37,868 results match your criteria Abdominal Hernias


A Biomechanical Analysis of Prophylactic Mesh Reinforced Porcine Laparotomy Incisions.

J Surg Res 2022 May 23;278:196-205. Epub 2022 May 23.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address:

Introduction: Research indicates that prophylactic mesh may help prevent incisional hernia after laparotomy, but best practice patterns in these situations are still evolving. Here, we compare the failure loads (FLs) and biomechanical stiffness (BMS) of 35 porcine abdominal wall laparotomy incisions reinforced with meshes of various widths and fixation distances using biomechanical testing.

Methods: In each specimen, a 10-cm incision was made and closed using continuous 1-0 Maxon suture. Read More

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Video-assisted thoracoscopic diaphragmatic plication.

Multimed Man Cardiothorac Surg 2021 Aug 26;2021. Epub 2021 Aug 26.

Thoracic Surgery Department, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.

The authors demonstrate a video-assisted thoracoscopic surgical technique for diaphragmatic plication, which is used to treat acquired diaphragmatic paralysis resulting from injury to the phrenic nerve. The objective of the surgical procedure is to return the abdominal contents to their normal position and restore optimal lung expansion by reducing the size of the diaphragmatic surface. Successful diaphragmatic plication improves lung function, reduces dyspnea, and restores quality of life. Read More

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Preparation and Biocompatibility Study of Contrast-Enhanced Hernia Mesh Material.

Tissue Eng Regen Med 2022 May 25. Epub 2022 May 25.

Department of Gastrointestinal Surgery, Affiliated Hospital of Nantong University, No. 20 Xisi Road, Chongchuan District, Nantong, 226000, China.

Background: Meshes play a crucial role in hernia repair. However, the displacement of mesh inevitably leads to various associated complications. This process is difficult to be traced by conventional imaging means. Read More

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Robotic retromuscular abdominal wall repair using an inverted TEP (iTEP) approach: surgical technique and short-term outcomes.

Langenbecks Arch Surg 2022 May 25. Epub 2022 May 25.

Department of General and Abdominal Surgery, AZ Damiaan, Gouwelozestraat 100, 8400, Ostend, Belgium.

Purpose: Robotic retromuscular abdominal wall repair (RAWR) for ventral hernias can be performed transabdominal or extraperitoneal by using an enhanced view totally extraperitoneal repair (eTEP). For defects in the meso- or epigastric region, an inverted approach can be used, starting the development of the totally extraperitoneal plane in the suprapubic region and progressing in a caudal-to-cranial direction (inverted TEP, iTEP). The aim of the study is to present the surgical technique and to report the short-term outcomes. Read More

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Ruptured Ovarian Cyst Masking Diagnosis of Hernia Through Broad Ligament of Uterus: A Case Report.

J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096221100500

Department of Obstetrics and Gynecology, South Georgia Medical Center, Valdosta, GA, USA.

Small bowel obstruction is a common surgical emergency and frequent cause of hospitalization. Internal hernias account for less than 6% of all small bowel obstruction cases. Less frequently, hernias through the broad ligament of the uterus can occur and account for only 4-7% of total internal hernia cases. Read More

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Combined endoscopic and radiologic intervention for management of acute perforated peptic ulcer: a randomized controlled trial.

World J Emerg Surg 2022 May 24;17(1):24. Epub 2022 May 24.

Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Background: Peptic ulcer perforation is a common life-threatening surgical emergency. Graham omental patch is performed for plugging of perforated peptic ulcer. Many endoscopic methods have been used to treat acute perforated peptic ulcer such as over the scope clips, standard endoscopic clips, endoscopic sewing and metallic stents. Read More

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Discitis due to late-onset mesh infection 14 years after inguinal hernia repair: a case report.

Surg Case Rep 2022 May 25;8(1):102. Epub 2022 May 25.

Digestive Surgery, Yokohama Asahi Chuo General Hospital, 4-20-1, Wakabadai, Asahi-ku, Yokohama, 241-0801, Japan.

Background: Mesh infection after inguinal hernia repair is a very rare complication. The incidence of late-onset mesh infection is approximately 0.1-0. Read More

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Effect of ketorolac tromethamine combined with dezocine prior administration on hemodynamics and postoperative analgesia in patients undergoing laparoscopic hernia repair.

Medicine (Baltimore) 2022 May 20;101(20):e29320. Epub 2022 May 20.

Department of Anesthesiology, No. 980 Hospital of Joint Logistic Support Force (Bethune International Peace Hospital), Shijiazhuang, China.

