colostomies are typically located in the left iliac fossa, whereas ileostomies are usually located in the right iliac fossa). I've had 2 prior surgery's an open umbilical and left inguinal at the same time. A hernia of the abdominal wall is a protrusion of the abdominal contents through an acquired or congenital area of weakness or defect in the wall. Any fat or bowel in the hernia is pushed back or . The major criterion for differentiating a congenital hernia from an omphalocele is the morphology of the umbilical cord insertion i.e. Belly Button Pain or Umbilical Pain: What Causes Pain ... OPERATION: Left inguinal hernia repair with mesh. overview sciencedirect topics, guidelines for soap post encounter notes neis clinical, doktorze jaka dieta byaby dla mnie najlepsza, cat exam haitian flashcards quizlet, 4 hypospadias and epispadias nursing care plans nurseslabs, hernia surgery prisma health upstate, nursing outcomes classification noc nursing directory s, course content 38820 pathophysiology the respiratory, nursing care plan . Umbilical Hernia - FPnotebook.com • Though inguinal hernia in females are not as common as in males. PDF Inguinal Hernia Repair - Laparoscopic It occurs when the appendix becomes inflamed leading to symptoms of upper abdominal pain around the belly button, loss of appetite, indigestion, nausea, vomiting, abdominal swelling, constipation . A case of giant inguinal hernia with intestinal ... Hernia. colostomies are typically located in the left iliac fossa, whereas ileostomies are usually located in the right iliac fossa). Hydrocele - Symptoms, diagnosis and treatment | BMJ Best ... . No notes for slide. Irreducible: the hernia cannot be completely reduced, typically secondary to adhesions between the hernia and hernial sac (incarcerated . These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. BACKGROUND • In adult surgery 80% of all hernia repairs are for inguinal hernia. After 2 weeks, if the skin glue is still there, you may remove it and you may . COMPLICATIONS: None. More common in males. Curved incision, 3 cm long, was proposed along the lower half of the umbilical border. Now on may 11 I had a laparoscopic umbilical w/o mesh and right inguinal with mesh. CHIEFT COMPLAINT: "Leg pain". Schier F. Laparoscopic inguinal hernia repair-a prospective personal series of 542 children. Of the patients, 12% were neonates; 299 . DOWNLOAD POST-OP INFO. An umbilical hernia repair is surgery to fix your umbilical (belly button) hernia. Sphincter tone adequate. Your hernia may be fixed with an open or laparoscopic surgery. It is worse when he is standing for prolonged periods of time and disappears when he lies flat. Outcomes of laparoscopic vs . Surgery to take about 1 hour; Recover from anesthesia for 1 1/2 hour before you are ready to go home ; Expect to be discharged home the day of surgery; Pain or discomfort 5-7 days Post-Op, the first two days are the toughest, but keep moving; You will have absorbable sutures hidden under your skin with skin glue on top . This is a weakness or swelling of the tummy button (umbilicus um-bill-eye-cuss). SOAP NOTE. SOAP Note #2. Stoma bag(s): note the location of the stoma bag(s) as this can provide clues as to the type of stoma (e.g. Herniation of the umbilical . Sometimes imaging studies — such as an abdominal ultrasound or a CT scan — are used to screen for complications. SOAP Note #2. Males are affected twice as frequently as females. After umbilical hernia surgery, you will be given instructions involving proper incision care as well as any activity restrictions that may be recommended by the surgeon. These activities include showering, driving, walking up stairs, lifting and work. Patient states his PSA is elevated and he is scheduled for a prostate biopsy next week. Don't . I had umbilical hernia surgery in 2007, open procedure and no mesh implant, I was advised to do no lifting for 3 months, but to be honest it took me about 5 months to really get back into lifting heavier weights. Admits unintentional 5lb. An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. Umbilical hernia - no evidence of incarceration and is therefore not a cause of her acute GI issue. In a direct inguinal hernia, the hernial sac lies medial to the artery and the deep inguinal ring. Appears at the groin crease. Please tell the nurses of any allergies to drugs or dress-ings. Symptoms are absent in about a third of patients. DRAINS: None. A femoral hernia is an uncommon type of inguinal hernia, in which intra-abdominal contents (e.g., intraperitoneal fat, mesentery, bowels) herniate into the femoral canal through the femoral ring. Inorderto dothis, it is first necessaryto reduce the hernia-this being usual unless the above complications have occurred-and having done so, to ensure, firstly, that reduction is main-tained immediately afterwards, and, secondly, that the hernia will . What does the operation consist of? No blood noted on the exam glove. All patients with inguinal hernia were identified from the work load of six surgeons encompassing the three methods of hernia management. S Inguinal Hernia, H & P. CC: (L) groin bulge. FEMORAL HERNIA: Hernia through the femoral canal in the femoral triangle. May be DIRECT or INDIRECT. 