34,361 results match your criteria Abdominal Hernias


Outcomes of Paraesophageal Hernia Repair: Analysis of the Veterans Affairs Surgical Quality Improvement Program Database.

J Gastrointest Surg 2020 Jun 4. Epub 2020 Jun 4.

Department of Surgery, Washington DC Veterans Affairs Medical Center, 50 Irving St NW, 2B-100, Washington, DC, 20422, USA.

Background: While there have been many outcome studies on paraesophageal hernia repair in the civilian population, there is sparse recent data on the veteran population. This study analyzes the mortality and morbidities of veterans who underwent paraesophageal hernia repair in the Veterans Affairs Surgical Quality Improvement Program database.

Methods: Veterans who underwent paraesophageal hernia repair from 2010 to 2017 were identified using Current Procedural Terminology codes. Read More

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http://dx.doi.org/10.1007/s11605-020-04650-2DOI Listing

Bilateral thoracic disc herniation with abdominal wall paresis: a case report.

Acta Neurochir (Wien) 2020 Jun 4. Epub 2020 Jun 4.

School of Medicine, Klinikum rechts der Isar, Neurosurgical Department, Technical University of Munich, Munich, Germany.

We present a rare case of a patient initially presenting with unilateral abdominal wall bulging and radicular pain caused by a lateral disc herniation at Th11/12, later suffering from a hernia recurrence with bilateral disc prolapse and motor deficits. The patient underwent sequesterectomy via a right hemilaminectomy at Th11, and after 8 weeks, a bilateral sequesterectomy with semirigid fusion Th11/12 was performed. Unilateral motor deficits at the thoracic level have been discussed in case reports; a bilateral disc protrusion with abdominal wall bulging occurring as a recurrent disc herniation has never been described before. Read More

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http://dx.doi.org/10.1007/s00701-020-04431-5DOI Listing

Patient-reported opioid use after open abdominal wall reconstruction: How low can we go?

Surgery 2020 Jun 2. Epub 2020 Jun 2.

Center for Abdominal Core Health, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH.

Background: Little data exist to inform discharge opioid prescribing for patients undergoing abdominal wall reconstruction. The aim of this study was to evaluate postoperative, patient-reported opioid use after abdominal wall reconstruction. We hypothesized that the majority of patients undergoing open abdominal wall reconstruction would require between 16 and 30 opioid tablets after discharge. Read More

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http://dx.doi.org/10.1016/j.surg.2020.04.008DOI Listing

Laparoscopic parastomal herniorrhaphy utilizing transversus abdominis release and a modified Sugarbaker technique: A case report.

Asian J Endosc Surg 2020 Jun 3. Epub 2020 Jun 3.

Department of Surgery, Teine Keijinkai Hospital, Sapporo, Japan.

A 69-year-old woman was referred to our department with complaints of abdominal discomfort in the standing position. She had undergone robot-assisted radical cystectomy and ileal conduit urinary diversion for bladder cancer 10 months earlier. Abdominal CT revealed a parastomal hernia. Read More

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http://dx.doi.org/10.1111/ases.12804DOI Listing

Internal hernia of the stomach associated with colostomy after laparoscopic surgery for rectal cancer: a case report.

Surg Case Rep 2020 Jun 3;6(1):127. Epub 2020 Jun 3.

Department of Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-Minamimachi, Chuo-ku, Kobe, 650-0047, Japan.

Background: Colostomy via the intraperitoneal route is often performed during laparoscopic Hartmann's operation or abdominoperineal resection. Internal hernia of the small intestine often occurs after colostomy. This report shows a rare case of internal hernia of the stomach associated with sigmoid colostomy after laparoscopic abdominoperineal resection for rectal cancer. Read More

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http://dx.doi.org/10.1186/s40792-020-00889-8DOI Listing

Laparoscopic Ventral Hernia Repair in Bariatric Patients: the Role of Defect Size and Deferred Repair.

Obes Surg 2020 Jun 4. Epub 2020 Jun 4.

General and Oncologic Surgery Department, Centre of Advanced Laparoscopic Surgery, Centre of Bariatric Surgery - San Marco Hospital GSD, Corso Europa, 7, 24040, Zingonia, BG, Italy.

