The present study was designed primarily to provide an answer to the question of whether preperitoneal prosthetic placement is better tolerated in bilateral inguinal hernia than subaponeurotic positioning.
The higher incidence in Lichtenstein may be due to increased dissection and mesh fixing sutures in the more vascular subaponeurotic plane compared to relatively avascular preperitoneal space.
Increased incidence of chronic groin pain in Lichtenstein group may be due to the increased dissection in subaponeurotic neurovascular plane and also due to constant contact and impingement of the nerves with the mesh.
All neonates with thrombocytopenia, septicemia, DIC, birth asphyxia and birth trauma like cephalohematoma and subaponeurotic
hemorrhage were excluded.
hemorrhage in the 1990s: a 3-year surveillance.
Since the subaponeurotic
space has no containing membranes nor boundaries, the subgaleal hematoma may extend from the orbital ridges to the nape of the neck.
Subgaleal hematoma, also known as subaponeurotic hemorrhage, is a serious complication of birth that is associated with vacuum-assisted delivery.
Subgaleal hematoma; subaponeurotic hemorrhage; hematoma; infant, newborn; vacuum extraction, obstetrical; disseminated intravascular coagulation.
This may be happening because of trickling of oedema fluid from subaponeurotic
space of scalp into the eyelids and periorbital region.