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Artigos de revistas sobre o assunto "Inguinal wax"
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Alary, Justine, Benoist Schaal, Gabriela Chotro, Bruno Patris e Alexandra Destrez. "Mother’s scent for motherless neonates: Responses of artificially reared lambs to ewe’s inguinal wax odor". Applied Animal Behaviour Science 258 (janeiro de 2023): 105812. http://dx.doi.org/10.1016/j.applanim.2022.105812.
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Sihombing, Bob Fernando Maruba. "Karakteristik penderita hernia inguinalis yang di rawat inap pada Rumah Sakit Bayukarta Karawang periode 2022". Intisari Sains Medis 14, n.º 2 (4 de julho de 2023): 576–79. http://dx.doi.org/10.15562/ism.v14i2.1733.
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Background: Inguinal hernia is when intra-abdominal fat or part of the small intestine protrudes through a weak area in the lower abdominal muscles. Emergency cases can occur if the inguinal hernia is strangulated (irreponible accompanied by an impaired passage) and incarcerated (irreponible accompanied by inadequate vascularization). This study aims to determine the characteristics of inguinal hernia patients hospitalized at Bayukarta Hospital, Karawang, in 2022. Methods: This descriptive study used a cross-sectional method with secondary data from medical records. The subjects studied were 90 inguinal hernia patients who were hospitalized. The variable assessed in this study was age (years), type of work, gender, classification of organ discharge, and classification of hernia characteristics. Data were analyzed using SPSS version 20.0 for Windows. Results: The results showed two age groups with the highest inguinal hernia were the age group 46-55 years and 56-65 years, with 20 people (22.2%) each; the most jobs were laborers, as many as 34 people (37.8 %), the majority of patients were men with 83 people (92.2%). Inguinal hernia lateralis dextra in 53 people (58.9 %) and inguinal hernia reponible in 75 people (83.3%). Conclusion: The characteristics of inguinal hernia patients hospitalized at Bayukarta Hospital, Karawang, in 2022 were age group 46-65 years, laborers, men, inguinal hernia lateralis dextra and inguinal hernia reponible. Latar Belakang: Hernia inguinalis merupakan kondisi dimana lemak intra-abdominal atau bagian dari usus halus menonjol melalui area lemah di otot perut bagian bawah. Kasus kegawatdaruratan dapat terjadi apabila hernia inguinalis bersifat strangulasi (ireponibel disertai gangguan pasase) dan inkarserasi (ireponibel disertai gangguan vascularisasi). Penelitian ini bertujuan untuk mengetahui karakteristik penderita hernia inguinalis yang dirawat inap di Rumah Sakit Bayukarta, Karawang periode 2022.Metode: Penelitian deskriptif ini menggunakan metode potong lintang dengan data sekunder rekam medik. Subjek yang diteliti yaitu penderita hernia inguinalis yang dirawat inap, sebanyak 90 orang. Variabel yang dinilai pada penelitian ini adalah usia (tahun), jenis pekerjaan, jenis kelamin, klasifikasi jalur keluarnnya organ, dan klasifikasi sifat dari hernia. Data dianalisis dengan SPSS versi 20.0 untuk Windows.Hasil: Hasil penelitian diperoleh dua kelompok usia penderita hernia inguinalis tertinggi adalah kelompok usia 46-55 tahun dan 56-65 tahun masing-masing sebanyak 20 orang (22,2%), pekerjaan terbanyak yaitu buruh sebanyak 34 orang (37,8 %), jenis kelamin terbanyak yaitu laki-laki sebanyak 83 orang (92,2%). Hernia inguinalis lateralis dextra sebanyak 53 orang (58,9%) dan hernia inguinalis reponibel sebanyak 75 orang (83,3 %).Kesimpulan: Karakteristik penderita hernia inguinalis yang dirawat inap di Rumah Sakit Bayukarta periode 2022 berupa kelompok usia 46-65 tahun, pekerjaan buruh, jenis kelamin laki-laki, dengan hernia inguinalis lateralis dextra dan hernia inguinalis reponibel.
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Igirisa, Reskita A., Harsali F. Lampus e Andriessanto C. Lengkong. "Patofisiologi dan Faktor-faktor yang Berhubungan dengan Hernia Inguinalis pada Anak". Medical Scope Journal 5, n.º 1 (17 de maio de 2023): 38–44. http://dx.doi.org/10.35790/msj.v5i1.45120.
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Inguinal hernia in children is a common surgical problem. Albeit, pathophysiology related to the incidence of inguinal hernias and its predisposing factors are not fully accepted. This study aimed to determine the pathophysiology and the predisposing factors the lead to inguinal hernia in children. This was a literature study using various medical literatures in line with the topic from the ClinicalKey, Pubmed, and Google Scholar databases. The results obtained 11 literatures that fulfilled the criteria. The pathophysiology of inguinal hernia was closely related to the failure of processus vaginalis obliteration and genetic factors related to the formation of connective tissue. Predisposing factors for inguinal hernias included increased intra-abdominal pressure, patent processus vaginalis, low birth weight, gender, prematurity, and syndromes associated with connective tissue disorders. In conclusion, the pathophysiology of hernia inguinalis in children is strongly related to the failure of procesus vaginalis to obliterate and genetic factors in the formation of connective tissues with a variety of predisposing factors. Keywords: inguinal hernia in children; pathophysiology; risk factors; processus vaginalis; Marfan syndrome Abstrak: Hernia inguinalis pada anak merupakan suatu kejadian yang umum terjadi pada ranah bedah. Berbagai pendapat mengenai patofisiologi terkait kejadian hernia inguinalis dan faktor predisposisi yang dapat menyebabkan hernia inguinalis pada anak belum disepakati sepenuhnya. Penelitian ini bertujuan untuk mengetahui patofisiologi terkait kejadian hernia inguinalis pada anak dan faktor predisposisi kejadian ini. Jenis penelitian ialah suatu literature review menggunakan berbagai literatur kedokteran yang sejalan dengan topik dan berasal dari database ClinicalKey, Pubmed, dan Google Scholar. Hasil penelitian mendapatkan 11 literatur yang memenuhi kriteria penelitian. Patofisiologi terjadinya hernia inguinalis erat kaitannya dengan kegagalan penutupan prosesus vaginalis dan juga faktor genetik yang berhubungan dengan pembentukan jaringan ikat. Faktor predisposisi dari hernia inguinalis antara lain peningkatan tekanan intra-abdomen, prosesus vaginalis yang paten, berat badan bayi lahir rendah, jenis kelamin, prematuritas, dan sindrom terkait gangguan jaringan ikat. Simpulan penelitian ini ialah patofisiologi terjadinya hernia inguinalis pada anak erat kaitannya dengan kegagalan penutupan prosesus vaginalis dan faktor genetik dalam pembentukan jaringan ikat dengan faktor predisposisi yang bervariasi. Kata kunci: hernia inguinalis; anak; patofisiologi; faktor risiko; prosesus vaginalis; sindrom Marfan
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Loukas, Marios, Abraham El-Sedfy, R. Shane Tubbs e Christopher Wartman. "Jules Germain Cloquet (1790–1883)–Drawing Master and Anatomist". American Surgeon 73, n.º 11 (novembro de 2007): 1169–72. http://dx.doi.org/10.1177/000313480707301120.
