32,496 results match your criteria Abdominal Hernias


Use of posterior component separation and transversus abdominis release in trauma and emergency general surgery patients: a case report and review of the literature.

Trauma Surg Acute Care Open 2019 24;4(1):e000268. Epub 2019 Jan 24.

Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

Posterior component separation with transversus abdominis release and implantation of synthetic mesh in the retromuscular space is a durable type of repair for many large incisional hernias with recurrence rates consistently less than 10%. The purported advantage of biologic prostheses in contaminated fields has recently been challenged, and the concern for placing synthetic mesh in contaminated fields may be overstated. There are almost no data specifically addressing the use of this type of repair for chronic incisional hernias in trauma and emergency general surgery patients, so research is needed on this patient population. Read More

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http://dx.doi.org/10.1136/tsaco-2018-000268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350719PMC
January 2019

[Preventive abdominal wall repair in high-risk groups of postoperative ventral hernia].

Khirurgiia (Mosk) 2019 (1):32-36

Pavlov Ryazan State Medical University of Healthcare Ministry of the Russian Federation, Chair of General Surgery, Ryazan, Russia.

Aim: To identify the most important predictors of postoperative hernia and to determine the indications for preventive surgical repair of abdominal wall.

Material And Methods: Prospective analysis included 398 medical records of patients who underwent median laparotomy. Experimental tensiometry was applied to determine strength of intact fascia. Read More

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http://dx.doi.org/10.17116/hirurgia201901132DOI Listing
January 2019

Diaphragmatic hernia with isolated shoulder pain evoked by surfeit.

Ann Transl Med 2019 Jan;7(1):11

Department of thoracic and cardiovascular Surgery, College of medicine, Chungbuk National University, Cheongju, Republic of Korea.

Bochdalek hernia in adult is extremely rare, so symptoms or indications of surgery are not reported enough. Here we report a case of small-sized Bochdalek hernia with isolated shoulder pain that resolved after surgical reduction of hernia. A 25-year-old man with diaphragmatic mass was referred to out-patient clinic. Read More

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http://dx.doi.org/10.21037/atm.2018.11.26DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351367PMC
January 2019

Negative Pressure Wound Therapy with Instillation as Conservative Management for a Large Abdominal Wound Following Incarcerated Parastomal Hernia Repair.

Cureus 2018 Dec 13;10(12):e3728. Epub 2018 Dec 13.

General Surgery, South Tipperary General Hospital, Clonmel, IRL.

Parastomal herniation is a common complication following stoma creation, necessitating surgical repair in up to one-quarter of cases, including emergency cases of incarceration or strangulation. Following hernia repair with or without mesh placement, surgical sites are at risk of infection post-operatively and this is typically resolved by removing the mesh, which can be technically challenging. Few studies have assessed conservative management options for these types of cases. Read More

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http://dx.doi.org/10.7759/cureus.3728DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373885PMC
December 2018

What is the impact of metabolic syndrome and its components on reflux esophagitis? A cross-sectional study.

BMC Gastroenterol 2019 Feb 19;19(1):33. Epub 2019 Feb 19.

Department of Family Medicine, Changhua Christian Hospital, No. 135, St. Nan-Xiao, Changhua City, 500, Taiwan.

Background: The prevalence rate of reflux esophagitis (RE) in Asia, including Taiwan, has increased dramatically in recent years. However, few studies have discussed on its relationship with metabolic syndrome (MetS). This study aimed to evaluate the correlation between RE and MetS and its components. Read More

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http://dx.doi.org/10.1186/s12876-019-0950-zDOI Listing
February 2019
1 Read

Robotic-assisted ventral hernia repair with surgical mesh: how I do it and case series of early experience.

ANZ J Surg 2019 Feb 18. Epub 2019 Feb 18.

Department of General and Colorectal Surgery, Ashford Hospital, Adelaide, South Australia, Australia.

Background: Laparoscopic ventral hernia repair provides several benefits over the open approach. Intraperitoneal surgical mesh placement without fascial defect closure is associated with increased seroma formation and other adverse hernia-site outcomes. Transfascial sutures and tacs for fascial closure and surgical mesh fixation are associated with greater post-operative pain. Read More

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http://dx.doi.org/10.1111/ans.15071DOI Listing
February 2019

EGF promotes HIF-1α expression in colorectal cancer cells and tumor metastasis by regulating phosphorylation of STAT3.

