35,774 results match your criteria Abdominal Hernias


Analysis of Pediatric Surgery Using the National Healthcare Insurance Service Database in Korea: How Many Pediatric Surgeons Do We Need in Korea?

J Korean Med Sci 2021 May 10;36(18):e116. Epub 2021 May 10.

Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: In the past, general surgeons (GSs) without a pediatric surgical subspecialty often performed surgery on children and, even now, GSs are performing many pediatric surgeries. We aimed to investigate the involvement of pediatric surgeons (PSs) and GSs in pediatric surgery, compare the outcomes of surgery in the neonatal intensive care unit (NICU), and estimate the appropriate PS workforce in Korea.

Methods: We used surgical data from the National Health Insurance Service database that was collected from patients under the age of 19 years in hospitals nationwide from January 2002 to December 2017. Read More

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Falciform Ligament Flap as Crural Buttress in Laparoscopic Hiatal Hernia Repair.

J Laparoendosc Adv Surg Tech A 2021 May 7. Epub 2021 May 7.

Division of General and Foregut Surgery, Department of Biomedical Sciences for Health, IRCCS Policlinico San Donato, University of Milan, San Donato Milanese (Milano), Italy.

Crural repair is an essential technical component in laparoscopic hiatal hernia surgery, but there is no consensus regarding the optimal method to prevent postoperative hernia recurrence. Mesh augmentation, especially with permanent materials, is associated with dysphagia and complications. The rotational falciform ligament flap (FLF) has been reported to be effective in reinforcing standard suture closure of the hiatus. Read More

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A Rare Case of Small Bowel Obstruction Due to Sunflower Seeds Consumption in an Adult.

Cureus 2021 Apr 6;13(4):e14330. Epub 2021 Apr 6.

Internal Medicine, Northwestern Medicine McHenry Hospital, Rosalind Franklin University of Medicine and Science, McHenry, USA.

Small bowel obstruction can occur due to multiple etiologies, including intra-abdominal adhesions, hernias, strictures, Crohn's disease, and malignancies. An infrequent cause of small bowel obstruction can be seed bezoars. We present a case of a 72-year-old male who presented to the emergency department with a clinical picture of small bowel obstruction without any apparent risk factors for this condition. Read More

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Preoperative physiological esophageal assessment for anti-reflux surgery: A guide for surgeons on high-resolution manometry and pH testing.

World J Gastroenterol 2021 Apr;27(16):1751-1769

Department of Gastroenterology, Albany Medical Center, Schenectady, NY 12309, United States.

Gastroesophageal reflux disease (GERD) is one of the most commonly encountered digestive diseases in the world, with the prevalence continuing to increase. Many patients are successfully treated with lifestyle modifications and proton pump inhibitor therapy, but a subset of patients require more aggressive intervention for control of their symptoms. Surgical treatment with fundoplication is a viable option for patients with GERD, as it attempts to improve the integrity of the lower esophageal sphincter (LES). Read More

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Multilayer fibroin/chitosan oligosaccharide lactate and pullulan immunomodulatory patch for treatment of hernia and prevention of intraperitoneal adhesion.

Carbohydr Polym 2021 Aug 12;265:118066. Epub 2021 Apr 12.

Department of Biotechnology, Middle East Technical University, Ankara, 06800, Turkey; Department of Engineering Sciences, Middle East Technical University, Ankara, 06800, Turkey; BIOMATEN Center of Excellence in Biomaterials and Tissue Engineering, Middle East Technical University, Ankara, 06800, Turkey. Electronic address:

This study aims to develop a novel intraperitoneal two- or three-layered patch with immunomodulatory property for treatment of hernia, regeneration of abdominal wall and prevention of intraperitoneal adhesions. Polypropylene (PP) mesh, middle layer, was intended to provide mechanical support whereas pullulan (PUL) hydrogel coating layer was designed to prevent intraperitoneal adhesions. Fibroin/chitosan oligosaccharide lactate (F/COS) layer electrospun on one side of pullulan was chosen for immunomodulation and abdominal wall regeneration. Read More

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The protective effects of topiramate on intestinal injury induced with infrarenal aortic occlusion via oxidative stress and apoptosis.

Clin Exp Hypertens 2021 May 10:1-6. Epub 2021 May 10.

Department of General Surgery, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.