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Jules Germain Cloquet, the famed French anatomist, surgeon, and professor, may not be remembered as one of the pioneers of hernia surgery; however, his contributions have provided surgeons with detailed anatomical descriptions that have been useful in developing innovative surgical techniques. Cloquet has many eponyms associated with him, including: Cloquet's fascia, Cloquet's gland or lymph node of Cloquet, Cloquet's hernia, Cloquet's ligament, Cloquet's canal, and Cloquet's septum. A man blessed with artistic talents, Cloquet was the author of many theses, as well as anatomical volumes that were comparable to the works of other great anatomists of his time. His first thesis, entitled Recherches Anatomiques sur les Hernies de l'Abdomen, described the locations where inguinal and crural herniae are more likely to occur in terms of the cremaster muscle, the peritoneum, and the spermatic vessels. Wax sculpture training required extensive knowledge in the natural sciences, anatomy, physiology, and pathology, as were acquired by Jules Cloquet as a pupil of Achille-Cléophas Flaubert, the father of the famous French novelist Gustave Flaubert (author of Madame Bovary). Cloquet attracted many pupils with his innovative teaching style and implementation of anatomical preparations, drawings, and sketches on the black board with chalk. The legacy of this famed individual lives on today in the anatomical structures described by Cloquet.
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Sayuti, Muhammad, Cut Khairunnisa, Elsa Nur Salsabila, Jihan Haura e Rani Aprilita. "Teknik Operasi dan Faktor Risiko Residif Hernia Inguinalis Lateralis di RSU Cut Meutia Kabupaten Aceh Utara". Malahayati Nursing Journal 5, n.º 3 (1 de março de 2023): 728–38. http://dx.doi.org/10.33024/mnj.v5i3.8104.
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ABSTRACT Lateral inguinal hernia (HIL) is a protrusion of the contents of the abdominal cavity, which comes out of the peritoneal cavity through the internal inguinal ring which is located lateral to the inferior epigastric vessels. Risk factors for inguinal hernias are increased intra-abdominal pressure due to chronic cough, constipation, ascites or heavy lifting, when there is weakness of the abdominal wall muscles due to old age, pregnancy or prematurity, surgical incisions that cause incisional hernias and the presence of obesity. The principle of management of lateral inguinal hernia is animation and surgery. Operative treatment is the only rational treatment for inguinal hernias, namely carrying out hernia repairs both openly and laparoscopically. The purpose of this study was to determine surgical techniques and risk factors for recurrent lateral inguinal hernias at Cut Meutia Hospital, North Aceh District in 2018–2021. This study used a retrospective descriptive method with a cross sectional approach. The sample in this study were all patients diagnosed with recidive lateral inguinal hernias at Cut Meutia Hospital, North Aceh District recorded in 2018 to 2021 who met the inclusion and exclusion criteria. The results showed that the incidence of recurrent HIL was 8.5%, the most common risk factor was age ≥60 years (73.3%), male sex (100%), obesity (53.3%), history of strenuous activity (100 %), history of chronic cough (60%), history of urinary retention (26.7%), history of constipation (66.67%) and the first surgical technique used in 15 patients with residual HIL was 40% non-mesh graft and 60% with a mesh of corruption. Age, gender, obesity, history of strenuous activity, history of chronic cough, urinary retention and history of constipation are risk factors for recurrent lateral inguinal hernias at Cut Meutia Hospital, North Aceh District in 2018-2021. Keywords: Lateral Inguinal Hernia, Hernia Repair, Risk Factors ABSTRAK Hernia inguinalis lateralis (HIL) adalah penonjolan isi rongga perut, yang keluar dari rongga peritoneum melalui anulus inguinalis internus yang terletak lateral dari pembuluh epigastrika inferior. Faktor risiko terjadinya hernia inguinalis adalah peningkatan tekanan intra-abdominal karena batuk kronis, sembelit, asites atau angkat berat, ketika ada kelemahan otot dinding perut karena usia tua, kehamilan atau prematuritas, sayatan operasi yang menyebabkan hernia insisional dan adanya obesitas. Prinsip penatalaksanaan hernia inguinalis lateralis adalah konservatif dan operatif. Tindakan pengobatan operatif merupakan satu-satunya pengobatan hernia inguinalis yang rasional yaitu melakukan tindakan hernia repair baik secara open maupun laparoskopik. Tujuan penelitian ini untuk mengetahui teknik operasi dan faktor risiko hernia inguinalis lateralis residif di RSUD Cut Meutia Kabupaten Aceh Utara tahun 2018–2021. Penelitian ini menggunakan metode deskriptif retrospektif dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah seluruh pasien yang terdiagnosis hernia inguinalis lateralis residif di RSUD Cut Meutia Kabupaten Aceh Utara yang tercatat pada tahun 2018 sampai 2021 yang memenuhi kriteria inklusi dan eklusi. Hasil penelitian menunjukkan kejadian HIL residif sebesar 8,5%, faktor risiko terbanyak pada usia ≥60 tahun (73,3%), jenis kelamin laki-laki (100%), obesitas (53,3%), riwayat aktivitas berat (100%), riwayat batuk kronis (60%), memiliki riwayat retensio urin (26.7%), riwayat konstipasi (66,67%) dan teknik operasi pertama yang digunakan pada 15 pasien HIL residif adalah 40 % non mesh graft dan 60% dengan mesh graft. Usia, jenis kelamin, obesitas, riwayat aktivitas berat, riwayat batuk kronis, retensio urin serta riwayat konstipasi merupakan faktor risiko hernia inguinalis lateralis residif di RSUD Cut Meutia Kabupaten Aceh Utara tahun 2018 – 2021. Kata Kunci: Hernia Inguinalis Lateralis, Hernia Repair, Faktor Risiko
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Lampus, Harsali F., Jaquelin E. Lombok e Rangga B. Rawung. "Gambaran Hernia Inguinalis pada Anak di RSUP Prof. Dr. R. D. Kandou Manado". e-CliniC 12, n.º 3 (1 de dezembro de 2024): 428–33. https://doi.org/10.35790/ecl.v12i3.55438.