Authors:
F-L Zhao C-F Qin

Eur Rev Med Pharmacol Sci 2019 Feb;23(3):1055-1062

Department of Hernia and Abdominal Wall Surgery, Beijing ChaoYang Hospital, Capital Medical University, Beijing, China.

Objective: Hypoxia-inducible factor 1α (HIF-1α) functions importantly in the development of colorectal cancer. HIF-1α is induced by some cytokines and growth factors and is also regulated by another kinase/signal transducer and activator of transcription (JAK/STAT) signaling pathways. Meanwhile, inhibiting HIF-1α expression can inhibit the development of colorectal cancer. Read More

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http://dx.doi.org/10.26355/eurrev_201902_16993DOI Listing
February 2019

Laparoscopic management of recurrent ventral hernia: an experience of 222 patients.

Hernia 2019 Feb 18. Epub 2019 Feb 18.

Department of Gastrointestinal and Minimal Access Surgery, GEM Hospital and Research Centre, 45, Pankaja Mills Road, Ramanathapuram, Coimbatore, Tamil Nadu, 641045, India.

Background: To evaluate the predisposing factors and characteristics of recurrent ventral hernia (RVH) along with the feasibility and outcome of laparoscopy in managing RVH.

Methods: This study is a retrospective analysis of all patients with reducible or irreducible, uncomplicated RVH who underwent surgical management from January 2012 to June 2018.

Results: Out of 222 patients, 186 (83. Read More

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http://dx.doi.org/10.1007/s10029-019-01912-0DOI Listing
February 2019

Internal hernia to the retrosternal space is a rare complication after minimally invasive esophagectomy: three case reports.

Surg Case Rep 2019 Feb 18;5(1):26. Epub 2019 Feb 18.

Division of Esophageal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.

Background: Minimally invasive esophagectomy is considered a beneficial approach to esophageal cancer, although a hiatal hernia occurs more frequently in this approach than in open esophagectomy with reconstruction via the mediastinal route. Development of an internal hernia to the retrosternal space is not a recognized complication of reconstruction via the retrosternal route after esophagectomy. We herein report three cases of the development of an internal hernia to the retrosternal space after minimally invasive esophagectomy. Read More

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http://dx.doi.org/10.1186/s40792-019-0578-9DOI Listing
February 2019

A unique presentation of superinfected pseudomyxoma peritonei secondary to a low-grade appendiceal mucinous neoplasm.

World J Surg Oncol 2019 Feb 18;17(1):34. Epub 2019 Feb 18.

Department of Surgical Oncology, Mount Sinai St. Luke's West Hospital, 425 W. 59th St., 7th Floor, New York, NY, 10019, USA.

Background: Pseudomyxoma peritonei (PMP) is an uncommon condition characterized by diffuse mucinous material in the abdomen and pelvis, generally arising from a perforated epithelial neoplasm. Typically, the disease presents as suspected acute appendicitis, ovarian mass, abdominal distension, or ventral hernia. Our case represents a very rare presentation of superinfected PMP. Read More

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http://dx.doi.org/10.1186/s12957-019-1578-8DOI Listing
February 2019

Effective preoperative abdominal incision planning on a patient with a history of repeated abdominal operations using a three-dimensional reconstruction technique: a case report.

J Int Med Res 2019 Feb 18:300060519828510. Epub 2019 Feb 18.

1 Department of Liver Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

This case report describes the use of a three-dimensional reconstruction technique to plan the abdominal incision in order to avoid incision-related complications in a 53-year-old female patient who had had a cystic mass in the liver for 16 years and had undergone four previous surgeries. The patient presented with a recurrent cyst. The surgical team used three-dimensional reconstruction to model the liver mass, the area of abdominal wall weakness due to previous surgeries, bowel adhesions, skeletal structure and whole abdominal contour. Read More

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http://dx.doi.org/10.1177/0300060519828510DOI Listing
February 2019

Performance of biological mesh materials in abdominal wall reconstruction: study protocol for a randomised controlled trial.

BMJ Open 2019 Feb 15;9(2):e024091. Epub 2019 Feb 15.

Department of Surgery, University of Calgary and the Foothills Medical Centre, Calgary, Alberta, Canada.

Introduction: Abdominal wall hernias are a common source of morbidity and mortality. The use of biological mesh has become an important adjunct in successful abdominal wall reconstruction. There are a variety of biological mesh products available; however, there is limited evidence supporting the use of one type over another. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024091DOI Listing
February 2019

Prenatal diagnosis and management of congenital diaphragmatic hernia.

