Recent Developments in Open Mesh-Based Inguinal Hernia Repair: A Review | Chapter 6 | Medical Science: Recent Advances and Applications Vol. 12

Open mesh-based techniques have emerged as the leading approach for inguinal hernia repair, replacing traditional suture-based methods. Among these techniques, the Lichtenstein repair is the most utilised due to its short learning curve and its feasibility under local anaesthesia. Irving Lichtenstein introduced this tension-free repair in 1984, whereby after reduction of the hernia and ligation of the sac, a mesh was inserted and reinforced on the posterior wall of the inguinal canal, and it was fixed to the inguinal ligament and conjoint tendon with nonabsorbable sutures and under no tension. This method is associated with reduced postoperative morbidity and exhibits the lowest recurrence rate. Other open mesh-based techniques include the Plug and Patch repair and the Prolene hernia system, both of which are viable options for open inguinal hernia repair. This review explores the Lichtenstein repair, the Plug and Patch repair, and the Prolene hernia system, with a focus on their indications and potential complications. Furthermore, a comparative analysis of these procedures was conducted concerning their postoperative complications and recurrence rates.

 

Author(s) Details

Kumar H.R.
Department of Surgery, Taylor’s University School of Medicine and Health Science, 47500 Subang Jaya, Selangor, Malaysia.

 

 

Please see the book here :- https://doi.org/10.9734/bpi/msraa/v12/6402

Scapular Region Hematoma in a Chronic Myeloid Leukaemia (CML) Patient: A Rare Case Presentation | Chapter 7 | Research Developments in Medicine and Medical Science Vol. 10

 Chronic myeloid leukaemia (CML) is a liquid tumour that happens due to reciprocal fluctuation between deoxyribonucleic acid   9   and   22   (Philadelphia   chromosome) leading to the beginning of a fusion gene bcr-ABL that up- manages tyrosine kinase activity and prevents apoptosis. A 26 years male presented accompanying complaints of sudden beginning non traumatic impulsive swelling over the left scapular domain and progressively extending up-to the abandoned anterior rib cage wall which was guide dull aching moderate force pain. Swelling was warm, soft inconsistency and tender. He also had hepato-splenomegaly. Myeloid hyperplasia and a evident leucocytosis were seen in the overall blood picture. The disease of spontaneous hematoma accompanying CML was confirmed by diagnostic goal after a CT scan of the thorax told a large hypodense injury in the scapular and anterior chest obstruction region. The existing hematoma acted not increase in size and no new draining complication happened later imatinib commencement. Surgical approach in such cases is picked only in presence of difficulties like expanding hematoma, superimposed contamination, abscess or mass effect at lively locations.The hematoma was acted conservatively with medicines while imatinib therapy was initiated. Without the need for incision, the swelling proceeded away on its own.

Author(s) Details:

Vaibhav Raj Gopal,
Department of General Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India.

Akash Srivastava,
Department of General Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India.

Neha Yadav,
Department of General Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India.

Vineet Kumar Singh,
Midland Hospital, Lucknow, Uttar Pradesh, India.

Please see the link here: https://stm.bookpi.org/RDMMS-V10/article/view/10678

Inferior Alveolar Nerve Block: A Review of Alternate Techniques | Chapter 17 | Research Highlights in Disease and Health Research Vol. 7

 The aim of this present review was to describe anatomical variations of inferior alveolar nerve that could be encountered during surgical procedures there by avoiding surgical complications.

Most common method for obtaining mandibular anaesthesia in dental practice is inferior alveolar nerve block though it has been estimated to have only 80 to 85% of success rate. The mandibular nerve and its branches are traditionally anesthetized by depositing anaesthetic fluid in the area of the mandibular foramen.  This widely used procedure eliminates all somatosensory perception of the mandible, mandibular teeth, floor of the mouth, ipsilateral tongue, and all but the lateral (buccal) gingivae. The inferior alveolar nerve is known to present with anatomical variations prior to the nerve entering the mandibular canal, as well as along its course within the mandibular canal. In the case of difficulty-to-anesthetize patients, the inferior alveolar nerve can be especially tough.  A sound knowledge of anatomical variations that could be encountered during surgical procedures is helpful in avoiding surgical complications. In such situations the alternatives to inferior alveolar nerve block described in this article can be successfully utilised with the best knowledge and skill of the operators.