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Abstract: Inguinal hernias is one of the most common surgical cases in children, especially in the first year of life. This study aimed to find out the general description related to inguinal hernias in children, such as age, sex, birth history, main complaints, family history, complications, and management. This was a retrospective and descriptive study by analyzing medical record data of inguinal hernia pediatric patients at Prof. Dr. R. D. Kandou Manado Hospital in the period of January 2021-June 2023. The results showed that the incidence of inguinal hernias in children according to medical record data was 40 patients. Variables with the highest percentages were age of 0-4 years (75%), male sex (90%), birth weight <2500 grams and gestation period <37 weeks, main complaint was a lump in the right groin (45%), no family history of inguinal hernia (87.5%), no complications (52.5%), and performed herniotomy (85%). In conclusion, inguinal hernia most often occurs in children of 0-4 years, male sex, birth weight less than 2500 grams, gestation period less than 27 weeks, a lump in the right groin as the main complaint, no family history with similar conditions, presenting without preoperative complications, and are treated with herniotomy. Keywords: inguinal hernia; children; indirect hernia; herniotomy Abstrak: Hernia Inguinalis pada anak menjadi salah satu kasus bedah anak yang paling banyak dijumpai terlebih pada tahun pertama kehidupan. Penelitian ini bertujuan untuk mengetahui gambaran umum terkait hernia inguinalis pada anak seperti usia, jenis kelamin, riwayat persalinan, keluhan utama, riwayat keluarga, komplikasi dan penatalaksanaan. Jenis penelitian ialah deskriptif retrospektif dengan menganalisis data rekam medis pasien hernia inguinalis pada anak di RSUP Prof Kandou Manado periode Januari 2021-Juni 2023. Hasil penelitian mendapatkan angka kejadian hernia inguinalis pada anak menurut data rekam medis yaitu 40 pasien dengan usia terbanyak yaitu 0-4 tahun (75%), jenis kelamin terbanyak pada laki-laki (90%), lahir dengan berat badan <2500 gram (57,5%) dan masa gestasi <37 minggu (52,5%), dengan keluhan utama benjolan di lipat paha kanan (45%). Sebagian besar pasien tidak memiliki riwayat keluarga dengan hernia inguinalis (87,5%), dirawat belum dengan komplikasi (52,5%), dan sudah dilakukan tindakan operatif herniotomi (85%). Simpuplan penelitian ini ialah hernia inguinalis paling sering terjadi pada kelompok usia anak 0-4 tahun, jenis kelamin laki- laki, berat badan lahir <2500 gram dan masa gestasi <27 minggu, keluhan utama benjolan di lipat paha kanan, tidak memiliki riwayat keluarga dengan keadaan serupa, datang tanpa komplikasi pre operatif, dan penatalaksanaan dengan tindakan operatif herniotomi. Kata kunci: hernia inguinalis; anak; hernia indirek; herniotomi
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O'Toole, Donal, Val Welch e Beth Williams. "Immunohistochemistry of Parasitic Subepidermal Vesiculobullous Disease in American Badgers (Taxidea Taxus)". Journal of Veterinary Diagnostic Investigation 6, n.º 1 (janeiro de 1994): 72–76. http://dx.doi.org/10.1177/104063879400600113.
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Some populations of free-ranging American badgers (Taxidea taxus) develop a distinctive seasonal dermatitis due to the subcutaneous filariid Filaria taxideae. Subepidermal vesicles that contain filarial ova develop in thinly haired skin of the inguinal area, proximal thigh, and ventral abdomen. The purpose of this study was to establish by immunohistochemistry whether basement membrane components colocalized with the roof or floor of vesicles and to confirm that filarial ova occur in intradermal vessels. Samples of skin with characteristic F. taxideae-induced subepidermal vesicles were collected from 10 adult male (n = 8) and female (n = 2) badgers. Samples were fixed in formalin for 1–4 days and processed routinely into paraffin wax. Immunohistochemical staining for basement membrane was attempted with anti-collagen IV antibodies (AM168-5M, AR079-5R, AB748) and antilaminin antibodies (MA078-5C, AR078-5R, L-9393). Optimal results in skin from badgers were obtained using a biotin-streptavidin technique and AR079-5R (anti-human collagen IV) and AR078-5R (anti-murine laminin). There was positive staining of the floor of vesicles in 5 of 6 badgers tested with antibodies to laminin and collagen IV. In 5/10 badgers, filarial ova and first stage F. taxideae larvae were found in dilated vascular channels of the upper dermis, and these vessels stained positively for factor VIII-related antigen. The results suggest that F. taxideae-induced subepidermal separation occurs consistently in the lamina lucida portion of the basal lamina and that filarial ova occur in dermal vessels.
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Illés, Kristóf, Judit Tamás, Damján Pekli, Rezső Szlávik, Bálint Kokas e Attila Szijártó. "Egy ritka sérvtípus kétszeri megjelenése klinikánkon". Magyar Sebészet (Hungarian Journal of Surgery) 73, n.º 4 (12 de dezembro de 2020): 167–71. http://dx.doi.org/10.1556/1046.73.2020.4.6.
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Összefoglaló. Esetismertetések: 66 éves nő vizsgálatai irreponibilis fájdalmas inguinalis terime miatt kezdődtek. Ultrahangvizsgálat során a panaszok hátterében femoralis sérvben kizárt gangraenás appendix vermiformis igazolódott. Inguinalis metszésből appendectomiát és hernioplasticát végeztünk. Posztoperatív szövődménye nem volt, szövettana appendicitist igazolt. Pár héttel később egy 76 éves, több társbetegséggel rendelkező férfi fájdalmas, sercegő gangraenás, jobb inguinalis terime miatt került átvételre. CT-vizsgálat femoralis sérvbe kizárt abscedáló appendix vermiformist ábrázolt. Inguinalis metszésből, illetve alsó median laparotomiából a féregnyúlványt a hasüregbe reponáltuk, majd appendectomia és inguinalis necrectomia történt. Posztoperatív adhéziós ileus és hasfali disruptio miatt egy alkalommal reoperáltuk, adhaesiolysist és hasfali resuturát végeztünk. Ezt követően lágyéki sebén negatív nyomásos sebkezelést alkalmaztunk, a beteget a 22. napon otthonába bocsájtottuk. Az appendix szövettana low grade mucinosus neoplasiát igazolt. Megbeszélés: A femoralis sérvbe szorult appendix vermiformis de Garengeot-sérvként ismeretes, extrém ritka incidenciájú sérvtípus, ennél is ritkább az appendix mucinosus neoplásiájával szövődő variánsa. E sérv klinikai megjelenése széles spektrumon mozoghat, pontos preoperatív diagnózisa CT-vizsgálat nélkül kifejezetten nehéz. A műtéti megoldásra többféle lehetőség választható, mely nagyban függ az esetleges komplikációktól, a rendelkezésre álló eszközöktől, az intraoperatív lelettől, valamint az operáló sebész jártasságától. Summary. Case reports: a 66-year-old woman was admitted to our Department due to a painful inguinal lump. During examinations an incarcerated femoral hernia was found with an inflamed vermiform appendix inside the hernial sac. Appendectomy and femoral hernioplasty was performed from inguinal approach. The patient was discharged home without complications. Pathological examinations of the specimen showed signs of acute appendicitis. A few weeks later a 76-year-old man with severe comorbidities was admitted to our unit due to painful gangraenous inguinal skin lesion. CT scan showed an incarcerated femoral hernia containing the appendix with subcutaneous abscess. Appendectomy, hernioplasty, and inguinal necrosectomy was performed from an inguinal and low median approach. Another operation was necessary due to postoperative obstruction and subcutaneous dehiscence. After intraabdominal adhaesiolysis and abdominal wall reconstruction negative pressure wound therapy was applied to the inguinal wound, the patient was discharged 22 days after the primary operation. Pathological examinations of the appendix showed low grade mucinous neoplasm. Discussion: The femoral hernia containing the appendix is called de Garengeot’s hernia and is one of the rarest types of inguinofemoral hernias. The clinicopathology of this type of hernia can cover a wide range of symptoms. The definitive preoperative diagnosis is relatively difficult to find without a CT-scan. The surgical approach and treatment depends on the manifestation, clinical findings and on the available equipment and the expertise of the surgeon.