2006 Jun. An umbilical hernia is diagnosed during a physical exam. Sources . He will be especially interested in chest troubles, dental treatment and any previous anaesthetics you have had. Testicular exam and inguinal hernia exam within normal limits. Most umbilical hernia causes mild to moderate belly button pain. It is interesting that 1 male in 5 and 1 female in 50 will eventually develop inguinal hernia in lifetime. SOAP notes provide the physician's structure and a way for them to easily communicate with each other, which is still helping transform the industry. Obesity. DIET You will have your usual diet until 6 12 hours before the operation when you will be asked to take . Prostate was not nodular or tender but was mildly palpably enlarged. An inguinal hernia (IH) is an abnormal protrusion of intraabdominal contents through the inguinal canal.IH is one of two different types of groin hernias (in addition to the less common femoral hernia), and can be further subdivided based on anatomic location: an indirect inguinal hernia protrudes lateral to the inferior epigastric vessels through the deep inguinal ring, whereas a . Umbilical hernias are common, occurring in 10 percent to 20 percent of all children. Mesh repair of incarcerated umbilical hernia. Appears between the thigh and groin region. Hemostasis was achieved with electrocautery. You may have pain, bloating, or nausea after your surgery. The weakness . A direct inguinal hernia develops medial to the internal inguinal ring. Infants. Definition & classification. Inguinal hernias Notes. DESCRIPTION OF OPERATION: The patient was taken to the operating room and placed supine on the operating room table. Shortly after the surgery, you may feel full or nauseated easily. Rectal: No masses, polyps or hemorrhoids palpated. You may shower over the glue gently with soap and water. Name: Mr. B. Parastomal hernias are a common complication of stoma formation. You have had an Open Inguinal Hernia Repair with mesh. Surgical drains: note the location of the drain and the type/volume of the contents within the . He, at that time, had a Foley catheter placed and was discharged to home with the Foley bag to gravity drainage. Diagnosis is clinical. Once your umbilical hernia goes away, either on its own or with surgery, it's not likely it will come back. This hernia develops when a portion of the lining of the abdomen, part of the intestine, and / or fluid from the abdomen, comes through the muscle of the abdominal wall. The following examination, however, should be performed on all male patients, regardless of whether you suspect any underlying abnormality. An umbilical hernia occurs when a tissue bulges out through an opening in the muscles on the abdomen near the navel or belly button (umbilicus). Faith Based Nurse Practitioner. to note that the treatment of hernia is mainly directed against the prevention of that dreaded and sometimes fatal complication strangulation. This is from the gas used during surgery. Let me say maybe because of the mesh = 3 1/2 hour surgery. Congenital defect in linea alba (failure to close completely at birth) Umbilical ring usually closes by age 12-18 months. If it doesn't close . EPISODIC SOAP NOTE WEEK 6 4 2. nursing diagnoses for inguinal hernia, doktorze jaka dieta byaby dla mnie najlepsza, guidelines for soap post encounter notes neis clinical, table of contents michigan gov, ppt acute scrotal pathology powerpoint presentation id, 4 hypospadias and epispadias nursing care plans nurseslabs, hepatic encephalopathy wikipedia, benefits of breastfeeding for the infant young child, neuroscience center . Type of Ventral Hernia. Results A total of 308 patients had 326 hernias performed. Summary. Thankfully in my case both surgeries were successful, the only downside is two particularly nasty scars.Here's one method: Lie down or sit in a comfortable position, placing one . There were two adjacent . Thus, the management of giant inguinal hernia poses unique challenges and proper surgical management should be chosen after carefully considering the patient's condition. These hernias usually contain properitoneal fat and bladder wall, and are rarely found to extend into the scrotum. Indirect Inguinal Hernia and Hydrocele The most common presenta-tion of an inguinal hernia is an inguinal bulge, which may be noticed by the patient, the family, or the practitioner. Jane Doe, M3 Example: Traditional SOAP Note 4/28/2014 Medical Student Note 6:45am . When the baby is born, the abdominal muscles are supposed to join together, and if they do not . Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. Usually some internal fat or bowel can push through the weak spot/ hole making it bulge. CASE STUDY ON INGUINAL HERNIA BY. MTHelpLine does not certify accuracy and quality of sample reports. INDICATIONS FOR OPERATION: This is a (XX)-year-old female with a history of an umbilical hernia. Stoma bag(s): note the location of the stoma bag(s) as this can provide clues as to the type of stoma (e.g. S: MM is an 80 yo male with chief complaint of "blood in my Foley bag." He noticed the frank blood at 4AM this morning. Download Physical Examination. The surgeon will have explained the operation and you will be asked to sign . If you find you are persistently nauseated or unable to take in liquids, contact our office and let us know. It becomes increasingly conical as it . Nursing Diagnoses For Inguinal Hernia answer key introduction to clinical coding, blackwell synergy com the online scholar, cat exam haitian flashcards quizlet, guidelines for soap post encounter notes neis clinical, ppt acute scrotal pathology powerpoint presentation id, chapter 10 muscles flashcards quizlet, gender identity disorder an overview sciencedirect topics, surgical operations . What is a ventral hernia? An umbilical hernia occurs at the umbilicus (belly button) when a loop of intestine pushes through the umbilical ring, a small opening in a fetus' abdominal muscles through which the umbilical cord—which connects a fetus to its mother while in the womb—passes. What is an Umbilical or Paraumbilical Hernia? It will get bigger and become unsightly. Simply dab dry with a towel and then re-dress. The umbilical ring should close shortly after birth. Physical Activity (including sexual activity) Resuming physical activity is largely one of common sense. Surgical drains: note the location of the drain and the type/volume of the contents within the . What to Expect. Nursing Diagnoses For Inguinal Hernia guidelines for soap post encounter notes neis clinical, table of contents michigan gov, ppt acute scrotal pathology powerpoint presentation id, acute scrotal pain emergency guideline childrens, blackwell synergy com the online scholar, cat exam haitian flashcards quizlet, chapter 10 muscles flashcards quizlet, course content 38820 pathophysiology the . Sometimes fat or bowel gets caught in the hernia causing severe pain and . A bulging area may occur that becomes larger when bearing down. S Note: You may have a special "skin glue" over your incisions instead of the tape and plastic. Please help me after mayo repair of umbilical hernia some bleeding occur near the sutures after 5days op. No rashes, petechiae or suspicious lesions appreciated . Depends on: amount and nature of bleeding. Ontology: Hernia, Inguinal (C0019294) Definition (NCI) The protrusion of a sac-like structure containing fibroadipose tissue through an abnormal opening in the inguinal region. Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. A cut is made around the tummy button, which may have to be taken away. The hernia may contain tissue from the abdomen, part of an organ (such as the intestine), or fluid. Source : www.pinterest.com. OBJECTIVES AT THE END OF THE PRESENTATION THE AUDIENCE WILL BE ABLE TO • Attain knowledge regarding the definition, incidence, etiology, signs and symptoms of hernia • Understand the surgical correction of inguinal hernia and complications after . Nursing Diagnoses For Inguinal Hernia guidelines for soap post encounter notes neis clinical, hepatic encephalopathy wikipedia, surgical operations inicial ufrgs, hernia surgery prisma health upstate, illinois hospital report card and consumer guide to health, intestine transplantation wikipedia, doktorze jaka dieta byaby dla mnie najlepsza, nursing care plan for inguinal hernia nursing . In an indirect inguinal hernia, the hernial sac lies lateral to the artery (see our full content on inguinal hernia). INGUINAL HERNIA: A portion of intestine or internal fat protrudes through a weakness in the inguinal canal. It occurs in children and infants, especially in black children. This helps in pre- and postnatal decision making. WebMD Medical Reference Reviewed