Erschienen in:
01.10.2006
Indirect Inguinal Herina: Towards Less Invasive Surgery in Rural Conditions
verfasst von:
Karel Bijlsma
Erschienen in:
World Journal of Surgery
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Ausgabe 10/2006
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Excerpt
A surgeon in sub-Sahara rural Africa faces many problems with his patients. Among them are a borderline nutritional state with, as a rule, a moderately low hemoglobin levels (7 – 8 g/dl) and HIV/AIDS related problems. This forces him to reduce operative trauma and blood-loss. In our clinic, hernia surgery is the order of the day: about 500 herniotomies are performed per year. The majority of which are large indirect inguinal (scrotal) hernias. To minimize trauma and blood loss in these cases I changed my policy of removing the hernia sack: instead of excising the hernia sack I leave it now in place. …