Cic edizioni internazionali
Il Giornale di Chirurgia

Repair of an inguinoscrotal hernia in a patient with Becker muscular dystrophy

Clinical practice, 216 - 219
doi: 10.11138/gchir/2016.37.5.216
Tag this article
Abstract
Enhanced HTML Full text PDF
Introduction. Inguinal hernia repairs are routinely performed as outpatient procedures in most patients, whereas a few require admission due to clinical or social peculiarities. Muscular dystrophies are inherited disorders characterized by progressive muscle wasting and weakness. In case of surgery there is no definite recommendation for either general or regional anesthesia.
Case report. This contribution regards a 48 y. o. male patient diagnosed with Becker Muscular Dystrophy by muscle biopsy 10 years earlier. He had a left-sided sizable inguinoscrotal hernia with repeat episodes of incarceration. An elective mesh repair with suction drainage was accomplished under selective spinal anesthesia. The post-operative course was uneventful.
Discussion. A few inguinal hernia repairs require admission due to peculiarities such as extensive scrotal hernias requiring suction drainage. Muscular dystrophies are inherited disorders with no cure and no two dystrophy patients are exactly alike, therefore the health issues will be different for each individual. In case of surgery there is no definite recommendation for either general or regional anesthesia. This contribution regards the successful elective mesh repair with suction drainage of a large left-sided inguino-scrotal hernia in a 48 y. o. male patient affected by Becker muscular dystrophy by selective spinal anesthesia obtained by 10 milligrams of hyperbaric bupivacaine.
Conclusion. Effective mesh repair with suction drainage of large inguinal hernias under spinal anesthesia can be achieved in patients affected by muscular dystrophy.

Vol. XXXVIII (No. 3) 2017 May - June

  1. A neurological disease on the face of an ancient Roman sculpture
    Baggieri G., Galieti L.
    doi: 10.11138/gchir/2017.38.3.115
  2. Autologous fat transplantation for secondary breast reconstruction: our experience
    Simonacci F., Grieco M.P., Bertozzi N., Raposio E.
    doi: 10.11138/gchir/2017.38.3.117
  3. Deep spinal infection in instrumented spinal surgery: diagnostic factors and therapy
    Dobran M., Marini A., Gladi M., Nasi D., Colasanti R., Benigni R., Mancini F., Iacoangeli M., Scerrati M.
    doi: 10.11138/gchir/2017.38.3.124
  4. Necrotizing fasciitis associated with primary cutaneous B-cell lymphoma. A case report
    Spiridakis K.G., Intzepogazoglou D.S., Flamourakis M.E., Sfakianakis E.E., Daskalaki A.V., Vakonaki E.K.., Rahmanis E., Kostakis G.E., Christodoulakis M.S.
    doi: 10.11138/gchir/2017.38.3.130
  5. Epidural abscess imitating recurrent pilonidal sinus: a case report
    Koutserimpas C., Nikitakis N., Skarpas A., Lada M., Papachristou E., Velimezis G.
    doi: 10.11138/gchir/2017.38.3.135
  6. Primitive squamous cell carcinoma of the breast (SCCB): case report of an uncommon variant of metaplastic carcinoma
    Punzo C., Fortarezza F., De Ruvo V., Minafra M., Laforgia R., Casamassima G., Pezzuto F., Punzi A., Caporusso C., Angelelli G., Palasciano N.
    doi: 10.11138/gchir/2017.38.3.139
  7. Polythelia in a 13-year old girl
    Halleland H.H., Balling E., Tei T., Arcieri S., Mertz H., Mele M.
    doi: 10.11138/gchir/2017.38.3.143
  8. Primary intestinal choriocarcinoma in a patient with long-standing Crohn’s disease
    Pezzuto F., Fortarezza F., Falcone V., Quintiliani C., Piscitelli D.
    doi: 10.11138/gchir/2017.38.3.147
  9. Medico legal aspects on neuromonitoring in thyroid surgery: informed consent on malpractice claims
    Demontis R., Pittau M.R., Maturo A., Petruzzo P., Calò G.
    doi: 10.11138/gchir/2017.38.3.149
  10. ATLAS OF ANATOMY, Latin nomenclature (3rd edition)
    Di Matteo G.
  11. III CONGRESSO NAZIONALE S.I.C.U.T. DI PRIMAVERA La Chirurgia d’Urgenza e del Trauma Italiana nei contesti di maxiemergenza
    Di Matteo G.
Last Viewed articles: la lista degli ultimi x visitati.
  1. Repair of an inguinoscrotal hernia in a patient with Becker muscular dystrophy
    Tatulli F., Caraglia A., Delcuratolo A., Cassano S., Chetta G.S.
    doi: 10.11138/gchir/2016.37.5.216
credits