by Brunilda Nazario, MD on June 15, 2020. Catheter was changed 2 weeks ago. • Inguinal hernia in females can either be congenital or acquired. Skin: Normal texture and turgor. SURGEON: John Doe, MD. This condition occurs mostly among infants. o You are encouraged to be up and about the day after surgery. After general anesthesia was induced, the left inguinal area was prepped with Betadine solution and sterilely draped in the usual manner for procedure in this area. Umbilical Hernia ; Ventral or Incisional Hernia ; Pilonidal Disease ; Pilonidal Abscess . Often it gets worse throughout the day and improves when lying down. Most umbilical hernias in babies close on their own by age 1 or 2.Your doctor may even be able to push the bulge back into the abdomen during a physical exam. Worse than both opens put together. " HPI: An African American man, 32, years old visits the office with a chief complaint of a bulge in his scrotum which becomes more obvious when he coughs or strain. Nowadays the umbilical cord herniation is mostly diagnosed during early prenatal screening [3]. Parastomal hernias are a common complication of stoma formation. Patient initials and age: JT, 29. Follow-up ranged from 3 months to 1 year (median 8 months). He returns today for a voiding trial and was found to have a . Procedure: Inguinal Hernia Repair. This is usually due to the anesthesia . She complains of lumbar burning back pain as well. S: MM is an 80 yo male with chief complaint of "blood in my Foley bag." He noticed the frank blood at 4AM this morning. Umbilical hernia is a condition that occurs when tissue, like intestines, protrude through weakened muscles around the navel (umbilicus). Some patients may find that their appetite is poor for a week or two after surgery. Case study on inguinal hernia 1. The SOAP note was first introduced into the medical field by Dr. Lawrence Weed in the early 1970s and was referred to as the Problem-Oriented Medical Record ().At the time, there was no standardized process for medical documentation. Sometimes fat or bowel gets caught in the hernia causing severe pain and illness. Women with Multiparity. Definition (MSH) An abdominal hernia with an external bulge in the GROIN region. If you detect a diffuse swelling amidst the cord structures or note the inguinal canal area to be protuberant, the patient probably has an inguinal hernia. You may be offline or with limited connectivity. On physical examination, there is a partially . Repair is rarely recommended under age 3 years. If it is large amount of fresh blood, you should go to nearest ED. UMBILICAL HERNIA - OPEN VISIT BY THE ANAESTHETIST If you are having a general anaesthetic, the anaesthet- ist who will be giving your anaesthetic will interview and examine you. With an umbilical hernia, the opening is in the middle of the belly button, at a part of the abdominal wall called the umbilical ring. PACKS: None. If obstruction continues the pinch causes strangulation of blood supply to . Umbilical hernias occur most often in newborns, and 90 percent will naturally close by the time the child reaches 5 years of age. 611 views Answered >2 years ago. Obstructed Or Strangulated Hernia-Hernia is known as obstructed hernia when the content of the hernia cannot be squeezed into abdominal cavity. Hernias may be described as: Reducible: the hernia may be completely returned into its original cavity. Inguinal Hernia ; Parastomal Hernia ; Umbilical Hernia ; Ventral or Incisional Hernia . He states he strained while having a bowel movement last night. Ventral / Umbilical Hernia Repair Post-op Expectations o Patients are encouraged to engage in light activity while at home after surgery. Urinary Retention SOAP Note Medical Transcription Sample Report. • The incidence of . Usually, the omentum of the small . General Surgery 45 years experience. • The ratio of male: female hernia is 10:1. Many hernias are asymptomatic, but some become incarcerated or strangulated, causing pain and requiring immediate surgery. Physical exam findings for umbilical hernia are as follows: Physical examination of patients with umbilical hernia is usually remarkable for a protruding umbilical mass examined in the standing and supine positions to determine the size of a hernia +/- valsalva maneuver. More Information. The dressing should be removed and the area kept clean with soap and water in the shower, at least twice daily. The glue will come off over the next few weeks. Repair of your inguinal hernia does not require any special diet restrictions after surgery. Acute Appendicitis - Symptoms are milder than those of chronic appendicitis and can appear off and on over a