Abstract：
OBJECTIVE:The aim of this study was to determine the feasibility of using open tension-free mesh repair for adult inguinal hernias performed by resident surgeons under the supervision of a chief surgeon in a community hospital. METHODS:From May, 1992 through April, 2000, we performed 314 open tension-free mesh repairs on 289 patients (234 men, 55 women) with a mean age of 65.7 years. There were 173 right and 141 left hernias, and 25 were bilateral; while 220 were indirect, 77 were direct and 17 were of the femoral type. There were 281 primary and 33 recurrent lesions. Resident surgeons under the supervision of the first author (SY) performed all hernioplasties. Three types of open tension-free mesh repairs were performed; the Lichtenstein repair (n = 72), the mesh-plug repair (n = 134), and the Hernia System repair (n = 108). RESULTS:The duration of surgery averaged 73.0 minutes. There was no perioperative mortality. Five patients developed subcutaneous wound infections; no case required mesh removal. Hematoma occurred in eight patients, and seroma developed in 25. All haematomas and seromas subsided with repeated aspiration. The average duration of hospitalization was 6.5 days. The length of follow-up rose from 1 to 8 years, with a mean of 3.7 years. No patients in any group had a recurrence during the follow-up period. CONCLUSIONS:Under the close supervision of the staff surgeon, tension-free hernioplasties can be performed on adult inguinal hernias by surgeons-in-training in non-specialist centres with excellent outcomes, low postoperative complications and no recurrence.
journal_name
Asian J Surgjournal_title
Asian journal of surgeryauthors
Yamamoto S,Maeda T,Uchida Y,Yabe S,Nakano M,Sakano S,Yamamoto Mdoi
10.1016/s1015-9584(09)60158-5keywords:
subject
Has Abstractpub_date
2002-04-01 00:00:00pages
121-5issue
2eissn
1015-9584issn
0219-3108pii
S1015-9584(09)60158-5journal_volume
25pub_type
杂志文章abstract：BACKGROUND:5-Aminolevulinic Acid (5-ALA) induced fluorescence is useful in guiding glioma resection. The extent of 5-ALA accumulation is beyond gadolinium contrast enhancement.1,2 Supratotal resection may be achieved, potentially granting patients with better survival. We present our experience on 5-ALA guided glioma r...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2017.06.004
更新日期：2018-09-01 00:00:00
abstract：:Surgical smoke is the gaseous by-product formed during surgical procedures. Most surgeons, operating theatre staff and administrators are unaware of its potential health risks. Surgical smoke is produced by various surgical instruments including those used in electrocautery, lasers, ultrasonic scalpels, high speed dri...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60403-6
更新日期：2009-10-01 00:00:00
abstract：OBJECTIVE:This study investigated the effects of posture and also intermittent foot and calf compression on peak systolic flow of the popliteal artery in a normal population. METHODS:This was a prospective study carried out in normal subjects at the Vascular Laboratory, Department of Surgery, Hospital Kuala Lumpur, fr...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/s1015-9584(08)60072-x
更新日期：2008-07-01 00:00:00
abstract：BACKGROUND/OBJECTIVE:A preoperative reliable classification system between clinical and computed tomography (CT) findings to better plan surgery in acute complicated diverticulitis (ACD) is lacking. We studied the inter-observer agreement of CT scan data and their concordance with the preoperative clinical findings and...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2019.07.016
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND/OBJECTIVE:Clinoptilolite is a natural zeolite crystal. Cytoprotective effects of clinoptilolite have been reported. However, so far there are no data about the effects of clinoptilolite treatment on oxidative stress after partial hepatectomy. In this experimental study, the effects of clinoptilolite treatmen...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2011.11.007
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:The reliability of X-ray radiography for diagnosing nasal bone fractures (NBFs) remains controversial. Recent studies show that, for determining the orientation and location of the displaced/depressed fracture, nasal sonography is as accurate as facial computed tomography. This retrospective study compared c...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2014.09.002
更新日期：2015-10-01 00:00:00
abstract：:Lymphangiomas are congenital malformations of the lymphatic system, and 90% have manifested by the end of the second year of life. While 75% of these are located in the cervical region, only 2% to 3% are associated with an intrathoracic extension. An isolated mediastinal lymphangioma without a cervical component is an...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60042-7
更新日期：2004-07-01 00:00:00
