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Surg Endosc 2022 Jun 21. Epub 2022 Jun 21.

Unit of General and Digestive Surgery, Hospital Quirónsalud Sagrado Corazón, Seville, Spain.

Background: The primary aim of this prospective study is to report bulging and recurrence rates and to analyze the risk factors responsible for failure, after laparoscopic ventral hernia repair (LVHR) with primary closure of defect (PCD) using a running suture and intraperitoneal mesh placement, at 5-year follow-up. The secondary endpoint is to evaluate 30-day postoperative complications, seroma, and pain.

Methods: PCD failure was defined as the presence of postoperative bulging and/or recurrence. Read More

Hernia 2022 Jun 20. Epub 2022 Jun 20.

Gastrointestinal & General Surgery, Department of Surgery, Oregon Health & Science University, Mail Code: L 233A, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA.

Purpose: Telemedicine has emerged as a viable option to in-person visits for the evaluation and management of surgical patients. Increased integration of telemedicine has allowed for greater access to care for specific patient populations but relative outcomes are unstudied. Given these limitations, we sought to evaluate the efficacy of telemedicine-based new patient preoperative encounters in comparison to in-person encounters. Read More

J Surg Case Rep 2022 Jun 16;2022(6):rjac270. Epub 2022 Jun 16.

Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

The rare (<2%) development of calcium deposits in soft tissue, known as dystrophic calcification (DC) with the use of Stimulan® (Biocomposites Ltd, Wilmington, NC) absorbable, calcium sulfate antibiotic beads (CSABs) in the setting of orthopedic surgery has previously been described. However, the use of CSAB in hernia repair is relatively novel and its association with the development of DC in this setting has not been previously reported. We describe a case where DC following abdominal wall reconstruction with CSAB was misinterpreted on CT imaging as an enteric fistula and almost resulted in an unnecessary emergency surgical procedure. Read More

J Plast Reconstr Aesthet Surg 2022 May 2. Epub 2022 May 2.

Section of Plastic and Reconstructive Surgery, University of Chicago Medicine; Chicago, IL, USA. Electronic address:

Background: The use of progressive tension sutures (PTSs) for drain-free abdominoplasty closure has been well published in the esthetic literature and found to be effective at reducing abdominal drainage without a worse complication profile. This research aims to evaluate the outcomes of incorporating PTS into donor-site closures for abdominal-based breast reconstruction.

Methods: A retrospective chart review was performed evaluating patients at the University of Chicago Medicine, who underwent autologous breast reconstruction and either PTS closure or standard abdominal closure between 2018 and 2021. Read More

Respir Med Case Rep 2022 8;38:101683. Epub 2022 Jun 8.

Yale New Haven Health System, Bridgeport Hospital, Department of Internal Medicine, 267 Grant st, Bridgeport, CT, 06610, USA.

Surgical correction of abdominal muscle diastasis may decrease intra-abdominal volume and increase intra-abdominal pressure. The induced changes may ultimately lead to respiratory compromise. In abdominoplasty, one of the most frequently performed esthetic procedures, those changes are believed to be transient and clinically insignificant. Read More

J Plast Reconstr Aesthet Surg 2022 Apr 28. Epub 2022 Apr 28.

Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN, United States.

Background: Amidst the rising trend of bariatric surgical procedures being performed across the country and around the world, patients seeking functional panniculectomy after massive weight loss represent a different population than those seeking cosmetic abdominoplasty. The purpose of this study was to determine whether certain complications are more likely to occur in patients undergoing functional panniculectomy, as well as identify risk factors that are implicated in the occurrence of adverse events.

Methods: Retrospective cohort study was conducted of patients undergoing cosmetic abdominoplasty and functional panniculectomy in North America between 2015 and 2019 using the National Surgical Quality Improvement Program database sponsored by the American College of Surgeons. Read More

J Am Coll Surg 2022 Jul 5;235(1):128-137. Epub 2022 Apr 5.

From the Department of Surgery, Oregon Health and Science University, Portland, OR (Bray, Sutton, Akhter, Orenstein, Nikolian).

Background: Perioperative telemedicine use has increased as a result of the COVID-19 pandemic and may improve access to surgical care. However, studies assessing outcomes in populations at risk for digital-health disparities are lacking. We sought to characterize the pre- and postoperative outcomes for rural patient populations being assessed for hernia repair and abdominal wall reconstruction with telehealth. Read More

Rev Col Bras Cir 2022 13;49:e20223130. Epub 2022 Jun 13.

- Faculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento de Cirurgia - São Paulo - SP - Brasil.

Objective: to describe and measure the Bicrista Iliaca Pubo Angle (APBCI) as a new anthropometric parameter. Correlate the measurement with patients with giant incisional hernia (HIG), in the midline of the anterior abdominal wall (AAW).