Best Pract Res Clin Obstet Gynaecol 2019 Jan 5. Epub 2019 Jan 5.

Academic Department of Development and Regeneration, Cluster Woman and Child, Biomedical Sciences, KU Leuven, Belgium; Clinical Department of Obstetrics & Gynaecology, KU Leuven, Leuven, Belgium; Institute for Women's Health, University College London, London, UK; European Reference Network on Rare and Inherited Congenital Anomalies "ERNICA". Electronic address:

Congenital diaphragmatic hernia is characterized by failed closure of the diaphragm, thereby allowing abdominal viscera to herniate into the thoracic cavity and subsequently interfering with normal lung development. At birth, pulmonary hypoplasia leads to respiratory insufficiency and persistent pulmonary hypertension (PHT), that is lethal in up to 32% of patients. In isolated cases, the outcome may be predicted prenatally by medical imaging and advanced genetic testing. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2018.12.010DOI Listing
January 2019
2 Reads

Amyand's hernia: role of CT for a correct diagnosis.

G Chir 2019 Jan-Feb;40(1):44-48

Amyand's hernia consists in the protrusion of the vermiform appendix into an inguinal hernia sac and represents an uncommon condition with a difficult preoperative diagnosis to be recognized with clinical examination and imaging diagnostic tools in order to choose a correct therapeutic approach for the patient. Four types of Amyand's hernias exist. The case of a recurrent type 1 Amyand's hernia is presented. Read More

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February 2019

Use of the KSVM-based system for the definition, validation and identification of the incisional hernia recurrence risk factors.

G Chir 2019 Jan-Feb;40(1):32-38

Background: Incisional hernia is one of the most common complications after abdominal surgery with an incidence rate of 11 to 20% post laparotomy. Many different factors can be considered as risk factors of incisional hernia recurrence. The aim of this study is to confirm and to validate the incisional hernia recurrence risk factors and to identify and to validate new ones. Read More

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February 2019
4 Reads

Negative pressure therapy in combination with mesh-mediated fascial traction in the treatment of infected pancreatic necrosis. A new therapeutic option.

Cir Cir 2019 ;87(2):219-223

Departamento de Cirugía General y Endoscópica, Hospital Dr. Manuel Gea González.

Background: Acute pancreatitis represents one of the most frequent digestive pathologies worldwide, which can be complicated as an infected necrotizing acute pancreatitis, that may require treatment with necrosectomy and open abdomen with the risk that this leads to the appearance of intestinal fistula and giant incisional hernias difficult to manage.

Clinical Case: A 35-year-old woman underwent laparoscopic cholecystectomy for acute cholecystitis, which was re-admitted due to jaundice and abdominal pain 3 days after her hospital discharge. Diagnostic laparoscopy is performed, where a 3200 cc biliperitoneum secondary to a cystic duct stump leak is located and drained. Read More

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http://dx.doi.org/10.24875/CIRU.18000472DOI Listing
January 2019
1 Read

Novel Prevention Procedure for Inguinal Hernia after Robot-Assisted Radical Prostatectomy: Results from a Prospective Randomized Trial.

J Endourol 2019 Feb 15. Epub 2019 Feb 15.

Kanazawa, Japan ;

Objectives: To conduct a prospective randomized trial to evaluate the efficacy of a novel prophylactic procedure for inguinal hernia (IH) after transperitoneal robot-assisted radical prostatectomy (RARP).

Materials And Methods: The prophylactic procedure for IH after RARP involved the dissection of the peritoneum approximately 5 cm outward from internal inguinal ring, separating the spermatic cord and vessels from the peritoneum. This was randomly performed on one side (left or right). Read More

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http://dx.doi.org/10.1089/end.2018.0898DOI Listing
February 2019
1 Read

Needlescopic surgery for broad ligament hernia: A case report.

Asian J Endosc Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Surgery, Akashi City Hospital, Akashi, Japan.

Broad ligament hernia is a rare type of internal hernia. We herein report a case of broad ligament hernia successfully treated by needlescopic surgery. A 41-year-old woman was referred to our hospital with a complaint of nausea and vomiting. Read More

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http://dx.doi.org/10.1111/ases.12692DOI Listing
February 2019

Evaluation and Monitoring of Pulmonary Hypertension in Neonates With Congenital Diaphragmatic Hernia.