Purpose: To analyze the safety of laparoscopic ventral hernia delayed repair in bariatric patients with a composite mesh.

Materials And Methods: This retrospective single-center observational trial analyzed all bariatric/obese patients with concomitant ventral hernia who underwent laparoscopic abdominal hernia repair before bariatric surgery (group A) and laparoscopic delayed repair after weight loss obtained by the bariatric procedure (group B).

Results: Group A (30 patients) had a mean BMI of 37. Read More

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http://dx.doi.org/10.1007/s11695-020-04747-2DOI Listing

Incidence of de Novo Hiatal Hernia after Laparoscopic Sleeve Gastrectomy.

Obes Surg 2020 Jun 3. Epub 2020 Jun 3.

Service of Bariatric and Metabolic Surgery, Indisa Clinic, Avenida Santa María 1810, 7520440, Santiago, Chile.

Purpose: After laparoscopic sleeve gastrectomy (LSG), several studies have reported an increase in the incidence of gastroesophageal reflux (GERD). The etiopathogenesis of GERD post-LSG is multifactorial, and hiatal hernia (HH) is one of them. The primary objective was to measure the incidence of de novo HH post-LSG. Read More

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http://dx.doi.org/10.1007/s11695-020-04742-7DOI Listing

The European Hernia Society classification applied to the rare cases of parastomal hernia after ileal conduit urinary diversion: a retrospective cohort of 96 patients.

Hernia 2020 Jun 3. Epub 2020 Jun 3.

Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue Q10, Cleveland, OH, 44195, USA.

Introduction: To determine the incidence and classification of parastomal hernia (PH) following ileal conduit urinary diversion and to identify risk factors for PH development.

Methods: We performed a retrospective review of our cystectomy database which includes benign and malignant cases from 2011-2016. Patients with an abdominal CT at 24 ± 2 months post-operation were included. Read More

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http://dx.doi.org/10.1007/s10029-020-02230-6DOI Listing

Comparison of ıncisional hernia models ın rats: an experimental study.

Hernia 2020 Jun 3. Epub 2020 Jun 3.

Department of General Surgery, University of Health Sciences, Ankara Gulhane Training and Research Hospital, Ankara, Turkey.

Purpose: Incisional hernia repair is a frequently performed operation worldwide. In this experimental study, our aim is to present the incisional hernia model after creating midline laparotomy and several type of defects on abdominal wall of the rats. Thereby, the method determined here may be used in future experimental incisional hernia repair studies. Read More

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http://dx.doi.org/10.1007/s10029-020-02234-2DOI Listing

Non-coated versus coated mesh for retrorectus ventral hernia repair: a propensity score-matched analysis of the Americas Hernia Society Quality Collaborative (AHSQC).

Hernia 2020 Jun 3. Epub 2020 Jun 3.

Cleveland Clinic Center for Abdominal Core Health, Department of General Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.

Purpose: The outcomes of utilizing anti-adhesive barrier-coated mesh in the retrorectus position during open ventral hernia repair are unknown. We compared the wound-related outcomes between non-coated (NCM) and coated mesh (CM) placed in the retrorectus space.

Methods: Patients undergoing elective, open, clean ventral hernia repair with retrorectus mesh were retrospectively identified in the Americas Hernia Society Quality Collaborative. Read More

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http://dx.doi.org/10.1007/s10029-020-02229-zDOI Listing

Re-do surgery after prosthetic abdominal wall repair: intraoperative findings of mesh-related complications.

Hernia 2020 Jun 3. Epub 2020 Jun 3.

Abdominal Wall Unit, Department of General Surgery and Specialties "Paride Stefanini", Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.

Introduction: Mesh repair is one of the most popular technique for the treatment of abdominal wall hernias, resulting in lower recurrence rates. However, it is associated with a high risk of mesh-related complications. The aim of the present study is to assess the impact of biomaterials on the intra-abdominal organs, in terms of adhesions and visceral complications, in a series of patients undergoing re-do surgery at our abdominal wall unit. Read More

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http://dx.doi.org/10.1007/s10029-020-02225-3DOI Listing

Superior lumbar hernia after gastrectomy repaired via an open approach in the prone position: A case report.

Int J Surg Case Rep 2020 May 29;71:331-334. Epub 2020 May 29.