: Prolonged surgical procedures and some clinical conditions such as surgeries of thoracoabdominal aorta, mesenteric ischemia, cardiopulmonary bypass, strangulated hernias and neonatal necrotizing enterocolitis may cause decreased perfusion and injury of relevant organs and tissues. After reperfusion, injuries may get worse, leading to ischemia-reperfusion (I/R) injury. Reperfusion following arterial clamping allows oxygen to ischemic tissues and produce injury by multiple mechanisms, including neutrophilic infiltration, intracellular adhesion molecules, and generation of reactive oxygen radicals. Read More

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Laparoscopic repair of perineal hernia without suture fixation.

Colorectal Dis 2021 May 8. Epub 2021 May 8.

Chief of Department, General and Digestive Surgery, Hospital Universitari Arnau de Vilanova, Lleida, Spain.

We present the case of a 76 years old lady with a perineal hernia after an abdominoperineal resection for a locally advanced rectal cancer with prior neoadjuvant chemo-radiotherapy. She had a hysterectomy because of myomas. 6 months after the operation, she complained of perineal discomfort, physical examination and a CT-scan demonstrated a perineal hernia. Read More

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The effect of the COVID pandemic lockdown measures on surgical emergencies: experience and lessons learned from a Greek tertiary hospital.

World J Emerg Surg 2021 May 7;16(1):22. Epub 2021 May 7.

Emergency and Trauma Surgery, Maggiore Hospital, Parma, Italy.

Background: The COVID-19 pandemic caused a rise in healthcare demands leading to significant restructuring of hospital emergency departments worldwide. The aim of the present study is twofold: firstly, to discern any differences in regard to reason for surgical emergency department (SED) attendance and hospital admission during the pandemic and pre-pandemic eras in Greece, and secondly, to assess the impact of the lockdown measures implemented during the pandemic on SED patient attendance.

Methods: Since the beginning of the COVID-19 pandemic in Greece (1 March 2020) and up to 15 December 2020, the charts of all adult patients arriving at the SED of the third surgical department of the "Attikon" University Hospital (a tertiary referral center for surgical and COVID-19 cases) were retrospectively reviewed and broken down in four periods reflecting two nationwide lockdown (period A 1/3/2020 to 30/4/2020 and period D 16/10/2020 to 15/12/2020) and two interim (period B 1/5/2020 to 15/6/2020 and period C 15/9/2020 to 30/10/2020) periods. Read More

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The advantage of laparoscopic surgery in the treatment of Spigelian hernia: A report of two cases.

Int J Surg Case Rep 2021 Apr 27;82:105903. Epub 2021 Apr 27.

Department of Surgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama 330-8503, Japan. Electronic address:

Introduction And Importance: The usefulness of laparoscopic surgery in the treatment of Spigelian hernias and the appropriate insufflation pressure remains unclear.

Case Presentation: Case 1 involved an 81-year-old woman presented with a right abdominal protrusion. CT scan demonstrated a defect in the abdominal wall at the lateral edge of the right rectus abdominis muscle. Read More

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Case Report: Bowel Occlusion Following the Use of Barbed Sutures in Abdominal Surgery. A Single-Center Experience and Literature Review.

Front Surg 2021 20;8:626505. Epub 2021 Apr 20.

Institute for Maternal and Child Health, Istituto di Ricovero e Cura a Carattere Scientifico "Burlo Garofolo", Trieste, Italy.

A high level of surgical ability is required to perform endoscopic knot tying. Barbed sutures help in avoiding this procedure, thus reducing intraoperative time and lowering blood loss and hospitalization time when compared to traditional sutures. Some cases of bowel occlusion following the use of barbed sutures have been described in literature. Read More

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[Postoperative Inguinal Hernia after Robot-Assisted Radical Prostatectomy with Prevention Technique Using Spermatic Cord Isolation].

Hinyokika Kiyo 2021 Mar;67(3):91-95

The Department of Urology, Hiroshima City Asa Hospital.

We retrospectivelyevaluated postoperative inguinal hernias (PIHs) after robot-assisted radical prostatectomy(RARP) with a technique for preventing hernias byspermatic cord isolation. Among the RARPs performed from 2016 to 2018, 191 cases were evaluated 12 or more months after surgery. In all the cases, the peritoneum was isolated from the spermatic cord by5 cm or more as a hernia prevention technique during RARP. Read More

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Top 100 Most Influential Manuscripts in Congenital Abdominal Pediatric Surgery: A Bibliometric Analysis.

