4,532 results match your criteria Abdominal Wall Reconstruction


A Newly Designed Ruler for Planning Incision Markings in Abdominoplasty Surgery.

Surg Innov 2020 Jun 5:1553350620929303. Epub 2020 Jun 5.

26705 Faculty of Medicine - University of Porto (FMUP) , Portugal.

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http://dx.doi.org/10.1177/1553350620929303DOI 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

Removal of 132-pound ovarian mucinous cystadenoma: A case report.

SAGE Open Med Case Rep 2020 27;8:2050313X20906738. Epub 2020 Apr 27.

Danbury Hospital, Nuvance Health, Danbury, CT, USA.

Ovarian masses larger than 100 pounds are rarely encountered in developed countries given advancements in early diagnosis and treatment. Their successful resections pose unique surgical and anesthetic challenges. An otherwise healthy 38-year-old para 1 woman developed a 50 × 60 cm pelvic mass. Read More

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http://dx.doi.org/10.1177/2050313X20906738DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233899PMC

What Is the Impact of Residual Obesity on the Risk for Postoperative Body-Contouring Surgery Complications in Postbariatric Patients?

Obes Surg 2020 May 25. Epub 2020 May 25.

Post-Graduation Course in Health Sciences, University of Brasília, Brasília, DF, Brazil.

Background: There are an increasing number of patients presenting for plastic surgery after massive weight loss, and many of these patients have residual obesity that may compromise outcomes. The impact of residual obesity on the development of postoperative complications in postbariatric patients undergoing plastic surgery procedures is unclear.

Methods: We report the outcomes of 207 patients who underwent plastic surgery following RYGB from January 2011 to December 2018. Read More

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http://dx.doi.org/10.1007/s11695-020-04711-0DOI 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

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

Abdominoplasty: State-of-the-Art.

Clin Plast Surg 2020 Jul 21;47(3):ix-x. Epub 2020 Apr 21.

Department of Plastic Surgery, Cleveland Clinic, Cleveland Clinic Lerner College of Medicine, 9500 Euclid Avenue, A60, Cleveland, OH 44195, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cps.2020.03.009DOI Listing

Measuring Outcomes in Cosmetic Abdominoplasty: The BODY-Q.

Clin Plast Surg 2020 Jul 17;47(3):429-436. Epub 2020 Apr 17.

Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, USA.

The BODY-Q is a condition-specific patient-reported outcome measure that enables a comprehensive assessment of outcomes that are specific to patients undergoing body contouring procedures such as abdominoplasty. The BODY-Q scales were designed to be responsive to the effects of abdominoplasty on health-related quality of life and appearance outcomes. The BODY-Q covers a range of content domains, and the independently functioning scales enable surgeons to tailor the BODY-Q to their needs. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.003DOI Listing

High-Definition Excisional Body Contouring: Mini Lipoabdominoplasty (FIT Mommy) and Enhanced Viability Abdominoplasty.

Clin Plast Surg 2020 Jul;47(3):415-428

Dhara Clinic, Carrera 15 #83-33, Suite 304, Bogota, Colombia. Electronic address: https://twitter.com/Maoperezmd.

The abdominoplasty procedure poses a number of unique challenges. If the stigmata of the operation is to be avoided, careful planning and surgical execution are required. We describe our experience in full and mini abdominoplasties with a 360-degree approach, involving all muscular groups and body segments as described by high-definition liposculpture. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.008DOI Listing

Deep Venous Thrombosis Prophylaxis.

Clin Plast Surg 2020 Jul 16;47(3):409-414. Epub 2020 Apr 16.

Department of Plastic Surgery, The Ohio State University Wexner Medical Center, 915 Olentangy River Road, Suite 2100, Columbus, OH 43212, USA. Electronic address:

Abdominoplasty is a commonly performed aesthetic procedure but has one of the highest risks for venous thromboembolism (VTE) events in aesthetic surgery. Surgeons can face challenging decisions when performing combination procedures and deciding on appropriate methods of VTE prophylaxis. This article summarizes the current evidence for the incidence of VTE events in abdominoplasty and abdominoplasty combined with other procedures, the current recommendations for risk stratification and management, and options available for mechanical and chemical VTE prophylaxis. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.002DOI Listing

Abdominoplasty After Massive Weight Loss.