Objective: To observe the effect of Ketorolac tromethamine combined with dezocine prior administration on hemodynamics and postoperative sedation in patients undergoing laparoscopic hernia repair.

Methods: 100 male patients aged 60 to 80 years old, a line to elective laparoscopic inguinal hernia repair, were randomly divided into four groups: control group (Group A) and dezocine group (Group B), ketorolac tromethamine group (Group C), ketorolac tromethamine combined with dezocine group (Group D). Patients were administrated with 0. Read More

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Management of Acutely Symptomatic Hernia (MASH) study.

Br J Surg 2022 May 24. Epub 2022 May 24.

Academic Directorate of General Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

Background: Acutely symptomatic abdominal wall and groin hernias are a common reason for acute surgical hospital admissions. There are limited data to guide the treatment of these patients. This study aimed to assess outcomes of emergency hernia surgery and identify common management strategies, to improve care for these high-risk patients. Read More

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Local Instrumental Variable Methods to Address Confounding and Heterogeneity when Using Electronic Health Records: An Application to Emergency Surgery.

Med Decis Making 2022 May 24:272989X221100799. Epub 2022 May 24.

Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.

Background: Electronic health records (EHRs) offer opportunities for comparative effectiveness research to inform decision making. However, to provide useful evidence, these studies must address confounding and treatment effect heterogeneity according to unmeasured prognostic factors. Local instrumental variable (LIV) methods can help studies address these challenges, but have yet to be applied to EHR data. Read More

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Intestinal occlusion due to Burkitt lymphoma: an unusual cause.

Rev Esp Enferm Dig 2022 May 24. Epub 2022 May 24.

Aparato Digestivo, Hospital Universitario Miguel Servet.

We present the case of a 37-year-old Caucasian woman, with no history of interest, who came to the emergency room for an occlusive condition of 24 hours' evolution. The patient reported a weight loss of 12 kg in the last month, as well as the appearance of a lump in the left breast in the last week. A chest-abdominal CT scan revealed multiple solid-appearing nodules in the left breast, a metastatic liver lesion, and a tumor-like mass in the right iliac fossa measuring 90x60 mm. Read More

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Risk factors of incisional hernia after laparoscopic colorectal surgery with periumbilical minilaparotomy incision: a propensity score matching analysis.

J Minim Invasive Surg 2022 Mar;25(1):24-31

Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.

Purpose: Incisional hernia is one of the most common complications after abdominal surgery conducted through a midline incision. Considerable debate remains regarding the design, comorbidity, suture material, and method. We investigated the risk factors for incisional hernia after laparoscopic colorectal surgery in the presence of limited surgery-related factors. Read More

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Prevention and management of intraoperative complication during single incision laparoscopic totally extraperitoneal repair.

J Minim Invasive Surg 2022 Mar;25(1):36-39

Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

Serious complications related to hernia surgeries have rarely been reported. One meta-analysis comparing laparoscopic and open mesh repair reported that 0.4% of potentially serious operative complications were reported. Read More

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Risk of incisional hernia after laparoscopic colorectal surgery: surgeon's worries and challenges.

Authors:
Byung Mo Kang

J Minim Invasive Surg 2022 Mar;25(1):9-10

Department of Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.

The incidence and risk factors of incisional hernia after laparoscopic surgery for colorectal disease have not yet been fully investigated. The surgeon should always consider several potential risk factors of incisional hernia when closing the abdominal wall in laparoscopic colorectal surgery. Read More

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Clinical features of internal hernia after gastrectomy for gastric cancer.

J Minim Invasive Surg 2021 Mar;24(1):18-25

Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.

Purpose: Internal hernia after gastrectomy is a rare but potentially life-threatening condition without surgical intervention. Clinical risk factors of internal hernia should, hence, be reviewed after gastrectomy. From 2008 to 2018, patients who underwent gastrectomy for gastric cancer were investigated. Read More

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Incisional hernia after minimally invasive gastrectomy in gastric cancer patients.

J Minim Invasive Surg 2021 Jun;24(2):84-90

Department of Surgery, National Cancer Center, Goyang, Korea.

Purpose: Although there are several studies on the incidence and risk factors for incisional hernia (IH) after open surgery, data about IH after minimally invasive surgery (MIS) for gastric cancer is rare. This study aimed to identify the incidence and risk factors for IH after MIS in gastric cancer patients.

Methods: We analyzed the clinicopathologic data of patients who had laparoscopic or robotic gastric cancer surgeries between January 2006 and July 2019 at National Cancer Center, South Korea. Read More

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Laparoscopic Pediatric Inguinal Hernia Repair; Intracorporeal Purse-String Suture Using Needlescopic 2-mm Instruments.

