Herniorraphy unilateral is operation most commonly performed by general doctors with predictable 750,000 performers annually in the Thailand. An estimated 85% of these hernia operations involve placement of knitted polypropylene monofilament mesh prosthesis to patch the imperfection in the ground of the inguinal duct. It is a tension free repairing system across the world most of these types’ cases can be founded at the Thailand because there are so many surgeons are having expertise in this work. Subsequently, the prosthetic net involves an acute inflammatory reaction followed by a chronic outsiders fibroblastic response that creates scar tissue and imparts strength to the ground clinically, open hernia repairs using the tension free technique with polypropylene net have been shown to result in fewer recurrences than repairs using nomesh methods.
Laparoscopic herniorraphy in kids is associated to the high recurrence rate and aim of study was assessing whether addition of lateral incision of sac to sole suture of inner inguinal ring can reduce recurrence rate. At mean follow up of around 24 months, 5 of 133 hernias recurred around 6 to 12 months after the surgery in IRS group. In IRIS group, and none of patients presented with the recurrence and rate of the recurrences in two groups was been compared & analyzed with x2 test. Resulting difference was significant statistically
The unilateral renal agenesis happens infrequently and, it is linked with the malignancies at the multiple primary sites, and anomalies of genitourinary system, as well as supernumerary limbs. We present case of 60 year man with the incarcerated left hernia & renal insufficiency. In herniorrhaphy, and he had squamous carcinoma in hernia sac. The postoperative evaluation revealed the unilateral renal agenesis, stage five squamous cell carcinoma of urinary bladder, as well as urolithiasis. Clinician must think of genitourinary system as primary site while patients present with unusual finding of the squamous cell carcinoma in abdominal cavity & unilateral renal agenesis.
The unilateral & bilateral renal agenesis happens infrequently and Center for the Disease Control by Birth Defects Monitoring has calculated rate at 3.5/100,000 for the confirmed bilateral agenesis, as well as 1.7/100,000 for the autopsy confirmed renal dysgenesis. The unilateral renal agenesis & dysgenesis was around 17% of confirmed cases. Most of the newborns with the bilateral renal agenesis die in birth. People with the unilateral agenesis and dysgenesis are discovered later due to linked genitourinary anomalies, multicentric primary malignancies and supernumerary limbs,. We present such delayed & serendipitous finding of the unilateral renal agenesis, and advanced renal insufficiency as well as stage IV bladder carcinoma in patient with the inguinal hernia.