of Health Sciences Department of Anesthesia-Resuscitation Hope Africa University Bujumbura Burundi Department of Anesthesia-Resuscistation Prince Louis Rwagasore Clinic Bujumbura Burundi Department of Anesthesia-Resuscitation Universitary Center for Health Research Faculty of Medicine University of Burundi Bujumbura Burundi Andro-Urology Universitary Center for Health Research Faculty of Medicine University of Burundi Bujumbura Burundi Association Burundaise de Chirurgie (ABUC) Bujumbura Burundi

Background: Abdominal parietal hernia, a temporary or permanent exit of viscera through an anatomically pre-existing zone of weakness, is a frequent pathology in surgery. So, the management of emergency hernias surgery should include some complications most often up after 30 days of the operation. Aim: To analyze the factors contributing to morbidity and mortality after 30 days of emergency hernia surgery in adults in the surgical departments of Bujumbura hospitals. Methodology: This is a prospective study over a period of one year that included all hernias operated on in emergency from January 2022 to February 2023. Results: During the period, 251 patients were admitted to the operating room for abdominal parietal hernias, including 49 for emergency hernia surgery. There were 43 men (87.76%) and 6 women (12.24%), i.e. a sex ratio of 7.1. The average age was 49.6 years, with extremes of 18 and 84 years. The occupation of strength (farmer, labourer, mechanic, mason, mason’s helper) represented 75.51% of the cases. Inguino-scrotal hernia was preponderant (65.31%) followed by inguinal hernia (25.58%), umbilical hernia (4.08%);femoral hernia represented 4.08%. Hernial strangulation represented 89.80% and engorged hernia 10.20%. Morbidity was minor, 2.04% of complications (suppuration, hematoma, urinary retention). No deaths were found. Altemeir stage and occupation were statistically related to morbi-mortality of emergency hernia surgery in adults at 30 days postoperative (p = 0.0028 and p = 0.0284 respectively). Conclusion: Abdominal parietal hernias are frequent, dominated by groin hernias. The high frequency of strangulation calls for awareness of cold hernia cures.

关键词： Hernia Strangulation herniorrhaphy Morbidity Mortality Early

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