J Minim Invasive Surg 2020 Mar;23(1):30-35

Department of Surgery, College of Medicine, Kyung Hee University, Seoul, Korea.

Purpose: Two-millimeter needlescopic instruments induce minimal damage to the abdominal wall and have excellent cosmetic benefits. We aimed to evaluate the feasibility of a laparoscopic intracorporeal suture using 2-mm instruments for pediatric inguinal hernia.

Methods: We retrospectively reviewed 131 patients who underwent laparoscopic repair between March 2011 and February 2017. Read More

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Umbilical Port Site Hernia and Diastasis Recti.

J Minim Invasive Surg 2020 Jun;23(2):80-85

Department of Surgery, Chungnam National University College of Medicine, Chungnam National University Hospital, Daejeon, Korea.

Purpose: The port site hernia (PSH) is a specific type of incisional hernia related to the trocar sites of laparoscopic surgery. Diastasis recti of the abdominis muscle (DR) is the separation of the rectus muscle by a certain distance. The present study aims to present our experience with umbilical PSH and concomitant DR and to raise awareness of DR as one of the risk factors of umbilical PSH. Read More

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[Preliminary experience with double-tract reconstruction combined with π-shaped esophagojejunal anastomosis after total laparoscopic proximal gastrectomy for the treatment of adenocarcinoma of esophagogastric junction].

Zhonghua Wei Chang Wai Ke Za Zhi 2022 May;25(5):440-446

Department of General Surgery, First Medical Center, Chinese PLA General Hospital, Beijing 100853, China.

To explore the feasibility and preliminary technical experience of the double-tract reconstruction combined with π-shaped esophagojejunal anastomosis after total laparoscopic proximal gastrectomy (TLPG) in the treatment of adenocarcinoma of esophagogastric junction (AEG). A descriptive case series study method was used. Clinical data of 12 AEG patients who underwent the double-tract reconstruction combined with π-shaped esophagojejunal anastomosis after TLPG from January 2021 to June 2021 at the Department of General Surgery, First Medical Center, PLA General Hospital were retrospectively analyzed. Read More

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[Overlap esophagojejunostomy with multi-mode modifications in totally laparoscopic total gastrectomy: safety and feasibility of 152 cases from a single center].

Zhonghua Wei Chang Wai Ke Za Zhi 2022 May;25(5):433-439

Department of General Surgery, The Second Affiliated Hospital, Air Force Medical University, Xi'an 710038, China.

Currently, the Overlap anastomosis is one of the most favored reconstruction methods of intracorporeal esophagojejunostomy (EJS). Despite many advantages of the method, it remains some shortcomings to be improved when it comes to the retraction of the esophagus stump, the insertion of the anvil fork of the linear stapler into a "pseudo" lumen, and the closure of the common entry hole. This study aims to investigate the safety and feasibility of a multi-mode modified Overlap anastomosis. Read More

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[Technical details of gastrointestinal reconstruction using linear stapler in totally laparoscopic total gastrectomy].

Authors:
X L He P Gao N Wang

Zhonghua Wei Chang Wai Ke Za Zhi 2022 May;25(5):378-384

Department of General Surgery, The Second Affiliated Hospital, Air Force Medical University, Xi'an 710038, China.

With the development of instrument, equipment and surgical skills, especially the emergence of a series of high-level medical evidence, the laparoscopic techniques in the field of gastric surgery has been further expanded. Totally laparoscopic total gastrectomy (TLTG) has certain technical difficulties, and more challenges are reflected in the digestive tract reconstruction. The use of linear staplers has reduced the difficulty of digestive tract reconstruction to a certain extent and has strongly promoted the transition from laparoscopic-assisted total gastrectomy to TLTG. Read More

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[Strangulation of the appendix in an inguinal hernia sac in children].

Authors:
A E Solov'ev

Khirurgiia (Mosk) 2022 (5):81-85

Ryazan State Medical University, Ryazan, Russia.

Objective: To study the features of the clinic and treatment of children with infringement of the appendix in inguinal hernias in children.

Material And Methods: We observed 12 children with the localization of the appendix in the right inguinal hernia. Four of them had an infringement of the appendix: two with inguinal hernia, two with sliding inguinal and femoral hernias. Read More

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Meckel's diverticulum causing acute intestinal obstruction: A case report and comprehensive review of the literature.

Ann Med Surg (Lond) 2022 Jun 7;78:103734. Epub 2022 May 7.

Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA.