Department of Surgery, Upper Gastrointestinal Division, Hyogo College of Medicine, Japan.

Introduction: Lumbar hernia is a rare hernia in the posterolateral abdominal wall and only about 310 cases are known to have been reported to date. Laparoscopic hernioplasty is a common surgical approach but is unsuitable for patients who have previously undergone laparotomy and are expected to have extensive visceral adhesions.

Presentation Of Case: An 84-year-old woman who had undergone an open distal gastrectomy was referred to our hospital with an enlarging but easily reducible bulge in the right upper back. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265045PMC

Maximum inspiratory and expiratory pressures in the pre and postoperative periods of patients with incisional abdominal hernia corrected by Lázaro da Silva technique.

Rev Col Bras Cir 2020 29;47:e20202430. Epub 2020 May 29.

Anesthesiology Service, Hospital Evangélico de Vila Velha, Vila Velha, ES, Brazil.

Objective: To verify the effect of longitudinal abdominal incisional herniorrhaphy on respiratory muscle pressure.

Method: The technique of incisional herniorrhaphy used was proposed by Lázaro da Silva. To measure the pressure, we used a water manometer in 20 patients, median age 48. Read More

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http://dx.doi.org/10.1590/0100-6991e-20202430DOI Listing

Abdominal wall mass suspected of endometriosis: clinical and pathologic features.

Obstet Gynecol Sci 2020 May 19;63(3):357-362. Epub 2020 Mar 19.

Department of Obstetrics and Gynecology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Objective: To evaluate the clinical and pathological characteristics of lower anterior abdominal wall masses suspicious for endometriosis.

Methods: A retrospective review of 38 patients who underwent surgery for a lower anterior abdominal wall mass suspicious for endometriosis was performed. Those with skin and intraperitoneal masses, lipomas, hernias, and metastatic malignant masses were excluded. Read More

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http://dx.doi.org/10.5468/ogs.2020.63.3.357DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231946PMC

Comparative study of collagen and elastin content of abdominal wall fascia in inguinal hernia and non-hernia patients in an African population.

Hernia 2020 Jun 2. Epub 2020 Jun 2.

Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria.

Purpose: Altered composition of collagen and elastin in abdominal fascia has been linked with the pathogenesis of hernias. This has not been studied amongst Africans who have hernia presentations which vary significantly from Caucasian cohorts. The aim of this study was to determine, and compare, the collagen and elastin contents of the transversalis fascia and rectus sheath of inguinal hernia patients with non-hernia controls. Read More

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http://dx.doi.org/10.1007/s10029-020-02238-yDOI Listing

Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review.

World J Emerg Surg 2020 Jun 1;15(1):37. Epub 2020 Jun 1.

Unit of General Surgery "V. Bonomo", Department of Biomedical Sciences and Human Oncology, University of Bari "A. Moro", Polyclinic of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Background: Giant hiatal hernia (GHH) is a condition where one-third of the stomach migrates into the thorax. Nowadays, laparoscopic treatment gives excellent postoperative outcomes. Strangulated GHH is rare, and its emergent repair is associated with significant morbidity and mortality rates. Read More

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http://dx.doi.org/10.1186/s13017-020-00316-1DOI Listing

Thermo-Responsive Antimicrobial Hydrogel for the In-Situ Coating of Mesh Materials for Hernia Repair.

Polymers (Basel) 2020 May 29;12(6). Epub 2020 May 29.

3D Printing and Biofabrication Group, Institute of Materials Science and Technology, TU Wien, 1060 Vienna, Austria.

The prophylactic coating of prosthetic mesh materials for hernia repair with antimicrobial compounds is commonly performed before implantation of the mesh in the abdominal wall. We propose a novel alternative, which is a rifampicin-loaded thermo-responsive hydrogel formulation, to be applied on the mesh after its implantation. This formulation becomes a gel in-situ once reached body temperature, allowing an optimal coating of the mesh along with the surrounding tissues. Read More

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http://dx.doi.org/10.3390/polym12061245DOI Listing

Gastric volvulus and giant Bochdalek hernia in an adult patient that were safely repaired by endoscopic reduction and elective laparoscopic surgery.

Asian J Endosc Surg 2020 Jun 2. Epub 2020 Jun 2.

