1,773 results match your criteria Hernia Inguinal Repair Open


Inconsistency in Opioid Prescribing Practices After Pediatric Ambulatory Hernia Surgery.

J Surg Res 2019 Apr 19;241:57-62. Epub 2019 Apr 19.

Cohen Children's Medical Center, Northwell Health System, Division of Pediatric Surgery, New York, New York; Zucker School of Medicine at Hofstra/Northwell Health System, Department of Surgery, Manhasset, New York.

Introduction: Nonmedical opioid use is a major public health problem. There is little standardization in opioid-prescribing practices for pediatric ambulatory surgery, which can result in patients being prescribed large quantities of opioids. We have evaluated the variability in postoperative pain medication given to pediatric patients following routine ambulatory pediatric surgical procedures. Read More

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http://dx.doi.org/10.1016/j.jss.2019.03.043DOI Listing

Evaluation of post-surgical hyperalgesia and sensitization after open inguinal hernia repair: a useful model for neuropathic pain?

J Pain 2019 Apr 18. Epub 2019 Apr 18.

Division of Anaesthesia, University of Cambridge, Cambridge, United Kingdom. Electronic address:

Cutaneous mechanical hyperalgesia can be induced in healthy volunteers in early-phase analgesic studies to model central sensitization, a key mechanism of persistent pain. However, such hyperalgesia is short-lived (a matter of hours), and is used only for assessing only single drug doses. In contrast, post-surgical peri-incisional hyperalgesia may be more persistent, and hence be a more useful model for the assessment of the efficacy of new analgesics. Read More

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http://dx.doi.org/10.1016/j.jpain.2019.03.012DOI Listing

Ultrasound detection and closure of contralateral patent processus vaginalis in pediatric patients with unilateral inguinal hernia and hydrocele: a longitudinal study to prove efficacy in avoiding contralateral hernia development.

Authors:
P K F Yip

Hernia 2019 Apr 19. Epub 2019 Apr 19.

Minimally Invasive Paediatric Surgery Centre, Room 1105, 11/F, Nathan Road, Mong Kok, Kowloon, Hong Kong.

Background: Open herniotomy has been the gold standard of pediatric hernia treatment with the advantages of simplicity in surgical technique, fast post operative recovery, and minimal recurrence rate, but its inability to prevent hernia development from a contralateral patent processus vaginalis (PPV) after a unilateral herniotomy is its major drawback. By contrast, laparoscopic hernia repair has the advantage of contralateral internal ring inspection, and, therefore, has become popular in recent years, although open herniotomy is still the favorable surgical technique among many surgeons. A simple and reliable tool to detect contralateral PPV will be valuable to surgeons who practice conventional open hernia surgery on children, although ultrasound has been applied for this purpose, but there is no long-term data to support such application. Read More

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http://link.springer.com/10.1007/s10029-019-01951-7
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http://dx.doi.org/10.1007/s10029-019-01951-7DOI Listing
April 2019
1 Read

Long-term results from a randomized comparison of open transinguinal preperitoneal hernia repair and the Lichtenstein method (TULIP trial).

Br J Surg 2019 Apr 17. Epub 2019 Apr 17.

Department of Surgery, Elisabeth TweeSteden Hospital, Tilburg, the Netherlands.

Background: The short-term results of the TULIP trial comparing transinguinal preperitoneal (TIPP) inguinal hernia repair with the Lichtenstein method have been reported with follow-up of 1 year. After TIPP repair, fewer patients had chronic postoperative inguinal pain (CPIP); they had better health status and lower costs. The present study reports the long-term outcomes of this trial. Read More

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http://dx.doi.org/10.1002/bjs.11178DOI Listing

Single-port laparoscopic percutaneous extraperitoneal closure of inguinal hernia using "two-hooked" core needle apparatus in children.

Hernia 2019 Apr 16. Epub 2019 Apr 16.

Department of Hernia and Abdominal Wall Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Objective: The aim of this study is to evaluate the surgical outcomes of single-port laparoscopic percutaneous extraperitoneal closure of inguinal hernia using "two-hooked" core needle apparatus in children.

Methods: This study was conducted at Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine between January 2016 and June 2018. Five hundred and eighteen patients under the age of 12 years with inguinal hernias were subjected to single-port laparoscopic percutaneous extraperitoneal closure (SPLPEC) using non-absorbable suture by "two-hooked" core needle apparatus. Read More

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http://dx.doi.org/10.1007/s10029-019-01933-9DOI Listing
April 2019
1 Read

Meta-analysis of patient-reported outcomes after laparoscopic versus open inguinal hernia repair.

Br J Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of General Surgery, Ulster Hospital, Dundonald, BT16 1RH, UK.