Clin Plast Surg 2020 Jul 5;47(3):389-396. Epub 2020 May 5.

Department of Plastic Surgery, University of Pittsburgh Medical Center, Scaife Hall, Suite 6B, Room 690, 3550 Terrace Street, Pittsburgh, PA 15261, USA. Electronic address:

After massive weight loss (MWL), patients present with deformities that are more severe and often different than those observed in standard cosmetic abdominoplasty. The first step is careful consideration of the special factors involved in preoperative screening of patients with MWL presenting for body contouring surgery. Once these patient factors are optimized and surgery is considered, careful analysis of anatomic deformities should ensue. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.006DOI Listing

Noninvasive Abdominoplasty.

Clin Plast Surg 2020 Jul 27;47(3):379-388. Epub 2020 Apr 27.

Hurwitz Center for Plastic Surgery, 3109 Forbes Avenue, #500, Pittsburgh, PA 15213, USA.

Noninvasive and minimally invasive treatments are increasingly supplanting, or complimenting, abdominoplasty. For optimal delivery of patient care and to maintain a dominant share of the body-contouring market, plastic surgeons need to embrace these new technologies. High capital purchases, costly disposables, maintenance fees, lack of experience, conflicting anecdotal reports, energy-related complications, marketing hyperbole, and rapid obsolescence are formidable barriers to this adoption. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.005DOI Listing

Abdominoplasty with Combined Surgery.

Clin Plast Surg 2020 Jul 2;47(3):365-377. Epub 2020 Apr 2.

Johns Hopkins Department of Plastic Surgery, Private Practice, 1304 Bellona Avenue, Lutherville, MD 21093, USA. Electronic address:

Abdominoplasty is the fifth most common cosmetic plastic surgery procedure performed in the United States and combining it with other procedures has become more the norm than the outlier. Liposuction is the most common adjunctive procedure, followed by breast surgery, lower back lift, and thigh lift, in addition to hernia repair and gynecologic procedures. The goal of these combination procedures includes creating more global aesthetic improvement while protecting patients from complications, based on consideration of confounding medical variables and increased risks presented by surgery of prolonged duration and exposure. Read More

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http://dx.doi.org/10.1016/j.cps.2020.02.001DOI Listing

Drainless Abdominoplasty Using Progressive Tension Sutures.

Clin Plast Surg 2020 Jul 5;47(3):351-363. Epub 2020 May 5.

Private Practice, 8305 Walnut Hill Lane Suite #210, Dallas, TX 75231, USA.

Drain-free abdominoplasty using progressive tension sutures (PTS) was initially described in 2000 in a small retrospective series. However, the authors' experience with this technique spans well over 3 decades, and their technique has evolved to simplify the procedure to make it easier and more reproducible by the surgeon and improve the patient's recovery and overall experience. This article provides in-depth technical details on the authors' no-drain abdominoplasty technique. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.007DOI Listing

Lipoabdominoplasty with Anatomic Definition: An Evolution on Saldanha's Technique.

Clin Plast Surg 2020 Jul 28;47(3):335-349. Epub 2020 Apr 28.

Serviço de Cirurgia Plástica Osvaldo Saldanha, Universidade Metropolitana de Santos, Av. Ana Costa, 146, Cjs 1201-04, Santos, Sao Paulo 11060-000, Brazil.

Lipoabdominoplasty is one of the most frequent abdominal body contouring procedures performed today. It guarantees a safe combination of abdominoplasty and liposuction while minimizing the risk of ischemic flap complications. This is because of the limited undermining performed and the liposuction adjunct, both of which minimize perforator injury. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.004DOI 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

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

Less Invasive Management of Tissue Deficits for Deep Sternal Wound Infections.

Plast Reconstr Surg Glob Open 2020 Apr 30;8(4):e2776. Epub 2020 Apr 30.

Department of Plastic and Reconstructive Surgery, Saga University School of Medicine, Saga, Japan.

Background: The frequency of sternomyelitis after cardiovascular surgery has been reported to be 0.4% -5%.

Methods: The treatment method used for 47 patients (29 male and 18 female) who developed sternomyelitis after sternotomy with tissue defects in the chest was examined retrospectively. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002776DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209903PMC

An Individualized Patient-centric Approach and Evolution towards Total Autologous Free Flap Breast Reconstruction in an Academic Setting.