Department of Surgery, Higashi-Ohmi General Medical Center, Higashiomi, Japan.

A Bochdalek hernia (BH) is a congenital abnormality with incomplete closure of the diaphragm. It is usually manifested in infants but rarely in adults. Here, we report an adult patient with gastric volvulus and giant BH that were safely repaired by endoscopic reduction and elective laparoscopic surgery, respectively. Read More

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http://dx.doi.org/10.1111/ases.12806DOI Listing

Mesosalpinx hernia of the sigmoid colon: A cause of lower abdominal pain in women.

Clin Case Rep 2020 May 26;8(5):855-857. Epub 2020 Feb 26.

Emergency and Critical Care Center Kurashiki Central Hospital Kurashiki Okayama Japan.

Diseases of the uterus and adnexa uteri should be considered when evaluating female patients with lower abdominal pain. Diseases caused by defects in the supporting ligaments of the female reproductive system should also be considered. Read More

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http://dx.doi.org/10.1002/ccr3.2754DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250968PMC

Technical details for harvesting gastro-epiploic lymph node flaps via mini-laparotomy incision.

J Plast Reconstr Aesthet Surg 2020 May 18. Epub 2020 May 18.

Department of Plastic Surgery, China Medical University and China Medical University Hospital, 2, Yuh-Der Road, Taichung 40447, Taiwan. Electronic address:

Laparoscopic harvest method to obtain gastro-epiploic lymph node flaps for lymphedema treatment has been previously described. In this article, the technical details of an alternative method - open approach via mini-laparotomy incision - for harvesting gastro-epiploic lymph node flaps and preparation of the flaps for the inset is presented. A total of 17 patients were included in this series of the mini-laparotomy approach. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.05.007DOI Listing

Outcomes in the giant omphalocele population: A single center comprehensive experience.

J Pediatr Surg 2020 May 3. Epub 2020 May 3.

Cincinnati Children's Hospital Medical Center, Division of Pediatric General and Thoracic Surgery, Cincinnati, OH, USA.

Background/purpose: Morbidity and mortality in the giant omphalocele population is complicated by large abdominal wall defects, physiologic aberrancies, and congenital anomalies. We hypothesized different anomalies and treatment types would affect outcomes.

Methods: A 2009-2018 retrospective chart review of giant omphaloceles was performed. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.04.019DOI Listing

Abdominal wall pseudocyst formation after mesh incisional hernia repair.

Hernia 2020 May 30. Epub 2020 May 30.

Universidade Tiradentes, Bloco E, sala 40. Avenida Murilo Dantas, nº 300, Bairro Farolândia, Aracaju, Sergipe, CEP: 49032-490, Brazil.

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http://dx.doi.org/10.1007/s10029-020-02231-5DOI Listing

Significance of umbilical trocar size and intra-abdominal pressure on postoperative pain after transabdominal preperitoneal repair for inguinal hernia.

Asian J Endosc Surg 2020 May 28. Epub 2020 May 28.

Department of Surgery, Nara Medical University, Kashihara, Japan.

Introduction: Laparoscopic inguinal hernia repair is reported to be associated with lower postoperative pain than open repair. However, in the actual clinical setting, some patients experience relatively severe pain. This study aimed to elucidate surgical factors that affect pain after transabdominal preperitoneal (TAPP) repair. Read More

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http://dx.doi.org/10.1111/ases.12813DOI Listing

Role of single-incision laparoscopic surgery in the management of small bowel obstruction.

Surg Endosc 2020 May 28. Epub 2020 May 28.

Department of Gastroenterological Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennoji-Ku, Osaka City, Osaka, 543-0035, Japan.

Background: Small bowel obstruction (SBO) arises on various backgrounds, and the surgical procedure is often modified intraoperatively as needed. Single-incision laparoscopic surgery (SILS) is less invasive than conventional multiport laparoscopic surgery (MPS) and reported to be equally safe and efficient. We have been applying SILS to SBO requiring surgical treatment, and we conducted a retrospective study to clarify the role of SILS in the management of SBO. Read More

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http://dx.doi.org/10.1007/s00464-020-07671-9DOI Listing

Acute massive gastric dilatation: a rare, forgotten complication of fundoplication.

