جستجوی مقالات مرتبط با کلیدواژه "هرنی اینگوئینال" در نشریات گروه "پزشکی"

For hernia surgery and to induce general anesthesia in children, pediatric venipuncture is needed. The venipuncture process in the children can lead to damage (destroy) of the vein due to many reasons, including fear, restlessness and the child's excessive movements. The aim of this study was to compare the results of inhalation anesthesia in children undergoing inguinal hernia repair surgery under general anesthesia.

In this randomized, single-blinded, prospective clinical trial study, 70 children aged 2 to 6 years who volunteered for inguinal herniorrhaphy were divided into two groups of 35 people in the children's operating room of Shahid Motahari Medical Training Center in Urmia. In the intervention group, peripheral venous catheterization was performed with induction of inhalation anesthesia by 8% soflurane along with oxygen and nitrous oxide, but in the control group, peripheral venous catheterization was performed without induction of inhalation anesthesia and awake. Randomization of intervention and control groups was done with Random Allocation software. Chi-square test was used to compare the frequency of studied variables between two groups. Independent t-test was used to compare the average intensity of restlessness between the two groups. Data analysis was done using SPSS 20 software and the significance level was considered less than 0.05.

The average time of intravenous insertion in the group receiving soflurane was 25.03 ± 21.996 and in the group not receiving soflurane was 254.21 ± 154.913. The difference in the average time of intravenous insertion of the patients in the study between the two groups receiving soflurane and not receiving soflurane was statistically significant, and this average value was much higher in the group not receiving soflurane than in the group receiving soflurane. There was a significant difference between the two groups in the variable of intravenous insertion time (P=0.0001).

Children induced with soflurane need more sedative drugs such as midazolam or combination of midazolam with other drugs. In terms of nausea and vomiting, soflurane has little nausea-causing properties, although is more common in soflurane compared to some drugs such as propofol.

Inguinal bladder herniation (IBH) is a rare disease that presents with inguinal and scrotal protrusion as well as urinary symptoms, and if not diagnosed before surgery, it may cause complications such as bladder injury during surgery. In this study, it was reported a 72-year-old man with right inguinal bulging and urinary obstruction symptoms. In the ultrasonography, two stones in the left kidney and a larger than normal prostate volume was reported. In the CT scan, inguinal bladder herniation with extension to the scrotum was seen, which contained a 13 mm stone. Cystography also confirmed it. Transvesical prostatectomy was performed. The stone was removed. Then, the herniated bladder was reduced through an incision on the right inguinal canal and the mesh was inserted.

Bladder hernias occur in 1% to 4% of cases in the inguinal area. The hernial sac may contain any part of the bladder, such as the bladder diverticulum, all or part of the bladder and ureter. Most of these hernias are diagnosed during surgery. Delay in diagnosis can lead to serious complications and even death. The aim of this case report is to introduce a patient with a rare hernia of the bladder diverticulum in the inguinal region.

 The patient is a 58-year-old man who referred to Namazi Hospital in Shiraz with a bulge in the right inguinal region with symptoms of incarcerated hernia. The patient complained of pain and swelling in the right inguinal region and did not show any signs or symptoms of urinary tract involvement. During laparotomy, the mass was found to be connected to the bladder and the patient underwent inguinal hernia repair. The patient was discharged from the hospital one day after the operation without any problems. No complications were reported in follow-up two months after surgery.

According to our report, hernia of the urinary bladder diverticulum in the inguinal region may be asymptomatic. Therefore, accurate reporting of the patient's history and previous problems and diseases is required for careful surgical planning to prevent severe complications, including bladder injury in these people.

Postoperative pain control is the most challenging problem in surgeries. One of the reducing pain methods related to abdominal surgery is blocking nerve root of that region. The aim of this study was to determine the effect of preoperative local anesthesia on pain of inguinal hernia incision.

This double-blind clinical trial was done on 80 patients that classified into four blocks and then divided in two groups including Bupivacaine and placebo. For Bupivacaine group 0. 5 Mg/kg Bupivacaine added to 5 ml normal saline and injected subcutaneously in the region، for the placebo group only 5 cc of normal saline was injected. Between 0 and 24 hours after surgery pain in both groups using VAS technique was measured. By SPSS. 15 data were analyzed using frequency، Mean، SD and also Chi-squares t-test and Fisher exact test. The α for all tests considered as 0. 05.

The mean of pain intensity after surgery in Bupivacaine group was 5. 47±0. 94 and in the placebo group was 7. 33±0. 8 (P<0. 0001). The mean of pain intensity 24 hours after surgery in Bupivacaine group was 2. 87±0. 77 and in the placebo group was 5. 13±0. 93 (P<0. 0001). Pain intensity comparison in right and left hernia in two measuring times was not different (P> 0. 05). Discussion &

Local injection of Bupivacaine 0. 5 Mg/kg before inguinal hernia surgery could be reducing the pain and also taking painkillers، so using this technique in inguinal hernia surgery is recommended.