3 results

Meshless treatment of open inguinal hernia repair: a prospective study

Paulo Kassab, Ettore Ferrari Franciulli, Carolina Kassab Wroclawski, Elias Jirjoss Ilias, Osvaldo Antônio Prado Castro, Carlos Alberto Malheiros

DOI: 10.1590/S1679-45082013000200009

Objective:To evaluate two types of meshless open inguinal repair and to evaluate the recurrence rate.METHODS:We operated on sequentially 98 men and 15 women with 144 unilateral or bilateral inguinal hernias between December 1988 and April 2007. The surgeries were performed by two experienced surgeons and divided into two groups: Bassini or McVay reconstructive surgery techniques. Bassini type reinforcements were employed for Nyhus II and IIIB with minor destruction of the posterior wall. Patients with Nyhus type IIIA, type IIIB with […]

Femoral nerve neuropathy after the psoas hitch procedure

Antonio Cardoso Pinto, José Rafael Macea, Marcello Toscano Pecoraro

DOI: 10.1590/S1679-45082012000300020

Femoral nerve neuropathy as a complication from abdominopelvic surgery was firstly described in 1896, by Gumpertz, in a case report of femoral nerve injury following hysterectomy. The authors report two cases of femoral nerve neuropathy following psoas hitch vesicopexy in ureteral reimplantation, and to discuss the etiology and clinical manifestations of this complication. Femoral nerve neuropathy secondary to psoas hitch is a rare complication, although it should be considered during the surgical procedure, as well as in postoperative care.

Modification of the gasless fetoscopy technique for the treatment of large myelomeningocele: a study in sheep

Denise Araujo Lapa Pedreira, Gregório Lorenzo Acácio, Rogério Chaccur Abou-Jamra, Rita de Cássia Sanches Oliveira, Elia Garcia Caldini, Paulo Hilário Nascimento Saldiva

DOI: 10.1590/s1679-45082010ao1440

ABSTRACTObjective:To change the gasless fetoscopy technique in order to reduce the diameter of entry orifices in the myometrium.Methods:Seven pregnant ewes were submitted to fetoscopy for repairing a large skin defect measuring 4.0 × 3.0 cm, created in the fetal lumbar region at the gestational age of 100 days. The defect was repaired through continuous suture of the skin with approximation of borders. Gasless fetoscopy was used for performing the suture with three orifices to allow entry of the trocar into […]