Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
-
Pol. Merkur. Lekarski · May 2008
Comparative Study[Comparison between two methods of inguinal hernia surgery--Lichtenstein and Desarda].
A preferable method of inguinal hernia repair nowadays is the use of mesh graft in tension-free techniques. In the past few years a new technique developed by a surgeon from India, Mohan P. Desarda, was introduced. This method is based on the use of an undetached strip of the external oblique aponeurosis which strengthens the posterior wall of the inguinal canal. The aim of this study was to compare the results of primary inguinal hernia repair in two groups of patients. One of the groups included the patients treated with Desarda technique (group I), and the second group included patients after Lichtenstein repair (group II). ⋯ The Desarda and Lichtenstein methods of primary inguinal hernia repair do not differ in the means of procedure complexity and surgery time. The number of local complications and pain intensity were comparable and similar to the literature data. The patients after Desarda and Lichtenstein hernia repair were satisfied with the surgery results. Desarda primary hernia repair is as effective as Lichtenstein surgery and six months after the surgery the treatment results are similar in both groups.
-
Overweight and obesity are global and increasing health problems which contribute to the development of number of serious diseases. Although knowledge of the biological aspects of overweight and obesity is increasing very rapidly, psychological factors associated with this problem have not been enough considered. It seems very important to work out psychological theory and research concerning emotional and cognitive aspects of being obese, to search for psychological causes of obesity and to implement psychological interventions which improve motivation for management and effectiveness of treatment of people with overweight and obesity. The aim of this article is to review current knowledge concerning psychological aspects of overweight and obesity.