The mental health of the child affects his physical health and the learning process. The present study was conducted to study the health status and etiological factors among 58 mentally challenged children in a school for the mentally challenged at Sangamner. Majority of mentally challenged children (68.0%) were in 5-9 years age group. Most of them had moderate retardation (43.0%). Down’s syndrome (17.23%) was commonest, followed by Fragile X syndrome (6.89%). In 70.68% children no clinical syndrome was associated with mental retardation. 60.35% children were offspring of consanguineous marriages. In 63.8% children the causes for mental retardation were idiopathic, and genetic causes were found in 29.31% children. For mentally challenged children better quality of life should be provided by disability limitation and suitable rehabilitation. KEY WORDS: Mentally challenged; Consanguineous marriage
{"title":"Study of health status and etiological factors of mentally challenged children in a school for mentally challenged in rural Maharashtra","authors":"N. Ahmad, H. Joshi, Rubeena Bano, D. Phalke","doi":"10.4314/IJMU.V5I2.56158","DOIUrl":"https://doi.org/10.4314/IJMU.V5I2.56158","url":null,"abstract":"The mental health of the child affects his physical health and the learning process. The present study was conducted to study the health status and etiological factors among 58 mentally challenged children in a school for the mentally challenged at Sangamner. Majority of mentally challenged children (68.0%) were in 5-9 years age group. Most of them had moderate retardation (43.0%). Down’s syndrome (17.23%) was commonest, followed by Fragile X syndrome (6.89%). In 70.68% children no clinical syndrome was associated with mental retardation. 60.35% children were offspring of consanguineous marriages. In 63.8% children the causes for mental retardation were idiopathic, and genetic causes were found in 29.31% children. For mentally challenged children better quality of life should be provided by disability limitation and suitable rehabilitation. KEY WORDS: Mentally challenged; Consanguineous marriage","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"138 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77422721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr. Geetanjali Sharma, Sushma Sood, Dr. Vivek Sharma
The present study was carried out for early confirmation of clinically diagnosed patients of Carpal Tunnel Syndrome (CTS) by electro-diagnostic tests which included motor conduction, sensory conduction studies and F-wave studies. The aim of the study was early confirmation of clinically suspected patients of CTS by motor and sensory conduction studies of median and ulnar nerves. Eighty subjects of age group 30-50 years (40 clinically suspected patients of CTS, 40 as control group) were studied. Motor and Sensory conduction velocities, distal motor and sensory latencies and F wave latencies of median and ulnar nerves were performed using RMS EMG EP Mark –II. Statistically significant (P more pronounced in CTS group as compared to Control group. Statistically significant (P KEY WORDS: Nerve entrapments; Median neuropathy; Electro-physiological diagnosis; Distal and motor sensory latencies; Palm wrist conduction
本研究是为了早期确认临床诊断的腕管综合征(CTS)患者而进行的电诊断测试，包括运动传导、感觉传导和f波研究。本研究的目的是通过对正中神经和尺神经的运动和感觉传导研究，早期确认临床疑似CTS患者。研究对象为30 ~ 50岁年龄组80例，其中临床疑似CTS患者40例，对照组40例。采用RMS EMG - EP Mark -II测量正中神经和尺神经的运动和感觉传导速度、远端运动和感觉潜伏期以及F波潜伏期。与对照组相比，CTS组P更明显。【关键词】神经卡压;正中神经病变;Electro-physiological诊断;远端和运动感觉潜伏期;掌腕传导
{"title":"Early diagnosis of Carpal Tunnel Syndrome (CTS) in Indian patients by nerve conduction studies","authors":"Dr. Geetanjali Sharma, Sushma Sood, Dr. Vivek Sharma","doi":"10.4314/IJMU.V5I2.56156","DOIUrl":"https://doi.org/10.4314/IJMU.V5I2.56156","url":null,"abstract":"The present study was carried out for early confirmation of clinically diagnosed patients of Carpal Tunnel Syndrome (CTS) by electro-diagnostic tests which included motor conduction, sensory conduction studies and F-wave studies. The aim of the study was early confirmation of clinically suspected patients of CTS by motor and sensory conduction studies of median and ulnar nerves. Eighty subjects of age group 30-50 years (40 clinically suspected patients of CTS, 40 as control group) were studied. Motor and Sensory conduction velocities, distal motor and sensory latencies and F wave latencies of median and ulnar nerves were performed using RMS EMG EP Mark –II. Statistically significant (P more pronounced in CTS group as compared to Control group. Statistically significant (P KEY WORDS: Nerve entrapments; Median neuropathy; Electro-physiological diagnosis; Distal and motor sensory latencies; Palm wrist conduction","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84693706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diabetes mellitus (DM) is a leading cause of morbidity and mortality all over the world. Tight control of diabetes in the outpatients