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inguinal hernia symptoms, inguinal hernia surgery, scrotal hernia, inguinal hernia symptoms, inguino-scrotal hernia, strangulated hernia, adult umbilical hernia, inguinal hernia surgery, inguinal hernia photo, inguinal hernia surgery, testicular hernia, abdominal laparocele, hernia symptoms, umbilical hernia surgery, inguinal hernia recurrence, crural hernia symptoms, spigastrium hernia, inguinal hernia photos,hernia symptoms, female inguinal hernia, inguinal hernia surgery, umbilical hernia surgery, epigastric hernia symptoms
Abdominal wall surgery in the cancer patient

inguinal hernia symptoms, inguinal hernia surgery, scrotal hernia, inguinal hernia symptoms, inguino-scrotal hernia, strangulated hernia, adult umbilical hernia, inguinal hernia surgery, inguinal hernia photo, inguinal hernia surgery, testicular hernia, abdominal laparocele, hernia symptoms, umbilical hernia surgery, inguinal hernia recurrence, crural hernia symptoms, spigastrium hernia, inguinal hernia photos,hernia symptoms, female inguinal hernia, inguinal hernia surgery, umbilical hernia surgery, epigastric hernia symptoms

Abdominal wall surgery

Abdominal wall surgery is a superspecialty surgery, in many respects more complex than most other abdominal surgeries (except, perhaps, pancreatic surgery and metabolic surgery), requiring years of study and application, and a very detailed knowledge of human anatomy, to be successfully performed. In our unfortunate country, by many of the many, too many big wigs in our own health care, abdominal wall surgery is considered a minor branch of the medical sciences; but one only has to cross the Alps to see how much it is valued, and even feared, in the international surgical environment. And this is well understood when one looks at the disasters, due to surgical unpreparedness, often combined by those who approach the operating table without due respect for the abdominal wall: which, it should be remembered, is one of the load-bearing walls of the "house" in which we live, our body. How would one live in a house with gutted walls? The quality of life would be abysmal; and abysmal is the quality of life of those who are recklessly operated on by those who do not know the laws-often very complex-that dictate that we follow the abdominal wall.

The history of abdominal wall surgery

abdominal wall surgery, inguinal hernia symptoms, inguinal hernia surgery, scrotal hernia, inguinal hernia symptoms, inguino-scrotal hernia, strangulated hernia, adult umbilical hernia, inguinal hernia surgery, inguinal hernia photos, inguinal hernia surgery, testicular hernia, abdominal laparocele, hernia symptoms, umbilical hernia surgery, inguinal hernia recurrence, crural hernia symptoms, spigastrium hernia, inguinal hernia photos,hernia symptoms, female inguinal hernia, inguinal hernia surgery, umbilical hernia surgery, epigastric hernia symptoms,La history of abdominal wall hernia surgery È the History of Surgery: all the greatest Surgeons, all those whose names are remembered, have applied and contributed to it. I have spoken about it at several national and international conferences and courses, because it is a fascinating tale; just as fascinating is the History of the invention of the prostheses we use today in abdominal wall surgery: to the eye, small sheets of plastic, but with extraordinary technological content inside that rests on more than a century of scientific research.

Course on abdominal wall surgery in the cancer patient

It is therefore a great honor for me, and a great pride, to participate, as the ONLY ITALIAN INVITED SPEAKER among dozens of sacred monsters of Spanish (among the best in the world) and Hispanoamerican Surgery, in the International Course of Abdominal Wall Surgery in the Oncological Patient organized by the Sociedad Hispanoamericana de Hernia and by theUniversity of Valencia next October.

The course is sponsored by the Generalitat Valenciana, the Asociación Española de Cirujanos and theInstituto Cervantes, to name but a few of the major Spanish institutions that have shown interest in our work; as well as by numerous international Scientific Societies.

We will hold our country's flag high, and honor our work!

