Forwarded from Quick Notes
Forwarded from Quick Notes
Differential diagnosis of a groin lump :
1) Indirect inguinal hernia.
2) Direct inguinal hernia.
3) Femoral hernia.
4) Enlarged cloquet lymph nodes.
5) Saphena varix.
6) Femoral aneurysm.
7) Encysted hydrocele of cord.
8) Hydrocele of canal of Nuck.
9) Hematocele of round ligament.
10) Ectopic testis.
11) Lipoma.
12) Psoas abscess.
13) Enlarged psoas bursa.
14) Ruptured adductor muscles.
#Hernia
#Surgery
1) Indirect inguinal hernia.
2) Direct inguinal hernia.
3) Femoral hernia.
4) Enlarged cloquet lymph nodes.
5) Saphena varix.
6) Femoral aneurysm.
7) Encysted hydrocele of cord.
8) Hydrocele of canal of Nuck.
9) Hematocele of round ligament.
10) Ectopic testis.
11) Lipoma.
12) Psoas abscess.
13) Enlarged psoas bursa.
14) Ruptured adductor muscles.
#Hernia
#Surgery
Forwarded from Quick Notes
Forwarded from Quick Notes
Strangulation of paraumbilical hernia is frequent which justify operation in nearly all cases, from the image above the fibrous rigid linea alba (black arrow) creates a narrow neck with a rigid edge that makes strangulation likely, in addition sometimes in large hernias loculations due to omental adhesions cause strangulation in a knuckle of intestine in an otherwise soft and non tender hernial sac.
#Hernia
#Surgery
#Hernia
#Surgery
Forwarded from Quick Notes
This is a polypropylene mesh used for hernioplasty, this provides structural support to a weak defect, it gained widespread popularity especially with inguinal hernias (Lichtenstein tension-free hernioplasty), it can be used for recurrent paraumbilical hernias or those with very large defect.
#Hernia
#Surgery
#Hernia
#Surgery
Forwarded from Quick Notes
Mayo's operation, indicated for small defects on paraumbilical hernias, the operation simply proceed with transverse elliptical incision near the umbilicus, the subcutaneous fat is dissected to reveal the anterior rectus sheath and the neck of the hernia which is incised, the contents are delt with appropriately and then the sac is dissected out and the peritoneum sutured, then the defect is strengthened with overlapping of the aponeuroses on each side of the umbilicus and fixed with sutures the overlap should be 5 to 7.5 cm.
#Hernia
#Surgery
#Hernia
#Surgery
Forwarded from Quick Notes
-Fever and tachycardia are commonly absent in acute cholecystitis; maintain
a high index of clinical suspicion!
-Fever is also absent in case of cystitis.
#Surgery
a high index of clinical suspicion!
-Fever is also absent in case of cystitis.
#Surgery
Forwarded from Quick Notes
Remember:
In compartment syndrome.
-Pain out of proportion to injury (typically first and most significant symptom).
-Pain with passive stretch (most sensitive sign).
-5Ps:late signs-do not wait for these to develop to make the diagnosis!!
-Tornoto notes
#Surgery
In compartment syndrome.
-Pain out of proportion to injury (typically first and most significant symptom).
-Pain with passive stretch (most sensitive sign).
-5Ps:late signs-do not wait for these to develop to make the diagnosis!!
-Tornoto notes
#Surgery
Forwarded from Quick Notes
Quick Notes
This is a polypropylene mesh used for hernioplasty, this provides structural support to a weak defect, it gained widespread popularity especially with inguinal hernias (Lichtenstein tension-free hernioplasty), it can be used for recurrent paraumbilical hernias…
Indications
-Direct hernia.
-Recurrent hernia.
-Re-recurrent hernia.
-Incisional hernia.
-Old age.
-Hernia with weak abdominal muscle tone.
-Sliding hernia.
Complications:
-Infection.
-Mesh extrusion.
-Foreign body reaction.