will reduce complications and hospitalizations. This study of Nigerian patients with diabetes examined the adequacy of glycemic and BP control in line with current guidelines. A 4 month retrospective analysis of type 2 diabetics attending Medical Outpatients Department (MOPD) of Federal Medical Centre, Ido Ekiti, Ekiti State, Nigeria between June and September 2008 was carried out using medical records of the patients. SPSS 13 software was used to analyze data. Data are expressed as mean ± Standard Deviation (SD) and frequency expressed as a percentage where necessary. A total of 308 type 2 diabetes mellitus patients, aged between 35 and 85 years were analyzed. Their mean age was 60.90 ± 11.60years. There were 125 males (40.6%) and 183 females (59.4%) giving an M: F ratio of 1:1.46. Mean duration of clinic attendance was 26.18 ± 24.46 months. Glycemic control was achieved in only about a third of the patients (29.3% and 32.5% using IDF-Europe and ADA criteria respectively). Blood pressure control was achieved in 24.5% and 48.7% had BMI ≥ 25kg/m2. No correlation between mean fasting plasma glucose (FPG) and body mass index (BMI). Frequencies of insulin and low dose aspirin use were low (5.3% and 37% respectively). The results from this study showed poor control of blood glucose, BP and weight in the patients. We are of the opinion that current practices are not aggressive enough to manage a substantial proportion of type 2 diabetes patients. KEY WORDS: Diabetes mellitus; Glycemic control; BP control
{"title":"Treatment to targets in type 2 diabetics: analysis of out-patients practice at a remote Western Nigerian hospital","authors":"E. Ajayi, A. O. Ajayi, Oe Olalekan","doi":"10.4314/IJMU.V5I2.56155","DOIUrl":"https://doi.org/10.4314/IJMU.V5I2.56155","url":null,"abstract":"Diabetes mellitus (DM) is a leading cause of morbidity and mortality all over the world. Tight control of diabetes in the outpatients will reduce complications and hospitalizations. This study of Nigerian patients with diabetes examined the adequacy of glycemic and BP control in line with current guidelines. A 4 month retrospective analysis of type 2 diabetics attending Medical Outpatients Department (MOPD) of Federal Medical Centre, Ido Ekiti, Ekiti State, Nigeria between June and September 2008 was carried out using medical records of the patients. SPSS 13 software was used to analyze data. Data are expressed as mean ± Standard Deviation (SD) and frequency expressed as a percentage where necessary. A total of 308 type 2 diabetes mellitus patients, aged between 35 and 85 years were analyzed. Their mean age was 60.90 ± 11.60years. There were 125 males (40.6%) and 183 females (59.4%) giving an M: F ratio of 1:1.46. Mean duration of clinic attendance was 26.18 ± 24.46 months. Glycemic control was achieved in only about a third of the patients (29.3% and 32.5% using IDF-Europe and ADA criteria respectively). Blood pressure control was achieved in 24.5% and 48.7% had BMI ≥ 25kg/m2. No correlation between mean fasting plasma glucose (FPG) and body mass index (BMI). Frequencies of insulin and low dose aspirin use were low (5.3% and 37% respectively). The results from this study showed poor control of blood glucose, BP and weight in the patients. We are of the opinion that current practices are not aggressive enough to manage a substantial proportion of type 2 diabetes patients. KEY WORDS: Diabetes mellitus; Glycemic control; BP control","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"120 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87766031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Jayakumar, M. Chakrapani, A. Vidyasagar, S. Rai, Pavan, Meenakshi A Shetty
Diabetic muscle infarction is a rare complication in patients of long standing diabetes mellitus with multiple end organ microvascular sequelae. A case of a 69 year old lady with a 10 year history of diabetes mellitus, with sudden onset of right thigh pain is described here. This case illustrates the need for increasing awareness among clinicians for early recognition of diabetic muscle infarction. Key words: Diabetic complications; Muscle infarction
{"title":"Diabetic Muscle Infarction - A Case Report","authors":"J. Jayakumar, M. Chakrapani, A. Vidyasagar, S. Rai, Pavan, Meenakshi A Shetty","doi":"10.4314/IJMU.V5I2.56165","DOIUrl":"https://doi.org/10.4314/IJMU.V5I2.56165","url":null,"abstract":"Diabetic muscle infarction is a rare complication in patients of long standing diabetes mellitus with multiple end organ microvascular sequelae. A case of a 69 year old lady with a 10 year history of diabetes mellitus, with sudden onset of right thigh pain is described here. This case illustrates the need for increasing awareness among clinicians for early recognition of diabetic muscle infarction. Key words: Diabetic complications; Muscle infarction","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79671296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study was carried out to evaluate the X-ray beam collimation practice, among radiographers, as a measure of radiation protection for patients undergoing radiodiagnostic investigations. Inadequate X-ray beam collimation practice was observed in all the hospitals studied. Light beam misalignment/malfunction, pressure of work and years of experience were identified as major contributory factors. There is therefore need for proper equipment maintenance, employment of adequate number of radiographers and periodic audit of work pattern and output to minimize radiation exposure to the population. KEY WORDS: Radiation exposure; Diagnostic radiography; Nigeria