Introduction: Meckel's diverticulum is a congenital anomaly that is often detected incidentally. When it presents symptomatically, it causes painless gastrointestinal bleeding. Nevertheless, in rare instances, it can cause acute intestinal obstruction, often obscuring the true clinical picture. Read More

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Accidental peritoneum-cutaneous fistula after insufflation of preoperative progressive pneumoperitoneum in a large incisional hernia with loss of domain.

BMJ Case Rep 2022 May 19;15(5). Epub 2022 May 19.

General Surgery, Hospital La Fe, Valencia, Comunidad Valenciana, Spain.

Preoperative progressive pneumoperitoneum has represented an important advancement in achieving the reintroduction of large herniated volumes into the abdominal cavity. However, this technique is not free of complications. We present a case of a man in his 70s with an accidental peritoneal-cutaneous fistula, secondary to the excessive pressure of the pneumoperitoneum, during the preparation of a large incisional hernia with loss of domain intervention. Read More

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Effectiveness of emergency surgery for five common acute conditions: an instrumental variable analysis of a national routine database.

Anaesthesia 2022 May 19. Epub 2022 May 19.

Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.

The effectiveness of emergency surgery vs. non-emergency surgery strategies for emergency admissions with acute appendicitis, gallstone disease, diverticular disease, abdominal wall hernia or intestinal obstruction is unknown. Data on emergency admissions for adult patients from 2010 to 2019 at 175 acute National Health Service hospitals in England were extracted from the Hospital Episode Statistics database. Read More

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DECOMP Report: Answers surgeons expect from an abdominal wall imaging exam.

Rev Col Bras Cir 2022 27;49:e20223172. Epub 2022 Apr 27.

- Universidade Federal do Rio Grande do Sul, Cirurgia - Porto Alegre - RS - Brasil.

Abdominal wall (AW) hernias are a common problem faced by general surgeons. With an essentially clinical diagnosis, abdominal hernias have been considered a simple problem to be repaired. However, long-term follow-up of patients has shown disappointing results, both in terms of complications and recurrence. Read More

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Biologic vs Synthetic Mesh for Parastomal Hernia Repair: Post Hoc Analysis of a Multicenter Randomized Controlled Trial.

J Am Coll Surg 2022 May 17. Epub 2022 May 17.

. Department of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, Cleveland, Ohio.

Background: Parastomal hernias are often repaired with mesh to reduce recurrences, but the presence of an ostomy increases the wound class from clean to clean-contaminated/contaminated and makes the choice of mesh more controversial than in a strictly clean case. We aimed to compare the outcomes of biologic and synthetic mesh for parastomal hernia repair.

Study Design: This is a post hoc analysis of parastomal hernia repairs in a randomized trial comparing biologic and synthetic mesh in contaminated ventral hernia repairs. Read More

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Impact of insurance type in postoperative emergency department utilization and clinical outcomes following ventral hernia repair (VHR).

Surg Endosc 2022 May 18. Epub 2022 May 18.

Center for Abdominal Core Health, Department of Surgery, Ohio State University Wexner Medical Center, 181 Taylor Avenue, 11th Floor, Suite 1102A, Columbus, OH, 43203, USA.

Background: Access to care and barriers to achieving health equity remain persistent and prevailing issues in the USA, particularly for low socioeconomic (L-SES) populations. Previous studies have shown that public insurance (a surrogate marker for L-SES) is an independent predictor of emergent hernia repair. However, the impact of insurance type on postoperative healthcare utilization, including emergency department (ED) care, following ventral hernia repair (VHR) remains unknown. Read More

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Negative pressure therapy in abdominal wall surgery.

Cir Esp (Engl Ed) 2022 May 15. Epub 2022 May 15.

Unidad de Cirugía de Pared Abdominal, Hospital Universitari i Politècnic La Fe, Universidad de Valencia, Valencia, Spain.

Negative pressure wound therapy (NPWT) is widely known in surgical practice. The initial indications for NPWT were chronic wounds, especially diabetic foot, vascular and decubitus ulcers, and infected traumatic wounds. Nowadays, the use has been widely increased. Read More

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Risk Factors for Conversion in Laparoscopic Totally Extraperitoneal Inguinal Hernioplasty.

Surg Laparosc Endosc Percutan Tech 2022 Apr 25. Epub 2022 Apr 25.

Department of General Surgery, Bakirkoy Dr. Sadi Konuk Training and Research Hospital.

Background: Conversion is a surgical concern because the surgical technique can change during surgery. Surprisingly, there is no study in the literature on the causes and risk factors leading to conversion in laparoscopic total extraperitoneal inguinal repair (TEP). There is also no consensus on the prevention and causes of this condition in TEP. Read More

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