Curr Treat Options Cardiovasc Med 2019 Feb 15;21(2):11. Epub 2019 Feb 15.

Department of Pediatrics, University of Minnesota, 2450 Riverside Ave, East Building, 5th Floor, Minneapolis, MN, 55454, USA.

Purpose Of Review: This review aims to describe the assessment of pulmonary hypertension and ventricular function in neonates with congenital diaphragmatic hernia and the long-term follow-up of their pulmonary vascular disease.

Recent Findings: In 2015, the pediatric pulmonary hypertension guidelines from the American Heart Association and American Thoracic Society suggested class I level of evidence B guidelines for routine evaluation of patients with congenital diaphragmatic hernia, including longitudinal care in an interdisciplinary pulmonary hypertension program and following the recommendations offered for all children with pulmonary hypertension. Congenital diaphragmatic hernia causes compression of the lungs during critical stages of fetal development and results in lung hypoplasia. Read More

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http://dx.doi.org/10.1007/s11936-019-0711-xDOI Listing
February 2019

Is the 8-mm robotic port safe? A case of trocar site hernia after robotic cholecystectomy using the da Vinci Xi system.

Wideochir Inne Tech Maloinwazyjne 2019 Jan 11;14(1):137-140. Epub 2018 Jun 11.

Department of Surgery, Hallym University College of Medicine, Hwaseong-si, South Korea.

With the increase in the frequency of robotic surgery, complications have also increased, including trocar site hernias, which rarely occur at the 8-mm port site after robotic cholecystectomy using the da Vinci Xi system. A 37-year-old woman was diagnosed with cholecystitis on abdominal sonography. She underwent robotic cholecystectomy using a bikini-line incision. Read More

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http://dx.doi.org/10.5114/wiitm.2018.76263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372859PMC
January 2019
1 Read

[A Case of Diverticular Perforation of Sigmoid Colostomy during FOLFIRI plus BevacizumabTreatment].

Gan To Kagaku Ryoho 2019 Jan;46(1):148-150

Dept. of Surgery, Toda Chuo General Hospital.

A 61-year-old man with a diagnosis of rectal cancer underwent assisted laparoscopic rectal amputation. Recurrence occurred, and treatment with FOLFIRI plus bevacizumab was initiated at our department. After 12 treatment courses, he developed abdominal pain at home. Read More

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January 2019
1 Read

Laparoscopic versus lichtenstein hernioplasty for inguinal hernias: a systematic review and Meta-analysis of randomized controlled trials.

Minim Invasive Ther Allied Technol 2019 Feb 14:1-8. Epub 2019 Feb 14.

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

Background: This meta-analysis aimed to explore the safety and efficacy of Lichtenstein versus laparoscopic hernioplasty for inguinal hernias based on eligible randomized controlled trials (RCTs).

Material And Methods: We searched several electronic databases to identify eligible studies based on the index words updated to March 2018.We also searched related publication sources and only included eligible RCTs in the current analysis. Read More

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https://www.tandfonline.com/doi/full/10.1080/13645706.2019.1
Publisher Site
http://dx.doi.org/10.1080/13645706.2019.1569534DOI Listing
February 2019
3 Reads

Classification of Rectus Diastasis-A Proposal by the German Hernia Society (DHG) and the International Endohernia Society (IEHS).

Front Surg 2019 28;6. Epub 2019 Jan 28.

Hernienzentrum Köln, PAN-Klinik, Köln, Germany.

Recently, the promising results of new procedures for the treatment of rectus diastasis with concomitant hernias using extraperitoneal mesh placement and anatomical restoration of the linea alba were published. To date, there is no recognized classification of rectus diastasis (RD) with concomitant hernias. This is urgently needed for comparative assessment of new surgical techniques. Read More

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http://dx.doi.org/10.3389/fsurg.2019.00001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360174PMC
January 2019
2 Reads

Biocellulose for Incisional Hernia Repair-An Experimental Pilot Study.

Nanomaterials (Basel) 2019 Feb 10;9(2). Epub 2019 Feb 10.

Department of General, Visceral and Vascular Surgery, Jena University Hospital, 07747 Jena, Germany.

