Back to Search
Start Over
A manual reduction of hernia under analgesia/sedation (Taxis) in the acute inguinal hernia: a useful technique in COVID-19 times to reduce the need for emergency surgery-a literature review.
- Source :
-
Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2020 Oct; Vol. 24 (5), pp. 937-941. Date of Electronic Publication: 2020 May 29. - Publication Year :
- 2020
-
Abstract
- Background: Acute IH is a common surgical presentation. Despite new guidelines being published recently, a number of important questions remained unanswered including the role of taxis, as initial non-operative management. This is particularly relevant now due to the possibility of a lack of immediate surgical care as a result of COVID-19. The aim of this review is to assess the role of taxis in the management of emergency inguinal hernias.<br />Methods: A review of the literature was undertaken. Available literature published until March 2019 was obtained and reviewed. 32,021 papers were identified, only 9 were of sufficient value to be used.<br />Results: There was a large discrepancy in the terminology of incarcerated/strangulated used. Taxis can be safely attempted early after the onset of symptoms and is effective in about 70% of patients. The possibility of reduction en-mass should be kept in mind. Definitive surgery to repair the hernia can be delayed by weeks until such time as surgery can be safely arranged.<br />Conclusions: The use of taxis in emergency inguinal hernia is a useful first line of treatment in areas or situations where surgical care is not immediately available, including the COVID-19 pandemic. Emergency surgery remains the mainstay of management in the strangulated hernia setting.
- Subjects :
- Betacoronavirus
COVID-19
Clinical Decision-Making
Health Services Accessibility trends
Humans
Infection Control methods
SARS-CoV-2
Conservative Treatment methods
Coronavirus Infections epidemiology
Coronavirus Infections prevention & control
Emergency Medical Services methods
Emergency Medical Services trends
Hernia, Inguinal therapy
Herniorrhaphy methods
Musculoskeletal Manipulations methods
Pandemics prevention & control
Pneumonia, Viral epidemiology
Pneumonia, Viral prevention & control
Time-to-Treatment trends
Subjects
Details
- Language :
- English
- ISSN :
- 1248-9204
- Volume :
- 24
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Hernia : the journal of hernias and abdominal wall surgery
- Publication Type :
- Academic Journal
- Accession number :
- 32472464
- Full Text :
- https://doi.org/10.1007/s10029-020-02227-1