It has been 100 years since the first surgical stapler was built and used in surgery. The author presents a short anecdotal history of mechanical suturing.
the aim of the study was determination of character and duration of the complaints before operation compared with size and type of a hernia determined during the surgery. Material and methods. 200 patients (181 males and 19 females) with 298 hernias were surveyed for the duration of the ailment and its type. Hernias of the II and III size grade (acc. to Schumpelick) constituted 73.48% of cases and recurrent hernias constituted 8.4%. results. 179 times patients reported thickening as a complaint. In 120 cases thinking in the groin was combined with a sensation of pressure or burning/pain. Pressure or pain appeared 62 times as a spontaneous complaint. 57 hernias (19.12%) were not discovered by the patients. The patients were divided into age groups: <45, 46-65 and >65 years. Mean duration of a thickening was 12.05 and 15.65 months in the groups <45 and 46-65, respectively, and 21.01 months in the group >65 (p<0.01). The patients were divided into professional groups: blue collars, white collars, sportsmen, pensioners blue collars and pensioners white collars. Blue collars and sportsmen reported for treatment earlier than the other groups (p<0.01). Recurrent inguinal hernias were observed by the patients for a longer period of time, than in case of other hernias (p<0.01. Earlier than in a year after onset of symptoms 78.21% of the patients reported for treatment because of a thickening, 76.56% because of the sensation of urgency and 89.24% because of burning sensation/pain. Duration of pressure and/or pain depend not on the type of hernia. Duration of hernia symptoms does not influence the number of cases with pressure and pain. conclusions. The most frequent complaint is a thickening in the groin. Duration of symptoms does not influence the number of patients with pain complaints. Blue collars and sportsmen report for therapy earlier and pain tolerance does not depend on a patient's age. One fifth of hernias treated surgically were discovered neither by a patient nor by a referring physician. Key words: groin hernias, recurrence hernias, preoperative symptomatic, detectability of hernias through patients, detectability of hernias through physicians Operations of inguinal hernia are one of the most common procedures performed in surgery wards. Despite this there is insufficient information on natural development of hernias, their duration and symptoms they manifest themselves before a patient reports for therapy.Aim of the study was determination of character and duration of the complaints before operation compared with size and type of a hernia determined during the surgery. MATERIAL AND METHODSIn 2006-2007 during a preliminary examination two hundred subsequent patients qualified for surgical treatment of inguinal hernia were surveyed for kind of complaints and their duration. There were 181 males and 19 females. The patients were divided into three age groups: below 45 years, 46-65 years and over 65 years (tab. 1).Symptoms of the disease reported by the patients were divided into three categories:
First part of the paper concerning sportsman's hernia (Pol Przegl Chirurg 2012; 84(1) 90-100) presents pathophysiology, nomenclature and treatment of so called "sportsman's hernia". These disorders are traditionally treated by orthopedists, gynecologists, neurologists, urologists or surgeons and are infrequently manifesting as pain in the groin region. Therefore diagnosis of these disorders is complex, difficult and requires general knowledge of disorders of this region. This paper discusses multispecialist differential diagnosis of most common pain disorders in this region. Table 1 presents disorders causing complaints in the groin region that are difficult to differentiate from pain caused by inguinal hernia.
Lymph ography of the Axilla in Cases of Breast TumoursSummary. A lymphography of the axilla was performed in 8 cases of benign and in 15 cases of malignant breast tumors.In 5 cases the lymphograms were evaluated as false positive and t case as false negative. The radiological and microscopilac examinations of the prepared lymph nodes allowed an exact analysis of misdiagnosis. The examinations revealed that only 58 % of the nodes were opaeified.Lipid degenerations of some of the lymph nodes caused filling defects which simulate metastases. Minute metastatic foci remained lymphographically undete?ted. Although the axillary lymphography is not satisfactory for excluding metastases, it may he regarded as a supplementary method in the clinic of breast cancer. Bei der Beurteilung des Lymphogramms wurden die GrSl~e der Lymphkn~ten, ihre Form und /iuBere Begrenzung, die allgemeine Topographic und Unterbrechungen von Lymphknotenketten sowie auch der Lymphgef/iBverlauf und das Ausmal3 der Kontrastftillung beriicksichtigt.
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