RESUMEN
Inguinal hernias are frequent and have an enormous socio-economic impact. Surgical treatment is indicated in most of the patients to relieve symptoms and to prevent complications. Modem treatment should focus on low complication and recurrence rates, short recovery times, and--last but not least acceptable costs. Inguinal hernia repair can be carried out by an open or minimal invasive approach. Surgery is traditionally performed under general anesthesia, but local or locoregional anesthesia are other feasible options. Nowadays, inguinal hernia surgery can easily performed as an outpatient procedure. However, stringent selection criteria, an optimized infrastructure and a close and standardized follow-up are mandatory prerequisites in order to obtain excellent results under secure conditions.
Asunto(s)
Procedimientos Quirúrgicos Ambulatorios , Anestesia , Hernia Inguinal/cirugía , Anestesia/métodos , Anestesia General/métodos , Anestesia Local/métodos , Humanos , Laparoscopía/métodos , Procedimientos Quirúrgicos Mínimamente Invasivos , Selección de Paciente , Prevención Secundaria , Resultado del TratamientoRESUMEN
Hernia repair one of the most frequently performed operations in general surgery. With the introduction of tension-free mesh repair, recurrence rates dropped well below 5% for open and laparoscopic procedures. However, chronic postoperative pain remains a widely neglected complication with a high socio-economic impact. It occurs in about 10-20% of patients after hernia repair. We review the different types of post-herniorrhaphy pain with the typical diagnostic features and we conclude with a pragmatic algorithm based on our clinical experience.
Asunto(s)
Hernia Inguinal/cirugía , Dolor Postoperatorio/terapia , Algoritmos , Enfermedad Crónica , Humanos , Dolor Postoperatorio/etiologíaRESUMEN
A case of coexistent acute gout and septic olecranon bursitis is presented. Our hypothesis is that asymptomatic monosodium urate crystals, possibly present in the bursa could secondarily been triggered by the infection.