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" Is the ligation of hermial sac necessary in herniotomy for children? a randomized controlled trial of evaluating surgical complications and duration "
/علی جزینی
; Mohammad Hadi Rafiei
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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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103518
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| Doc. No
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T15150
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WI,960,J42i,2014
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| Main Entry
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Jazini, Ali
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| Title & Author
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Is the ligation of hermial sac necessary in herniotomy for children? a randomized controlled trial of evaluating surgical complications and duration/علی جزینی
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| College
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Schools, Medical
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| Date
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, 2014
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| Degree
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General Surgery, SubSpecialty
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| Page No
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15 p.: tab.
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| Note
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This thesis is a research project with project ID: 392194
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| Abstract
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Herniotomy is a common operation done by pediatric surgeons. recent studies have shown that high ligation herniation in adult is not necessary, but this method was not fully evaluated in children. we compared non-ligation with high-ligation sac in herniotomyin terms of surgical complications and duration. this randomized controlled trial was done on 104 male and femal children with inguinal hernia. patients were equally randomized to undergo herniotomy with ligation of sac at the internal ring level or to undergo herniotomy without sac ligation. patients followed just after operation, and in the first , sixth and twelfth week and one year post-pperation to discover early (scrotal hematoma, edema, wound infection, post-operation fever) and late (adhesion and recurrence) complications. also, duration of operation was recorded for each group. the incidence of early complication (9 cases in high-ligation and 8 cases in non - ligation group) was the same in both groups. no late complication was observed in any group. mean duration of operation in non-ligation group was significantly less than high-legation group. complications are the same in herniotomy with or wtihout ligation of the sac, but duration of non-legation procedure is less than high-ligation. we suggest that herniotomy without sac ligation in children is the procedure of choic to save time and also to prevent any other possible complications such as nerve damage, spermatic cord injury or peritoneal tearing.
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| Descriptor
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1. Hernia, Inguinal.- Descriptors: Hernia, Inguinal
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Child
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Ligation
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| Added Entry
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Rafiei, Mohammad Hadi, Supervisor
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