abstract：BACKGROUND:Preoperative differentiation of follicular thyroid carcinoma (FTC) from follicular adenoma (FA) remains an unsolved puzzle. Patients sometimes undergo unnecessary lobectomy for histology confirmation inevitably. OBJECTIVE:In this retrospective study, we propose new gray-scale ultrasonographic (US) features ...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2019.04.016
更新日期：2020-01-01 00:00:00
abstract：:Massive defects of the upper aerodigestive tract present a reconstructive challenge. We report a case in which a large defect of the naso-oropharyngeal and oesophagus was reconstructed with a combination of a gastric pull-up and a pectoralis major muscle flap. Postoperative function was good and survival was in excess...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60203-7
更新日期：2002-10-01 00:00:00
abstract：:Bilateral cortisol-secreting adenomas are a rare cause of Cushing's syndrome. We report a case of a 35-year-old woman who presented with ACTH-independent Cushing's syndrome and bilateral adrenal adenomas. Adrenal venous sampling confirmed both adenomas to be hyper-secreting cortisol. She underwent bilateral laparoscop...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60152-4
更新日期：2007-04-01 00:00:00
abstract：AIM:To find out the potential benefit of bladder pressure (BP) measurement as a diagnostic tool for acute abdomen. BACKGROUND:Acute abdomen is one of the most important clinical entities among general surgical clinics. The diagnosis can be achieved by considering the patient's history, physical examination, laboratory...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60006-3
更新日期：2009-01-01 00:00:00
abstract：:Meckel diverticulum is the most common congenital anomaly of the small intestine, occurring in about 2%-4% of the population. Meckel diverticulum results from incomplete closure of the omphalomesenteric duct. The presentation of symptomatic Meckel diverticulum includes gastrointestinal hemorrhage, intestinal obstructi...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2012.04.018
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To report our experience in treating endophytic renal tumor by robot-assisted partial nephrectomy (RPN) with a standard laparoscopic ultrasound probe and our original approach for separating renal mass. METHODS:All patients with endophytic renal tumor who underwent RPN in our department from January 2015 to ...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2019.07.005
更新日期：2020-02-01 00:00:00
abstract：:We report a patient with familial hypocalciuric hypercalcemia (FHH) associated with primary hyperparathyroidism (PHPT) and incidental papillary thyroid carcinoma. The patient showed hypercalcemia, high parathyroid hormone (PTH) levels and low urinary calcium excretion. A computed tomography (CT) scan revealed an enlar...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60022-1
更新日期：2009-04-01 00:00:00
abstract：OBJECTIVE:To investigate efficacy of early prevention of complex decongestive therapy and rehabilitation exercise for prevention of postoperative lower limb extremity lymphedema for patients with gynecologic cancer. METHODS:109 female patients were randomly divided into two groups, the control group who only received ...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2020.03.022
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:Eighty to ninety percent of Hirschsprung's disease (HD) patients present in newborns. However, the diagnosis of HD in the neonatal period remains difficult. Our present study aims to propose a diagnostic scoring system and hope this will increase early diagnosis of HD and avoid unnecessary rectal biopsy. MET...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60082-8
更新日期：2006-07-01 00:00:00
abstract：:We present the case of a 32-year-old woman who, 10 months after abdominoperineal resection and total mesorectal excision for a locally advanced mucinous adenocarcinoma of the rectum, presented with local recurrence and metastases to the breast, spine, the left eye and orbit. Following surgery, due to the patient's per...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60115-9
更新日期：2006-04-01 00:00:00
abstract：BACKGROUND:Axillary lymph node dissection (ALND) can be avoided in selected patients with positive sentinel lymph nodes (SLNs). However, regional lymph node recurrence may occur after SLN biopsy (SLNB). This study aimed to identify the risk factors for axillary recurrence to ensure safe axillary surgery. METHODS:Betwe...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2019.05.001
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND/OBJECTIVE:One thousand liver transplantations have been performed at the only liver transplant center in Hong Kong over a period of 22 years, which covered the formative period of living donor liver transplantation. These 1000 transplantations, which marked the journey of liver transplantation from developme...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2015.03.018