J Indian Assoc Pediatr Surg 2021 Jan-Feb;26(1):6-10. Epub 2021 Jan 11.

Department of Cardiothoracic Surgery, University Hospitals, Coventry and Warwickshire, Coventry, UK.

Bibliometric analysis identifies the most influential manuscripts that shape our understanding of various congenital gastrointestinal pathologies. This study sets out to analyse the 100 most cited manuscripts on congenital gastrointestinal surgery. The Thomson Reuters Web of Science database was searched for all manuscripts relevant to paediatric congenital gastrointestinal surgery. Read More

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January 2021

Massive traumatic abdominal wall hernia with significant tissue loss: challenges in management.

BMJ Case Rep 2021 May 5;14(5). Epub 2021 May 5.

Department of Surgery, Division of General Surgery, University of Toronto, Unity Health Toronto, Toronto, Ontario, Canada

A 41-year-old woman presented to our trauma centre following a high-speed motor vehicle collision with a seatbelt pattern of injury resulting in extensive rupture of her abdominal wall musculature and associated hollow viscus injuries. The abdominal wall had vertical separation between transected rectus, bilateral transverse abdominis and oblique muscles allowing evisceration of small and large bowel into the flanks without skin rupture. Intraoperatively, extensive liquefaction and tissue loss of the abdominal wall was found with significant retraction of the remaining musculature. Read More

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QUALITY OF LIFE AFTER INGUINAL HERNIA REPAIR.

Pol Przegl Chir 2021 Mar;93(3):1-5

Fellow, Surgical Oncology The Cancer Foundation Hospital, Karachi, Pakistan.

Objectives: Inguinal hernias are the most commonly presented abdominal hernias with approximately 20 million people operated annually throughout the world. Severe chronic pain after hernia repair effects social life, daily activity and overall quality of life. The Short Form-36 is (SF-36) a validated indicator of overall health status. Read More

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Decalogue of Transversus Abdominis Release Repair- Technical Details and Lessons Learnt.

Pol Przegl Chir 2021 Mar;93(2):16-25

Department of General Surgery Seth G.S. Medical College & KEM Hospital Parel, Mumbai, India.

Background Posterior component separation (PCS) via transversus abdominis release (TAR) technique overcomes the pitfalls of traditionally described repairs. We evaluate the safety and efficacy of this approach and present the lessons we have learnt in our experience with a large series of complex ventral hernias. We also evaluate the importance of pre-operative optimisation and the value of a dedicated abdominal wall reconstruction (AWR) team in improving the surgical outcomes. Read More

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Scar endometriosis diagnosed as incisional hernia before surgery.

BMJ Case Rep 2021 May 4;14(5). Epub 2021 May 4.

Obstetric Gynecology, Gatot Soebroto Army Central Hospital, Central Jakarta, Jakarta, Indonesia.

Scar endometriosis is a rare condition highly related to history of abdominal surgery. Due to the low incidence, it is often misdiagnosed. A woman presented to the surgery outpatient clinic with a mass near her C-section scar. Read More

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A Clinical Study of Minilaparoscopy in the Treatment of Cryptorchidism with an Ipsilateral Inguinal Hernia.

J Laparoendosc Adv Surg Tech A 2021 May 4. Epub 2021 May 4.

Department of Hernia and Abdominal Wall Surgery, Capital Medical University, Beijing Chaoyang Hospital, Beijing, P. R. China.

The aim of this study was to investigate the safety and efficacy of performing minilaparoscopy compared with standard laparoscopy in the treatment of cryptorchidism with an ipsilateral inguinal hernia. In total, 46 patients with cryptorchidism and an ipsilateral inguinal hernia were admitted to the Urology and Hernia and Abdominal Wall Surgery Departments of Beijing Chaoyang Hospital between October 2009 and July 2019. They were assigned to two groups: Group M and Group S. Read More

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Open abdomen in the management of complicated diaphragmatic hernia: a case report.

Acta Biomed 2021 Apr 30;92(S1). Epub 2021 Apr 30.

Emergency Surgery Unit, Parma University Hospital.

