RESUMO
INTRODUCTION: Synthetic non-resorbable mesh is almost standard in hernia surgery. However, several studies have showed negative effects of permanent implants such as chronic inflammation and complications involving different organs bordering the mesh. Such complications can raise the risk of chronic post-operative pain (CPP). Recently promising results regarding CPP have been published in patients with Lateral Inguinal Hernia (LIH) using a slowly resorbable mesh in Lichtenstein technique. For this reason the aim of the present study was to find the effect of a slowly resorbable implant on the long-term rate of hernia recurrence and chronic post-operative pain in patients with LIH repaired with TEP procedure. METHODS: Prospective pilot study of TEP repair using TIGR® Matrix Surgical Mesh in 35 primary LIH. At 3-year follow-up the Visual Analogue Scale (VAS) and the Inguinal Pain Questionnaire were employed to assess pain. Recurrence was determined by ultrasound and clinical examination. RESULTS: All patients completed the pain questionnaires but one patient did not attend the planned clinical examination for the 3-year follow-up. No patients had CPP, as defined in the World Guidelines for Groin Hernia Management. Almost all patients had lower VAS score in any activity 3 years following surgery in comparison to the preoperative period. Three patients (8.8%) suffered symptomatic recurrence during the 3-year follow-up. CONCLUSION: TEP repair in patients with LIH using a synthetic long-term resorbable mesh was found to be encouraging respecting chronic post-operative pain at 3-year follow-up but at the cost of an increased risk of recurrence.
Assuntos
Implantes Absorvíveis , Herniorrafia/métodos , Telas Cirúrgicas , Implantes Absorvíveis/efeitos adversos , Adulto , Idoso , Dor Crônica/diagnóstico , Dor Crônica/etiologia , Seguimentos , Hérnia Inguinal/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor/efeitos adversos , Dor Pós-Operatória/diagnóstico , Dor Pós-Operatória/etiologia , Projetos Piloto , Estudos Prospectivos , Recidiva , Telas Cirúrgicas/efeitos adversos , Inquéritos e Questionários , Resultado do Tratamento , Escala Visual AnalógicaRESUMO
A 6-month-old female spayed domestic shorthair cat was presented with an acute onset of vomiting and marked lethargy. The cat had undergone elective ovariohysterectomy via a small midline incision 2 weeks prior to presentation. Intestinal strangulation through a mesenteric rent was diagnosed via abdominal ultrasound and exploratory laparotomy. Intestinal resection and anastamosis resulted in a good clinical outcome despite excision of 60% of the small intestine.
Assuntos
Doenças do Gato/etiologia , Histerectomia/veterinária , Obstrução Intestinal/veterinária , Volvo Intestinal/veterinária , Ovariectomia/veterinária , Animais , Doenças do Gato/cirurgia , Gatos , Feminino , Histerectomia/efeitos adversos , Obstrução Intestinal/etiologia , Obstrução Intestinal/cirurgia , Volvo Intestinal/etiologia , Volvo Intestinal/cirurgia , Intestinos/lesões , Intestinos/cirurgia , Mesentério/lesões , Mesentério/cirurgia , Ovariectomia/efeitos adversos , Resultado do TratamentoRESUMO
Continuous positive airway pressure (CPAP) has been is used widely in humans to manage obstructive sleep apnoea syndrome, but it has not been widely used in animals. A brachycephalic cat, with previously undiagnosed laryngeal paralysis, that developed acute upper respiratory tract obstruction on recovery from anaesthesia, is presented. The condition was managed by CPAP, delivered via a facial mask.
