ABSTRACT:Phytobezoars are an unusual cause of small bowel obstruction (SBO). We report 14 patients presenting with episodes of small bowel obstruction from phytobezoars. 14 patients were admitted with SBO due to diospyrobezoar. 21.4% patients were females and majority belonged to rural areas. Majority were admitted to the hospital in November and December, when the fruit is highly consumed. Ileum was the commonest site for the location for phytobezoars (50%) followed by jejunum (28.6%). All patients underwent surgery including manual fragmentation and milking into cecum in 50% patients, enterotomy in 21.4% patients, resection anastomosis in 14.3% patients and resection with exteriorization of gut in 14.3% patients. Phytobezoars including diospyrobezoar should be considered as a rare but important cause of small bowel obstruction in children and in adults with known risk factors hailing from rural areas. Surgical treatment with manual fragmentation and milking of bezoar into cecum is effective in most cases.
BACKGROUNDChronic groin pain is one of the most important complications of the repair of inguinal hernia. Randomized trials have identified that chronic groin pain (>10%) surpasses recurrence (<2%). Factors proposed as predictors of post-operative pain are damage to inguinal nerves, nerve entrapment during suturing, fibrosis of the placed material as well as that of surrounding area, mesh implantation, partial division and neuroma formation. Routine ilioinguinal division or excision has been associated with a lower incidence of post-operative neuralgia compared to nerve preservation with reduced morbidity and no detrimental effect on quality of life.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.