A monitoring of 150 cases of stabilized lumbar disc herniation showed that in the group of subjects who dit not practise physical exercises, the recurrent rate was rather high, 34% within 6 months, 44% in 12 months, while in subjects practized the exercises, these indices were 4% and 6% respectively. Moreover in these practized subjects, the severity of recurrent condition was mild with the syndrome of lumbar spinal column and rarely lumbar radicle. Heavy works such as military works, agriculture and industrial works were still the cause of recurrence of lumbar disc herniation.
Hernia/rehabilitation ; Exercise ; Hernia/prevention & control

PURPOSE: A mesh plug hernia repair has revealed encouraging results in inguinal hernia repair. This article compares our results with both conventional hernia repair and the mesh plug hernia repair procedure. METHODS: From January 1999 to October 2000, we performed 171 herniorrhaphies. Among these cases, we analyzed 49 cases of mesh plug hernia repair and 47 cases of conventional hernia repair. We recorded incidents of recurrence, postoperative complications, surgical time, duration of hospital stay, and the use of narcotics and antibiotics. RESULTS: There were no significant differences observed concerning recurrence, postoperative complications, duration of hospital stay, or the use of antibiotics and analgesics, however the surgical time was significantly reduced in the mesh plug hernia repair procedure. (55.51+/-25.46 minutes versus 65.65+/-18.87 minutes, P<0.05) CONCLUSION: Compared with the conventional sutured surgical technique, a mesh plug hernia repair uses less overall dissection and ensures a tension free hernioplasty, resulting in a shortened surgical time, greater patient comfort, rapid rehabilitation, decreased recurrence and lower rates overall complications.
Analgesics ; Anti-Bacterial Agents ; Hernia* ; Hernia, Inguinal ; Herniorrhaphy* ; Humans ; Length of Stay ; Narcotics ; Operative Time ; Postoperative Complications ; Recurrence ; Rehabilitation

Groin pain in athletes is a complex diagnostic and therapeutic challenge. Sports hernia is one of the common causes of groin pain. We report a case of sports hernia, initially presented as groin pain and aggravated by sports activity. A 19-year-old soccer player visited the outpatient department of general surgery and was referred to the rehabilitation center due to no abnormalities detected in the abdomen and pelvis by computed tomography. An incipient direct bulge of the posterior inguinal wall was detected with dynamic ultrasound when abdominal tension was induced by raising both legs during a full inhalation. Surgery was performed and preoperatively both groins showed the presence of inguinal hernia. Diagnosing sports hernia is very challenging. Through careful history documentation and physical examination followed by dynamic ultrasonography, we identified his posterior inguinal wall deficiency for early management.
Abdomen ; Athletes ; Athletic Injuries ; Diagnosis* ; Groin* ; Hernia* ; Hernia, Inguinal ; Humans ; Inhalation ; Leg ; Outpatients ; Pelvis ; Physical Examination* ; Rehabilitation Centers ; Soccer ; Sports* ; Ultrasonography* ; Young Adult

OBJECTIVE: To determine whether an active rehabilitation program that involves repetitive effortful muscle contractions, including core stability, balancing exercises, progressive resistance exercises, and running activities, after a sports hernia, is effective. METHODS: Forty soccer players with sports hernias were randomly divided into two equal groups: group A (active rehabilitation program) and group B (conventional treatment). The methods of assessment included a visual analog scale (VAS) and hip internal and external range of motion assessments. Group A received conventional treatment (heat, massage, transcutaneous electrical nerve stimulation, and mobilization) plus an active rehabilitation program, while group B received only conventional treatment. Three treatment sessions were given each week for 2 months. Evaluations were performed pre- and post-treatment. RESULTS: A decrease in VAS was seen in both groups at the end of treatment, 80.25% in group A and 41.93% in group B. The difference between the two groups was statistically significant (p=0.0001), whereas there were no statistical differences in internal and external rotation between the groups at the end of treatment (p>0.05). After treatment, an improvement in outcome measures of group A compared to group B (p=0.01) was seen. Thirteen patients in group A and only three patients in group B returned to sports activities without groin pain. CONCLUSION: Active rehabilitation was effective for sports hernia management measured by a decrease in pain and the return to sports.
Exercise ; Groin ; Hernia ; Hip ; Humans ; Massage ; Muscle Contraction ; Outcome Assessment (Health Care) ; Range of Motion, Articular ; Rehabilitation ; Return to Sport ; Running ; Soccer ; Sports ; Transcutaneous Electric Nerve Stimulation ; Visual Analog Scale

PURPOSE: This survey was designed to acknowledge that it is necessary to rehabilitate ostomates. METHODS: This medical survey attempted to make an analysis of the types and causes of stoma, the problems stemming from the stoma, the degree to which ostomates are satisfied with their life quality, and the extent to which they are affected in doing their jobs, on the basis of the examinations conducted for eighty eight ostomates, who responded to the questionnaire at the 3rd Workshop for Stoma Rehabilitation for Ostomates on August 29, 1998 by the Department of Surgery, Kyung-Hee University Hospital, or who replied back to the questionnaire that was sent by mail. RESULTS: On examination, it was found that the ratio of male to female was nearly 1.5:1 (53:35); by age distribution, the ostomates in their 50 and 60's constituted 65.9%; by stoma pattern, colostomy was made up of 81 cases (92%), ileostomy 4 cases (4.5%), urostomy 2 cases (2.3%); by duration, permanent stoma was 81 cases (92%), temporary stoma 6 cases (6.8%); by the cause of stoma operation, malignancy consisted of 78 cases (88.6%), IBD 4 cases (4.5%), congenital anomaly 1 case, car accident 1 case, benign bladder disease 1 case, intestinal obstruction after radiation therapy 1 case, but 2 cases were not identified. Besides, it was also examined that, regarding the degree of post-operation satisfaction for stoma, dissatisfaction amounted to 58 cases (65.9%); as for the problems stemming from the stoma, skin irritation or injury reached 30 cases (34.1%), discomfort for stoma location 17 cases (19.35%), parastomal hernia 8 cases (9.1%), stoma retraction 4 cases (4.5%) and disease recurrence 3 cases (3.4%); as for the degree of the satisfaction of ostomates for their life quality, dissatisfaction revealed 70 cases (79.5%); regarding the extent to which the ostomates are affected in doing their jobs, fifty four out of eighty eight ostomates (62.0%) had a disturbance. CONCLUSIONS: This medical survey clearly shows that most of ostomates suffered from stoma in their daily lives and doing their occupations, thus they need helps from the experts such as colorectal surgeons and enterostomal therapists, or the ostomy association. In addition, it is also necessary to pay a more deliberate attention to determining the location of stoma.
Age Distribution ; Colostomy ; Education ; Female ; Hernia ; Humans ; Ileostomy ; Intestinal Obstruction ; Male ; Occupations ; Ostomy ; Postal Service ; Quality of Life ; Surveys and Questionnaires ; Recurrence ; Rehabilitation ; Skin ; Urinary Bladder Diseases