Plast Reconstr Surg Glob Open 2020 Apr 7;8(4):e2681. Epub 2020 Apr 7.

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Tex.

Advances with newer perforator flaps and complex microsurgical techniques have enabled creative solutions in autologous breast reconstruction. For patients seeking total autologous breast reconstruction without the use of implants, body regions other than the abdomen have emerged to provide a substitute or additional donor tissue. In cases where abdominal perforator flaps are not possible (as with prior abdominoplasty), flaps taken from the lower back or thigh can be used. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002681DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209872PMC

Inferior vena cava resection and reconstruction with a peritoneal patch for a leiomyosarcoma: A case report.

Int J Surg Case Rep 2020 May 8;71:37-40. Epub 2020 May 8.

Department of Clinical and Experimental Medicine, University of Florence, AOU Careggi, Largo Brambilla 3, 50134, Florence, Italy. Electronic address:

Introduction: Leiomyosarcomas (LMs) of the inferior vena cava (IVC) are very rare neoplasms seldom reported in the literature. The majority of patients does not present with specific abdominal pain and IVC LMs are used to become symptomatic with the increase of tumor volume. The role of chemotherapy or radiotherapy is not yet defined and surgical resection seems to be the only chance to improve survival rates. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235614PMC

Increasing abdominal wall thickness predicts complications in abdominally based breast reconstruction: A review of 106 consecutive patients.

J Plast Reconstr Aesthet Surg 2019 Dec 17. Epub 2019 Dec 17.

Medical College of Wisconsin, Department of Plastic Surgery, 1155 N. Mayfair Rd. Suite T2600 Milwaukee, Wisconsin 53226 United States. Electronic address:

Background: Body mass index (BMI) has long been the proxy for patient selection in obese patients presenting for abdominally based breast reconstruction. BMI, however, fails to accurately reflect the distribution of abdominal adipose tissue. This study aims to quantify the effect of abdominal wall thickness on the incidence of post-operative complications and contrast abdominal wall thickness and BMI as predictors of post-operative morbidity. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.11.012DOI Listing
December 2019

Reconstruction of Complex Abdominal Wall Defect With Autogenous Pedicled Demucosalized Seromuscular Flap.

Ann Plast Surg 2020 Jun;84(6):697-699

From the Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN.

Abdominal wall reconstruction is indicated when 1 or more of the abdominal wall components (skin, fascia, or muscle) are either injured or absent. When faced with defects requiring flap reconstruction, the decision regarding flap choice should take into consideration the volume of soft tissue required, the extent of the defect, donor site morbidity, and prior surgical scars that affect flap vascularity. We present a case of an abdominal wall defect with limited reconstructive options in which a spare ileal bowel segment was filleted to create a seromuscular flap for improving the abdominal wall blood supply. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002317DOI Listing

Dehisced abdominal wall reconstruction.

Authors:
Ibby Younis

J Wound Care 2020 May;29(Sup5b):S29-S30

Consultant Plastic and Reconstructive Surgeon, Royal Free London NHS Foundation Trust, London, UK.

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http://dx.doi.org/10.12968/jowc.2020.29.Sup5b.S29DOI Listing

Is concomitant cholecystectomy safe during abdominal wall reconstruction? An AHSQC analysis.

Hernia 2020 May 16. Epub 2020 May 16.

Comprehensive Hernia Center, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.

Purpose: Unlike routine ventral hernia repair, abdominal wall reconstruction (AWR) can results in large pieces of mesh and extensive manipulation of the intra-abdominal contents, rendering subsequent laparoscopic cholecystectomy challenging. This study addresses the additional wound morbidity of concomitant cholecystectomy.

Methods: The Americas Hernia Society Quality Collaborative (AHSQC) was retrospectively reviewed and logistic regression modeling was used to control for multiple covariates. Read More

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http://dx.doi.org/10.1007/s10029-020-02208-4DOI Listing

Measuring quality of life in patients with abdominal wall hernias: a systematic review of available tools.

Hernia 2020 May 15. Epub 2020 May 15.

Abdominal Wall Reconstruction Unit, Department of Surgery, Chelsea and Westminster Hospital, London, UK.

