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Related Concept Videos

Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
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Hiatal Hernia01:25

Hiatal Hernia

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A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or...
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Related Experiment Video

Updated: Apr 26, 2026

Clinical Application of 24 G Cannula Needle and 3-0 Polypropylene Suture in Vas Deferens Exploration
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Paediatric inguinal hernias - An increasingly urgent problem.

KiloranH M Metcalfe1, Sophie Lewis1, Nick Lansdale2

  • 1Department of Paediatric Surgery, Royal Manchester Children's Hospital, Oxford Road, Manchester, M13 9WL, UK.

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
|April 24, 2026
PubMed
Summary
This summary is machine-generated.

Children

Keywords:
HerniaTreatment delayWaiting list

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Area of Science:

  • Pediatric Surgery
  • Surgical Outcomes
  • Healthcare Management

Background:

  • Post-COVID-19 funding shortages impact pediatric surgery.
  • Increased waiting times for pediatric inguinal hernia (IH) repair raise concerns.
  • Delays may lead to higher morbidity and resource strain.

Purpose of the Study:

  • Evaluate trends in waiting times for pediatric IH repair.
  • Assess the impact of these delays on patient outcomes.
  • Analyze the burden on hospital resources.

Main Methods:

  • Retrospective review of 414 pediatric IH operations across two cohorts (March 2022-March 2023 and April 2023-April 2024).
  • Utilized Federation of Surgical Speciality Associations guidance for prioritization and breach definitions.
  • Compared waiting times, emergency operation rates, and length of stay between cohorts.

Main Results:

  • A significant increase in the proportion of emergency operations was observed in the second cohort (56/234 vs. 19/180, p < 0.001).
  • Median waiting times for P2 and P3 patients increased substantially, from 9.9 to 21.5 weeks and 10.1 to 23.0 weeks, respectively.
  • 29 patients required emergency surgery while on the waiting list, with 18 breaching targets; emergency cases had longer hospital stays (3 days vs. 1 day for electives).

Conclusions:

  • Children with IH face prolonged waiting times, leading to more emergency procedures.
  • Increased emergency surgeries result in longer hospital stays and greater resource utilization.
  • Expanding elective operating lists is crucial to mitigate these issues and reduce healthcare burdens.