Diaphragmatic hernia (DH) can be congenital or acquired. DH is a potentially life-threatening condition and the management in emergency setting remain unclear. Nonspecific symptoms can delay the diagnosis. Read More

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Polyester Mesh Functionalization with Nitric Oxide-Releasing Silica Nanoparticles Reduces Early Methicillin-Resistant Contamination.

Surg Infect (Larchmt) 2021 Apr 30. Epub 2021 Apr 30.

Houston Methodist Research Institute, Houston, Texas, USA.

Infected hernia mesh is a cause of post-operative morbidity. Nitric oxide (NO) plays a key role in the endogenous immune response to infection. We sought to study the efficacy of a NO-releasing mesh against methicillin-resistant (MRSA). Read More

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Biomarkers and heterogeneous fibroblast phenotype associated with incisional hernia.

Mol Cell Biochem 2021 May 4. Epub 2021 May 4.

Department of Translational Research, Western University of Health Sciences, 309 E. Second Street, Pomona, CA, 91766, USA.

Development of incisional hernia (IH) is multifactorial but inflammation and abdominal wall ECM (extracellular matrix) disorganization are key pathological events. We investigated if the differential expression of fibroblast biomarkers reflects the cellular milieu and the dysregulated ECM in IH tissues. Expression of fibroblast biomarkers, including connective tissue growth factor, alpha-smooth muscle actin (α-SMA), CD34 (cluster of differentiation 34), cadherin-11 and fibroblast specific protein 1 (FSP1), was examined by histology and immunofluorescence in the hernial-fascial ring/neck tissue (HRT) and hernia sack tissue (HST) harvested from the patients undergoing hernia surgery and compared with normal fascia (FT) and peritoneum (PT) harvested from brain-dead healthy subjects undergoing organ procurement for transplantation. Read More

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Keyhole versus Sugarbaker techniques in parastomal hernia repair following ileal conduit urinary diversion: a retrospective nationwide cohort study.

BMC Surg 2021 May 3;21(1):231. Epub 2021 May 3.

Division of Surgery, Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland.

Background: Previous research on parastomal hernia repair following ileal conduit urinary diversion is limited. This nationwide cohort study aims to present the results of keyhole and Sugarbaker techniques in parastomal hernia repair in the setting of ileal conduit urinary diversion.

Method: All patients in this cohort underwent primary elective parastomal hernia repair following ileal conduit urinary diversion in four university hospitals and one central hospital in Finland in 2007-2017. Read More

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Living with a hernia: A qualitative study of patient experience of abdominal wall hernias in Ndola, Zambia.

Trop Doct 2021 May 3:494755211010635. Epub 2021 May 3.

Honorary Senior Clinical Lecturer, King's Centre for Global Health and Health Partnerships, King's College London and King's Health Partners, UK.

Despite hernias being one of the most common surgical problems in low and middle income countries, very little is known about the impact that having a hernia has on the quality of life of patients in these settings. We performed a pilot study to understand how living with a hernia impacts on the quality of life. Twelve semistructured interviews were performed. Read More

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Five-millimeter Trocar Site Hernia with a Parastomal Hernia Sac: A Case Report.

J Anus Rectum Colon 2021 28;5(2):197-201. Epub 2021 Apr 28.

Department of Gastroenterological Surgery, Yokohama City University Graduate School Medicine, Yokohama, Japan.

Here, we report our experience with a 5-mm trocar site hernia (TSH) near a stoma. This is the first report describing the relationship between TSH and extraperitoneal colostomy. A 72-year-old man underwent laparoscopic abdominoperineal resection with extraperitoneal sigmoid colostomy and partial hepatectomy for rectal cancer accompanied by synchronous liver metastasis (pT3N1aM1a Stage IVA Union for International Cancer Control [UICC] 8th edition). Read More

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The Grip Concept of Incisional Hernia Repair-Dynamic Bench Test, CT Abdomen With Valsalva and 1-Year Clinical Results.

Front Surg 2021 14;8:602181. Epub 2021 Apr 14.

General, Visceral and Pediatric Surgery, Klinikum Am Gesundbrunnen, Heilbronn, Germany.