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Kodzo-Grey Venyo, Anthony. "Tancho nodules (Lipogranulomatous lesions) of the Penis: A Review and Update". Journal of Surgical Case Reports and Images 6, n.º 3 (29 de abril de 2023): 01–17. https://doi.org/10.31579/2690-1897/152.
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The practice of implanting glass or other kinds of beads in the subcutaneous tissue of the penis for the purpose of increasing the sexual pleasure of the partner has become common. The inserted glass beads have tended usually not to give rise to symptoms and normally they are only detected by chance. Lipogranuloma of penis which is also known as paraffinoma, sclerosing lipogranuloma, and Tancho nodules, may affect the penile or scrotal skin. Penile lipogranuloma is usually been known to be due to hypodermic injection of substances such as paraffin, silicone, oil, or wax into the penis for enlargement of the penis or sexual gratification. Within the scrotum, trauma, cold weather, and topical application of ointment do at times give rise to chronic inflammatory lesions within the penis that is suggesting of percutaneous absorption, which has also have been implicated in the development of Lipogranuloma of penis or Tancho nodules. Additionally, utilization of liquid paraffin instillation in to the urethra followed by urethral dilatation procedure has also been reported to have caused inflammatory nodules within the penis. Most lipogranulomas arise in men younger than 40 years who report a localized plaque or mass that may be tender and indurated, and as large as several centimetres in diameter. They may also present with some or any of the following: a nodule or nodules in the penis; a papule or plaque on the penis; a rash around a penile injection site; an ulceration or ulcerations on the penis; an abscess within the penis; sepsis following which a nodule or lesions is/are found in the penis; pulmonary embolism; pain and swelling within the penis extending into the scrotum; pain and swelling in the penis and groin; pain and swelling in the inguinal region mimicking lymph adenitis or an inguinal hernia; lower urinary tract voiding symptoms and on rarer-occasions the development of urinary retention; infertility; loss of sexual satisfaction; expression of discomfort by sexual partner during coital activity; experiencing of pain by the man within his penis during coital activity; bleeding from a penile lump during coital activity; curvature of the non-erect penis or curvature of the erect penis associated with coital penile discomfort. Biopsy of the penile lesion for pathology examination is necessary to confirm the diagnosis, especially in the absence of clinical history of injection of exogenous material into the penis.
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Mishra, Baikuntha Narayan, Sadasiba Padhy, Prabin Prakash Pahi e Ranjit Kumar Joshi. "Mesothelial cyst in inguinal hernial sac in a male child: a case report". International Surgery Journal 8, n.º 1 (28 de dezembro de 2020): 395. http://dx.doi.org/10.18203/2349-2902.isj20205912.
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Mesothelial cysts of inguinal area are extremely rare and few cases have been reported in females, arising from round ligament of uterus. Inguinal hernias are a common surgical problem in children presenting as an inguinal or inguino scrotal swelling. Usually the contents of hernial sac in a male child are intestine or omentum and in females it may contain ovary. Mesothelial cyst of round ligament may present as an inguinal mass in females, but it is very rare to find in side inguinal hernial sac of a male child. Here in we report a case of 2 year 9-month-old male child, who was operated for irreducible right congenital inguinal hernia. A pedunculated cystic mass was found to be the content and was removed. Histopathology confirmed the diagnosis of mesothelial cyst. Because of rarity, we report this case.
Teses / dissertações sobre o assunto "Inguinal wax"
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Alary, Justine. "La communication olfactive entre la brebis et l’agneau via la cire inguinale et son application dans l’optimisation de l’adaptation néonatale en élevage". Electronic Thesis or Diss., Bourgogne Franche-Comté, 2024. http://www.theses.fr/2024UBFCK055.
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Le bien-être animal est défini comme un état positif lié à la satisfaction des besoins physiologiques et comportementaux des animaux. Un aspect crucial de ce bien-être est la capacité d’exprimer des comportements naturels, comme la relation mère-jeune chez les mammifères. Chez les brebis, des signaux olfactifs spécifiques, tels que la cire inguinale (CI), jouent un rôle essentiel en aidant les agneaux à localiser les mamelles pour téter et en renforçant leur lien avec la mère. En élevage, certains agneaux sont placés en allaitement artificiel (AA), ce qui les prive de leur mère et des signaux olfactifs naturels, entraînant un stress accru, des difficultés d’apprentissage et un taux de mortalité plus élevé.Cette thèse explore comment la CI pourrait être utilisée pour améliorer l'adaptation des agneaux en AA. Les résultats obtenus montrent que la présence de CI favorise la croissance d’agneaux en AA et a un effet attractif sur eux, mais elle ne suffit pas à elle seule pour optimiser l’apprentissage de la tétée artificielle. Cette thèse suggère qu’il est nécessaire de poursuivre les recherches sur les odeurs maternelles pour mieux comprendre leur rôle et leur potentiel à améliorer les pratiques d’élevage, avec pour objectif final de renforcer le bien-être des animaux et leur adaptation aux conditions d’élevage non naturellesAnimal welfare is defined as a positive state related to the fulfilment of the animals' physiological and behavioural needs. A crucial aspect of this welfare is the ability to express natural behaviours, such as the mother-young bond in mammals. In ewes, specific olfactory signals, such as inguinal wax (IW), play an essential role in helping lambs locate the teats for suckling and in strengthening their bond with the mother. In farming, some lambs are placed in artificial rearing (AR), which deprives them of their mother and natural olfactory signals, leading to increased stress, learning difficulties, and higher mortality rates.This thesis explores how IW could be used to improve the adaptation of lambs in AR. The results show that the presence of IW promotes lamb growth in AR and has an attractive effect on them, but it alone is not sufficient to optimize the learning of artificial suckling. This thesis suggests that further research on maternal odors is necessary to better understand their role and potential to improve farming practices, with the ultimate goal of enhancing animal welfare and their adaptation to unnatural farming conditions
Livros sobre o assunto "Inguinal wax"
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Kwon, Rachel J. Laparoscopic versus Open Repair of Inguinal Hernia. Editado por Danny Sherwinter. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199384075.003.0019.