Anal itching, anus, itching, hemorrhoids, anal fissure, perianal fistula, anal condylomata, diet, fiber, pruritus ani
Anal itching: causes, diagnosis and treatment

Anal itching, anus, itching, hemorrhoids, anal fissure, perianal fistula, anal condylomata, diet, fiber, pruritus ani

Anal itching

Anal itching is a common and widespread problem in both men and women, although more frequent, and by a lot (about four times), in the former.
It may be primary, or idiopathic, when no specific cause is recognized; or secondary, when its cause is clearly recognizable. Scratching the affected area causes skin lesions that aggravate the skin irritation, further worsening the problem.

 

Anal itching: causes

Itching is a common symptom in many anorectal afflictions; major causes include hemorrhoids, the presence of bulky perianal marisades (or "skin tags"), soiling (limited leakage of fecal fluid from the anus) andfecal incontinence, anal fistulas, fissures, and condylomata. Other causes are sweat and poor perianal hygiene; in particular, the persistence of fecal debris is an important cause of itching, and its removal by thorough washing promptly resolves the problem, confirming the central role of feces in the genesis of anal itching.
On the other hand, aggressive anal hygiene, with inadequate cleansers, can also be a cause of anal itching, in what is sometimes referred to in Anglo-Saxon literature as " polished anus syndrome" (in Italian we could translate it as "polished anus syndrome"). Excessive polishing of the perianal area, along with the use of ointments containing cortisone and derivatives, destroys normal skin defenses, worsening itching.
Although there are no definitive studies, it is fairly common experience that certain foods can also cause anal itching; these include coffee, tea, chocolate, coca-cola, citrus fruits, tomatoes, spices, beer, dairy products, and nuts.
Most often, anal itching originates from aninfection: agents can be skin bacteria, fungi, some parasites such as pinworms, and some viruses, including the papilloma virus, the cause of anal condylomas.
Several skin diseases can cause anal itching: mainly psoriasis, seborrheic dermatitis, atopic dermatitis, and lichen; and some systemic diseases, such as diabetes mellitus, leukemias, lymphomas, renal failure, and jaundice, can also cause anal itching.
However, many times the causes of anal itching remain unknown.

 

Anal itching: treatment

The goal of treating anal itching is to reconstitute clean, dry, intact skin. This can be very difficult, since, as mentioned, frequently the cause of itching remains unknown.
1) The feces must have the appropriate consistency; they must be soft, well-formed and easy to clean. For this purpose, fiber-based dietary supplements are used, which absorb excess fluid in the stool.
2) If despite this, the stools remain excessively watery, the following can be used anti-diarrheal medications, the use of which, however, should always be evaluated and prescribed by the physician.
3) It is then advisable to eliminate from the diet the foods that can cause anal itching, and which we mentioned earlier.
4) Also improving hygiene practices is very important. It is important to understand that the perianal area does not have to be sterilized. It is usually sufficient to simply use water, possibly accompanied by mild soaps, such as Marseille soap; and it is much better to dry the area with a hair dryer, rather than with paper or cloth napkins.
5) It is important to to avoid scratching, an act that seriously worsens skin lesions and increases the likelihood of bacterial or fungal overinfection.
6) The time-limited use of ointments containing steroids such as hydrocortisone or betamethasone may be helpful in improving symptomatology. Use of more potent steroids, or prolonged use of topical steroids, can cause skin atrophy and worsen itching. The zinc oxide creams help create a protective barrier on the skin and improve symptoms. If infection is suspected, or if skin integrity is injured, application of topical antibiotics (gentamicin, clindamycin, bacitracin) or of antifungals such as clotrimazole and nystatin. In special cases, antibiotics can be given orally.
7) If a parasitosis, oral administration of specific antiparasitic agents is indicated.

In all cases, anal itching is a condition that needs to be evaluated by the coloproctology specialist; who is the only one who can formulate a diagnostic hypothesis and prescribe the most appropriate therapy.