BMJ Case Rep 2020 May 27;13(5). Epub 2020 May 27.

Department of Paediatric Surgery, Nottingham University Hospital NHS Trust, Nottingham, UK.

An 8-year-old boy with a history of multiple neonatal laparotomies, including congenital diaphragmatic hernia repair and an open fundoplication, presented acutely with severe abdominal pain, distension, vomiting and shock. A large abnormal opacity in the left upper quadrant was visible on a plain abdominal radiograph. The patient was taken to the theatre for emergency laparotomy and was found to have a massively distended stomach, the fundus and body of which were necrotic. Read More

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http://dx.doi.org/10.1136/bcr-2019-232479DOI Listing

Enhanced PeriOperative Care and Health protection programme for the prevention of surgical site infections after elective abdominal surgery (EPOCH): study protocol of a randomised controlled, multicentre, superiority trial.

BMJ Open 2020 May 25;10(5):e038196. Epub 2020 May 25.

Department of Surgery, Amsterdam UMC - Locatie AMC, Amsterdam, Noord-Holland, Netherlands

Introduction: Surgical site infections (SSI) are a common postoperative complication. During the development of the new WHO guidelines on SSI prevention, also in the Netherlands was concluded that perioperative care could be optimised beyond the current standard practice. We selected a limited set of readily available, cheap and evidence-based interventions from these new guidelines that are not part of standard practice in the Netherlands and formulated an Enhanced PeriOperative Care and Health bundle (EPOCH). Read More

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http://dx.doi.org/10.1136/bmjopen-2020-038196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252990PMC

Obesity and Ventral Hernia Repair: Is There Success in Staging?

J Laparoendosc Adv Surg Tech A 2020 May 21. Epub 2020 May 21.

Bariatric Surgery, Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA.

Obesity predisposes patients to the development of abdominal wall hernias. Ventral hernia incidence, size, and recurrence rate are all increased in this population. As such, the surgeon is likely to encounter patients presenting for metabolic and bariatric surgery with existing ventral hernias. Read More

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http://dx.doi.org/10.1089/lap.2020.0265DOI Listing

The use of a novel synthetic resorbable scaffold (TIGR Matrix) in a clinical quality improvement (CQI) effort for abdominal wall reconstruction (AWR).

Hernia 2020 May 25. Epub 2020 May 25.

CQInsights, Knoxville, TN, USA.

Purpose: The use of hernia mesh is a common practice in abdominal wall reconstruction (AWR) operations. The high cost of biologic mesh has raised questions about the value of its use in AWR. Resorbable synthetic mesh may have the potential benefits of biologic mesh, minimizing the need for removal when infected, at a lower cost. Read More

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http://dx.doi.org/10.1007/s10029-020-02221-7DOI Listing

Retrospective analysis of defect reconstruction after abdominal wall tumor resection in 30 patients.

Hernia 2020 May 25. Epub 2020 May 25.

Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China.

Purpose: It is difficult to manage the full-thickness defect that is created by radical resection of an abdominal wall tumor. This report aimed to review our institutional experience with immediate reconstruction using mesh reinforcement after abdominal wall tumor resection.

Methods: We retrospectively examined patients who underwent abdominal wall tumor resection with immediate mesh-reinforced reconstruction between April 2014 and November 2018. Read More

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http://dx.doi.org/10.1007/s10029-020-02219-1DOI Listing

An extraperitoneal approach for complex flank, iliac, and lumbar hernia.

Hernia 2020 May 25. Epub 2020 May 25.

Center of Research On the Pathology and High Specialization On the Abdominal Wall and Hernia Surgery, Milano Hernia Center, Istituto Clinico Sant'Ambrogio, Via Faravelli 16, 20147, Milano, Italy.

Purpose: The aim of this paper is to propose our four-step technique, an open extraperitoneal approach for complex flank, lumbar, and iliac hernias.

Methods: A big polypropylene mesh is placed, covering and reinforcing all the lateral abdominal wall in an extraperitoneal space. Its borders are retroxiphoid fatty triangle and the costal arch cranially and the retropubic space caudally, psoas muscle, and paravertebral region posteriorly and contralateral rectus muscle medially. Read More

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http://dx.doi.org/10.1007/s10029-020-02214-6DOI Listing

Predictors of hernia after loop ileostomy closure: a single-center retrospective review.