Introduction: Abdominal wall herniation (AWH) is an increasing problem for patients, surgeons, and healthcare providers. Surgical-site specific outcomes, such as infection, recurrence, and mesh explantation, are improving; however, successful repair still exposes the patient to what is often a complex major operation aimed at improving quality of life. Quality-of-life (QOL) outcomes, such as aesthetics, pain, and physical and emotional functioning, are less often and less well reported. Read More

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http://dx.doi.org/10.1007/s10029-020-02210-wDOI Listing

Comparison of skin biopsy sample processing and storage methods on high dimensional immune gene expression using the Nanostring nCounter system.

Diagn Pathol 2020 May 15;15(1):57. Epub 2020 May 15.

School of Medical Science and Menzies Health Institute QLD, Griffith University, Gold Coast, Queensland, 4222, Australia.

Background: Digital multiplex gene expression profiling is overcoming the limitations of many tissue-processing and RNA extraction techniques for the reproducible and quantitative molecular classification of disease. We assessed the effect of different skin biopsy collection/storage conditions on mRNA quality and quantity and the NanoString nCounter™ System's ability to reproducibly quantify the expression of 730 immune genes from skin biopsies.

Methods: Healthy human skin punch biopsies (n = 6) obtained from skin sections from four patients undergoing routine abdominoplasty were subject to one of several collection/storage protocols, including: i) snap freezing in liquid nitrogen and transportation on dry ice; ii) RNAlater (ThermoFisher) for 24 h at room temperature then stored at - 80 °C; iii) formalin fixation with further processing for FFPE blocks; iv) DNA/RNA shield (Zymo) stored and shipped at room temperature; v) placed in TRIzol then stored at - 80 °C; vi) saline without RNAse for 24 h at room temperature then stored at - 80 °C. Read More

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http://dx.doi.org/10.1186/s13000-020-00974-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229590PMC

Micro-needle patch based on dissolving, detachable micro-needle technology for improved skin quality. Part 1: Ex-Vivo Safety Evaluation.

Int J Cosmet Sci 2020 May 15. Epub 2020 May 15.

Microneedle Industrial LLC, Moscow, Russia.

Objective: The aim of the paper presented herein is the description and safety evaluation of the process of dissolution of an 86 micro-needle patch composed of hyaluronic acid, when applied topically to human abdominal skin explants. Such explants were chosen to replace the inability of obtaining periorbital skin. In order to evaluate penetration and dissolution of the micro-needles we employed histochemical methods and a fluorescent dye FITC (fluorescein isothiocyanate). Read More

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http://dx.doi.org/10.1111/ics.12627DOI Listing

Invited Discussion on: Abdominoplasty and Patient Safety: The Impact of Body Mass Index and Bariatric Surgery on Complications Profile.

Aesthetic Plast Surg 2020 May 14. Epub 2020 May 14.

Division of Plastic Surgery, Federal University of São Paulo, São Paulo, Brazil.

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http://dx.doi.org/10.1007/s00266-020-01748-5DOI Listing

Intravenous Tramadol is Effective in the Management of Postoperative Pain Following Abdominoplasty: A Three-Arm Randomized Placebo- and Active-Controlled Trial.

Drugs R D 2020 May 14. Epub 2020 May 14.

Clinical Investigation, Lotus Clinical Research, LLC, Pasadena, CA, USA.

Background And Objective: Oral tramadol, an atypical opioid approved in the United States (US) since 1995 and a Schedule IV controlled substance, has less abuse liability compared to Schedule II conventional opioids. Intravenous (IV) tramadol is not available in the US, but has the potential to fill a gap between non-opioid medications and conventional opioids for treatment of acute pain. This study evaluates IV tramadol in the management of postoperative pain compared to placebo and standard-of-care active control. Read More

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http://dx.doi.org/10.1007/s40268-020-00309-0DOI Listing

Recovery after laparoscopic parastomal hernia repair.

Surg Endosc 2020 May 12. Epub 2020 May 12.

Digestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.

Background: The perioperative care and postoperative period after laparoscopic hernia repair have not been well described. The aim of this study was to describe the postoperative course after laparoscopic parastomal hernia repair.