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This chapter provides a summary of a landmark study in hernia surgery. In terms of recurrence, pain, and complications, is laparoscopic inguinal hernia repair with mesh better than traditional open mesh repair? Starting with that question, it describes the basics of the study, including funding, year study began, year study was published, study location, who was studied, who was excluded, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summary and discusses implications, and concludes with a relevant clinical case involving possible inguinal hernia repair.
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Kwon, Rachel J. Watchful Waiting versus Surgery for Inguinal Hernia. Editado por Danny Sherwinter. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199384075.003.0018.
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This chapter provides a summary of a landmark study in hernia surgery. For men with minimally symptomatic inguinal hernias, does deferring surgical repair until symptoms develop lead to worse outcomes with respect to pain and physical function? Starting with that question, it describes the basics of the study, including funding, year study began, year study was published, study location, who was studied, who was excluded, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summary and discusses implications, and concludes with a relevant clinical case involving inguinal hernia repair.
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Chiravuri, Srinivas. Lateral Femoral Cutaneous Neuropathy—Meralgia Paresthetica. Editado por Meghan E. Lark, Nasa Fujihara e Kevin C. Chung. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190617127.003.0014.
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Meralgia paresthetica is characterized by anterolateral thigh pain, paresthesia, or dysesthesia without motor weakness. This is due to idiopathic or iatrogenic injury to the lateral femoral cutaneous nerve (LFCN, dorsal rami of L2-L3). Risk factors include obesity, diabetes, and external compression near the inguinal ligament’s attachment to the anterior superior iliac spine. Diagnosis is based on clinical presentation and electrodiagnostic studies. Initial management includes behavioral modification, physical therapy, and pharmacotherapy. More invasive treatment modalities include LFCN infiltration, pulsed radiofrequency, direct nerve stimulation, and spinal cord stimulation. Ultrasound-guided neurectomy is also an effective way to localize the nerve structure and ensure complete nerve transection.
Capítulos de livros sobre o assunto "Inguinal wax"
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Arregui, Maurice. "Chain of Events Leading to the Development of the Current Techniques of Laparoscopic Inguinal Hernia Repair: The Time Was Ripe". In Laparo-endoscopic Hernia Surgery, 31–35. Berlin, Heidelberg: Springer Berlin Heidelberg, 2017. http://dx.doi.org/10.1007/978-3-662-55493-7_4.
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van Goethem, A. R., e H. Obertop. "Wat zijn de indicaties en contra-indicaties voor het gebruik van een breukband bij hernia inguinalis?" In Vademecum permanente nascholing huisartsen, 681–82. Houten: Bohn Stafleu van Loghum, 2006. http://dx.doi.org/10.1007/978-90-313-8808-0_359.
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Ohno, Michinobu, Yasushi Fuchimoto, Akihiro Fujino, Toshihiko Watanabe e Yutaka Kanamori. "Laparoscopic Findings of Rare Pediatric Inguinal Hernias". In Hernia Surgery [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.102028.
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Pediatric inguinal hernias are caused to the patency of the processus vaginalis (PPV). The principle for the repair of indirect inguinal hernias in children consists of complete ligation of the PPV. Laparoscopic percutaneous extraperitoneal closure (LPEC) has spread rapidly since it was reported by some groups from around 1998, and the number of institutions adopting this method as a standard procedure for pediatric inguinal hernia is increasing in Japan. Since the closure of PPV by laparoscopic surgery is popular, rare hernias in children can be observed from the abdominal cavity. We present the laparoscopic findings of rare pediatric inguinal hernias and report their experience.
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Blankenship, Derek, Mitchell Cahan e Gustavo Angaramo. "Inguinal Hernia Repair". In Regional Anesthesia and Acute Pain Medicine, editado por Eman Nada, 223–32. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780197518519.003.0020.
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Abstract Laparoscopic inguinal hernia repair originated in the early 1990s. Surgical repair of these hernias is one of the most performed surgical procedures in the world. In the United States, approximately 800,000 inguinal herniorrhaphies are performed annually. High recurrence rates, morbidity, and prolonged recovery have led to a gradual evolution in the way surgeons approach the problem of inguinal hernia repair. This chapter will highlight the technical details, pitfalls, and literature results of tension-free prosthetic repairs and tissue-suture repairs. In addition, the chapter will take an in-depth look at groin anatomy related to inguinal hernia repair, preemptive measures such as peri- and postoperative gabapentinoids, infiltration of local anesthetics, and how therapeutic ultrasound-guided nerve blocks can decrease the inflammatory cascade, lessen central sensitization, and halt the development of chronic postsurgical pain (CPSP).
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Hari Rajah, Kumar, e M. Somanathan. "Open Hernia Repair". In Hernia Updates and Approaches. IntechOpen, 2023. http://dx.doi.org/10.5772/intechopen.1001890.
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Inguinal hernias are a common clinical condition that is present to the surgical clinic and open inguinal hernias repairs are one of the most common operations that are performed by general surgeons. Open inguinal hernia repairs have evolved from tension repairs like the Bassini and darning repair to the shouldice repair. As these procedures were under tension and hence the recurrence rates were high. The Lichtenstein repair was a tension free repair that uses mesh, revolutionized hernia repair as the procedure was simple and the recurrence rates were low whether the procedure was performed by a junior or senior surgeon. The Lichtenstein repair is now the most popular repair for inguinal hernias. Variants to this include the plug and patch repair and the prolene hernia system, which uses various types of tension free mesh repairs. This chapter investigates the various open hernia techniques with emphasis on the tension free repairs which involve the use of mesh (Lichtenstein) and not the use of mesh (Desarda). The older tension repairs like the Shouldice and Bassini repairs are also reviewed.