Int J Colorectal Dis 2020 May 25. Epub 2020 May 25.

Spectrum Health General Surgery Residency, 100 Michigan NE, Suite A501, Grand Rapids, MI, 49503, USA.

Purpose: Our aims were to determine the rate of incisional hernia after closure of a loop ileostomy (LI) and to identify any perioperative risk factors that may be associated with hernia development.

Methods: We performed an IRB-approved retrospective review that included consecutive patients who underwent LI closure from January 1, 2012, to December 31, 2014. The primary outcome was identification of hernia on physical exam or by abdominal imaging. Read More

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http://dx.doi.org/10.1007/s00384-020-03637-4DOI Listing

Can Electric Nose Breath Analysis Identify Abdominal Wall Hernia Recurrence and Aortic Aneurysms? A Proof-of-Concept Study.

Surg Innov 2020 May 23:1553350620917898. Epub 2020 May 23.

Maastricht University Medical Center, Maastricht, Netherlands.

. This pilot study evaluates if an electronic nose (eNose) can distinguish patients at risk for recurrent hernia formation and aortic aneurysm patients from healthy controls based on volatile organic compound analysis in exhaled air. Both hernia recurrence and aortic aneurysm are linked to impaired collagen metabolism. Read More

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http://dx.doi.org/10.1177/1553350620917898DOI Listing

Bioabsorbable mesh use in midline abdominal wall prophylaxis and repair achieving fascial closure: a cross-sectional review of stage of innovation.

Hernia 2020 May 24. Epub 2020 May 24.

Department of Colorectal Surgery, Morriston Hospital, Swansea, SA6 6NL, UK.

Background: Achieving stable closure of complex or contaminated abdominal wall incisions remains challenging. This study aimed to characterise the stage of innovation for bioabsorbable mesh devices used during both midline closure prophylaxis and complex abdominal wall reconstruction and to evaluate the quality of current evidence.

Methods: A systematic review of published and ongoing studies was performed until 31st December 2019. Read More

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http://dx.doi.org/10.1007/s10029-020-02217-3DOI Listing

Commentary: Abdominal wall hernia: An important risk association in aortic aneurysmal disease or just a dull ache?

J Thorac Cardiovasc Surg 2020 Apr 6. Epub 2020 Apr 6.

Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn. Electronic address:

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http://dx.doi.org/10.1016/j.jtcvs.2020.03.105DOI Listing

Inguinal Herniation After Living Donor Kidney Transplantation: A Case Report.

Transplant Proc 2020 May 21. Epub 2020 May 21.

Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

A 68-year-old male patient received a living donor kidney transplantation 8 years earlier for end-stage kidney disease secondary to IgA nephropathy. His post-transplantation follow-up had been routinely performed with laboratory examinations, ultrasound, and computed tomography (CT). His kidney graft function had been excellent and stable, as shown by a baseline serum creatinine level of 1. Read More

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http://dx.doi.org/10.1016/j.transproceed.2020.02.131DOI Listing

Is there an advantage to laparoscopy over open repair of primary umbilical hernias in obese patients? An analysis of the Americas Hernia Society Quality Collaborative (AHSQC).

Hernia 2020 May 23. Epub 2020 May 23.

Center for Abdominal Core Health, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.

Purpose: The most common techniques used to repair umbilical hernias are open and laparoscopic. As the obesity epidemic in the United States is growing, it is essential to understand how this morbidity affects umbilical hernia repairs. This study compares laparoscopic versus open umbilical hernia repairs in obese patients. Read More

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http://dx.doi.org/10.1007/s10029-020-02218-2DOI Listing

Strategies for follow up after hernia surgery during COVID 19 Pandemia.

Int J Surg 2020 May 21;79:103-104. Epub 2020 May 21.

Microsurgery and Abdominal Wall Reconstruction Section, General Surgery Department, Hospital Italiano de Buenos Aires, Argentina.

The end of 2019 was marked by the emergence of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Our problem is centered in the post operative follow up of those patients who underwent an elective procedure immediately before the isolation and those who require an emergency surgery. We outline the measures we have taken to reduce the possibility of spread of the virus. Read More

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http://dx.doi.org/10.1016/j.ijsu.2020.05.051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240260PMC

A rare cause of sudden chest pain and dyspnea: A CARE-compliant case report of Chilaiditi syndrome.