{"title":"Radiation exposure from diagnostic radiography: an assessment of X-ray beam collimation practice in some Nigerian Hospitals","authors":"M. Okeji, A. Anakwue, K. Agwuna","doi":"10.4314/IJMU.V5I2.56160","DOIUrl":"https://doi.org/10.4314/IJMU.V5I2.56160","url":null,"abstract":"This study was carried out to evaluate the X-ray beam collimation practice, among radiographers, as a measure of radiation protection for patients undergoing radiodiagnostic investigations. Inadequate X-ray beam collimation practice was observed in all the hospitals studied. Light beam misalignment/malfunction, pressure of work and years of experience were identified as major contributory factors. There is therefore need for proper equipment maintenance, employment of adequate number of radiographers and periodic audit of work pattern and output to minimize radiation exposure to the population. KEY WORDS: Radiation exposure; Diagnostic radiography; Nigeria","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"526 1","pages":"31-33"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84388883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obesity and cardiovascular risks are closely associated. Hypertension is the most common and early complication of obesity. Obesity is measured with different parameters like Body Mass Index, Waist to Hip Ratio etc. In the present study we have tried to link parameters of obesity with hypertension. We have found that in hypertensive middle aged Indian males diastolic blood pressure showed a better correlation with Waist to Hip Ratio rather than with Body Mass Index. KEW WORDS: Obesity; Hypertension; Body Mass Index (BMI); Waist to Hip Ratio (WHR)
{"title":"Correlation of blood pressure with Body Mass Index (BMI) and Waist to Hip Ratio (WHR) in middle aged men","authors":"D. Tambe, A. Phadke, J. Kharche, A. Joshi","doi":"10.4314/IJMU.V5I2.56159","DOIUrl":"https://doi.org/10.4314/IJMU.V5I2.56159","url":null,"abstract":"Obesity and cardiovascular risks are closely associated. Hypertension is the most common and early complication of obesity. Obesity is measured with different parameters like Body Mass Index, Waist to Hip Ratio etc. In the present study we have tried to link parameters of obesity with hypertension. We have found that in hypertensive middle aged Indian males diastolic blood pressure showed a better correlation with Waist to Hip Ratio rather than with Body Mass Index. KEW WORDS: Obesity; Hypertension; Body Mass Index (BMI); Waist to Hip Ratio (WHR)","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"33 5 1","pages":"26-30"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82209665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sepsis is the most common cause of neonatal mortality. As per National Neonatal Perinatal Database (NNPD) 2002-2003, the incidence of neonatal sepsis in India was 30 per 1000 live birth. It is 3% among intramural babies and 39.7% among extramural admissions. The early manifestations of neonatal sepsis are vague and ill-defined. Novel approaches in the diagnosis of neonatal sepsis include heart rate analysis on ECG or colorimetric analysis of skin color. Although blood culture is the gold standard for the diagnosis of sepsis, culture reports would be available only after 48-72 hours. In this era of multidrug resistance, it is mandatory to avoid unnecessary use of antibiotics to treat noninfected infants. Thus, rapid diagnostic test(s) that differentiate infected from non-infected infants, particularly in the early newborn period, that include Interleukien-6 (IL-6), neutrophil CD64 index, procalcitonin and nucleated RBC count, have the potential to make a significant impact on neonatal care. The aim of this review is to specify the diagnostic criteria, treatment guidelines and a summary of the newer diagnostic tests of sepsis. KEY WORDS: Sepsis; Intramural; Extramural; Multidrug resistance