Methods: This was a prospective cohort study including consecutive patients undergoing laparoscopic parastomal hernia repair. Read More

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http://dx.doi.org/10.1007/s00464-020-07623-3DOI Listing

[A Case of Pancreatic Adenocarcinoma with Inferior Vena Cava Invasion].

Gan To Kagaku Ryoho 2020 Apr;47(4):634-636

Dept. of Surgery, Konan Hospital.

A 66-year-old Japanese woman was admitted to our hospital for jaundice. Abdominal computed tomography(CT) showed dilatation of the intra- and extra-hepatic bile duct, and a hypovascular lesion measuring 30mm in diameter in the head of the pancreas. This tumor was in contact with the(superior mesenteric vein: SMV)and(inferior vena cava: IVC), but there were no obvious signs of invasion. Read More

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A Case Series of Robot-assisted Rectus Abdominis Flap Harvest for Pelvic Reconstruction: A Single Institution Experience.

J Minim Invasive Gynecol 2020 May 8. Epub 2020 May 8.

Department of Medical and Surgical Gynecology (Drs. Haverland and Yi).

Study Objective: To analyze outcomes and postoperative complications in patients undergoing robot-assisted rectus abdominis flap harvest for pelvic floor reconstruction.

Design: Case series.

Setting: Academic setting. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.04.042DOI Listing

Long term comparative evaluation of two types of absorbable meshes in partial abdominal wall defects: an experimental study in rabbits.

Hernia 2020 May 9. Epub 2020 May 9.

Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, University of Alcalá. Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain.

Purpose: Synthetic prosthetic materials that are fully absorbable seek to reduce the host foreign body reaction and promote host tissue regeneration. This preclinical trial was designed to analyse, in the long term, the behaviour of two prosthetic meshes, one synthetic and one composed of porcine collagen, in abdominal wall reconstruction.

Methods: Partial defects were created in the abdominal walls of New Zealand rabbits and repaired using a synthetic absorbable mesh (Phasix™) or a non-crosslinked collagen bioprosthesis (Protexa™). Read More

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http://dx.doi.org/10.1007/s10029-020-02201-xDOI Listing

Histology and Function of the Rectus Abdominis Muscle in Patients With Incisional Hernia.

J Surg Res 2020 May 5;253:245-251. Epub 2020 May 5.

Department of Sports Medicine and Orthopedic Surgery, Bispebjerg Hospital and Centre of Healthy Aging, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen NV, Denmark.

Background: The aim of the current study was to examine different features of the rectus abdominis muscle (RA) in patients with and without a midline incisional hernia to characterize the effects of a hernia on abdominal wall skeletal muscle.

Material And Methods: RA tissue from patients undergoing surgical repair of a large midline incisional hernia (n = 18) was compared with that from an intact abdominal wall in patients undergoing colorectal resection for benign or low-grade malignant disease (n = 18). In addition, needle biopsies were obtained from the vastus lateralis muscle (VL) of all subjects. Read More

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http://dx.doi.org/10.1016/j.jss.2020.03.033DOI Listing

Clinical Study Demonstrates that Electromagnetic Muscle Stimulation Does Not Cause Injury to Fat Cells.

Lasers Surg Med 2020 May 8. Epub 2020 May 8.

ZELTIQ Aesthetics, an affiliate of Allergan, plc., Pleasanton, California, 94588.

Background And Objectives: A previous pre-clinical study on electromagnetic muscle stimulation (EMMS) suggested that fat cell apoptosis occurs following treatment in a porcine model. While EMMS can induce changes in muscle, the effect on fat tissue is not established. This clinical study sought to assess adipose tissue response to EMMS in comparison to cryolipolysis treatment. Read More

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http://dx.doi.org/10.1002/lsm.23259DOI Listing

Long-term results of botulinum toxin type A in complex abdominal wall repair and review of the literature.

Updates Surg 2020 May 7. Epub 2020 May 7.

Department of General Surgery, Hospital Clínico Universitario San Carlos, Madrid, Spain.

Administration of botulinum toxin (BTX) is being used in cases of complex ventral hernia for the reconstruction of the linea alba and closure of the abdominal wall. However, there are no published results regarding the long-term effects of BTX and its implication in hernia recurrence. Our purpose is to evaluate the outcomes in hernia recurrence of the administration of BTX in complex ventral hernia repair. Read More

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http://dx.doi.org/10.1007/s13304-020-00775-wDOI Listing

[Recurrence-Free Survival after Repeated Resections for Metastatic Inguinal Tumor in Colorectal Mucinous Adenocarcinoma-A Case Report].