-Mesh inguinodynia causing hyperaesthesia and pain along the distribution of ilioinguinal or iliohypogastric nerve.
Contraindications:
-In strangulated hernia, Why?
Because the field is potentially infected.
#Surgery
-Direct hernia.
-Recurrent hernia.
-Re-recurrent hernia.
-Incisional hernia.
-Old age.
-Hernia with weak abdominal muscle tone.
-Sliding hernia.
Complications:
-Infection.
-Mesh extrusion.
-Foreign body reaction.
-Mesh inguinodynia causing hyperaesthesia and pain along the distribution of ilioinguinal or iliohypogastric nerve.
Contraindications:
-In strangulated hernia, Why?
Because the field is potentially infected.
#Surgery
Forwarded from Quick Notes
Types:
Synthetic:
-Prolene mesh (white in colour)see above.
-Dacron mesh,
-Morlex mesh,
-Mersilene sheath.
Biological:"Not used nowadays".
-Tensor fascia lata,
-Temporal fascia and skin.
#Surgery
Synthetic:
-Prolene mesh (white in colour)see above.
-Dacron mesh,
-Morlex mesh,
-Mersilene sheath.
Biological:"Not used nowadays".
-Tensor fascia lata,
-Temporal fascia and skin.
#Surgery
Forwarded from Quick Notes
Types of operations:
-Lichtenstein tension free onlay mesh repair. "most common".
-Nyhus preperitoneal mesh repair.
-Gilbert’s PHS (Prolene Hernia System) repair.
-Gilbert mesh repair (patch and plug).
-Modified Rives preperitoneal mesh repair (Read-Rives).
Now, using laparoscope:
-Transabdominal preperitoneal laparoscopic mesh repair (TAPP repair).
-Totally Extraperitoneal Repair (TEP Repair).
#Surgery
-Lichtenstein tension free onlay mesh repair. "most common".
-Nyhus preperitoneal mesh repair.
-Gilbert’s PHS (Prolene Hernia System) repair.
-Gilbert mesh repair (patch and plug).
-Modified Rives preperitoneal mesh repair (Read-Rives).
Now, using laparoscope:
-Transabdominal preperitoneal laparoscopic mesh repair (TAPP repair).
-Totally Extraperitoneal Repair (TEP Repair).
#Surgery
Quick Notes
Blood and Nerve supply of GB. #Surgery
Note:
About venous drainage , do not say cystic vein .
Say Small veins pass from the galbladder through its bed directly into tributaries of the right portal vein within the liver.
لأن الدكاترة ما يعجبهم تقول cystic vein ..!!
#Surgery
About venous drainage , do not say cystic vein .
Say Small veins pass from the galbladder through its bed directly into tributaries of the right portal vein within the liver.
لأن الدكاترة ما يعجبهم تقول cystic vein ..!!
#Surgery
Quick Notes
Blood and Nerve supply of GB. #Surgery
Note:
Celiac trunk →Common hepatic artery →Proper hepatic artery →Right hepatic artery →Cystic artery .
Celiac trunk →Common hepatic artery →Proper hepatic artery →Right hepatic artery →Cystic artery .
Quick Notes
Note: Celiac trunk →Common hepatic artery →Proper hepatic artery →Right hepatic artery →Cystic artery .
-The celiac trunk emerges approximately at the level of T12 and divides into the three branches to supply the foregut.
Quick Notes
Female ,Room 3: Goiter Penile meatal stenosis Submadibular gland stone Hydatid cyst "Liver " Umbilical or Epigasric hernia
A Hypospadias case may come early morning.
Quick Notes
History of a Thyroid case 1. #Surgery
اكتبوا هكذا ،كان في defect اليوم في الـ history ..!
Quick Notes
This is an example of a thyroid case examination: Local: Inspection: -There is a single swelling in the right. anterior triangle of the neck, about 2×3 cm in size , oval in shape, with irregular surface, no skin changes as redness dilated veins, sinus,…
And this is the examination sequence .