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Hernia Forum - Hernia Mesh page 2

I've seen sites where surgeons flat-out deny that mesh rejection (as opposed to infection) even exists. Haven't they heard of the term "meshoma"? The denial is really scary. The whole thing is scary. Of course, hernia mesh isn't a subject that grabs any ..... I have some problems since more than a year after surgery with a PROCEED mesh. I have read that potential complications are "adhesions, fistula formation, and infection" with some of the symptoms your are describing. ...

Extra-peritoneal Laparoscopic Inguinal Hernia Repair Complication ...

There were no associated bowel symptoms. On admission the patient was apyrexial and cardiovascularly stable. Examination revealed a 4cm tender, non-reducible swelling in the left groin. This emerged below and lateral to the pubic tubercle. ... Small bowel obstruction as a complication of laparoscopic extraperitoneal inguinal hernia repair. J Am Osteopath Assoc, 1998. 98(9): 510-1. Hofbauer C et al. Late mesh rejection as a complication to transabdominal preperitoneal ...

LUNG TRANSPLANT Heart Transplant Surgery In India At Affordable ...

rule out other common causes of symptoms these tests include : -. History and physical examination. Echocardiogram or gaited heart scan to assess ventricular function. Endomyocardial biopsy of check for signs of rejection in this a small tissue ... Hysterectomy (Vaginal / Abdominal) to Ovarian Cystectomy, Hernia repair Surgery to Cholecystectomy, Advanced Neurosurgery in India, Bariatric surgery, Gastric Bypass Surgery in India, Eye Surgery in India, Cornea Transplant, ...

Inguinal Hernia. Controversies

July 9, 2009 · Posted in ABDOMINAL SURGERY · Comment 

CONTROVERSIES

36. What are some of the anatomic issues related to inguinal hernias?

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At issue is the iliopubic tract, which is central to the Anson/McVay anatomic description of the inguinal area and featured in the McVay Cooper’s ligament repair. Although the McVay repair is used in England, the iliopubic tract is not referred to or described in English anatomic texts.
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Inguinal Hernia

July 9, 2009 · Posted in ABDOMINAL SURGERY · Comment 

56 INGUINAL HERNIA
Gregory P. Victorino M.D., Jyoti Arya M.D., James Bascom M.D.

1. “Groin” hernia refers to which three hernias?

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Direct and indirect inguinal hernias and femoral hernias.
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Congenital Diaphragmatic Hernia

July 11, 2009 · Posted in PEDIATRIC SURGERY · Comment 

86 CONGENITAL DIAPHRAGMATIC HERNIA
Denis D. Bensard M.D., Richard J. Hendrickson M.D.

1. What is the most common type of congenital diaphragmatic hernia (CDH)?

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Congenital abnormalities of the diaphragm include a posterolateral defect (Bochdalek hernia), an anteromedial defect (Morgagni hernia), or the eventration (central weakening) of the diaphragm. The Bochdalek hernia is the most common variant and generally occurs on the left (80%). Approximately 20% occur on the right, and < 1% are bilateral.
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Queries 5

September 21, 2009 · Posted in Uncategorized · Comments Off 

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Queries 3

August 14, 2009 · Posted in Uncategorized · Comments Off 

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Gastroesophageal Reflux Disease

July 8, 2009 · Posted in ABDOMINAL SURGERY · Comment 

43 GASTROESOPHAGEAL REFLUX DISEASE
Michael E. Fenoglio M.D., Lawrence W. Norton M.D.

1. What symptoms suggest gastroesophageal reflux disease (GERD)?

Show answer
Substernal burning after meals or at night, associated occasionally with regurgitation of gastric juices, is one symptom. Discomfort is relieved by standing or sitting. Dysphagia, a late complication of GERD, is caused by mucosal edema or stricture of the distal esophagus. However, no symptom is specific for GERD, and therapeutic decisions should not be made on symptoms alone.
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Properties In Evaluation Of The Acute Abdomen

July 7, 2009 · Posted in GENERAL TOPICS · Comment 

14 PRIORITIES IN EVALUATION OF THE ACUTE ABDOMEN
Alden H. Harken M.D.

1. What is the surgeon’s responsibility when confronted by a patient with an acute abdomen?

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1. To identify how sick the patient is
2. To determine whether the patient (a) needs to go directly to the operating room, (b) should be admitted for resuscitation or observation, or (c) can be sent safely home

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Heart Transplantation

July 14, 2009 · Posted in TRANSPLANTATION · Comment 

91 HEART TRANSPLANTATION
Daniel R. Meldrum M.D., Azad Raiesdana M.D., Jeffrey A. Breall M.D., John W. Brown M.D.

1. Who performed the first experimental heart-lung transplant?

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Alexis Carrel, a French-born American surgeon, developed the vascular techniques required for heart-lung transplantation and performed the first experimental heart-lung transplant in 1907. He transplanted the lungs, heart, aorta, and vena cava of a 1-week-old cat into the neck of a large adult cat. For devising the technique of vascular anastomosis and other outstanding accomplishments, Carrel received the Nobel Prize in 1912 (the first Nobel Prize awarded to a scientist working in an American laboratory).
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July 13, 2009 · Posted in TRANSPLANTATION · Comment 

