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10.1007/s10029-020-02227-1

http://scihub22266oqcxt.onion/10.1007/s10029-020-02227-1
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32472464!7258608!32472464
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suck abstract from ncbi


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pmid32472464      Hernia 2020 ; 24 (5): 937-941
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  • A manual reduction of hernia under analgesia/sedation (Taxis) in the acute inguinal hernia: a useful technique in COVID-19 times to reduce the need for emergency surgery-a literature review #MMPMID32472464
  • East B; Pawlak M; de Beaux AC
  • Hernia 2020[Oct]; 24 (5): 937-941 PMID32472464show ga
  • BACKGROUND: Acute IH is a common surgical presentation. Despite new guidelines being published recently, a number of important questions remained unanswered including the role of taxis, as initial non-operative management. This is particularly relevant now due to the possibility of a lack of immediate surgical care as a result of COVID-19. The aim of this review is to assess the role of taxis in the management of emergency inguinal hernias. METHODS: A review of the literature was undertaken. Available literature published until March 2019 was obtained and reviewed. 32,021 papers were identified, only 9 were of sufficient value to be used. RESULTS: There was a large discrepancy in the terminology of incarcerated/strangulated used. Taxis can be safely attempted early after the onset of symptoms and is effective in about 70% of patients. The possibility of reduction en-mass should be kept in mind. Definitive surgery to repair the hernia can be delayed by weeks until such time as surgery can be safely arranged. CONCLUSIONS: The use of taxis in emergency inguinal hernia is a useful first line of treatment in areas or situations where surgical care is not immediately available, including the COVID-19 pandemic. Emergency surgery remains the mainstay of management in the strangulated hernia setting.
  • |*Coronavirus Infections/epidemiology/prevention & control[MESH]
  • |*Emergency Medical Services/methods/trends[MESH]
  • |*Pandemics/prevention & control[MESH]
  • |*Pneumonia, Viral/epidemiology/prevention & control[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Clinical Decision-Making[MESH]
  • |Conservative Treatment/*methods[MESH]
  • |Health Services Accessibility/trends[MESH]
  • |Hernia, Inguinal/*therapy[MESH]
  • |Herniorrhaphy/*methods[MESH]
  • |Humans[MESH]
  • |Infection Control/methods[MESH]
  • |Musculoskeletal Manipulations/*methods[MESH]
  • |SARS-CoV-2[MESH]


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