Methods: measurement of APBCI, through 3D reconstruction from computed tomography (CT). Read More

Plast Reconstr Surg Glob Open 2022 May 16;10(5):e4053. Epub 2022 May 16.

Escola Paulista de Medicina EPM, São Paulo Federal University, SP, Brazil.

Not all patients who exercise regularly and follow a balanced diet will obtain a well-defined abdomen. Medium definition liposuction, together with the removal of abdominal skin, can recreate an adequate connection between the skin/subcutaneous components and the myo-aponeurotic layer, resulting in the perception of muscle definition.

Methods: Over a period of 36 months, 351 patients underwent medium definition liposuction associated with abdominoplasty performed by a single surgeon (G. Read More

Plast Reconstr Surg Glob Open 2022 May 13;10(5):e4322. Epub 2022 May 13.

Department of Surgery, New Hanover Regional Medical Center, Wilmington, N.C.

A simplified and functional abdominal wall model is necessary for surgical education. The utility of such a model encompasses medical student, resident, and fellow education. This is especially relevant in the fields of general surgery and plastic surgery. Read More

Aesthetic Plast Surg 2022 Jun 13. Epub 2022 Jun 13.

Department of Plastic Surgery, Hospital Angeles Pedregal, Mexico City, Mexico.

Background: Postgraduate training in plastic surgery is heterogeneous between countries, with exposure to aesthetic surgery being a reflection of this. Fellowships in Mexico have usually consisted of tutorial teaching, providing graduates with experience but a lack of formal structure. The aim of his work is to present a University-backed program focused on aesthetic surgery and propose the expansion of this kind of program. Read More

Aesthet Surg J Open Forum 2022 5;4:ojac033. Epub 2022 May 5.

Background: Abdominal panniculectomy after weight loss is a commonly performed procedure with high patient satisfaction yet continues to have a high post-operative complication profile. Several risk-reducing surgical approaches, such as preservation of Scarpa's fascia, use of tissue adhesives, and progressive tension suture techniques have been described. However, the use of tranexamic acid (TXA) has not been previously reported in panniculectomy surgery. Read More

Ann Plast Surg 2022 06;88(5 Suppl 5):S414-S421

Division of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center.

Background: The superficial inferior epigastric artery (SIEA) flap allows transfer of tissue without violating the rectus fascia. Traditionally it is best used in single stage reconstruction when vessel caliber is 1.5 mm; 56% to 70% of SIEAs are less than 1. Read More

J Coll Physicians Surg Pak 2022 Jun;32(6):811-813

Department of Medical Nutrition, Nanjing Lishui District People's Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, China.

This case sought to manage a duodenal fistula patient who underwent an open abdomen with vacuum-assisted temporary abdominal closure (VAC) by evaluating his tolerance to early enteral nutrition therapy (ENT). A review of the patient suggested that he developed an abdominal infection as a result of a high duodenal fistula, which necessitated an open abdomen and VAC. Prior to the initiation of ENT, the patient had a patient-generated subjective global assessment (PG-SGA) score of 8 (1st day) suggesting the need for nutritional intervention. Read More

Rozhl Chir 2022 ;101(5):244-249

Introduction: Chronic defects and hernias of the abdominal wall are a common complication of repeated surgical procedures and/or their accompanying complications. Reconstruction of the abdominal wall is difficult in these defects/hernias and debates of an ideal method of treatment have not reached a conclusion. Primary suture is usually impossible. Read More

Front Med (Lausanne) 2022 17;9:910093. Epub 2022 May 17.

Department of Forensic Medicine, CHU Montpellier, University of Montpellier, Montpellier, France.

Background: The determination of skin wound vitality based on tissue sections is a challenge for the forensic pathologist. Histology is still the gold standard, despite its low sensitivity. Immunohistochemistry could allow to obtain a higher sensitivity. Read More

Surg Obes Relat Dis 2022 May 5. Epub 2022 May 5.

Division for Plastic Surgery, Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany; Department for Plastic and Reconstructive Surgery, Institute for Muskuloskeletal Medicine, Westfaelische Wilhelms-University Muenster, Muenster, Germany; Plastic, Reconstructive, and Aesthetic Surgery, Hand Surgery, Fachklinik Hornheide, Muenster, Germany.

Background: Although postbariatric body contouring procedures have the ultimate goal of restoring quality of life, there currently exist minimal data assessing the effect of these procedures.

Objectives: To identify the most important body contouring procedure for quality of life (QoL).

Setting: University Hospital, Online Questionnaire, Germany. Read More

Front Pediatr 2022 17;10:846630. Epub 2022 May 17.

Department of Pediatric Surgery, University Children's Hospital Mannheim, University of Heidelberg, Mannheim, Germany.

Objective: In patients with a congenital diaphragmatic hernia (CDH), postoperative small bowel obstruction (SBO) is a life-threatening event. Literature reports an incidence of SBO of 20% and an association with patch repair and ECMO treatment. Adhesions develop due to peritoneal damage and underly various biochemical and cellular processes. Read More

Aesthetic Plast Surg 2022 Jun 1. Epub 2022 Jun 1.