Background: Inguinal hernia repair is a common low-risk intervention. Patient-reported outcomes (PROs) are being used increasingly as primary outcomes in clinical trials. The aim of this study was to review and meta-analyse the PROs in RCTs comparing laparoscopic versus open inguinal hernia repair techniques in adult patients. Read More

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http://dx.doi.org/10.1002/bjs.11139DOI Listing
March 2019
1 Read

Response: Comment on the Study by Melkemichel: Long-term Comparison of Recurrence Rates Between Different Lightweight and Heavyweight Meshes in Open Anterior Mesh Inguinal Hernia Repair-A Nationwide Population-based Register Study.

Ann Surg 2019 Apr 2. Epub 2019 Apr 2.

Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Berlin, Germany.

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http://dx.doi.org/10.1097/SLA.0000000000003311DOI Listing
April 2019
1 Read

The results of open preperitoneal prosthetic mesh repair for acutely incarcerated or strangulated inguinal hernia: a retrospective study of 146 cases.

Surg Endosc 2019 Apr 3. Epub 2019 Apr 3.

Department of Hernia and Abdominal Wall Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, 100043, China.

Background: Tension-free hernia repair has been regarded as the gold-standard treatment for selected inguinal hernias, but the use of prosthetic mesh in acutely incarcerated or strangulated inguinal hernias is controversial. Our aim was to evaluate the safety and efficacy of open prosthetic mesh repairs for emergency inguinal hernias.

Methods: Patients with acutely incarcerated or strangulated inguinal hernias who underwent open preperitoneal prosthetic mesh repairs during 2013 to 2016 at our department were included. Read More

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http://dx.doi.org/10.1007/s00464-019-06729-7DOI Listing
April 2019
3 Reads

Mind the gap: imaging spectrum of abdominal ventral hernia repair complications.

Insights Imaging 2019 Mar 29;10(1):40. Epub 2019 Mar 29.

Surgical Gastroenterology, Apollo Hospitals, opp IIM, Bangalore, Karnataka, 560078, India.

Ventral hernia repair with or without mesh placement is a commonly done procedure. Laparoscopic approach is more preferred than open in recent surgical practice. Complications occur as like any other abdominal surgeries and are dependent on multiple factors. Read More

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http://dx.doi.org/10.1186/s13244-019-0730-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439043PMC
March 2019
1 Read

Appendicitis within an Amyand's hernia: a surprising finding.

J Surg Case Rep 2019 Mar 12;2019(3):rjz055. Epub 2019 Mar 12.

Department of Surgery, Bathurst Base Hospital, Bathurst, Australia.

Amyand's hernia is a rare type of hernia where the appendix is found within the hernial sac. We present a case of appendicitis within an Amyand's hernia in a 72-year-old man who presented with a acutely painful, irreducible right inguinal lump. He underwent open appendicectomy and primary tissue repair with subsequent delayed elective mesh hernioplasty 3 months later. Read More

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http://dx.doi.org/10.1093/jscr/rjz055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413376PMC
March 2019
1 Read

Long-term follow-up of pediatric open and laparoscopic inguinal hernia repair.

J Pediatr Surg 2019 Feb 27. Epub 2019 Feb 27.

Kaiser Permanente Northern California, Division of Research, 2000 Broadway, Oakland, CA, 94612. Electronic address:

Background: Pediatric laparoscopic inguinal hernia repair is not widely accepted.

Study Design: Children 0-14 years who underwent inguinal hernia repair during 2010-2016 at Kaiser Permanente Northern California were classified into five groups: (1) open unilateral repair without contralateral exploration; (2) open unilateral repair with contralateral laparoscopic exploration ("open+explore"); (3) open bilateral repair; (4) laparoscopic unilateral repair; and (5) laparoscopic bilateral repair. Outcomes included ipsilateral reoperation, metachronous contralateral repair, incision time, and complications. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.064DOI Listing
February 2019
1 Read

Success of Hospital Intervention and State Legislation on Decreasing and Standardizing Postoperative Opioid Prescribing Practices.

J Am Coll Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Surgery, Saint Joseph Mercy Oakland, Pontiac, MI.

Background: We sought to evaluate change in postoperative prescription practices in an independent community-based hospital after hospital interventions and a state legislation change.

Study Design: This is a retrospective review of opioid-naïve adult subjects who underwent 5 common general surgical procedures between 2015 and 2017, including cholecystectomy, appendectomy, minimally invasive inguinal hernia repair, open inguinal hernia repair, and breast lumpectomy. Educational interventions were introduced, new statewide legislation was passed, and 129 subsequent cases were reviewed. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.049DOI Listing
March 2019
2 Reads

Ascending the Learning Curve of Robotic Abdominal Wall Reconstruction.

