ABSTRACT
Worldwide, more than 20 million patients undergo inguinal hernia repair annually. The problem of our age is to find an operation that is simple, does not require implantation of a foreign body like mesh and does not produce major complications during or after surgery. We represent 118 male patients who underwent hernioplasty by Desarda method between 2008 and 2017. 84 were elective and 34 - acute patients, respectively. Hernias in 26 cases were direct, 88 - indirect. Among elective cases 2 patients had bilateral hernia. 2 elective patients had recurrent hernia. There were 6 scrotal hernias, 13 - sliding hernia cases among elective patients. The age of patients was from 18 to 86 years. 33 patients were aged 70 and over. Among these 33 patients 12 had severe comorbidity of circulatory, respiratory systems and/or other diseases. Mean operating time was 42.43±2.8 min. There were no intraoperative complications. Postoperative pain according to VAS (Mean ± SD) on day 1 was 31,27±0.86. No patient had discomfort for more than 15 days after this repair. Among postoperative complications there were not any severe complications. No chronic pain, sensation of foreign body and no recurrence was observed. The mean hospital stay was 1.87±0.78. According to our experience Desarda method seems to be an attractive alternative of other methods widely adopted today. Desarda repair has the potential to become the gold standard of hernia repair.
Subject(s)
Hernia, Inguinal/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Herniorrhaphy/methods , Humans , Male , Middle Aged , Young AdultABSTRACT
The stability of albumin-bilirubin complex was investigated depending on pH of solution. It was shown that the stability of complex increases in presence of Mn (II) ions. It was also investigated the paramagnetic composition of gallstones by the Electron Spin Resonance (ESR) method. It was found that all investigated gallstones contain a free bilirubin radical-the stable product of its radical oxidation. Accordingly the paramagnetic composition gallstones could be divided on three main types: cholesterol, brown pigment and black pigment stones. ESR spectra of cholesterol stones is singlet with g=2.003 and Delta H=1.0 mT. At the same time the brown gallstones, besides aforementioned signal contain the ESR spectrum which is characteristic for Mn(II) ion complexes with inorganic compounds and, finally, in the black pigment stones it was found out Fe(III) and Cu(II) complexes with organic compounds and a singlet of bilirubin free radical. It is supposed that crystallization centers of gallstones could be the polymer network of bilirubin radical polymerization in complex with different metal ions.