Gan To Kagaku Ryoho 2020 Jan;47(1):123-125

Dept. of Surgery, Funabashi Municipal Medical Center.

A 79-year-old male presented with right inguinal mass and right leg pain. Laparoscopic right hemicolectomy was performed for transverse colon cancer(type 1, muc, pSS, pN1a, pStage Ⅲa)3 years and 6 months ago. We resected the mass located in the spermatic cord and reconstructed it using the Direct Kugel Patch. Read More

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January 2020

2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting.

World J Emerg Surg 2020 May 7;15(1):32. Epub 2020 May 7.

Department of Emergency Surgery, Parma Maggiore Hospital, Parma, Italy.

Acute colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in the acute setting. An international multidisciplinary panel of experts from the World Society of Emergency Surgery (WSES) updated its guidelines for management of acute left-sided colonic diverticulitis (ALCD) according to the most recent available literature. The update includes recent changes introduced in the management of ALCD. Read More

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http://dx.doi.org/10.1186/s13017-020-00313-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206757PMC
May 2020
1.062 Impact Factor

The deliberate killing of a sheep with a fire extinguisher: a case report and experimental reconstruction study.

Forensic Sci Med Pathol 2020 Jun 6;16(2):259-264. Epub 2020 May 6.

Department of Pathology, University of Veterinary Medicine Hannover, Bünteweg 17, Hannover, D-30559, Germany.

The morphological findings of a sheep deliberately killed with a powder fire extinguisher in an act of cruelty are described. The animal was orally insufflated with the powder of a 6 kg fire extinguisher having the working pressure of 15 bar. This led to rupture of the esophagus and rumen, followed by rupturing of the abdominal wall. Read More

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http://dx.doi.org/10.1007/s12024-020-00245-0DOI Listing

An early experience with transversus abdominis release for complex ventral hernias: a retrospective review of 100 cases.

Hernia 2020 May 6. Epub 2020 May 6.

Department of General Surgery, Grant Medical College and Sir JJ Group of Hospitals, 6th Floor, Main Hospital Building, Sir JJ Hospital Campus, Byculla, Mumbai, 400008, India.

Background: Transversus abdominis release (TAR) is a relatively recent surgical technique for ventral hernia repair which allows placement of a large prosthesis in the retro-muscular plane with considerable myofascial medialization. A retrospective review of 100 cases who underwent TAR for complex ventral hernias was performed to evaluate the safety and efficacy of TAR in a series of large ventral hernias.

Methods: Between March 2016 and May 2019, 100 consecutive patients who underwent open TAR were identified from our prospectively maintained database. Read More

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http://dx.doi.org/10.1007/s10029-020-02202-wDOI Listing

Sigmoid perforation by broken nitinol memory frame after inguinal hernia repair.

Acta Chir Belg 2020 May 18:1-3. Epub 2020 May 18.

Department of Surgery, O. L. V. Van Lourdes Hospital, Waregem, Belgium.

For an inguinal hernia repair, meshes with a continuous memory frame made it more easy to position the mesh in the preperitoneal space by anterior approach. We present a case of a sigmoid perforation caused by a fractured nitinol ring of a Rebound HRD Shield mesh. A 29-years old sports instructor presented to the Emergency Department (ED) with a gnawing abdominal pain in the left lower quadrant. Read More

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http://dx.doi.org/10.1080/00015458.2020.1765670DOI Listing

Abdominal Wall Reconstruction with a Free Fibula Flap after Internal Extended Hemipelvectomy.

Indian J Plast Surg 2020 Mar 1;53(1):131-134. Epub 2020 Apr 1.

Department of Reconstructive Microsurgery, Clínica Cavadas, Valencia, Spain.

Major pelvic resections for malignant tumors are infrequent and have significant morbidity and mortality, for instance, incisional hernias are postoperative complications uncommonly reported probably because most cases are overshadowed by more serious complications. Reconstruction depends on the extent of the resection and overall prognosis of the patient. A case of a late complex hypogastric and femoral incisional hernia after extended hemipelvectomy for recurrent osteosarcoma treated with distal abdominal wall fixation into a free fibula flap is reported. Read More

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http://dx.doi.org/10.1055/s-0040-1709378DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192704PMC

Multidisciplinary treatment of abdominal wall endometriosis: A case report and literature review.