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, NYU Winthrop Hospital, Mineola, New York, USA.

Background: Robotic complex abdominal wall reconstruction (r-AWR) using transversus abdominis release (TAR) is associated with decreased wound complications, morbidity, and length of stay compared with open repair. This report describes a single-institution experience of r-AWR.

Methods: A retrospective chart review was performed on patients who underwent r-AWR by a single surgeon (D. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400246PMC
March 2019
3 Reads

Transabdominal preperitoneal (TAPP) versus open Lichtenstein hernia repair. Comparison of the systemic inflammatory response and the postoperative pain1.

Acta Cir Bras 2019 Feb 28;34(2):e201900206. Epub 2019 Feb 28.

PhD, Associate Professor, Department of Surgery and Anatomy, Clinical Hospital, Faculty of Medicine, Universidade de São Paulo (USP), Ribeirao Preto-SP, Brazil. Conception and design of the study, analysis and interpretation of data, manuscript preparation and writing, critical revision, final approval.

Purpose: To compare open Lichtenstein repair and laparoscopic transabdominal preperitoneal (TAPP) repair to treat primary unilateral hernia, regarding systemic inflammatory response, postoperative pain, and complications.

Methods: A non-randomized prospective cohort study, with the preoperative and postoperative (24 hours) collection of blood samples for C reactive protein (CRP), interleukin 6 (IL-6), leukocyte and neutrophil analysis. Visual Analog Scale (VAS) was used to quantify the level of pain, and the operative time was correlated with the inflammatory response. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/s0102-8650201900206DOI Listing
February 2019
7 Reads

TAAP vs. TEP in Inguinal Hernia Repair - What is the Evidence? A Single Center Experience.

Chirurgia (Bucur) 2019 Jan-Feb;114(1):67-72

Goals: To evaluate the indications of TAAP vs TEP in the treatment of unilateral inguinal hernia and the limitations of each technique using the experience of our clinic.

Material And Method: The study is retrospective, extends over 4 years and includes patients with unilateral inguinal hernia operated using either TAAP or TEP technique. We identified a number of 40 patients of which 25 were treated with the TAPP and 15 with the TEP technique. Read More

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http://dx.doi.org/10.21614/chirurgia.114.1.67DOI Listing
February 2019
1 Read

Postoperative Outcomes and Patient's Satisfaction after Hybrid TIPP with UHS and TEP Repair for Inguinal Hernias: A Single-Centre Retrospective Comparative Study.

Chirurgia (Bucur) 2019 Jan-Feb;114(1):57-66

Transabdominal Preperitoneal (TAPP) and Totally Extraperitoneal (TEP) inguinal hernia repairs are largely acclaimed for their lower risk of chronic postoperative pain and acceptable recurrence rates. However, hybrid/combined open procedures are still a reliable option among surgeons. Our aim is to compare the outcomes and patients satisfaction of hybrid TIPP (hTIPP) procedure using the Ultrapro Hernia System with laparoscopic pre-peritoneal mesh repair approaches (TEP) to assess its safety and effectiveness. Read More

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http://dx.doi.org/10.21614/chirurgia.114.1.57DOI Listing
February 2019
2 Reads

Transinguinal Preperitoneal Mesh Plasty - An Alternative or a Dispensable Technique? A Prospective Analyze vs Lichtenstein Repair for Complex Unilateral Groin Hernias.

Chirurgia (Bucur) 2019 Jan-Feb;114(1):48-56

complex groin hernia is a well describe entity with a high risk of recurrence and postoperative complications. There is no standardized approach and no reports to confirm the efficcacy of a surgical procedure. Our goal was to compare Lichtenstein repair (LR) as "golden standard" for open anterior approach with the transinguinal preperitoneal plasty (TIPP) in the treatment of complex groin hernia repair. Read More

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http://dx.doi.org/10.21614/chirurgia.114.1.48DOI Listing
February 2019
1 Read

Sage wisdom or anecdotal dictum? Equivalent opioid use after open, laparoscopic, and robotic inguinal hernia repair.

Am J Surg 2019 May 22;217(5):839-842. Epub 2019 Feb 22.

Madigan Army Medical Center, Tacoma, WA, USA. Electronic address:

Background: Purported benefits of minimally-invasive inguinal hernia repair techniques include less postoperative pain, but objective data is lacking. We analyzed prescribing habits and opiate requirements to provide an objective comparison.