91 HEART TRANSPLANTATION
Daniel R. Meldrum M.D., Azad Raiesdana M.D., Jeffrey A. Breall M.D., John W. Brown M.D.

1. Who performed the first experimental heart-lung transplant?

Show answer
Alexis Carrel, a French-born American surgeon, developed the vascular techniques required for heart-lung transplantation and performed the first experimental heart-lung transplant in 1907. He transplanted the lungs, heart, aorta, and vena cava of a 1-week-old cat into the neck of a large adult cat. For devising the technique of vascular anastomosis and other outstanding accomplishments, Carrel received the Nobel Prize in 1912 (the first Nobel Prize awarded to a scientist working in an American laboratory).
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Surgical Infectious Disease. Prophylaxis

July 7, 2009 · Posted in GENERAL TOPICS · Comment 

PROPHYLAXIS

17. Should systemic antibiotic prophylaxis be used in elective colon resection?

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Yes, beyond any statistical shadow of a doubt. At least two dozen clinical trials have been carried out using placebo controls against a variety of antibiotics, principally those active against at least the anaerobic-predominant flora, and nearly all have shown a reduction in infectious complications in the antibiotic group. Never again should this point need repeating, and no patient should be placed at risk when systemic antibiotic prophylaxis has been established as the standard of care. No new clinical trials against placebo in this group of patients with known risk can be performed ethically given the confirmed risk reduction.
Other risk groups (e.g., cesarean section after membrane rupture) besides patients undergoing colon resection have been standardized by trials in large patient populations and have shown similar risk reduction. The benefit of prophylaxis has been demonstrated. In other groups of patients that cannot be standardized because of unusual contamination factors or unique factors of host resistance impairment, guidelines for rational prophylaxis should follow similar principles.
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Lung Transplantation

July 13, 2009 · Posted in TRANSPLANTATION · Comment 

92 LUNG TRANSPLANTATION
Daniel R. Meldrum M.D., Azad Raiesdana M.D., Jeffrey A. Breall M.D., John W. Brown M.D.

1. What are the general types of lung transplants?

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Single, double (bilateral), and heart-lung.
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Acute Large Bowel Obstruction

July 8, 2009 · Posted in ABDOMINAL SURGERY · Comment 

49 ACUTE LARGE BOWEL OBSTRUCTION
Elizabeth C. Brew M.D.

1. What are the mechanical causes of large bowel obstruction?

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The three most common mechanical causes are carcinoma (50%), volvulus (15%), and diverticular disease (10%). Extrinsic compression from metastatic carcinoma is another cause of obstruction. Less frequent causes include stricture, hernia, intussusception, benign tumor, and fecal impaction.
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Liver Transplantation

July 13, 2009 · Posted in TRANSPLANTATION · Comment 

89 LIVER TRANSPLANTATION
Thomas E. Bak M.D., Michael E. Wachs M.D., Igal Kam M.D.

1. When and where was the first liver transplant performed?

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Dr. Thomas Starzl performed the first operation on March 1, 1963, at the University of Colorado in Denver.

2. Is liver transplantation considered a safe and effective operation?

Show answer
Yes. Although still a major operation with significant risks, patient and graft survival have continuously improved. One-year survival should be well over 90% in major centers.

3. What are the most common indications for liver transplantation in the United States?

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Small Bowel Obstruction

July 8, 2009 · Posted in ABDOMINAL SURGERY · Comment 

46 SMALL BOWEL OBSTRUCTION
Joyce A. Majure M.D.

1. Name three mechanisms of bowel obstruction, and give examples and incidence of each type.

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1. Extrinsic compression: adhesions (60%), malignancy (20%), hernias (10%), volvulus, and others (5%)
2. Internal blockage of the lumen by abnormal materials (obturation): bezoars, gallstone, worms, or foreign body (usually obstructs at the ileocecal valve)
3. Mural disease encroaching on the lumen (inflammatory bowel disease [5%]), fibrous stricture secondary to trauma, ischemia, or radiation, intussusception)
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Kidney & Pancreas Transplantation

July 13, 2009 · Posted in TRANSPLANTATION · Comment 

90 KIDNEY AND PANCREAS TRANSPLANTATION
Thomas E. Bak M.D., Michael E. Wachs M.D., Igal Kam M.D.

1. What are the most common indications for kidney transplantation?

Show answer
End-stage renal disease (ESRD) caused by hypertension, diabetes, glomerulonephritis, and polycystic kidney disease.

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