period of weeks, months or years (Agarwal et el., 2013). Martin DF, Williams RF, Mulrooney T, Voeller GR. The male-female ratio was 4:1. They are, however, more common in African . It can be classified by the location of herniation. This area was infiltrated with 1% lidocaine with epinephrine. Hemoccult not performed due to lack of stool in the rectal vault. Please . SUBJECTIVE: The patient is a (XX)-year-old gentleman who presented approximately a week ago in urinary retention. A congenital umbilical hernia occurs through a weak umbilical scar, usually the result of neonatal sepsis. An umbilical hernia is an abnormal bulge that can be seen or felt at the umbilicus (belly button). CHIEF COMPLAINT: Urinary retention. Sources . NSG 6020 iHuman Soap Note - 50-Year Old Patient. It is OK . Treatment is elective surgical repair. The posterior wall weakens as the transversalis fascia thins, and a bulge results. Umbilical and incisional hernias are specific types of ventral hernias. After surgery, you need to wash the incision area gently with soap and water daily. Case notes were retrieved and the data analyzed using SPSS v.17. A ventral (abdominal) hernia refers to any protrusion of intestine or other tissue through a weakness or gap in the abdominal wall. The hernia may contain tissue from the abdomen, part of an organ (such as the intestine), or fluid. NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. When changing the dressing take the opportunity of getting in the shower and giving the wound a good wash with soap and water, taking care with regard to the drain that will be poking out through the wound. Inguinal Hernia Repair Post-op Expectations o Expect some soreness, mostly during the first 24 to 48 hours. The cause of a ventral hernia can differ depending on its location as well as your medical history, health and personal anatomy. What is an Umbilical Hernia? the intactness of the umbilical ring. The hernial bulge was visualized and was dissected free from the undersurface of the umbilicus. ANESTHESIA: General via laryngeal airway mask and local. The umbilical ring is a muscle that surrounds the belly button. SOAP NOTES NUMBER TWO - Faith Based Nurse Practitioner. About 10% of abdominal hernias are umbilical hernias.1 Common Symptoms Visible bulge on the abdomen, especially when coughing or straining Pain or pressure at the hernia site Treatment Options Surgical Procedure Open hernia repair— An incision is . weight loss in 1 . ESTIMATED BLOOD LOSS: 5 mL. o Some bruising and swelling is normal around surgical site and genital area; it typically subsides in 1-2 weeks. More common in females. DATE OF SERVICE: November 11, 2013. 2008 Aug. 12 (4):379-83. . Dr. Robert Uyeda answered. Admits unintentional 5lb. I thought . JIJO T GEEVARGHESE STAFF NURSE L5W DUBAI HOSPITAL 2. An inguinal hernia can become incarcerated, in which a piece of intestine or fat becomes trapped in the hernia opening and an obstruction occurs. Inguinal hernias are classified into either direct or indirect, based on the relationship of the sac to the inferior epigastric artery. Wound care. o Occasionally, patients . She states that the pain is about a 7/10 currently and is located just below and lateral to her umbilicus and the previous scar site. WebMD Medical Reference Reviewed by Brunilda Nazario, MD on June 15, 2020. This will most likely get bigger and become unsightly if not treated. If it doesn't resolve before 4-5 y/o, her PCP will refer her to pediatric surgery for repair. An umbilical hernia is a bulge through the abdominal wall near your umbilicus (belly button). Risk factors for femoral hernias include old age, female sex, obesity , and previous hernia repair. weight loss in 1 . valsalva) or cough (though have them . 41 (6):1081-4. . Adults (Paraumbilical Hernia): Predisposing factors. (no mesh in either) Then 5 years later another open left inguinal with mesh and a mesh plug. Disposition: If able to tolerate oral intake and maintain hydration, may d/c to home later today or tomorrow morning. INGUINAL HERNIA REPAIR - LAPAROSCOPIC basic tests will be done such as pulse, temperature, blood pressure and urine examination. Inguinal hernias account for 75% of all abdominal wall hernias, and with a lifetime risk of 27% in men and 3% in women. If you are not already on antibiotics then Dr Renaut . This is the first occurrence. Once your umbilical hernia goes away, either on its own or with surgery, it's not likely it will come back. The patient may be asymptomatic but as the hernia increases in size, there may be pain, and crying. Woke up in excruciating pain. The skin and subcutaneous tissues of the left inguinal area