Methodology: Inguinal hernia repairs performed on patients aged 18-65 from October 2016 through February 2018 were examined. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.02.022DOI Listing
May 2019
3 Reads

Comparing the Incidences of Occult Contralateral Hernia under Laparo-Endoscopic Techniques and of Contralateral Metachronous Hernia after a Unilateral Groin Hernia Repair in Open Technique.

Am Surg 2019 Feb;85(2):196-200

The aim of this study was to evaluate the utility of immediate repair of a contralateral occult hernia at the same time as incipient hernia repair. A total of 693 patients were diagnosed preoperatively with a unilateral groin hernia from January 2006 to December 2017. The open technique was used for 541 patients, and the laparo-endoscopic technique was used for 152 patients. Read More

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February 2019
3 Reads

Open and Laparoscopic Inguinal Hernia Surgery: A Cost Analysis.

J Laparoendosc Adv Surg Tech A 2019 Feb 26. Epub 2019 Feb 26.

1 Department of Surgery and Ospedale Regionale di Bellinzona e Valli, Bellinzona, Switzerland.

Background: In the treatment of inguinal hernias, there is little hard evidence concerning the economic reimbursement in the diagnosis-related group (DRG) era. Factors that affect whether a hospital may earn or lose financially depending on open or laparoscopic approach is still underexplored. The aim of this study was to provide a reliable analysis of in-hospital costs and reimbursements in inguinal hernia surgery. Read More

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http://dx.doi.org/10.1089/lap.2018.0805DOI Listing
February 2019
1 Read

Groin Hernias in Women-A Review of the Literature.

Front Surg 2019 11;6. Epub 2019 Feb 11.

Hernia Center 3+CHIRURGEN, Berlin, Germany.

To date, there are few studies and no systematic reviews focusing specifically on groin hernia in women. Most of the existing knowledge comes from registry data. This present review now reports on such findings as are available on groin hernia in women. Read More

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http://dx.doi.org/10.3389/fsurg.2019.00004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378890PMC
February 2019
1 Read

Open inguinal hernia repair with self-gripping Parietex ProGrip mesh: a retrospective study of 204 cases.

G Chir 2019 Jan-Feb;40(1):26-31

Chronic pain and recurrence rates are the main challenge in modern inguinal hernia surgery. Several trials have investigated the role of self-adhesive mesh repair for inguinal hernia, with special attention to the incidence of chronic postoperative inguinal pain and recurrence. The purpose of our study was to retrospectively evaluate the early and long-term results using a self-gripping mesh (Parietex Progrip® , Covidien) in our institution. Read More

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February 2019
4 Reads

Mechanisms of age and race differences in receiving minimally invasive inguinal hernia repair.

Surg Endosc 2019 Feb 14. Epub 2019 Feb 14.

Department of Surgery, University of Michigan, 2800 Plymouth Road, Building 16, 1st Floor, Ann Arbor, MI, 48109, USA.

Background: Black patients and older adults are less likely to receive minimally invasive hernia repair. These differences by race and age may be influenced by surgeon-specific utilization rate of minimally invasive repair. In this study, we explored the association between race, age, and surgeon utilization of minimally invasive surgery (MIS) with the likelihood of receiving MIS inguinal hernia repair. Read More

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http://dx.doi.org/10.1007/s00464-019-06695-0DOI Listing
February 2019
1 Read

Comparison of early and long term outcomes of open Lichtenstein repair and totally extraperitoneal herniorrhaphy for primary inguinal hernias

Turk J Med Sci 2019 Feb 11;49(1):38-41. Epub 2019 Feb 11.

Background/aim: Inguinal hernia repair is one of the most common surgical procedures worldwide. There is still controversy over which method has the best postoperative results. The aim of this study was to compare early and late postoperative results of laparoscopic totally extraperitoneal herniorrhaphy (TEP) and open Lichtenstein herniorrhaphy (OLR). Read More

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http://dx.doi.org/10.3906/sag-1803-94DOI Listing
February 2019
1 Read

SYSTEMIZATION OF LAPAROSCOPIC INGUINAL HERNIA REPAIR (TAPP) BASED ON A NEW ANATOMICAL CONCEPT: INVERTED Y AND FIVE TRIANGLES.

Arq Bras Cir Dig 2019 Feb 7;32(1):e1426. Epub 2019 Feb 7.

Department of Surgery, Hospital das Clínicas, Botucatu Medical School, Botucatu, SP, Brazil).

Background: Laparoscopic inguinal hernia repair has been shown to be superior than open repairs with faster return to daily activities and decrease in the occurrence of chronic pain. However, higher direct costs and mandatory use of general anesthesia are arguments against their use. In addition, increased complexity of surgery resulting from an anatomy that is unusual to general surgeons prevents the widespread adoption of laparoscopic approach. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1426DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368153PMC
February 2019
1 Read

The Use of Prosthetic Mesh in the Emergency Management of Acute Incarcerated Inguinal Hernias.

