Is it essential to put a drain in patients with Cholecystectomy?

Background: Improvements in surgical technique for hernia repair, together with the development of new prosthetic materials and a better understanding of how to use them, have significantly improved outcomes for many patients. Objectives: In this case series we aimed to determine the acceptabili...

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Main Author: Hayder Assim
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2019-11-01
Series:Diyala Journal of Medicine
Subjects:
Online Access:http://djm.uodiyala.edu.iq/index.php/djm/article/view/452
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author Hayder Assim
author_facet Hayder Assim
author_sort Hayder Assim
collection DOAJ
description Background: Improvements in surgical technique for hernia repair, together with the development of new prosthetic materials and a better understanding of how to use them, have significantly improved outcomes for many patients. Objectives: In this case series we aimed to determine the acceptability, practicality, effectiveness, and safety of inguinal hernia repair using Lichtenstein tension-free mesh repair in Iraq. Patients and methods: Ninety-six adult patients with inguinal hernia were included in this study. The age range of patients was 20-70 years. The study was conducted in Al-Karama Teaching Hospital-Baghdad for the period from October 2002 to October 2009. Herniae were repaired with Prolene mesh as a tension-free Lichtenstein-style. All patients had prophylactic antibiotics, and were followed for surgical wound infection, induration, pain, recurrence, and other complications. Three (3.1%) Surgical operations were done entirely under spinal, and one (1.0%) under epidural anesthesia.  Results: All the procedures were completed safely. No patient had complications directly attributable to or affecting the implanted mesh. One patient developed infection treated by antibiotic. No recurrence occurred during a maximum follow up period of seven months. Seroma occurred in two cases (2.0%), one patient had the procedure after failure of laparoscopic repair, and no removal of the mesh was needed during this period. Most of the patients were discharged on the next day or on the same day. Conclusions: Lichtenstein tension-free mesh repair appears quite acceptable, practical, effective and safe for inguinal hernia repair in our environment.
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spelling doaj.art-3a55d5e6b5224270b56161d5628dbc512023-11-24T23:23:26ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822019-11-0121Is it essential to put a drain in patients with Cholecystectomy?Hayder Assim Background: Improvements in surgical technique for hernia repair, together with the development of new prosthetic materials and a better understanding of how to use them, have significantly improved outcomes for many patients. Objectives: In this case series we aimed to determine the acceptability, practicality, effectiveness, and safety of inguinal hernia repair using Lichtenstein tension-free mesh repair in Iraq. Patients and methods: Ninety-six adult patients with inguinal hernia were included in this study. The age range of patients was 20-70 years. The study was conducted in Al-Karama Teaching Hospital-Baghdad for the period from October 2002 to October 2009. Herniae were repaired with Prolene mesh as a tension-free Lichtenstein-style. All patients had prophylactic antibiotics, and were followed for surgical wound infection, induration, pain, recurrence, and other complications. Three (3.1%) Surgical operations were done entirely under spinal, and one (1.0%) under epidural anesthesia.  Results: All the procedures were completed safely. No patient had complications directly attributable to or affecting the implanted mesh. One patient developed infection treated by antibiotic. No recurrence occurred during a maximum follow up period of seven months. Seroma occurred in two cases (2.0%), one patient had the procedure after failure of laparoscopic repair, and no removal of the mesh was needed during this period. Most of the patients were discharged on the next day or on the same day. Conclusions: Lichtenstein tension-free mesh repair appears quite acceptable, practical, effective and safe for inguinal hernia repair in our environment. http://djm.uodiyala.edu.iq/index.php/djm/article/view/452Lichtenstein, Inguinal hernia, mesh repair, prosthetic
spellingShingle Hayder Assim
Is it essential to put a drain in patients with Cholecystectomy?
Diyala Journal of Medicine
Lichtenstein, Inguinal hernia, mesh repair, prosthetic
title Is it essential to put a drain in patients with Cholecystectomy?
title_full Is it essential to put a drain in patients with Cholecystectomy?
title_fullStr Is it essential to put a drain in patients with Cholecystectomy?
title_full_unstemmed Is it essential to put a drain in patients with Cholecystectomy?
title_short Is it essential to put a drain in patients with Cholecystectomy?
title_sort is it essential to put a drain in patients with cholecystectomy
topic Lichtenstein, Inguinal hernia, mesh repair, prosthetic
url http://djm.uodiyala.edu.iq/index.php/djm/article/view/452
work_keys_str_mv AT hayderassim isitessentialtoputadraininpatientswithcholecystectomy