Ventral or incisional hernia are a common disease pattern in general surgery. Mostcommonly, a mesh repair is used for reconstruction, whereby the mesh itself might causecomplications, like infections or adhesions. Biological materials, like biocellulose, might reducethese clinical problems substantially. Read More

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http://dx.doi.org/10.3390/nano9020236DOI Listing
February 2019

Perforated appendicitis in the setting of a massive ventral hernia, morbid obesity, and multiple severe comorbidities: challenges in acute management.

Trauma Surg Acute Care Open 2019 24;4(1):e000243. Epub 2019 Jan 24.

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

A 57-year-old woman with morbid obesity (body mass index [BMI] of 43), systemic lupus on steroids, type 2 insulin-dependent diabetes, peripheral vascular disease, unprovoked pulmonary embolism on rivaroxaban, and hypertension presented with 3 days of worsening abdominal pain and nausea. She had an extensive surgical history including a cesarean section, multiple laparotomies for small bowel obstructions (one complicated by bowel perforation requiring resection), and a double-barrelled ileostomy, which had been since reversed. As a result, she had a massive incisional hernia (figure 1). Read More

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http://dx.doi.org/10.1136/tsaco-2018-000243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347851PMC
January 2019
1 Read

Analgesic Effect of Caudal Bupivacaine with or without Clonidine in Pediatric Patient.

J Nepal Health Res Counc 2019 Jan 28;16(41):428-433. Epub 2019 Jan 28.

Department of Anesthesia and Intensive Care, Kanti Children's Hospital, Kathmandu, Nepal.

Background: Caudal analgesia has long been the cornerstone to successful pain management in children undergoing abdominal and lower limb surgeries. Its analgesic duration with single shot injection is however limited. So adjuvants are used with local anesthetics in an attempt to increase the duration of caudal analgesia. Read More

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January 2019

An uncommon cause of acute bowel obstruction: the left para-duodenal hernia.

Ann Ital Chir 2018 Sep 28;7. Epub 2018 Sep 28.

Internal hernias of the abdomen are uncommun. They represent less than 1% of bowel obstruction cases. The left paraduodenal hernia is the most frequent type of internal hernias. Read More

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September 2018
1 Read

One-year outcome after repair of giant incisional hernia using synthetic mesh or full-thickness skin graft: a randomised controlled trial.

Hernia 2019 Feb 8. Epub 2019 Feb 8.

Department of Surgery and Perioperative Sciences, Umeå University, Daniel Naezéns väg, 90185, Umeå, Sweden.

Purpose: Repair of giant incisional hernia often requires complex surgery and the results of conventional methods using synthetic mesh as reinforcement are unsatisfactory, with high recurrence and complication rates. Our hypothesis was that full-thickness skin graft (FTSG) provides an alternative reinforcement material for giant incisional hernia repair and that outcome is improved. The aim of this study was to compare FTSG with conventional materials currently used as reinforcement in the repair of giant incisional hernia. Read More

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http://dx.doi.org/10.1007/s10029-019-01900-4DOI Listing
February 2019

Robotic simple prostatectomy plus panniculectomy and Giant umbilical hernia repair.

Int Braz J Urol 2019 01 30;45. Epub 2019 Jan 30.

Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Introduction: Simple prostatectomy is the gold standard for prostates >80 grams, robotic system has proven to help into speed the recovery of the patient and in morbid obesity the advantages of the robotic system can help to perform a suc¬cessful surgery.

Case: 80 years old male with morbid obesity (BMI 45) and several other comorbidities, with history of an umbilical hernia and obstructive lower urinary tract symptoms in acute urinary retention. PSA was 7 ng/dl, DRE demonstrates a >100gr prostate gland. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0565DOI Listing
January 2019

Hernia prevention: practice patterns and surgeons' attitudes about abdominal wall closure and the use of prophylactic mesh.

Hernia 2019 Feb 8. Epub 2019 Feb 8.

Department of Surgery, New Hanover Regional Medical Center, 2131 South 17th Street, PO Box 9025, Wilmington, NC, 28401, USA.

Purpose: The penetration of hernia prevention techniques into surgical practice remains unknown.

Methods: A survey about knowledge/attitudes on hernia prevention was sent to the members of hernia societies.

Results: The 497 respondents were mostly from the US (47%) or Europe (40%). Read More

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http://dx.doi.org/10.1007/s10029-019-01894-zDOI Listing
February 2019

Minimally Invasive Multidisciplinary Approach to Chronic Giant Inguinoscrotal Hernias.

