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RECURRENT HERNIA (Etiology-Treatment)

GIT (Gastrointestinal Tract) Surgery


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Old 06-08-2008, 08:25 AM   post no: 1
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Default RECURRENT HERNIA (Etiology-Treatment)



Causes:
1- General causes of recurrence: See causes of incisional hernia.
2- Specific causes:
a- Missing another sac e.g. Direct indirect hernia .
b- Incomplete removal of the sac e.g. sliding hernia (Hernia-en glassade ) in which we reduce the sliding organ with the corresponding part of the sac and Excise only the remaining part of the sac.
Treatment:
1- By the usual ways but hernioplasty usually needed .
2- In recurrent inguinal hernia in old age, Orchidectomy (excision of the cord up to int.ring) and complete obliteration of the ing. canal.
Leaving the testis to take bl. supply from the surroundings.
SOURCE: DR. AYMAN SALEM'S BOOK
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Old 12-31-2011, 02:56 PM   post no: 2
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Default RECURRENT HERNIA Etiology Treatment

A lady had her inguinal hernia repair done on 7/5/08 and now has a recurrence of the hernia at the same site or just inferior to it. He has to go back in to fix it again on 8/29/08. Would you use a -58 or a 78? 78 is going to reduce the service as -58 wont. Not sure if it should be reduced or what to do.










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