{"title":"Neonatal Sepsis: past, present and future; a review article","authors":"S. Tripathi, G. Malik","doi":"10.4314/IJMU.V5I2.56163","DOIUrl":"https://doi.org/10.4314/IJMU.V5I2.56163","url":null,"abstract":"Sepsis is the most common cause of neonatal mortality. As per National Neonatal Perinatal Database (NNPD) 2002-2003, the incidence of neonatal sepsis in India was 30 per 1000 live birth. It is 3% among intramural babies and 39.7% among extramural admissions. The early manifestations of neonatal sepsis are vague and ill-defined. Novel approaches in the diagnosis of neonatal sepsis include heart rate analysis on ECG or colorimetric analysis of skin color. Although blood culture is the gold standard for the diagnosis of sepsis, culture reports would be available only after 48-72 hours. In this era of multidrug resistance, it is mandatory to avoid unnecessary use of antibiotics to treat noninfected infants. Thus, rapid diagnostic test(s) that differentiate infected from non-infected infants, particularly in the early newborn period, that include Interleukien-6 (IL-6), neutrophil CD64 index, procalcitonin and nucleated RBC count, have the potential to make a significant impact on neonatal care. The aim of this review is to specify the diagnostic criteria, treatment guidelines and a summary of the newer diagnostic tests of sepsis. KEY WORDS: Sepsis; Intramural; Extramural; Multidrug resistance","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"23 1","pages":"45-54"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81242489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Singh, A. Kumar, Santosh Kumar, R. Srivastava, O. Gupta
Majority of paediatric flat feet are flexible and asymptomatic; less than 0.1% of all flat feet are rigid. If these can be diagnosed and managed early, then various complications can be prevented and they will remain asymptomatic. This study was conducted to analyse the ankle rotational malalignments in the natural course of flexible flat foot in children. Seventy-six patients of flexible flat foot and one hundred controls were included in this study. The height of foot arches was judged clinically by inspecting the height of the medial arch and by measuring the arch index on weight-bearing podograms. Tibial torsion and bimalleolar angle were assessed in all subjects. Tibial torsion was assessed in the first twenty subjects (ten cases and ten controls) both by clinical methods (foot-thigh angle) and CT. As no statistical difference in the two methods was observed, tibial torsion was measured by clinical methods only in the remaining subjects. Bimalleolar angle was measured on weight-bearing podograms in all subjects. For a minimum of two years, cases were followed up regularly with a standard conservative protocol and the height of the arches observed. Majority of cases of flexible flat foot were found to have increased tibial torsion and increased foot-bimalleolar angle (high talar spin). The severity of collapse of the medial arch and the response to conservative treatment was found to correlate with these rotational mal-alignments of the ankle. Ankle rotational mal-alignments were seen to make these flexible flat foot deformities more complex and less responsive to conservative treatment. KEY WORDS: Flat foot; Pediatric flat feet; Flexible flat feet
{"title":"Analysis of ankle alignment abnormalities as a risk factor for pediatric flexible flat foot","authors":"A. Singh, A. Kumar, Santosh Kumar, R. Srivastava, O. Gupta","doi":"10.4314/IJMU.V5I1.49290","DOIUrl":"https://doi.org/10.4314/IJMU.V5I1.49290","url":null,"abstract":"Majority of paediatric flat feet are flexible and asymptomatic; less than 0.1% of all flat feet are rigid. If these can be diagnosed and managed early, then various complications can be prevented and they will remain asymptomatic. This study was conducted to analyse the ankle rotational malalignments in the natural course of flexible flat foot in children. Seventy-six patients of flexible flat foot and one hundred controls were included in this study. The height of foot arches was judged clinically by inspecting the height of the medial arch and by measuring the arch index on weight-bearing podograms. Tibial torsion and bimalleolar angle were assessed in all subjects. Tibial torsion was assessed in the first twenty subjects (ten cases and ten controls) both by clinical methods (foot-thigh angle) and CT. As no statistical difference in the two methods was observed, tibial torsion was measured by clinical methods only in the remaining subjects. Bimalleolar angle was measured on weight-bearing podograms in all subjects. For a minimum of two years, cases were followed up regularly with a standard conservative protocol and the height of the arches observed. Majority of cases of flexible flat foot were found to have increased tibial torsion and increased foot-bimalleolar angle (high talar spin). The severity of collapse of the medial arch and the response to conservative treatment was found to correlate with these rotational mal-alignments of the ankle. Ankle rotational mal-alignments were seen to make these flexible flat foot deformities more complex and less responsive to conservative treatment. KEY WORDS: Flat foot; Pediatric flat feet; Flexible flat feet","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73115899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catastrophic antiphospholipid syndrome is an acute and life threatening variant of antiphospholipid syndrome with a high mortality rate. Many infections are known to be accompanied by the thrombotic manifestations of this syndrome. We came across a patient of leprosy who developed bowel ischaemia secondary to mesenteric venous thrombosis as a part of catastrophic antiphospholipid syndrome and later on succumbed. We thereby wish to highlight the need for early diagnosis and aggressive treatment of this potentially fatal condition in patients with infections. KEY WORDS: Antiphospholipid; Antibody; Catastrophic; Leprosy; Syndrome
