A while ago I just came from the second part of hernias course organized by the English Association of Surgeons. The truth is that it has been pretty good. In principle, when I chose the specialty, not a disease that I call special attention. One day, outgoing call, I saw that he operated a giant hernia, and asked permission to wash with my deputies, so I stayed. Had just spent the summer and did not know that most teachers at all my attachments is leading the wall section. As a teacher is very good, not limited to trade or ask, I explain why every gesture he makes, and has enough patience with young people. The truth is that each is the best at something, I'll tell you what, if irrelevant.
The anatomy of the inguinal canal is one of the things that sometimes I've studied since I started the race and had anatomy as a subject. There is therefore a topic that I feel safe. Sure there are some among my readers to understand. The fact is that I liked, and came home wanting to take a peach or pineapple juice (it's a ritual I usually do before entering the operating room) and put next to one of my deputies to operate a hernia. Direct Indirect, Mixed or pants, femoral, obturator (they do not, they are usually surgical emergencies) ... and practice some of the 7 techniques that have taught me this afternoon ...
my mind after all these talks is that the words of one of the great, if it is difficult're doing it wrong, and I find this the easiest of all techniques is the most times I've seen it done, the technique of Lichtenstein Rutkow or second choice for the anterior approach.
Questionable anatomical repair for young men, Shouldice for example. On the way back, I loved PTSD, who had not yet seen done before, and another option is Nyhus. Stoppa and TAAP are not techniques that choose the first option, although Stoppa in relapsed and hands with many anatomical knowledge can be a good option. In general this is the order in which choose each technique after the talks today, but well, as we have seen each has its instructions ...
I was struck by the debate that has been established on the type of anesthesia (it will be because I'm rotating through there), but it seems that the MBE shows that the best option is local anesthesia and sedation, and yet, the most Spain are used in spinal techniques. At this point we have seen department heads at some hospitals could be treated as R1, the moderator, which has given lot of life to the subject, making us laugh, keep the focus and have a good time.
Finally, another thing that I've wanted to do is to read more about it, and review statistics for my hospital, to see what we are doing: Rate of recurrences, neuralgia, post-surgery complications in general and We are also post-anesthetic complications according to the technique. Types of screens, there are so many interesting topics in this pathology can be approached in myriad ways.
I think one of the things I like about this surgery is that the results are physically obvious. You can operate guts, but then the light that remains is the healing of the wall. Surgery wall, is partly aesthetic but that is not their primary objective.
Anyway, as when one leaves home without a win and just having fun, I have discovered in the area of \u200b\u200bthe wall something that can be exciting. Or maybe it just because I like everything in surgery ...
Saturday night November 27 in a well-known in our city, was held dinner literary awards for the XXXV Hispanic American poetry contest "Luis Chamizo" and XXVIII nacionald stories Contest "Antonio Reyes Huertas" sponsored by the Home Extremadura Zaragoza with the collaboration of the Junta de Extremadura. 
d istendido. 
Fernando Gracia, was agreed to fall on the Work "Six boxes" of D. Miguel Angel Gonzalez Gonzalez, who lives in Madrid and Honorable Mention to Work "Liver" that is D. Author Miguel Sánchez Robles resident in Caravaca de la Cruz (Murcia). 