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong-An Road, Xi-Cheng District, Beijing, 100050, People's Republic of China.

Aesthetic Plast Surg 2022 Jun 1. Epub 2022 Jun 1.

Department of Plastic Surgery, Reconstructive Surgery, and Burn Management, Faculty of Medicine, Alexandria University, Champollion Street, El-Khartoum Square, Azarita Medical Campus, Alexandria, 21111, Egypt.

Introduction: Deformities after massive weight loss are usually severe and affect many parts of the body, negatively impacting patients' social and intimate lives. A common request of patients after massive weight loss is to treat more than one anatomical area in one surgical procedure. Advantages include a single recovery period, lower surgical costs, and faster patient satisfaction. Read More

Oper Orthop Traumatol 2022 May 29. Epub 2022 May 29.

Klinik für Unfall‑, Hand‑, Plastische- und Wiederherstellungschirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.

Objective: Soft tissue reconstruction of complex defects of the lower abdomen, groin, the perineum and the hip region present a reconstructive challenge. Besides free tissue transfer, pedicled flaps may also be utilized. Harvest of the vertical rectus abdominis flap causes a functional deficit by weakening the abdominal wall. Read More

Trauma Case Rep 2022 Aug 24;40:100659. Epub 2022 May 24.

Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, Japan.

Background: Although the Hybrid Emergency Room System (HERS) is a relatively novel method for treating severe trauma patients, there have been few reported cases of gunshot wound patients treated in HERS. Here we report our treatment of a unique gunshot wound case, with shock, in a HERS setting.

Case Presentation: A 72-year-old male was transferred to our hospital due to a gunshot wound (GSW). Read More

ANZ J Surg 2022 May 30. Epub 2022 May 30.

Discipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.

Introduction: The burden of complex abdominal wall hernia (CAWH) is increasing, with associated high morbidity and healthcare costs. This study evaluates current evidenoptce regarding multidisciplinary care for CAWH patients to improve patient outcomes.

Methods: A systematic review of Scopus, MEDLINE, Embase, PubMed, Web of Knowledge and Cochrane Library was conducted to identify proposed or established multidisciplinary team (MDT) pathways, necessary MDT constituents, and to evaluate patient outcomes. Read More

Plast Reconstr Surg Glob Open 2022 May 23;10(5):e4345. Epub 2022 May 23.

Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.

Scars can have significant morbidity and negatively impact psychological, functional, and cosmetic outcomes as well as the overall quality-of-life, especially among ethnic minorities. The objective of this study was to evaluate African American and White patients' perception of their scars' impact on symptoms, appearance, psychosocial health, career, and sexual well-being, using validated assessment tools.

Method: A total of 675 abdominoplasty and breast surgery patients from four providers completed the SCAR-Q, and Career/Sexual Well-Being scales via phone or email. Read More

Aesthetic Plast Surg 2022 May 25. Epub 2022 May 25.

Medical Biotechnology Research Center, AJA University of Medical Sciences, Etemad zadeh Street, Fatemi-Gharbi Street, Tehran, Iran.

Background: Annually, millions of people suffer from skin scars' psychological and physical disadvantages. Pathologic scars prevention is challenging and requires developing feasible and effective therapeutic strategies. Regarding promising results of losartan (an angiotensin 1 receptor inhibitor) on skin scar in preclinical studies, we aimed to assess the losartan ointment's impact on surgical scars in a clinical setting. Read More

Case Rep Gastroenterol 2022 Jan-Apr;16(1):252-257. Epub 2022 Apr 7.

University of Kansas Medical Center, Kansas City, Kansas, USA.

The diagnosis of gastric volvulus can be a clinical challenge as it is rare, and the symptoms are often nonspecific and intermittent. Upper endoscopy is a minimally invasive intervention that may be repeated more than once to provide key information and ultimately establish such a diagnosis. To emphasize the role of upper endoscopy in surgical cases with recurrent upper gastrointestinal obstructions, we present a case of intermittent gastric volvulus in a patient with a remote history of complex chest wall reconstruction for invasive breast cancer using an omental flap. Read More

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

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

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

J Plast Reconstr Aesthet Surg 2022 Apr 22. Epub 2022 Apr 22.

Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taiwan. Electronic address:

Introduction: Patients with head and neck cancer may suffer from xerostomia after repetitive surgery or radiation therapy. Free colon tissue transfer was used to restore the lubrication of the oral cavity, and a bacteriological study in mice was conducted to evaluate how the intestine transfer from the intra-abdominal to extra-abdominal locations may affect bacterial colonization.

Patients And Methods: Twelve patients received free colon transfer for the reconstruction of their intraoral mucosal defect following trismus release. Read More