{"title":"Catastrophic antiphospholipid syndrome in leprosy","authors":"V. Chewoolkar, T. Bichile, L. Bichile","doi":"10.4314/IJMU.V5I1.49294","DOIUrl":"https://doi.org/10.4314/IJMU.V5I1.49294","url":null,"abstract":"Catastrophic antiphospholipid syndrome is an acute and life threatening variant of antiphospholipid syndrome with a high mortality rate. Many infections are known to be accompanied by the thrombotic manifestations of this syndrome. We came across a patient of leprosy who developed bowel ischaemia secondary to mesenteric venous thrombosis as a part of catastrophic antiphospholipid syndrome and later on succumbed. We thereby wish to highlight the need for early diagnosis and aggressive treatment of this potentially fatal condition in patients with infections. KEY WORDS: Antiphospholipid; Antibody; Catastrophic; Leprosy; Syndrome","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90275751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In most methods of indirect inguinal hernia repair, the region of the sac stump remains a potential site of recurrence. A different technique that covers the site of the indirect sac stump is presented. Anterior parietal peritoneum is reflected posteriorly in the inguinal canal. In cases with Gilbert type I-II inguinal hernia, after the indirect sac is removed, the pre and retroperitoneal spaces in this region are dissected. A synthetic mesh is placed into these spaces, lateral to the inferior epigastric vessels. The posterior wall of this type hernia is intact. In cases with Gilbert type III inguinal hernia, either posterior wall repair is accomplished by using one of the tissue approximation techniques after placing a mesh in the region of the sac stump, or the entire peritoneal reflection in the inguinal canal is wrapped with a mesh after dissecting the pre and retroperitoneal spaces. This technique was performed in five patients. Of five patients, mesh was inserted on the region of stump in three (Gilbert I and II) and along the entire peritoneal reflection in two (Gilbert III). There were no postoperative complications such as seroma and pain and no recurrence till follow-up. This technique effectively wraps the peritoneal reflection and may prevent recurrences in primary indirect inguinal hernia, but it needs to be performed in a large number of cases for further evaluation. KEY WORDS : Inguinal hernia; Indirect; Repair; Mesh
{"title":"A Different Technique of Primary Indirect Inguinal Hernia Repair by Inserting a Synthetic Mesh into the Pre and Retroperitoneal Spaces to Wrap the Peritoneal Reflection: Preliminary Report","authors":"Aydin Altan","doi":"10.4314/IJMU.V5I1.49291","DOIUrl":"https://doi.org/10.4314/IJMU.V5I1.49291","url":null,"abstract":"In most methods of indirect inguinal hernia repair, the region of the sac stump remains a potential site of recurrence. A different technique that covers the site of the indirect sac stump is presented. Anterior parietal peritoneum is reflected posteriorly in the inguinal canal. In cases with Gilbert type I-II inguinal hernia, after the indirect sac is removed, the pre and retroperitoneal spaces in this region are dissected. A synthetic mesh is placed into these spaces, lateral to the inferior epigastric vessels. The posterior wall of this type hernia is intact. In cases with Gilbert type III inguinal hernia, either posterior wall repair is accomplished by using one of the tissue approximation techniques after placing a mesh in the region of the sac stump, or the entire peritoneal reflection in the inguinal canal is wrapped with a mesh after dissecting the pre and retroperitoneal spaces. This technique was performed in five patients. Of five patients, mesh was inserted on the region of stump in three (Gilbert I and II) and along the entire peritoneal reflection in two (Gilbert III). There were no postoperative complications such as seroma and pain and no recurrence till follow-up. This technique effectively wraps the peritoneal reflection and may prevent recurrences in primary indirect inguinal hernia, but it needs to be performed in a large number of cases for further evaluation. KEY WORDS : Inguinal hernia; Indirect; Repair; Mesh","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79310226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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