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Grey-Turner's sign after modified Kugel herniorrhaphy
Zhe Fan1, Xiaofeng Tian2, Yingyi Zhang1
1Department of General Surgery, The Third People's Hospital of Dalian Dalian 116033, China.
International Journal of Clinical and Experimental Medicine
|February 10, 2015
Summary
The modified Kugel herniorrhaphy (MKH) is a minimally invasive hernia repair technique. A rare Grey-Turner
Area of Science:
- Hernia Repair Surgery
- Minimally Invasive Surgical Techniques
Background:
- The modified Kugel herniorrhaphy (MKH) is a popular, tension-free, sutureless technique for open inguinal hernioplasty.
- MKH is a conventional anterior approach, preperitoneal method known for low complication and recurrence rates.
Observation:
- An 82-year-old male patient underwent the modified Kugel herniorrhaphy (MKH) procedure.
- Postoperatively, on the third day, the patient developed Grey-Turner's sign, a rare clinical presentation.
- This sign persisted for a duration of 10 days.
Findings:
- The occurrence of Grey-Turner's sign following MKH is an unusual postoperative complication.
- The case highlights a potential, albeit rare, association between this specific hernia repair technique and the development of ecchymosis.
Implications:
- Further investigation is warranted to understand the mechanism linking MKH to Grey-Turner's sign.
- This observation may inform surgical decision-making and patient monitoring protocols for modified Kugel herniorrhaphy.

