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Mesh hernioplasty is among the most frequently performed surgical procedures. The introduction of mesh implants has decreased recurrence rates, but the use of synthetic materials carries the risk of infection and biofilm formation. This paper presents the course of the disease in the case of biofilm formation on the surface of an implanted surgical mesh. Antimicrobial therapy and partial removal of the implant were unsuccessful. Recurring surgical site infection could be managed only through total excision of the infected implant.
Diaphragmatic hernia is one of the most frequently observed injuries caused by trauma in cats. Study materials were a total of 44 cats (20 male, 24 female), at different ages (2-months-old to 2-3-years-old) from various breeds. Following direct radiography, positive-contrast radiography was also taken to confirm the diagnosis. General anesthesia was induced using 5% isoflurane inhalation. Following entubation, the anesthesia was continued using 1.5-2% isoflurane inhalation by a nonrebreathing system with a pediatric circle. When the repair was about to be completed, positive pressure was increased for treating atelectasis. The mortality rate in traumatic diaphragmatic hernia cases was found to be 6.8% at the end of the study. It was concluded in this study that the success of the surgery may be increased by effective anesthetic procedures.
Inguinal hernia repairs are very common yet fairly complex surgical procedures. Variations in the anatomical course of the inguinal nerves require that diligence is taken in their proper recognition. Inadvertent surgical injury to these nerves is associated with long term postoperative pain and complications. The aim of the present study was to highlight the complexity and variation in the innervation of the inguinal region in order to increase proper nerve identification during surgical interventions. Bilateral dissection of the inguinal and posterior abdominal regions in one human male cadaver revealed an atypical anatomic topography of the groin innervation. This unusual case was observed at the Jagiellonian University Anatomy Department during routine cadaveric preparations. The left ilioinguinal nerve was absent. The left genital branch of the genitofemoral nerve arose higher than expected from the lumbar plexus and supplied the groin region, which is typically innervated by the ilioinguinal nerve. Furthermore, the left lateral cutaneous femoral nerve and the right genital branch of the genitofemoral nerve also followed uncharacteristic courses. Awareness of topographical nerve variations during inguinal hernia repair will help surgeons identify and preserve important nerves, thus decreasing the incidence of chronic postoperative pain. (Folia Morphol 2013; 72, 3: 267–270)
The paper describes a case of a dorsal type of perineal hernia in an 11-year-old bitch of the Yorkshire terrier breed. The hernia was situated between the levator ani muscle and the coccygeal muscle. The hernial sac contained small intestines and a small amount of the retroperitoneal fatty tissue. Additionally, both sided inguinal hernias and collapse of trachea were diagnosed in the dog. In the discussed case the perineal hernia was operated on by the means of placing sutures on the levator ani muscle and the coccygeal muscle. No recurrence of the problem was observed during 19 months following the surgery.
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