Medicine (Baltimore) 2020 May;99(20):e20220

Department of Respiratory Medicine.

Rationale: Chilaiditi syndrome is a rare disorder characterized by a broad spectrum of (gastro-intestinal) symptoms caused by interposition of a segment of bowel between the liver and the diaphragm. Most cases present with abdominal symptoms and the morbidity tend to increase with age.

Patient Concerns: Here we present a rare case of Chilaiditi syndrome. Read More

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http://dx.doi.org/10.1097/MD.0000000000020220DOI Listing

Venous Thromboembolism after the Repair of Abdominal Incisional Hernia with a Pedicled Anterolateral Thigh Flap.

Plast Reconstr Surg Glob Open 2020 Apr 29;8(4):e2794. Epub 2020 Apr 29.

Department of Plastic and Reconstructive Surgery, Yachiyo Medical Center, Tokyo Women's Medical University, Yachiyo-shi, Chiba, Japan.

Incisional hernia often complicates kidney transplant. However, there are few reports showing pitfalls after the repair of incisional hernia following living-donor kidney transplant. A 55-year-old man underwent living-donor kidney transplant from his wife at the Department of Urology at the authors' hospital. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002794DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209874PMC

Chronic Restraint Stress Induces Gastric Mucosal Inflammation with Enhanced Oxidative Stress in a Murine Model.

Psychol Res Behav Manag 2020 4;13:383-393. Epub 2020 May 4.

Research Institute of General and Minimally Invasive Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang 830001, People's Republic of China.

Background: Although the underlying mechanisms of chronic stress are still unknown, this condition has been related to the pathophysiology of gastric mucosal inflammation, whose development is accelerated by oxidative stress. The present study investigates how chronic stress influences gastric mucosal oxidative stress and inflammation.

Methods: Eight-week-old C57BL/6J male mice were subjected to two-week intermittent restraint stress. Read More

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http://dx.doi.org/10.2147/PRBM.S250945DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210023PMC

National trends in ventral hernia repairs for patients with intra-abdominal metastases.

Surgery 2020 May 18. Epub 2020 May 18.

Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia PA.

Background: Ventral hernias in patients with intra-abdominal metastases may not be addressed owing to other oncologic priorities, but they can affect quality of life and lead to sequelae necessitating an emergency operation. We compared the national trends and perioperative outcomes for elective and nonelective ventral hernia repairs for patients with intra-abdominal metastases.

Methods: Patients were identified from the National Inpatient Sample (2003-2015). Read More

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http://dx.doi.org/10.1016/j.surg.2020.04.005DOI Listing

Rhinoceros-related delayed traumatic diaphragmatic rupture.

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):486-488

Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain-United Arab Emirates.

Animal-related injuries should be analyzed based on the behavior and anatomy of the attacking animal. Rhinoceros-related injuries in humans are extremely rare. Hereby, we report a life-threatening traumatic diaphragmatic hernia in a woman who presented three years after a rhinoceros gored her chest. Read More

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http://dx.doi.org/10.14744/tjtes.2019.73857DOI Listing

A Phenome-Wide Analysis of Healthcare Costs Associated with Inflammatory Bowel Diseases.

Dig Dis Sci 2020 May 20. Epub 2020 May 20.

Division of Gastroenterology, Crohn's and Colitis Center, Massachusetts General Hospital, 165 Cambridge Street, 9th Floor, Boston, MA, 02114, USA.

Introduction: Crohn's disease (CD) and ulcerative colitis (UC) are associated with considerable direct healthcare costs. There have been few comprehensive analyses of all IBD- and non-IBD comorbidities that determine direct costs in this population.

Methods: We used data from a validated cohort of patients with inflammatory bowel disease (IBD). Read More

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http://dx.doi.org/10.1007/s10620-020-06329-9DOI Listing

Robotic Inguinal Hernia Repair.