Surg Innov 2019 Feb 8:1553350619828900. Epub 2019 Feb 8.

1 Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.

Introduction: Tension-free hernia repair has been regarded as a gold standard treatment for selected inguinal hernias, but the use of prosthetic mesh in acute incarcerated inguinal hernias is controversial. Our study focused on evaluating the safety and efficacy of the prosthetic mesh repair for emergency cases.

Methods: Patients with acute incarcerated inguinal hernias who underwent emergency prosthetic mesh repair during 2009 to 2014 at our department were included. Read More

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http://dx.doi.org/10.1177/1553350619828900DOI Listing
February 2019
2 Reads

Long-term Comparison of Recurrence Rates Between Different Lightweight and Heavyweight Meshes in Open Anterior Mesh Inguinal Hernia Repair: A Nationwide Population-based Register Study.

Ann Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Clinical Sciences, Danderyds Hospital, Karolinska Institutet, Stockholm, Sweden.

MINI: This nationwide population-based register study with 76,495 consecutive inguinal hernia repairs, recruited from the national Swedish Hernia Register, demonstrated that repairs with regular polypropylene lightweight meshes in open anterior mesh inguinal hernia repair were not associated with an increased risk of reoperation for recurrence compared with heavyweight meshes.

Objective: To compare the reoperation rate for recurrence of different lightweight to heavyweight meshes after an open anterior mesh (OAM) inguinal hernia repair.

Summary Background Data: Lightweight meshes have shown benefits compared with heavyweight meshes in terms of accelerated recovery after surgery with less postoperative pain. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003219DOI Listing
January 2019
2 Reads

The clinical significance of an incidentally detected open internal inguinal ring.

J Pediatr Urol 2019 Jan 4. Epub 2019 Jan 4.

Department of Pediatric Surgery, Agios Loukas Hospital, Panorama, Thessaloniki, Greece.

Introduction And Objective: An open internal inguinal ring (IIR) may be discovered incidentally either in the context of correcting pathology involving the contralateral side or at the time of surgical exploration for reasons unrelated to a patent processus vaginalis (PPV). The aim of this study is to determine the evolution of an incidentally encountered open IIR in patients undergoing laparoscopy for reasons not associated with unilateral inguinal hernia or cryptorchidism.

Materials And Methods: The authors conducted a prospective study of all patients who underwent laparoscopic surgery in the department of pediatric surgery at Agios Loukas hospital between 2004 and 2013 for various indications. Read More

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http://dx.doi.org/10.1016/j.jpurol.2018.12.007DOI Listing
January 2019
6 Reads

Mesh migration following abdominal hernia repair: a comprehensive review.

Hernia 2019 Apr 30;23(2):235-243. 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
April 2019
20 Reads

Laparoscopic Mesh Repair of Bilateral Obturator Hernias Post-Peritoneal Dialysis.

Perit Dial Int 2019 Jan-Feb;39(1):95-97

St. Paul's Hospital, Department of General Surgery, Vancouver, BC, Canada.

Abdominal wall hernias are prevalent in patients undergoing peritoneal dialysis (PD). Obturator hernias, first described by Arnaud de Ronsil in 1724, are an uncommon type of hernia where intra-abdominal contents protrude through the obturator foramen. The following case highlights a rare presentation of bilateral obturator hernias with right femoral and inguinal hernia in an 82-year-old woman post-PD. Read More

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http://dx.doi.org/10.3747/pdi.2018.00203DOI Listing
January 2019
2 Reads

Robotic Inguinal Hernia Repair: A Large Health System's Experience With the First 300 Cases and Review of the Literature.

J Surg Res 2019 Mar 25;235:98-104. Epub 2018 Oct 25.

Division of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. Electronic address:

Background: Over the past 5 y, robotic surgery has expanded within general surgery, especially in regard to hernia repairs. We aimed to evaluate the outcomes of the early experience of over 300 consecutive robotic inguinal hernia repairs performed in an academic multihospital system.

Methods: Consecutive robotic inguinal hernia repairs performed between December 2015 and June 2017 were analyzed. Read More

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http://dx.doi.org/10.1016/j.jss.2018.09.070DOI Listing
March 2019
1 Read

Open darn repair vs open mesh repair of inguinal hernia: a systematic review and meta-analysis of randomised and non-randomised studies.

Hernia 2019 Jan 28. Epub 2019 Jan 28.

Department of General Surgery, North Manchester General Hospital, Manchester, UK.

Objectives: To compare the outcomes of open darn repair vs open mesh repair in patients undergoing inguinal hernia repair.