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"Melanoma". In Oncology, editado por Paul R. Harnett, John Cartmill e Paul Glare, 56–61. Oxford University PressNew York, NY, 1999. http://dx.doi.org/10.1093/oso/9780192629784.003.0004.
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Abstract A 43-year-old woman had a wide excision, skin graft, and prophylactic inguinal lymph node dissection as primary treatment of a melanoma on the left calf 3 years ago. The tumour was Clarke Level IV and 2.2 mm in depth with I/ 17 inguinal lymph nodes positive. On routine follow-up, you detect a new flesh-coloured nodule above the left knee. On questioning, she admits to 2 months of intermittent cramping lower abdominal pain.
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Lee, Christine U., e James F. Glockner. "Case 9.12". In Mayo Clinic Body MRI Case Review, editado por Christine U. Lee e James F. Glockner, 443. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199915705.003.0234.
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89-year-old woman with abdominal pain and nausea and vomiting; abdominal MRA was requested to assess for mesenteric ischemia Coronal SSFSE images (Figure 9.12.1) demonstrate protrusion of a loop of ileum into the right inguinal canal. Axial fat-suppressed 2D SPGR images (Figure ...
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Balawender, Krzysztof, e Anna Pliszka. "Male Fertility Following Inguinal Hernia Repair". In Hernia Updates [Working Title]. IntechOpen, 2023. http://dx.doi.org/10.5772/intechopen.1001953.
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Tension-free mesh hernia repair has become the standard procedure in inguinal hernia repair. The incidence of inguinal hernias has steadily decreased following mesh and laparoscopic techniques, but the potential risk of fertility disorders after surgery remains a controversial issue. The aim of this chapter was to establish the clinical impact of open (mesh and/or without mesh) and laparoscopic hernia repair on male fertility. The results of the research published to date do not allow clear conclusions and guidelines in hernia surgery for young patients of reproductive age. Evidence is inevitably difficult to find because of the wide range of causes of infertility and their complexity. However, the choice of method and the possible impact on fertility should be discussed with the patient before surgery. Additionally, preoperative and postoperative semen analysis will help exclude or confirm its impact on patient fertility in the future.
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Eardley, Ian. "Localized penile cancer". In Challenging Cases in Urological Surgery, editado por Karl H. Pang, James W. F. Catto, Aung Myat e Shouvik Haldar, C17–174. Oxford University PressOxford, 2023. http://dx.doi.org/10.1093/med/9780198854371.003.0017.
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Abstract This case describes a 48-year-old man with a clinically and radiologically localized penile cancer (T2G3) who was treated by glansectomy and skin grafting with preservation of normal micturition and some erectile function. Although he was clinically and radiologically node negative, sentinel node biopsy showed micro-metastasis in the right groin, requiring inguinal lymphadenectomy on that side. Over 5 years of follow-up there was no evidence of tumour recurrence.
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Liveson, Jay Allan. "Gluteal Injection and Radiating Pain". In Peripheral Neurology, 267–69. Oxford University PressNew York, NY, 2000. http://dx.doi.org/10.1093/oso/9780195135633.003.0059.
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Abstract Two months previously, a 47-year-old woman was undergoing cervical traction for left arm pain. An intramuscular left gluteal injection caused immediate local soreness with radiation to the inguinal area, lateral thigh, and leg. Valsalva’s maneuver had no effect. She had weakness of the left knee. Medical history was limited to a benign right ovarian tumor. Physical Examination. Cranial nerve and cerebellar function were normal. There was no sensory or motor deficit. DTRs were active and symmetric, with no pathologic reflexes. There was no Lasègue’s sign.
Trabalhos de conferências sobre o assunto "Inguinal wax"
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Shah, Swati, Shveta Giri, Rupinder Sekhon e Sudhir Rawal. "Inguinal lymphadenopathy as a presentation for ovarian cancer". In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685329.
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Ovarian carcinoma usually presents at an advanced stage with diffuse intra abdominal manifestations. Inguinal lymph node metastasis is rare event in ovarian cancer. We report 7 cases who presented with inguinal lymphadenopathy as the initial manifestation between January 2014 to January 2016. All patients underwent tru-cut biopsy from inguinal area. Morphology and IHC were suggestive of ovarian origin or female genital Tract origin. Two patients underwent primary debulking surgery while four patients were managed by neo-adjuvant chemotherapy followed by interval cytoreductive surgery owing to relatively poor performance status at presentation. One patient underwent secondary debulking in which inguinal Lymph node was positive for metastatic deposits.
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Shrestha, Eliza, Rupinder Shekon, Shveta Giri e Sudhir Rawal. "Paget’s disease of the vulva in postmenopausal women: A case report". In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685383.
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Vulvar Paget’s disease is an extremely rare neoplasm that accounts for less than 1% of vulvar malignancies. We present a case of a 66 year old woman, who had an ulcerated lesion involving the labia majora bilaterally; lymph nodes were not palpable in the inguinal region bilaterally. A biopsy of the Vulva showed Paget’s disease. She underwent radical Vulvectomy with Bilateral inguinal lymph node dissection. The specimens resected were reviewed with respect to involvement of the margins with Paget cells and the margin was negative. The patient remained disease free at 2 years follow up.
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McKenna, R., E. R. Cole e A. DOOLAS. "SUCCESSFUL SURGICAL MANAGEMENT OF A PATIENT WITH COMBINED FACTOR V AND VIII DEFICIENCY WITH DDAVP + FFP". In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644131.
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A 59 year-old white male with a life long history of severe bleeding following trauma or surgical procedures was documented to have a combined factor V and factor Vlll-C deficiency. His baseline factor V ranged between 16% - 30% and factor VIII-C was between 20% - 30%. His APTT ranged between 50 - 56 seconds (21-31 N) with a prothrombin time activity between 33% - 40% of normal ( ≥ 70% N). Factor II, Vll/X, X, IX, XI, XII, template bleeding time and platelet function studies were normal. There was no severe factor XIII deficiency. Since the response of these patients to DDAVP is unknown and the patient was admitted with a large hematoma in the subolecranon bursa, DDAVP was infused in a dose of 0.5 μ g/kg body weight over 15 minutes. The baseline factor VIIl-C of 20% rose to 55% at 5 minutes after termination of DDAVP and to 62% and 66% at 3 and 6 hours respectively. The factor VIII-C level dropped to 45% and 36% at 12 and 24 hours respectively after a single dose of DDAVP. As measured by a sensitive 125I-fibrin assay, this dose of DDAVP caused a net rise in plasminogen activator activity of 2.43 CTA U/ml.The patient had worn an inguinal truss for approximately 20 years for two large oblique inguinal hernias, one of which entended to the level of the mid-thigh. Pre and peri-operative management of the right inguinal herniorrhaphy consisted of DDAVP in a dose of 0.5 μg/kg Q 12 hourly for two doses, FFP at 9 ml/kg Q 12 hourly for three doses, and Amicar for 48 hours starting post-operatively. This regimen maintained the factor VIIl-C at ∼ 50% with factor V between 44% - 50% for a period of three days. On the 4th postoperative day a left inguinal herniorrhaphy was accomplished with DDAVP and FFP (dosage similar to previous) administered Q 12 hourly for three doses, then once in the next 24 hours, and Amicar for three days. A 4 cm wound hematoma noted on the first day of the second surgical procedure was evacuated, and was due to the presence of a bleeder since Vlll-C and V levels were higher than the values indicated on the first procedure. No red cell transfusions were given; fluids were restricted to 600 ml per day for 24 hours after the last dose of DDAVP. Successful bilateral inguinal herniorrhaphies without significant hemorrhages was achieved with exposure to a minimal volume of blood products.
