integbxbdbdhndndmnnjhshjdoufnm lect.pptx

Integrated lectures schwdule

1. Inguinal Hernia Treatment

2. Preop Investigations Routine investigations Ultrasound Abdomen PFT-chest medicine consult Uroflowmetry -Urology consult Cardiology consult

3. Treatment in Early times

4. The Two schools of Thought. R einforcement of the anterior wall of the inguinal canal and tightening of the external inguinal ring ( Stromayr 1559, Purmann 1694, Czerny 1877 ) R einforcement of the posterior wall of the inguinal canal and the tightening of the internal inguinal ring externally (Lucas- Championnière 1881, Bassini 1889, Lotheissen 1898, McVay 1942, Shouldice 1945, Lichtenstein 1987, Stoppa 1989) o intraabdominal approach by laparotomy ( Tait 1891) or laparoscopically (Ger 1990, Velez and Klein 1990)

5. Herniotomy Herniorraphe Hernioplasty

6. Edoardo Bassini (1844-1924)

7. Bassini Repair

8. Modified Bassini repair

9. Shouldice ( 1953)

10. Usher (1958)

11. Stoppa (1984)

12. Irving Lichtenstein(1986)

13. Ligament of cooper

14. Mcvay’s repair