Methods: We performed a systematic review and conducted a search of electronic information sources to identify all observational studies and randomised controlled trials (RCTs) investigating outcomes of open darn repair vs open mesh repair for inguinal hernias. Hernia recurrence was considered as the primary outcome measure. Read More

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http://dx.doi.org/10.1007/s10029-019-01892-1DOI Listing
January 2019
2 Reads

[Traumatic bicycle handlebar hernia in a child].

Ugeskr Laeger 2018 02;180(8)

Traumatic abdominal wall hernia in children caused by a bicycle handlebar is a rare injury. This is a case report of a 15-year-old boy with a traumatic hernia in the right groin, where a physical examination revealed a small bulge in the right inguinal region, and an ultrasonography confirmed the diagnosis. The condition was initially treated conservatively. Read More

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February 2018
3 Reads

Inguinal hernia repair in Nigeria: a survey of surgical trainees.

Hernia 2019 Jan 17. Epub 2019 Jan 17.

Department of Surgery, Jos University Teaching Hospital, P.M.B 2076, Jos, Plateau State, Nigeria.

Purpose: Africa's inguinal hernia burden is high with large numbers of untreated hernias. Mesh repair is recommended in developed countries, but the best repair in developing countries is unknown. Little is known about knowledge and practice of surgeons in Nigeria performing inguinal hernia repair. Read More

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http://dx.doi.org/10.1007/s10029-019-01885-0DOI Listing
January 2019
3 Reads

A clinical trial comparing ultrasound-guided ilioinguinal/iliohypogastric nerve block to transversus abdominis plane block for analgesia following open inguinal hernia repair.

J Pain Res 2019 4;12:201-207. Epub 2019 Jan 4.

Pain Research Center, Iran University of Medical Sciences, Tehran, Iran,

Objective: To compare the efficacy of ilioinguinal/iliohypogastric (IINB) nerve block to transversus abdominis plane (TAP) block in controlling incisional pain after open inguinal hernia repair.

Patients And Methods: This was a prospective randomized clinical trial of 90 patients who received either IINB (N=45) or TAP block (N=45) using 0.2% bupivacaine 15 mL under ultrasound (US) guidance based on a random assignment in the postanesthesia care unit after having an open repair of inguinal hernia. Read More

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https://www.dovepress.com/a-clinical-trial-comparing-ultraso
Publisher Site
http://dx.doi.org/10.2147/JPR.S179506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324918PMC
January 2019
14 Reads

Is young age a risk factor for chronic postoperative inguinal pain after endoscopic totally extraperitoneal (TEP) repair?

Hernia 2019 Jan 17. Epub 2019 Jan 17.

Department of Surgery, Hernia Clinic, Diakonessenhuis, Room: Secretariaat Heelkunde, Professor Lorentzlaan 76, Zeist, 3707 HL, Utrecht, The Netherlands.

Purpose: A generally known risk factor for developing chronic postoperative inguinal pain after inguinal hernia repair is young age. However, studies discussing young age as a risk factor are mainly based on open repairs. The aim of this study was to determine if young adults (age 18-30) are also more prone to experience chronic postoperative inguinal pain after totally extraperitoneal (TEP) inguinal hernia repair, compared to older adults (age ≥ 31). Read More

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http://dx.doi.org/10.1007/s10029-019-01882-3DOI Listing
January 2019
5 Reads

The learning curve of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia: protocoled training in a single center for six pediatric surgical trainees.

BMC Surg 2019 Jan 14;19(1). Epub 2019 Jan 14.

Department of Pediatric Surgery, Seirei Hamamatsu General Hospital, Shizuoka, Japan.

Background: Laparoscopic percutaneous extraperitoneal closure (LPEC) has become a common procedure for repairing inguinal hernia. As a laparoscopic approach, pediatric surgical trainees require more training to learn LPEC than a traditional open approach. This study aimed to clarify the experience needed to acquire the skill to perform LPEC adequately. Read More

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http://dx.doi.org/10.1186/s12893-019-0470-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332850PMC
January 2019
4 Reads

Laparoscopy Versus Open Incarcerated Inguinal Hernia Repair in Octogenarians: Single-Center Experience With World Review.

Surg Laparosc Endosc Percutan Tech 2019 Apr;29(2):138-140

Department of Liver Transplantation and Laparoscopic Surgery, Digestive Vascular Surgery Center.

Objectives: The clinical study is aiming to discuss the therapeutic benefit of laparoscopic hernia (LH) repair with comparing conventional open hernia (OH) repair in incarcerated hernia in octogenarians.