Authors:
David S Edelman

Surg Technol Int 2020 May;36:99-104

Introduction: Laparoscopic inguinal hernia repair has certain advantages over open repair including less pain and earlier return to normal activity. Robotic surgery adds high definition visualization and articulating instruments. This enhanced dexterity can make laparoscopic hernia repair more refined while obtaining a critical view of the myopectineal orifice that should lead to fewer recurrences and complications. Read More

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Giant ventral hernia simultaneously containing the spleen, a portion of the pancreas and the left hepatic lobe: A case report.

World J Clin Cases 2020 May;8(9):1721-1728

Department of General Surgery, the Second Affiliated Hospital of Nanjing Medical University, Nanjing 2l0011, Jiangsu Province, China.

Background: Ventral hernia, also known as incisional hernia, is a common complication of previous surgery. The contents of ventral hernia may include omentum, preperitoneal fat, small intestine or colon. However, ventral hernia with protrusion of more than two parenchymal organs simultaneously is extremely rare, and its repair is very complex and difficult. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i9.1721DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211533PMC

Transdiaphragmatic-pericardial Hernia: Case Report of an Unusual Condition Managed by Utilization of a Robotic Surgical System.

Cureus 2020 Apr 16;12(4):e7689. Epub 2020 Apr 16.

Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

Transdiaphragmatic hernia via the central tendon in the pericardium is a rare entity. Most often, these hernias are acquired and related to the iatrogenic creation of a transdiaphragmatic-pericardial defect. We would like to present a case of a 62-year-old male who presented with acute chest pain and was diagnosed to have a transdiaphragmatic-pericardial hernia on computed tomography. Read More

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http://dx.doi.org/10.7759/cureus.7689DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233519PMC

How high is too high? Extensive mediastinal dissection in patients with hiatal hernia repair.

Surg Endosc 2020 May 19. Epub 2020 May 19.

Center for Advanced Surgical Technology, 986246 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, NE, 68198-6246, USA.

Background: Approximately 10% of patients receiving anti-reflux procedures present with shortened esophagus. Collis gastroplasty (CG) is the current gold standard for esophageal lengthening, but mediastinal esophageal mobilization without gastroplasty may be an alternative approach. This study assesses preoperative and intraoperative hernia characteristics and mediastinal dissection impact in patients with large hiatal hernia repair (HHR). Read More

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http://dx.doi.org/10.1007/s00464-020-07647-9DOI Listing

Hiatal hernia repair: prevention of mesh erosion and migration into the esophagogastric junction.

Arq Bras Cir Dig 2020 18;33(1):e1489. Epub 2020 May 18.

Hospital Dr. José J. Aguirre, Faculty of Medicine, University of Chile, Santiago, Chile.

Background: Erosion and migration into the esophagogastric lumen after laparoscopic hiatal hernia repair with mesh placement has been published.

Aim: To present surgical maneuvers that seek to diminish the risk of this complication.

Method: We suggest mobilizing the hernia sac from the mediastinum and taking it down to the abdominal position with its blood supply intact in order to rotate it behind and around the abdominal esophagus. Read More

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http://dx.doi.org/10.1590/0102-672020190001e1489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236328PMC

Single-port laparoscopic percutaneous closure of the internal ring for scarless repair of inguinal hernias in girls.

Minim Invasive Ther Allied Technol 2020 May 19:1-7. Epub 2020 May 19.

Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, P. R. China.

The purpose of this study was to summarize the clinical experience with laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural needle for inguinal hernias in girls. A total of 462 girls with inguinal hernias participated in this study from January 2013 to June 2019. Laparoscopic percutaneous extraperitoneal closure of the internal ring an epidural needle was used to treat these patients. Read More

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http://dx.doi.org/10.1080/13645706.2020.1768124DOI Listing

Hernia after retroperitoneoscopic adrenalectomy, case report.

Gland Surg 2020 Apr;9(2):442-446

Resident in Surgery, Klinik für Viszeralchirurgie, Kantonsspital Aarau, Aarau, Switzerland.

We report the first case of a previously undocumented complication after posterior retroperitoneal adrenalectomy (PRA). Extensive diagnostic procedures for persisting abdominal pain led to diagnosis of an incisional hernia (IH) approximately 2.5 years after surgery for a pheochromocytoma of the right adrenal gland. Read More

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http://dx.doi.org/10.21037/gs.2020.01.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225460PMC