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Asutaev, Sh D., e A. N. Poborskiy. "Quality of life of patients after inguinal hernioplasty by endoscopic methods". In VIII Vserossijskaja konferencija s mezhdunarodnym uchastiem «Mediko-fiziologicheskie problemy jekologii cheloveka». Publishing center of Ulyanovsk State University, 2021. http://dx.doi.org/10.34014/mpphe.2021-16-19.
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A comparative analysis of the indicators of 53 men who underwent inguinal hernioplasty using the TEP (n = 20) and TAPP (n = 33) methods was carried out. Quality of life was assessed using the international questionnaire EQ-5D on the 1st day, 1 month and 12 months after surgery. Monitoring of quality of life parameters showed differences in the assessment of their condition by patients who underwent TEP and TAPP, which were most pronounced on the first day after surgery. The presence of problems during this period for all components of the EQ-5D questionnaire, to a greater extent, was associated by patients with pain / discomfort in the operation area. The latter were maximally manifested in the majority of those who underwent TAPP (64%), which also affected their lower assessment of their health status. The revealed differences disappear within a month after the interventions and are absent 12 months after the operation.
Key words: quality of life, inguinal hernioplasty, endoscopic methods.
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Gabitov, V. H., A. A. Beisembayev, S. K. Sulaimankulova, T. E. Kuramaeva, A. N. Saalieva, uulu Ulukmyrza Omurbek e M. A. Gabitova. "Microanatomical organization of regional inguinal lymph node parenchyma after endolymphatic injection of gold nanoparticles". In VIII Vserossijskaja konferencija s mezhdunarodnym uchastiem «Mediko-fiziologicheskie problemy jekologii cheloveka». Publishing center of Ulyanovsk State University, 2021. http://dx.doi.org/10.34014/mpphe.2021-62-65.
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The morphofunctional state of regional lymph nodes of white mongrel rats after endolymphatic introduction of gold nanoparticles with a diameter from 5 nm to 30 nm was studied. Endolymphatic introduction of gold nanoparticles was shown to have a direct immunomodulatory effect even at small sizes of nanogold. Morphological rearrangements in the regional lymph nodes testify to the activation of migration, proliferation and differentiation of immunocompetent cells, which suggests the immunomodulatory effect of gold nanoparticles.
Key words: endolymphatic injection of gold nanoparticles, inguinal lymph nodes, cell populations.
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Jain, Vandana, Rupinder Sekhon, Shveta Giri e Sudhir Rawal. "R-veil in carcinoma vulva". In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685390.
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Background: Vulvar cancer accounts for about 3-5% of gynaecologic malignancies. Prognosis is strongly dependent on presence of inguinofemoral lymph node metastases. Effective management of regional lymph nodes is the most important factor in the curative management of early vulvar cancer. Despite careful dissection and maintaining vascularity of skin, surgical morbidity is seen in 50% cases. Video – endoscopic inguinofemoral lymphadenectomy was developed by Bishoff in 2003 by dissecting two cadaveric models and in one patient with stage T3N1M0 penile carcinoma. VEIL is an alternative to reduce the morbidity without compromising the oncologic outcomes. VEIL has continued to evolve into single site and robotic variants. R-VEIL is a minimally invasive procedure duplicating the standard open procedure with less morbidity. Aims and Objectives: A video presentation to describe the technique of R-VEIL in vulvar cancer and discuss the advantages and outcome. Conclusions: R–VEIL is an attractive minimally invasive technique to do inguinal block dissection in a single sitting in patients with vulvar carcinoma as the surgeon does not get tired as happens in VEIL technique. R-VEIL allows the removal of inguinal lymph nodes within the same limits as in open procedure and potentially reduces surgical morbidity. It is better accepted cosmetically and reduces hospital stay. Long term oncological results are not available. Randomized multi-institutional studies are required to prove its efficacy over open counterpart.
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Jain, Vandana, Rupinder Sekhon, Shveta Giri e Sudhir Rawal. "R-VEIL in carcinoma vulva". In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685393.
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Background: Vulvar cancer accounts for about 3-5% of gynaecologic malignancies. Prognosis is strongly dependent on presence of inguinofemoral lymph node metastases. Effective management of regional lymph nodes is the most important factor in the curative management of early vulvar cancer. Despite careful dissection and maintaining vascularity of skin, surgical morbidity is seen in 50% cases. Video – endoscopic inguinofemoral lymphadenectomy was developed by Bishoff in 2003 by dissecting two cadaveric models and in one patient with stage T3N1M0 penile carcinoma. VEIL is an alternative to reduce the morbidity without compromising the oncologic outcomes. VEIL has continued to evolve into single site and robotic variants. R-VEIL is a minimally invasive procedure duplicating the standard open procedure with less morbidity. Aims and Objectives: A video presentation to describe the technique of R-VEIL in vulvar cancer and discuss the advantages and outcome. Conclusions: R – VEIL is an attractive minimally invasive technique to do inguinal block dissection in a single sitting in patients with vulvar carcinoma as the surgeon does not get tired as happens in VEIL technique. R-VEIL allows the removal of inguinal lymph nodes within the same limits as in open procedure and potentially reduces surgical morbidity. It is better accepted cosmetically and reduces hospital stay. Long term oncological results are not available. Randomized multi-institutional studies are required to prove its efficacy over open counterpart.
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Bagus, Budhi Ida, Metria Ida Bagus, Setyawati Ida Ayu, Soewoto Widyanti, Wibisono Wibisono, Setyono Hanis, Ismail Darmawan e Yuli Yarso Kristanto. "IDDF2020-ABS-0082 Light weight prolene mesh was associated with lower incidence of mesh rejection on inguinal hernia undergoing open emergency hernia surgery". In Abstracts of the International Digestive Disease Forum (IDDF), 22–23 November 2020, Hong Kong. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2020. http://dx.doi.org/10.1136/gutjnl-2020-iddf.66.
