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Abstract

INGUINAL HERNIA MANAGEMENT AMONG CHRONIC RENAL FAILURE PATIENT WITH VALVULAR HEART DISEASE; A CASE REPORT AND REVIEW OF THE LITERATURE

*Azreen Syazril Adnan1, Azhar Amir Hamzah 2, Nafees Ahmed3, Amer Hayat Khan3

1Chronic Kidney Disease (CKD) Resource Center, School of Medical Sciences, University Science Malaysia, 16150 Kota Bharu, Kelantan, Malaysia
2Urology Unit, Department of Surgery, Hospital University of Malaysia, Kubang Kerian, Kelantan, Malaysia
3Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universitii Sains Malaysia, 11800 Penang, Malaysia

ABSTRACT

Inguinal hernia occurs when fat or part of the small intestine pushes through a weak spot in the groin causes a bulge in the groin or scrotum. The bulge may hurt or burn. It can be classified into direct or indirect inguinal hernia. An 81 years old gentleman had been diagnosed with left inguinal hernia and admitted to the ward after complaining of sudden onset of sharp pain at the hernia area. Patient has history of anemia with chronic renal failure and underlying valvular heart disease. Echocardiogram (ECHO) showed ejection fraction of 39%. Before hernioplasty is carried out in this patient, few things need to be considered. Preoperative assessment of risk versus benefit should be conducted. Since patient is a geriatric patient and he has valvular heart disease, hernioplasty should be carried out under elective condition with the use of local anesthetic since fewer complications had been reported under this condition.

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