更新日期：2016-10-01 00:00:00
abstract：OBJECTIVE:This retrospective study aimed to explore the role of Glasgow Aneurysm Score (GAS) and Hardman Index (HI) in predicting outcome after elective endovascular aneurysm repair (EVAR). METHODS:All 71 patients who underwent elective EVAR in a single centre over 9 years were reviewed. Clinical data were used to cla...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60142-1
更新日期：2007-04-01 00:00:00
abstract：BACKGROUND:Robotic surgery is the most advanced minimally invasive technique for the treatment of complicated solid pseudopapillary tumors (SPT). The aim of this study is to evaluate feasibility of robotic surgery for the treatment of SPTs in the pancreatic head. METHODS:A retrospective analysis of the clinical data o...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2019.05.016
更新日期：2020-01-01 00:00:00
abstract：:Parathyroid carcinoma is a rare disease of unknown etiology. This study presents a case of parathyroid carcinoma in a patient with tertiary hyperparathyroidism. Despite a successful kidney transplantation, the intact parathyroid hormone (iPTH) level of the patient was elevated consistently and could not be controlled ...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2013.01.007
更新日期：2016-10-01 00:00:00
abstract：OBJECTIVE:Missed cases of paediatric appendicitis lead to a delay in diagnosis and increased complications during the subsequent surgery. We aim to identify the common clinical features of such cases at the time of first hospital attendance. METHODS:Case records of patients with a missed diagnosis were reviewed retros...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60100-7
更新日期：2006-10-01 00:00:00
abstract：BACKGROUND/OBJECTIVE:Patients on hemodialysis (HD) who undergo abdominal surgery for gastrointestinal disease are at increased risk of postoperative complications. In this study, we retrospectively investigated the predictors of postoperative complications among such patients. METHODS:The study group comprised 36 HD p...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2015.03.013
更新日期：2016-10-01 00:00:00
abstract：:Antrochoanal polyps are a rare clinical entity. In this review of patients treated between January 1996 and September 2002, there were 18 cases of antrochoanal polyps. The mean age of patients was 20 years. Nasal obstruction was the most common symptom (17 cases, 94%), followed by rhinorrhoea (44%), epistaxis (33%), p...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(09)60239-6
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:Little is known about the preoperative predictive factors that could identify subsets of favorable patients who can be possibly cured with robot-assisted radical prostatectomy (RARP) alone in locally advanced prostate cancer (LAPCa). Our study was designed to identify clinical predictors of pathologic organ-...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2017.10.005
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To determine whether or not multimodality monitoring technique would result in a better outcome score than single modality monitoring in severely head injured patients. METHODS:This was a prospective randomized study that included all adults with traumatic severe head injury who had a Glasgow Coma Score < 9 ...
journal_title：Asian journal of surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/S1015-9584(08)60023-8
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVE:To compare the safety and efficacy of transurethral plasmakinetic resection of the prostate (PKRP) versus transvesical prostatectomy (TVP) in the treatment of large-volume benign prostatic hyperplasia (LV-BPH) (100-149 mL). METHODS:Ninety-nine BPH patients who had a prostate volume of 100-149 mL were divided...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2013.04.006
更新日期：2014-04-01 00:00:00
abstract：INTRODUCTION:The traditionally taught technique for conventional open thyroidectomy is via a midline splitting of the strap muscles following a skin crease neck incision - midline approach (MA). The lateral "backdoor" approach (LA) uses the same central neck incision but approaches the thyroid gland between the anterio...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/j.asjsur.2017.05.003
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:Vesicovaginal fistula is mostly iatrogenic in origin and causes devastating medical, social, psychogenic and hygienic consequences. The aetiology has changed since the nineteenth century, becoming more associated with hysterectomy rather than other obstetric procedures, which were common in the past. We studi...
journal_title：Asian journal of surgery
pub_type： 杂志文章
doi：10.1016/S1015-9584(08)60037-8
更新日期：2007-10-01 00:00:00