Eur J Obstet Gynecol Reprod Biol 2020 Apr 21;250:9-16. Epub 2020 Apr 21.

Department of Gynecology and Obstetrics, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, PR China. Electronic address:

A 31-year-old female patient presented with complaints of cyclic low abdominal wall pain and palpable abdominal mass for more than 4 years. Physical examination revealed a painful mass measuring 7 cm × 5 cm within the abdominal wall. Her surgical history included surgery for congenital lymphatic haemangioma twice and caesarean section delivery twice. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.04.046DOI Listing
April 2020
1.627 Impact Factor

Application of double circular suturing technique (DCST) in the repair of large abdominal wall defects after resection of abdominal wall tumor.

Ann Transl Med 2020 Mar;8(6):367

Hernia Center of Department of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu 610041, China.

Background: The aim of this study was to investigate the clinical effects of repairing large defects using the double circular suturing technique (DCST) after resection of abdominal wall tumor.

Methods: The clinical data of 62 patients (25 men, 37 women; average age 41.7±22. Read More

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http://dx.doi.org/10.21037/atm.2020.02.118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186725PMC

Abdominoplasty and Patient Safety: The Impact of Body Mass Index and Bariatric Surgery on Complications Profile.

Aesthetic Plast Surg 2020 Apr 27. Epub 2020 Apr 27.

Department of Plastic Surgery and Burns Unit, Coimbra University Hospital Center, 3000-075, Coimbra, Portugal.

Background: Abdominoplasty is a frequent aesthetic surgical procedure. Despite its popularity, patient safety requires further attention because of an important risk of complications. Obesity and bariatric surgery are potential risk factors. Read More

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http://dx.doi.org/10.1007/s00266-020-01725-yDOI Listing

Surgical Techniques for Revascularization in Abdominal Wall Transplantation.

J Reconstr Microsurg 2020 Apr 25. Epub 2020 Apr 25.

Division of Plastic, Maxillofacial, and Oral Surgery, Duke University Medical Center, Durham, North Carolina.

Background:  Abdominal wall vascularized composite allotransplantation (AW-VCA) can be considered as a technically feasible option for abdominal wall reconstruction in patients whose abdomen cannot be closed using traditional methods. However, successful initial abdominal wall revascularization in the setting of visceral organ transplantation can pose a major challenge as graft ischemia time, operating in a limited surgical field, and variable recipient and donor anatomy must be considered. Several techniques have been reported to accomplish abdominal wall revascularization. Read More

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http://dx.doi.org/10.1055/s-0040-1709481DOI Listing

Primary thoracoabdominal hernias.

Hernia 2020 Apr 24. Epub 2020 Apr 24.

Department of Surgery, Division of Minima Access and Bariatric Surgery, Prisma Health Upstate, 701 Grove Rd, ST 3, Greenville, SC, 29605, USA.

Background: Primary thoracoabdominal hernias involve the triad of an intercostal hernia, abdominal wall hernia, and diaphragmatic hernia. We report a case series of this rare entity and describe the evolution and outcomes.

Methods: We completed a retrospective analysis of thoracoabdominal hernia repairs performed January 2010-April 2019 at Prisma Health-Upstate and Carolinas Medical Center. Read More

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http://dx.doi.org/10.1007/s10029-020-02194-7DOI Listing

No-Touch Technique of Mesh Placement in Ventral Hernia Repair: Minimizing Postoperative Mesh Infections.

Plast Reconstr Surg 2020 May;145(5):1288-1291

Columbus, Ohio From the Department of Plastic Surgery, The Ohio State University Wexner Medical Center.

Synthetic mesh is commonly used in ventral hernia repairs to reinforce the abdominal closure and minimize hernia recurrence rates. However, the use of synthetic mesh is associated with certain risks, most notably infection requiring explantation. This study sought to evaluate the use of a "no-touch" technique with antibiotic solution during synthetic mesh placement in ventral hernia repairs and its impact on complication/infection rates. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006767DOI Listing