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2020 ; 24
(5
): 937-941
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
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
PMID32472464
show 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]