الفهرس | Only 14 pages are availabe for public view |
Abstract Most abdominal herniation arises in the groin so named because it is the transitional zone between the abdomen and the thigh. All groin hernias emerge through the myopectinal orifice of fruchaud , the opening in the lower abdominal wall , bounded by the transverses abdominis arch and the superior pubic ramus.It allows the passage blood vessels ,nerves , lymphatics , muscles , tendons , fascia and the vas deferens in and out of the limb and scrotum .the causation of hernia was attributed to a mechanical disparity between visceral pressure and the resistance of the musculature.The transversalis fascia was the last barrier to groin hernia . Ther are many factors that increase intraabdominal pressure : cough , obesity , constipation, pregnancy , ascites and unusual exertion e.g. , heavy lifting. In this study we evaluate different complications encountered with onlay mesh tension free hernioplasty in a prospective studywhich include (haematoma formation , wound infection , scrotal oedema and ecchymosis , parathesia in suprapupic and scrotal regions , testicular atrophy , recurrence of hernia). Our study is a prospective study. It was conducted on 50 adult patients presenting with inguinal hernias. These patients were admitted from those attending the Surgical Outpatient Clinics of Menoufyia University Hospital and 6 October Insurance Hospital, during the period from July 2010 till april 2011. The patients included in this study had an uncomplicated inguinal hernia of any type (direct or indirect , unilateral or bilateral). |