Surg Innov 2019 Feb 8:1553350619828888. Epub 2019 Feb 8.

1 Anne Arundel Medical Center, Annapolis, MD, USA.

Background: Giant inguinoscrotal hernias (GIH) are defined as groin hernias extending below the mid-thigh when standing, often significantly encumbering activities of daily living. To date, there are no reports utilizing the combination of progressive pneumoperitoneum (PPP), botulinum toxin A injection (BTI), and enhanced view-totally extraperitoneal (eTEP) technique for GIH repair. In this report, we present 2 such cases of this unique minimally invasive multidisciplinary approach to address GIH. Read More

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http://dx.doi.org/10.1177/1553350619828888DOI Listing
February 2019
2 Reads

Mythbusting the DIEP Flap and An Introduction to the Abdominal Perforator Exchange (APEX) Breast Reconstruction Technique: A Single-Surgeon Retrospective Review.

Plast Reconstr Surg 2019 Jan 22. Epub 2019 Jan 22.

Background: Anatomic variations in perforator arrangement may impair the surgeon's ability to effectively avoid rectus muscle transection without impairing flap perfusion in the DIEP flap.

Methods: A single surgeon's experience was reviewed with consecutive patients undergoing bilateral abdominal perforator flap breast reconstruction over 6 years, incorporating flap standardization, pedicle disassembly, and algorithmic vascular rerouting when necessary. Unilateral reconstructions were excluded to allow for uniform comparison of operative times and donor site outcomes. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005484DOI Listing
January 2019

Lessons learned from an unusual condition of incidental synchronous multiple hernias of indirect inguinal hernia, femoral hernia, and incarcerated obturator hernia.

Niger J Clin Pract 2019 Feb;22(2):281-284

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, China.

Hernias are one of the most common diseases. The frequency of multiple hernias is much higher than the frequency reported during herniorrhaphy. Multiple hernias may account for some of the so-called recurrences, in which the small hernia may be veiled by the bigger one and omitted. Read More

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http://dx.doi.org/10.4103/njcp.njcp_200_18DOI Listing
February 2019

Blurring the boundary between open abdomen treatment and ventral hernia repair.

Langenbecks Arch Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Visceral and Transplant Surgery, University Hospital Zurich, Rämistrasse 100, CH-8091, Zürich, Switzerland.

Purpose: Therapeutic approaches for septic open abdomen treatment remain a major challenge with many uncertainties. The most convincing method is vacuum-assisted wound closure with mesh-mediated fascia traction with a protective plastic sheet placed on the viscera. As this plastic sheet and the mesh must be removed before final fascial closure, such a technique only allows temporary abdominal closure. Read More

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http://dx.doi.org/10.1007/s00423-019-01757-2DOI Listing
February 2019

Diaphragmatic Hernia After Totally Laparoscopic Total Gastrectomy for Gastric Cancer.

Surg Laparosc Endosc Percutan Tech 2019 Feb 1. Epub 2019 Feb 1.

Department of Gastric Surgery.

This study aimed to investigate the occurrence of diaphragmatic hernia (DH) after totally laparoscopic total gastrectomy (TLTG) for gastric cancer. We reviewed retrospectively collected data from 490 consecutive patients who underwent TLTG (functional method, 365; overlap method, 125) for upper body gastric cancer, between January 2011 and May 2017, performed by a single surgeon. The median follow-up period was 40. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000638DOI Listing
February 2019
1 Read

Re: Gastroschisis and Cumulative Stressor Exposures.

Authors:
Mark Lubinsky

Epidemiology 2019 03;30(2):e11-e12

Wauwatosa, WI,

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http://dx.doi.org/10.1097/EDE.0000000000000967DOI Listing

Hernioscopy: a reliable method to explore the abdominal cavity in incarcerated or strangulated inguinal hernias spontaneously reduced after general anaesthesia.

Hernia 2019 Feb 5. Epub 2019 Feb 5.

East Kent Hospitals University NHS Foundation Trust, William Harvey Hospital, Ashford, Kent, TN24 0LZ, UK.

Purpose: The diagnosis of bowel or omental ischaemia in strangulated inguinal hernias needs visual exploration of the content of the hernia sac. In some cases, the content of the sac retracts spontaneously into the abdomen at the induction of anaesthesia, so making sure of its viability can be quite difficult. Hernioscopy can allow direct inspection of the whole abdominal cavity and the performance of surgical procedures such as small bowel, large bowel or omental resection, without the need of a formal laparotomy. Read More

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http://dx.doi.org/10.1007/s10029-019-01901-3DOI Listing
February 2019

Richter's hernia in a 5-mm trocar site.