Author(s) Details:

Amrutha B.,
Department of Pediatric and Preventive Dentistry, Rajarajeshwari Dental College and Hospital, Bengaluru, India.

Please see the link here: https://stm.bookpi.org/RHDHR-V7/article/view/10582

Spontenous Spinal Subdural Hemorrage in Dengue: A Rare Case Presentation | Chapter 16 | Research Developments in Medicine and Medical Science Vol. 6

 In this member we highlight the spontaneous subdural bleed in dengue fever, that miss lead us as Cancer on MRI and no any review of literature acted not report any cases of SSDH with SAH as a giving feature of dengue fever. Spinal subdural hemorrhage is intensely rare thoroughly cases of spontaneous spinal bleed (epidural, subdural, and intramedullary hemorrhage). Bleeding diathesis is a common Dengue frenzy complication, as are different systemic complications to a degree renal toxicity, heart failure, shock, and electrolyte abnormalities. Dengue turmoil with neurological confusions is extremely exceptional, occurring in only 1% of patients.  A 52-old age-old female patient presented accompanying acute onset of growing bilateral lower appendage weakness accompanied with difficulty in micturition and headache for a 5-day event. She also had a past of fever prior to lower appendage weakness and headache. Clinical test revealed grade 2 motor capacity in both lower appendages, absent deep tendon effect, and equivocal Babinski’s reflex. There was no positive sensory required. Postoperatively, the patient got better after the hematoma was distant. One unusual form of dengue fever is willing SDH with SAH. It's crucial to act fast to stop permanent affecting animate nerve organs deficits.

Author(s) Details:

Ankit Patel,
Dr. D. Y. Patil Medical College, Hospital and Research Center, Maharashtra, India.

Deepak Ranade,
Dr. D. Y. Patil Medical College, Hospital and Research Center, Maharashtra, India.

Please see the link here: https://stm.bookpi.org/RDMMS-V6/article/view/10052

Potential Port Site Consequences in Laparoscopic Cholecystectomy Using an Open versus Closed Approach of Pneumoperitoneum: A Comparative Study | Chapter 6 | Perspective of Recent Advances in Medical Research Vol. 11

 The standard pattern for cholecystectomy is laparoscopic surgery, and pneumoperitoneum maybe performed in either a closed or open method. However, exposure to the traffic's consequences may improve the patient's morbidity. As a result, this study was completed activity to compare two together approaches in terms of complications at the traffic site of each process and potential risk factors.A potential study was carried out in the department of medical procedure, in hospitals owned by Kirkuk and Diyala governorates in Iraq, from January 2019 to March 2022. The 200 patients who accepted part in the study were divided into two groups, each accompanying 100 patients. The two processes were compared for intraoperative and postoperative questions that could have stood from port insert up to 18 weeks.The findings demonstrated that the highest allotment was for the following: females (84.0%), ages between 50 and 59 age (43.5%), and body bulk index (BMI) range 25-30 kg/m2 (49.0%). No significant distinctness was observed between those variables for two together surgical techniques (p-worth > 0.05). No death was recorded in the study. The following snags were observed at the traffic site in 10.5% of victims, with the majority stated in the open approach (8.5%): draining (3.0%), hematoma (2.0%), wound infection (1.5%), break (1.5%), and vascular injury (0.5%).Thus, we concluded that traffic site problems are lowest in closed laparoscopic abscission which was not proved to be statistically important but values showed less obstacles. Furthermore, samples could be used to gain a good mathematical significance.

Author(s) Details:

Awni Ismail Sultan,
Department of Surgery, College of Medicine, Tikrit University, Iraq.

Sami Hassoon Ali,
Department of Surgery, Jalawla General Hospital, Iraq.

Ozdan Akram Ghareeb,
Department of Community Health, Northern Technical University, Kirkuk, Iraq.

Please see the link here: https://stm.bookpi.org/PRAMR-V11/article/view/9513