were . An indirect inguinal hernia is the protrusion of the peritoneal contents through a patent processus vagi-nalis (Gill, 1998). o Press firmly on the lump and, starting inferiorly, try and lift it up and compress it towards the deep inguinal ring o Once it is reduced, slide your fingers up and maintain pressure over the deep inguinal ring o Ask patient to cough o If hernia reappears, it is a direct hernia; if not, it is an indirect hernia Liang MK, Berger RL, Li LT, Davila JA, Hicks SC, Kao LS. Before palpating this region, have the patient bear down (i.e. indirect inguinal hernia underwent herniorraphy with prolene mesh done on 30 03 08, for instance the icd 9 cm diagnosis code for an initial bilateral inguinal hernia without gangrene or obstruction would be 550 92 the fifth digit identifies whether the hernia was unilateral or bilateral as well as whether it was identified as recurrent, acute scrotal pain is a common surgical emergency in boys . Certainly moving around the house and going for short walks in the first couple of days . In a strangulated hernia, the blood supply gets cut off and a portion of the intestine may die. Femoral hernias, which exit from the retroperitoneal space along the femoral vessels in the femoral canal, can on occasion be . Abdominal ultrasound; X-ray; Treatment. This is the first occurrence. Patient states he is visiting today, to . o With hernia repair, you will probably be able to get back to your normal activities within a short amount of . This is a normal result of the stress of surgery- your appetite should return in time. Cirrhosis with Ascites. A hernia refers to an organ or part of an organ that protrudes outside the walls of its usual cavity. Intestinal malrotation is a congenital anomaly that concerns either a lack of or incomplete rotation of the fetal intestines around the axis of the superior mesenteric artery during fetal development. During pregnancy, the umbilical cord flows through the umbilical ring to bring blood and nutrients to the developing baby. NSG 6020 iHuman Soap Note - 50-Year Old Patient with Left Groin Pain: Inguinal Hernia. Umbilical hernia increases in size following coughing and sneezing. Date: May 27, 2018: Time: 2:44PM: Age: 50 years old: Sex: Male: SUBJECTIVE : CC: "I've got this horrible pain in my left groin, doc. o Most patients are able to get back to their normal activities in a short period of time. J Pediatr Surg. SOAP NOTE ON INGUINAL HERNIA 2 Soap Note on Inguinal Hernia Name: Date: Time: Sex: Male Age: 32 SUBJECTIVE CC "I have a bulge on one side of my scrotum which becomes more obvious when I cough or strain. If you had a laparoscopic repair, you may have pain in your shoulder or near your ribs. The hernia is a weakness or hole of the tummy button (umbilicus) or tissue around the umbilicus (paraumbilical). o Post-operative discomfort is usually mild to moderate. He notes that he had a bad cough several months ago and then noticed a new bulge in his (L) groin. There is a small opening in a baby's abdominal muscles made by the passage of the umbilical cord while in the womb. Ventral Hernia Causes. Intestinal malrotation . This may include pain or discomfort especially with or following coughing, exercise, or bowel movements. NSG 6020 iHuman Soap Note - 50-Year Old Patient with Left Groin Pain: Inguinal Hernia. If you have skin glue, you do not need to do anything. The incision was made in the skin and deepened through the subcutaneous tissues. Abdominal Pain SOAP Note Medical Transcription Sample Report. He states he strained while having a bowel movement last night. Patient states his PSA is elevated and he is scheduled for a prostate biopsy next week. Obstructed hernia is extremely painful. HPI: MB is a 43 male with a 2 month history of a bulge in his (L) groin. HISTORY OF PRESENT ILLNESS: This is a 29-year-old, Caucasian male, with a history of degenerative disc disease. You will be asked to hand in any medicines or drugs you may be taking, so that your drug treatment in hospital will be correct. Do not soak in a tub or pool for 2 weeks after your surgery. Symptoms of a strangulated hernia or intestinal obstruction include pain, nausea, vomiting, inability to flatulate or have a bowel movement, fever, chills . SUBJECTIVE: The patient continues to have significant abdominal pain as well as back pain. After having your hernia repaired, there are no limitations on your diet. Catheter was changed 2 weeks ago. This just means your hernia was in the groin region, and a polypropylene mesh was placed to repair the hernia using one incision just above the groin crease. 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