Incisional hernia is a frequent consequence of major surgery. Most repairs augment the abdominal wall with artificial meshes fixed to the tissues with sutures, tacks, or glue. Pain and recurrences plague at least 10-20% of the patients after repair of the abdominal defect. Read More

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Case Report: Late-Presenting Congenital Diaphragmatic Hernia With Tension Gastrothorax.

Front Pediatr 2021 14;9:618596. Epub 2021 Apr 14.

Train and Help Babies Organization, Dallas, TX, United States.

A congenital diaphragmatic hernia (CDH) occurs when the abdominal contents protrude into the thoracic cavity through an opening in the diaphragm. The main pathology lies in the maldevelopment or defective fusion of the pleuroperitoneal membranes. Delayed diagnosis in later childhood as in the index case reported here can lead to life-threatening complications such as tension gastrothorax and gastric volvulus. Read More

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Characteristics of Gastrointestinal Stromal Tumors incidentally discovered during abdominal surgery.

Am J Surg 2021 Apr 22. Epub 2021 Apr 22.

Helen F Graham Cancer Center and Research Institute at Christiana Care Department of General and Surgical Oncology, Newark, DE, USA.

Background: Gastrointestinal Stromal Tumors (GISTs) are rare sarcomas with 5000 new cases arising in the United States each year. Despite their low incidence, general surgeons should be familiar with GISTs since a quarter of these neoplasms are encountered incidentally.

Methods: A retrospective medical records review was conducted to create a database of all GISTs resected from January 2005 to May 2019. Read More

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Preperitoneal herniation as a complication of tansabdominal preperitoneal patch plasty: a report of two cases.

BMC Surg 2021 May 1;21(1):227. Epub 2021 May 1.

Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, No. 5 Jingyuan Road, Shijingshan District, Beijing, 100043, China.

Background: Preperitoneal herniation is a rare complication after transabdominal preperitoneal patch plasty (TAPP) and may be caused by inadequate peritoneal closure. We herein report two cases of postoperative small bowel obstruction due to preperitoneal herniation through a disrupted peritoneum.

Case Presentation: Two men in their 70s were admitted to our center because of small bowel obstruction after TAPP. Read More

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Indications and Findings of Upper Endoscopies in Males and Females, Are They the Same or Different?

J Clin Med 2021 Apr 11;10(8). Epub 2021 Apr 11.

Soroka University Medical Center, Faculty of Health Sciences, The Institute of Gastroenterology and Hepatology, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel.

Sex and gender can affect the prevalence and prognosis of diseases. Our aim was to assess similarities and differences for males and females who underwent an upper endoscopy, with regards to indications and results. We reviewed all upper endoscopy reports from 2012 to 2016. Read More

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Morphometric Analysis of Brain in Newborn with Congenital Diaphragmatic Hernia.

Brain Sci 2021 Apr 2;11(4). Epub 2021 Apr 2.

Medical Physics Department, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Congenital diaphragmatic hernia (CDH) is a severe pediatric disorder with herniation of abdominal viscera into the thoracic cavity. Since neurodevelopmental impairment constitutes a common outcome, we performed morphometric magnetic resonance imaging (MRI) analysis on CDH infants to investigate cortical parameters such as cortical thickness (CT) and local gyrification index (LGI). By assessing CT and LGI distributions and their correlations with variables which might have an impact on oxygen delivery (total lung volume, TLV), we aimed to detect how altered perfusion affects cortical development in CDH. Read More

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Stereological Lung Parameters After Fetoscopic Abdominal Decompression of Congenital Diaphragmatic Hernia in an Ovine Model: A Pilot Study.

J Laparoendosc Adv Surg Tech A 2021 Apr 28. Epub 2021 Apr 28.

Department of Pediatric Surgery, Ostschweizer Children's Hospital, St.Gallen, Switzerland.

Fetoscopic endoluminal tracheal occlusion (FETO) improves lung maturation in severe cases of congenital diaphragmatic hernia (CDH) but it does not ameliorate lung compression by herniated abdominal organs. Surgically opening the fetal abdomen (abdominal decompression [AD]) reduces the intrathoracic pressure by diverting the abdominal organs into the amniotic cavity-a probable causal therapy for lung hypoplasia and pulmonary hypertension in CDH. Open surgical abdominal decompression has been reported: we describe a minimally invasive approach in an ovine model of CDH as a probable fetoscopic intervention. Read More

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