Giant Inguinoscrotal Herni A Case Report

Abdomen: Obtuse with minimal bowel sounds, slightly distended. There is RLQ (right lower quadrant) tenderness with guarding and with pinpoint rebound. Positive McBurney and obturator signs with a negative psoas sign.

certain swellings, either on the groin or under the armpits grew to be bigger than that of a

that was very painful. He went into surgery and explained that the hernia was more painful than

Martinez experienced the discomfort of a ventral hernia found on the right lower quadrant of his abdomen. He went to Dr. Kappelman’s office, as an established patient and known to the surgery service. Dr. Kappelman examined Mr. Martinez’s hernia and wanted to monitor it over time. By March 20 of 2013, the hernia symptoms had become unmanageable. Dr. Kappelman decided the most relief would come from surgical repair. Dr. Kappelman’s 37 years of experience and familiarity with his patient’s type of hernia, he was confident in his approach and preparation for Mr. Martinez’s surgery. “If I thought there was something unusual about the hernia, if there was some question about the actual presence of the hernia, I would have evaluated further, but there was no indication for it. Dr. Kappelman spent the previous year monitoring this defect in his patient’s abdominal wall in addition to his symptomology over the previous year. Mr. Martinez was appropriately consented for the ventral hernia repair with the PROCEED Ventral Patch Mesh implantation. “PROCEED Ventral Patch is a sterile, self-expanding, partially absorbable, flexible laminate Mesh device designed for the repair of hernias and other fascial deficiencies”. (EXHIBIT C) The March 20, 2013 surgery of Mesh implantation went smoothly (EXHIBIT A). “The hernia was mobilized removing it from surrounding tissues. The hernia was then opened and Dr. Kappelman noted it contained preperitoneal fat. The

12/24/15 Progress Report describes that the patient has right knee pain. The pain is frequent. It is aching and burning in quality. The current pain level is 0/10 and worst pain is 4/10. Bending, squatting, walking, weight bearing, changing clothes and ROM aggravate the pain. Rest, ice,

Nowadays, herniated disk is more common than ever and its symptoms can make many people discomfort. So, the primary treatment for each patient is relieves these symptoms. Each patient’s treatment plan has to be individualized based on the location of the pain, the severity of pain and the specific symptoms that the patient exhibits.

Based on the progress report dated 09/12/16, the patient reports more frequent pain with activity since the last

On examination, he has moderate pain to palpation to the lumbar spine and paravertebral muscles over the bilateral facet joints at L4-L5-S1. He has a positive straight leg raise test to the right.

Shouldice Hospital focus on hernia repair surgery which is mostly performed on males. Shouldice operation strategy

Often presents with unilateral leg swelling, redness, or pain in the calf or thigh 2

Based on the latest medical report dated 03/08/16 by Dr. Tenuta, the patient presents for his right knee pain. He was seen for back pain approximately a year ago. He has had persistent issues with that. He feels that he has been favoring his knees. He has been having problems going up and down steps. On examination, he has crepitus with patellofemoral range of motion. As of this

This is not an uncommon surgery. Working in the recovery department these surgeries usually happen a few times a month at my hospital. Aftercare for people with this type of surgeries involves ice and elevation. Education should focus on normal side effects such as scrotal swelling, which can last for up to twenty-one days following surgery (“Spermatoceles,” n.d.). Wearing supportive underwear can help to reduce swelling and may provide some form of comfort following the surgical procedure. Surgery should be a last resort and the practitioner should refer the patient to the appropriate provider. It is possible after surgery that the epididymis can be blocked leading to infertility problems (“Spermatoceles,” n.d.). The only hypothesized

Indium Bone scan performed on 04/28/15 showed a possible mild inflammatory activity within the distal right thigh above the level of the knee joint.

Unique and pioneering surgical technique for Hernia operation which reduced the suffering of the patients and led to rapid

The patient stated that he began experiencing painful swelling in his right knee over a decade ago. A large mass grew around the knee and he underwent a total knee arthroplasty. Not long after the arthroplasty of his right knee, he began experiencing similar symptoms in his left knee and right elbow.