Materials And Methods: The clinical data of 29 octogenarian incarcerated hernia patients who underwent hernia repair from November 2013 to March 2017 were retrospectively analyzed. The variables analyzed include baseline, operation characteristics, and clinical outcomes. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000629DOI Listing
April 2019
3 Reads

Effect of addition of perineural buprenorphine or dexamethasone to levobupivacaine on postoperative analgesia in ultrasound guided transversus abdominis plane block in patients undergoing unilateral inguinal hernia repair: a prospective randomized double blind controlled trial.

Korean J Anesthesiol 2019 Jan 9. Epub 2019 Jan 9.

Dr S N Medical College, Jodhpur.

Background: The transversus abdominis plane (TAP) block is an effective technique to block thoracolumbar nerves supplying anterolateral abdominal wall. This study was conducted to evaluate the analgesic efficacy and opioid consumption with addition of perineural buprenorphine or dexamethasone in TAP block after unilateral inguinal hernioplasty.

Methods: This prospective, randomized, double blinded, placebo controlled study, enrolled 93 patients, scheduled for unilateral inguinal hernioplasty, randomly divided into three groups (31 each), to received ultrasound guided TAP block after completion of surgery. Read More

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http://dx.doi.org/10.4097/kja.d.18.00182DOI Listing
January 2019
6 Reads

Lower Incidence of Postoperative Pain after Open Inguinal Hernia Surgery with the Usage of Synthetic Glue-Coated Mesh (Adhesix®).

Am Surg 2018 Dec;84(12):1932-1937

Chronic groin pain after inguinal hernia mesh repair is a common problem. Mesh fixation without sutures has been suggested to have several advantages over the traditional suture fixation. The aim of this study was to compare two self-adhering meshes, the glued Adhesix® (AH) and the gripping Parietene ProGrip® (PP), and evaluate their impact on postoperative chronic pain and overall recovery. Read More

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December 2018
5 Reads

"All In One Mesh Hernioplasty" device for inguinal hernia repair. Results of 400 cases.

Ann Ital Chir 2018 ;89:438-442

Background: Our intention in this study was to evaluate the effectiveness of a new open mesh hernia repair procedure, the "All in One Mesh Hernioplasty", for the treatment of primary inguinal hernias in adults.

Methods: Between February 2014 and February 2016, we performed the All In One Mesh Hernioplasty procedure on 400 patient suffering from primary unilateral inguinal hernia at our Institution. The prosthesis was placed on the floor of the inguinal canal, as described in the original technique, and later covered by the fibrocremasteric sheath. Read More

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January 2018
6 Reads

Scrotal/testicular status after repair of recent severe incarcerated inguinal hernia in male infants younger than 12 months old: Laparoscopic percutaneous extraperitoneal closure versus conventional open repair.

Asian J Endosc Surg 2018 Dec 19. Epub 2018 Dec 19.

Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.

Introduction: We prospectively reviewed 41 male infants younger than 12 months old who had presented with severe incarcerated inguinal hernia between 2014 and 2016 and had been treated by laparoscopic percutaneous extraperitoneal closure (LPEC) or conventional open repair (CO).

Methods: Operative times and intraoperative findings were evaluated. Scrotal/testicular status were assessed preoperatively, 1 week, and 4 weeks after surgery. Read More

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http://doi.wiley.com/10.1111/ases.12680
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http://dx.doi.org/10.1111/ases.12680DOI Listing
December 2018
13 Reads

Unusual presentation of a life-threatening intraperitoneal haemorrhage after elective inguinal hernia repair.

BMJ Case Rep 2018 Dec 3;11(1). Epub 2018 Dec 3.

Surgical Emergency Unit, John Radcliffe Hospital, Oxford, UK.

A 57-year-old man who was hypotensive at induction of anaesthesia was having intermittent episodes of hypotension after an uncomplicated and relatively bloodless open inguinal hernia repair of a large left-sided hernia . His hypotension was responsive to small fluid boluses. He did not show any tachycardia, had no abdominal pain, no signs of bruising or bleeding in his abdomen, flanks, or scrotum. Read More

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http://dx.doi.org/10.1136/bcr-2018-226676DOI Listing
December 2018
3 Reads

Safety and efficacy of laparoscopic percutaneous extraperitoneal closure for inguinal hernia in infants younger than 6 months: A comparison with conventional open repair.

Asian J Endosc Surg 2018 Dec 18. Epub 2018 Dec 18.

Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Suita, Japan.

Introduction: This study aimed to compare the safety and efficacy of laparoscopic percutaneous extraperitoneal closure (LPEC) and conventional open repair (OR) for inguinal hernia in infants younger than 6 months.