SAGE Open Med Case Rep 2019 11;7:2050313X18823413. Epub 2019 Jan 11.

1st Propedeutic Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

We present an unusual case of a trocar site incision hernia at a 5-mm trocar port occurring approximately 2 weeks post-operatively after a laparoscopic cholecystectomy. The patient, in her mid-60s, reported diffuse abdominal pain, constipation, nausea and vomiting. An abdominal X-ray demonstrated dilated small bowel loops with gas-fluid levels. Read More

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http://dx.doi.org/10.1177/2050313X18823413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349989PMC
January 2019
5 Reads

Ultrasound-guided transverse abdominis plane block for ED appendicitis pain control.

Am J Emerg Med 2019 Jan 26. Epub 2019 Jan 26.

Department of Emergency Medicine/Alameda County Medical Center, Highland General Hospital, Oakland, CA 94602-1018, USA.

The ultrasound-guided transversus abdominis plane (TAP) block or TAP block is a well-established regional anesthetic block used by anesthesiologists for peri-operative pain control of the anterior abdominal wall. Multiple studies have demonstrated its utility to control pain for a range of procedures from inguinal hernia repair, laparoscopic cholecystectomies to cesarean sections [1-3]. There are no cases describing the efficacy of the ultrasound-guided TAP block in the emergency department as a part of a multimodal pain pathway for patients diagnosed with acute appendicitis. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.01.024DOI Listing
January 2019
4 Reads

Low and decreased prevalence of congenital abdominal wall defect in Taiwan.

J Pediatr Surg 2018 Dec 28. Epub 2018 Dec 28.

Department of General Surgery, Buddhist Dalin Tzu Chi Hospital, Chia-Yi, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan. Electronic address:

Purpose: This study aims to identify the prevalence of Congenital abdominal wall defects (AWD), hospital outcomes, and related congenital abnormalities in Taiwan by using the National Health Insurance Research Database (NHIRD).

Materials And Methods: From 1998 through 2013, all pediatric patients with AWD were collected via ICD-9-CM diagnostic code 756.7x ("congenital anomalies of abdominal wall") or procedure codes (54. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183078
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http://dx.doi.org/10.1016/j.jpedsurg.2018.11.011DOI Listing
December 2018
6 Reads

A Preliminary Assessment of Abdominal Wall Tension in Patients Undergoing Retromuscular Hernia Repair.

Surg Technol Int 2019 Feb 1;34. Epub 2019 Feb 1.

epartment of Surgery, New Hanover Regional Medical Center, Wilmington, North Carolina.

A common technique for ventral and incisional hernia repair is the retrorectus repair (Rives-Stoppa). The posterior rectus sheath is incised bilaterally, and mesh is placed retromuscularly. There is little information on how this component separation technique affects abdominal wall tension. Read More

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February 2019
6 Reads

Robotic Inguinal Hernia Repair (TAPP)—First Experience with the New Senhance™ Robotic System.

Surg Technol Int 2019 Feb 1;34. Epub 2019 Feb 1.

Gastroenterological Surgery, Saitama Medical University, International Medical Center, Yamane, Japan, Department of General, Visceral and Vascular Surgery, Section Minimal Invasive Surgery and Robotics, St. Marien - Krankenhaus, Siegen, Germany.

Introduction: This retrospective study was performed to evaluate the safety and feasibility of the new Senhance™ Robotic System (TransEnterix Inc., Morrisville, North Carolina) for inguinal hernia repairs using the transabdominal preperitoneal approach.

Materials And Methods: From March to September 2017, 76 inguinal hernia repairs in 64 patients were performed using the Senhance™ Robotic System. Read More

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February 2019
2 Reads

Single-incision laparoscopic gastropexy for mesentero-axial gastric volvulus.

Surg Case Rep 2019 Feb 4;5(1):19. Epub 2019 Feb 4.

Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi, Shizuoka City, Shizuoka, 420-8660, Japan.

