Search

Inguinal herniorrhaphy stands out as one of the most surgical procedures performed worldwide. However, there are few comparative studies between conventional and minimally invasive techniques. This study aimed to compare operational data and clinical evolution of patients who underwent surgical treatment of inguinal hernias using Lichtenstein and laparoscopic techniques. We retrospectively evaluated 45 patients who underwent inguinal herniorrhaphy between January 2016 and January 2019. Sociodemographic and clinical variables were evaluated. Most patients were male, with an average age of 45.7 years. The mean time of surgery was shorter in the Lichtenstein technique, with an average of 65.6 minutes, while the level of pain in the immediate postoperative period was lower in laparoscopy. Two patients who underwent the Lichtenstein technique and 6 patients using the laparoscopic technique experienced complications. Laparoscopy offered an early return to daily activities. The average cost of surgeries was R$ 1526.38 and R$ 4694.06, for Lichtenstein and laparoscopic techniques, respectively. The laparoscopic procedure can be considered appropriate for the treatment of inguinal hernias, however, the reduction of costs intrinsic to the technique must be considered by the surgeon according to the patient's economic conditions. [ABSTRACT FROM AUTHOR]

Background: Complete Androgen Insensitivity Syndrome (CAIS) has been reported since 1923, but in 1953 it became known as "testicular feminization". It is a rare recessive genetic disorder linked to the X chromosome that results in different mutations in the androgen receptor. The main clinical presentation in childhood is the presence of bilateral inguinal hernia in phenotypically female subjects. Incidence of androgen insensitivity syndrome in phenotypically females with inguinal hernia is estimated in 0.8% to 2.4%. This is a case report of complete androgen insensitivity syndrome and literature review of preoperative diagnostic methods. Case Summary: We present a 3 years and 6 months old child with female phenotype, born in São Paulo, Brazil which was diagnosed intraoperatively with complete androgen insensitivity syndrome, during inguinal hernia repair and present potential diagnostic alternatives that we consider viable options in order to avoid this kind of surprise during surgery. Conclusion: Investigation of CAIS should be standard in pre-pubertal girls with bilateral inguinal hernia, genetic techniques involving X chromatin or Y chromosome tests present the best choices. [ABSTRACT FROM AUTHOR]

Inguinal hernia repair is the most commonly performed surgical procedure in the world. Patients with inguinal hernia are known to have some impairment of sexual functions. A specific complaint is pain-related disability during intercourse and post-herniorrhaptic inguinal or genital pain during ejaculation. It is a systematic review of primary studies with the elaboration based on the checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). We searched the databases Pubmed, Embase, Lilacs, Scielo, Cochrane Library and Scopus. Six studies were included. It was concluded that preoperative sexual dysfunction - especially pain during sexual intercourse - presents positive results in the patient's view after surgery, but it is a potential risk factor for its recurrence. The primary studies developed to date do not allow conclusive indications with high degrees of recommendation. No articles were found that confront groups of patients submitted to open surgery with laparoscopy. Large studies with large samples in this subject are necessary for responses with high levels of evidence. [ABSTRACT FROM AUTHOR]