Methods: The medical records of 202 patients who had undergone LPEC or OR at an age younger than 6 months between 2010 and 2016 were reviewed. Patient characteristics and surgical outcomes were compared between LPEC and OR. Read More

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http://dx.doi.org/10.1111/ases.12676DOI Listing
December 2018
3 Reads

Retained Surgical Items in Inguinal Canal: A Case Report and Literature Review.

Open Access Maced J Med Sci 2018 Nov 23;6(11):2165-2167. Epub 2018 Nov 23.

College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.

Background: Retained surgical items (RSI) are rare medical challenges with serious complications and medicolegal implications. Knowledge and preventive measures for these rare events are currently not sufficient to limit their increasing incidence. Gauzes and sponges constitute most of RSI. Read More

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http://dx.doi.org/10.3889/oamjms.2018.377DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290442PMC
November 2018
1 Read

Temporal trends in opioid prescribing for common general surgical procedures in the opioid crisis era.

Am J Surg 2019 Apr 8;217(4):613-617. Epub 2018 Dec 8.

Department of Surgery, Mount Sinai Hospital, New York, NY, USA. Electronic address:

Background: Recent data has demonstrated that postoperative patients are at risk of chronic opioid abuse. It is unknown whether surgeon postoperative opioid prescribing changed as the opioid crisis entered its peak.

Methods: The Institutional Data Warehouse was queried to identify patients who underwent three common elective ambulatory procedures between 2014 and 2018 (n = 3495), including: laparoscopic cholecystectomy, laparoscopic inguinal hernia repair (IHR), and open IHR. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.11.047DOI Listing
April 2019
4 Reads

Robot-assisted abdominal wall surgery: a systematic review of the literature and meta-analysis.

Hernia 2019 Feb 6;23(1):17-27. Epub 2018 Dec 6.

Department of Suregery, Maria Middelares, Ghent, Belgium.

Purpose: The number of robot-assisted hernia repairs is increasing, but the potential benefits have not been well described. The aim of this study was to evaluate the available literature reporting on outcomes after robot-assisted hernia repairs.

Methods: This is a qualitative review and meta-analysis of papers evaluating short-term outcomes after inguinal or ventral robot-assisted hernia repair compared with either open or laparoscopic approach. Read More

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http://link.springer.com/10.1007/s10029-018-1872-3
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http://dx.doi.org/10.1007/s10029-018-1872-3DOI Listing
February 2019
12 Reads

INGUINAL REPAIR VIA ROBOTIC ASSISTED TECHNIQUE: LITERATURE REVIEW.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1408. Epub 2018 Dec 6.

Hospital Sírio-Libanês, São Paulo, SP, Brazil.

Introduction: Inguinal hernia is one of the most frequent surgical diseases. Currently, with the advantages of minimally invasive surgery, new questions arise: what will be the best approach for correction of inguinal hernia? Is there real benefit to the robotic approach?

Objective: To compile results of the published studies that used the robot-assisted technique in the repair of inguinal hernia, analyzing its limitations, complications and comparing it with those of the pre-existing techniques.

Method: The review was performed from the Medline database with the following descriptors: (inguinal hernia repair OR hernioplasty OR hernia) AND (robot OR robotic OR robotic assisted) being retrieved 391 articles. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1408DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284374PMC
December 2018
23 Reads

Robotic-assisted versus laparoscopic unilateral inguinal hernia repair: a comprehensive cost analysis.

Surg Endosc 2018 Dec 7. Epub 2018 Dec 7.

Washington University School of Medicine, Box 8109, St. Louis, MO, 63110, USA.

Background: Cost-effectiveness of robotic-assisted surgery is still debatable. Robotic-assisted inguinal hernia repair has no clear clinical benefit over laparoscopic repair. We performed a comprehensive cost-analysis comparison between the two approaches for evaluation of their cost-effectiveness in a large healthcare system in the Western United States. Read More

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http://dx.doi.org/10.1007/s00464-018-06606-9DOI Listing
December 2018
5 Reads

Current treatment of the inguinal hernia - the role of the totally extraperitoneal (TEP) hernia repair.

Folia Med Cracov 2018 ;58(3):103-114

Department of Experimental and Clinical Surgery, Jagiellonian University Medical College Kraków, Poland.

Inguinal hernia repairs are one of the most common procedures performed in general surgical departments. Approximately 20 million hernia repairs are performed annually all over the world. According to the EHS guidelines, the recommended treatment methods of the inguinal hernia are tension-free techniques: the Lichtenstein open hernia repair and the laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) methods. Read More

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http://journals.pan.pl/dlibra/publication/125076
Publisher Site
http://dx.doi.org/10.24425/fmc.2018.125076DOI Listing
January 2018
11 Reads