Background: Mesentero-axial gastric volvulus (MAGV) is a rare but critical condition as delay in treatment can lead to lethal situations. Although the report of the surgical treatment with laparoscopic approach for MAGV has recently come to be seen, no standard procedures have been established. We aim to describe our operative technique of single-incision laparoscopic gastropexy (SILG) for MAGV and review the relevant literature to ascertain the most appropriate treatment option in these patients. Read More

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http://dx.doi.org/10.1186/s40792-019-0574-0DOI Listing
February 2019
2 Reads

Resorbable Synthetic Meshes for Abdominal Wall Defects in Preclinical Setting: A Literature Review.

J Surg Res 2019 Jan 30;237:67-75. Epub 2019 Jan 30.

Erasmus University Medical Center Rotterdam, Department of Surgery, The Netherlands.

Background: Prosthetic materials for the repair of abdominal wall defects have been studied extensively to improve outcome. A new approach can be the use of a slowly resorbable synthetic mesh, which aims to combine advantages of both synthetic and biological meshes. The objective of this review is to give an overview of the physicochemical characteristics and biomechanical, histological, and macroscopic outcome (recurrence, adhesion formation) of the use of resorbable synthetic meshes, for treatment and prevention of abdominal wall hernias, based on experimental studies. Read More

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http://dx.doi.org/10.1016/j.jss.2018.11.054DOI Listing
January 2019
1 Read

Sneeze and pop: a ruptured varicocele; analysis of literature, guided by a well-documented case-report.

BMC Urol 2019 Jan 31;19(1):14. Epub 2019 Jan 31.

Department of Urology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.

Background: An acute scrotal hematoma, secondary to a spontaneous rupture of a varicocele is still a rare presentation in daily practice. However, multiple case reports have been reported. Sudden increase in abdominal pressure, resulting to an increased venous pressure can lead to a rupture of the varicocele. Read More

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http://dx.doi.org/10.1186/s12894-019-0442-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357415PMC
January 2019
1 Read
1.937 Impact Factor

Mesh migration following abdominal hernia repair: a comprehensive review.

Hernia 2019 Jan 30. Epub 2019 Jan 30.

VA North Texas Health Care System, 4500 South Lancaster Road, Dallas, TX, 75216, USA.

Purpose: This study reviewed the literature regarding mesh migration in abdominal hernia repair. The aim of this study is to interrogate incidence, common type of abdominal hernia repair leading to migration, patterns of mesh migration, and materials associated with migration.

Methods: A comprehensive literature review was conducted. Read More

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http://link.springer.com/10.1007/s10029-019-01898-9
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http://dx.doi.org/10.1007/s10029-019-01898-9DOI Listing
January 2019
8 Reads

Long-term results of a prospective randomized trial of midline laparotomy closure with onlay mesh.

Hernia 2019 Jan 30. Epub 2019 Jan 30.

General and Digestive Surgery Service, Department of Surgery, University Hospital Joan XXIII, 43007, Tarragona, Spain.

Purpose: Incisional hernia (IH) continues to be one of the most common complications of laparotomy. The short-term protective effect of the use of mesh has been demonstrated in several studies. At present, there is little evidence on the long-term results of the prophylactic use of mesh. Read More

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http://dx.doi.org/10.1007/s10029-019-01891-2DOI Listing
January 2019

Laparoscopic repair of a Morgagni hernia with extra-abdominal transfascial sutures.

BMJ Case Rep 2019 Jan 29;12(1). Epub 2019 Jan 29.

Surgery C, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.

Morgagni hernia is a congenital diaphragmatic hernia. It is rare, usually asymptomatic, and most of the times incidentally discovered during adulthood. A 77-year-old female patient was incidentally diagnosed with Morgagni hernia. Read More

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http://dx.doi.org/10.1136/bcr-2018-227600DOI Listing
January 2019
1 Read

Combined open and laparoscopic approach for repair of flank hernias: technique description and medium-term outcomes of a single surgeon.

Hernia 2019 Jan 30. Epub 2019 Jan 30.

Hernia Center, Hospital Alemão Oswaldo Cruz, R. Treze de Maio, 1815, 01327-001, São Paulo, SP, Brazil.

Purpose: A residual bulge in the lateral abdominal wall is a reason for patient dissatisfaction after flank hernia repair (FHR). We hypothesized that combining a laparoscopically-placed intraperitoneal mesh (IPOM) with onlay hernia repair performed through a small open incision would increase repair durability and decrease such residual bulges. We aim to report our medium-term outcomes with this technique. Read More

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http://dx.doi.org/10.1007/s10029-019-01880-5DOI Listing
January 2019
2 Reads