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Kaur, Inderjit, Swarupa Mitra, Manoj Kumar Sharma, Upasna Saxena, Parveen Ahlawat, Amit Kumar Choudhary, Sarthak Tandon e Prashant Surkar. "Case report of vaginal melanoma". In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685371.
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Primary malignant melanoma of vagina is a rare disease with a predilection for local recurrence, distant metastasis and short survival time. Due to the low incidence and lack of reporting in the literature, treatment choices still remain controversial. We describe 2 cases of vaginal malignant melanoma. A 42 yr old female presented with complaints of post coital and per vaginal bleed of 1 month duration. Examination findings show growth 6 cm x 6 cm on anterior vaginal wall, another 3 x 3 cm lesion on right lateral vaginal wall. Vaginal biopsy showed malignant melanoma, S-100 and HMB-45 positive while negative for CK and LCA. MRI Whole abdomen showed altered lesion [3.8cm (AP), 6.0cm (TR) and 4.9cm (CC)] in upper 2/3rd of vagina extending into vaginal fornices and abutting right lower cervix superiorly, right paravaginal extension and mesorectal fascia. No significant enlarged lymph nodes were seen. In view of localised disease she underwent Type III Radical hysterectomy with bilateral salpingo-ophorectomy with bilateral pelvic lymphnode dissection with total vaginectomy. Histopathology s/o 2 tumour nodules, one located in the anterior vaginal cuff measuring – 5 x 5 x 3.2 cm, another located in right lateral vaginal cuff measuring 2.5 x 3 x 1.5 cm, malignant melanoma with involvement of the cervix with full thickness stromal invasion (2.8/2.8 cm,) invading perivaginal soft tissue, distance of invasive carcinoma from closest stromal margin <0.1cm (12 O’ clock), LVI, PNI – not seen, all pelvic LN free (0/25). In view of positive margin and full thickness stromal involvement, she received radiotherapy to pelvis and Inguinal region to a dose of 45 Gy/25# followed by a boost of 16 Gy/8# to the tumour bed till 01/01/16. Another case is a 40 yrs female, presented with complaints of bloody discharge per vaginum of 4 months duration. On examination, there was a large growth occupying the vagina till introitus. Cervix normal, para free. MRI Pelvis showed altered lesion involving left lateral uterine cervix and upper 2/3rd of vagina with full thickness stromal involvement with mild left parametrial, anterior and posterior paravaginal extension, measuring 2.9 x 4.5 x 5.3 cm. Few subcmlymphnodes were seen in bilateral external and internal iliac regions (L>R). Vaginal Biopsy was suggestive of Malignant Melanoma, expressing S-100, HMB 45 and SDX-10. Metastatic work up was negative. She underwent RH with total vaginectomy with bilateral PLND with RPLND. HPR showed exophytic black growth seen involving all quadrants of vagina, extending upwards into both lips of cervix – 7 x 6 x 2.5 cm, Malignant melanoma, distance of invasive carcinoma from closest margin: <0.1 cm (paravaginal soft tissue), 3/8 right Pelvic LN, ECE +, 01/9 Left pelvic LN, ECE absent, 0/6 Right common iliac LN, 0/1 Reperitoneal LN was seen. She received adjuvant radiotherapy to a dose of 50 Gy/25# to the pelvis and inguinals→ boost of 6 Gy/3# to nodal regions showing ECE & 10 Gy/5# to the primary region.
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Kaur, Inderjit. "Case report of vaginal melanoma". In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685370.
Texto completo da fonteResumo:
Primary malignant melanoma of vagina is a rare disease with a predilection for local recurrence, distant metastasis and short survival time. Due to the low incidence and lack of reporting in the literature, treatment choices still remain controversial. We describe 2 cases of vaginal malignant melanoma. A 42 yr old female presented with complaints of post coital and per vaginal bleed of 1 month duration. Examination findings shows growth 6 cm x 6 cm on anterior vaginal wall, another 3 x 3 cm lesion on right lateral vagianl wall. Vaginal biopsy showed malignant melanoma, S-100 and HMB-45 positive while negative for CK and LCA. MRI Whole abdomen showed altered lesion [3.8 cm (AP), 6.0 cm (TR) and 4.9 cm (CC)] in upper 2/3rd of vagina extending into vaginal fornices and abutting right lower cervix superiorly, right paravaginal extension and mesorectal fascia. No significant enlarged lymph nodes were seen. In view of localised disease she underwent Type III Radical hysterectomy with bilateral salpingo-ophorectomy with bilateral pelvic lymphnode dissection with total vaginectomy. Histopathology s/o 2 tumour nodules, one located in the anterior vaginal cuff measuring – 5 x 5 x 3.2 cm, another located in right lateral vaginal cuff measuring 2.5 x 3 x 1.5 cm, malignant melanoma with involvement of the cervix with full thickness stromal invasion (2.8/2.8 cm,) invading perivaginal soft tissue, distance of invasive carcinoma from closest stromal margin <0.1 cm (12 O’ clock), LVI, PNI – not seen, all pelvic LN free (0/25). In view of positive margin and full thickness stromal involvement, she received radiotherapy to pelvis and Inguinal region to a dose of 45 Gy/25# followed by a boost of 16 Gy/8# to the tumour bed till 01/01/16. Another case is a 40 yrs female, presented with complaints of bloody discharge per vaginum of 4 months duration. On examination, there was a large growth occupying the vagina till introitus. Cervix normal, para free. MRI Pelvis showed altered lesion involving left lateral uterine cervix and upper 2/3rd of vagina with full thickness stromal involvement with mild left parametrial, anterior and posterior paravaginal extension, measuring 2.9 x 4.5 x 5.3 cm. Few subcmlymphnodes were seen in bilateral external and internal iliac regions (L>R). Vaginal Biopsy was suggestive of Malignant Melanoma, expressing S-100, HMB 45 and SDX-10. Metastatic work up was negative. She underwent RH with total vaginectomy with bilateral PLND with RPLND. HPR showed exophytic black growth seen involving all quadrants of vagina, extending upwards into both lips of cervix – 7 x 6 x 2.5 cm, Malignant melanoma, distance of invasive carcinoma from closest margin: <0.1 cm (paravaginal soft tissue), 3/8 right Pelvic LN, ECE +, 01/9 Left pelvic LN, ECE absent, 0/6 Right common iliac LN, 0/1 Reperitoneal LN was seen. She received adjuvant radiotherapy to a dose of 50 Gy/25# to the pelvis and inguinals→ boost of 6 Gy/3# to nodal regions showing ECE & 10Gy/5# to the primary region.