3,266 results match your criteria Hernia Reduction

Cost-effectiveness analysis of resorbable biosynthetic mesh in contaminated ventral hernia repair.

J Visc Surg 2021 Jun 8. Epub 2021 Jun 8.

Clinical Epidemiology Unit, Clinical Investigation Center, INSERM, CIC1432, Dijon University Hospital; INSERM, LNC UMR1231, University Bourgogne Franche-Comté, Dijon, France.

Background: The aim of this study was to compare, in terms of cost and serious complications, the use of biosynthetic resorbable parietal mesh with biologic mesh in patients undergoing contaminated ventral hernia repair (modified Ventral Hernia Working Group grade 3). Poly-4-hydroxy-butyrate (P4HB) biosynthetic mesh has rarely been the subject of comparative studies in the context of contamination. Data are required to confirm the effects of a transition from biological mesh to biosynthetic resorbable mesh. Read More

View Article and Full-Text PDF

Bariatric surgery to aLleviate OCcurrence of Atrial Fibrillation Hospitalization-BLOC-AF.

Heart Rhythm O2 2020 Jun 12;1(2):96-102. Epub 2020 May 12.

Department of Internal Medicine, University of California, Davis, School of Medicine, Sacramento, California.

Background: Obesity is associated with a higher incidence of atrial fibrillation (AF). Weight reduction improves outcomes in patients known to have AF.

Objective: The purpose of this study was to compare the incidence of heart failure (HF) or first-time AF hospitalization in obese patients undergoing bariatric surgery (BAS) vs other abdominal surgeries. Read More

View Article and Full-Text PDF

Retrospective audit of laparoscopic inguinal hernia repair at a South African tertiary academic hospital.

B Moodie Z M Koto

S Afr J Surg 2020 Dec;58(4):187-191

Department of General Surgery, Sefako Makgatho Health Sciences University, South Africa.

Background: Adoption of laparoscopic inguinal hernia repair (LIHR) in sub-Saharan Africa is poor. The aim of this study was to describe our experience of the feasibility and short-term efficacy of the LIHR service at a South African tertiary academic hospital.

Methods: A retrospective audit of all the adult, elective, laparoscopic inguinal hernia cases that were done between November 2011 and 31 October 2016. Read More

View Article and Full-Text PDF
December 2020

Long-term outcomes of bariatric surgery in patients with bi-allelic mutations in the POMC, LEPR, and MC4R genes.

Surg Obes Relat Dis 2021 May 8. Epub 2021 May 8.

Assistance Publique-Hôpitaux de Paris, Nutrition Department, Pitié-Salpêtrière Hospital, CRNH Ile de France, F-CRIN/FORCE Network Paris, Paris, France; Sorbonne Université, INSERM, Nutrition and Obesities: Systemic Approaches (NutriOmics) Research Unit, F-CRIN/FORCE Network Paris, Paris, France.

Background: Gene mutations in the leptin-melanocortin signaling cascade lead to hyperphagia and severe early onset obesity. In most cases, multimodal conservative treatment (increased physical activity, reduced caloric intake) is not successful to stabilize body weight and control hyperphagia.

Objectives: To examine bariatric surgery as a therapeutic option for patients with genetic obesity. Read More

View Article and Full-Text PDF

[Robotic hernia surgery : Part I: Robotic inguinal hernia repair (r‑TAPP). Video report and results of a series of 302 hernia operations].

Chirurg 2021 Jun 1. Epub 2021 Jun 1.

Klinik für Viszeral‑, Gefäss- und Thoraxchirurgie, Kantonsspital Olten, Baslerstr. 150, 4600, Olten, Schweiz.

The treatment of inguinal hernias with open and minimally invasive procedures has reached a high standard in terms of outcome over the past 30 years. However, there is still need for further improvement, mainly in terms of reduction of postoperative seroma, chronic pain, and recurrence. This video article presents the endoscopic anatomy of the groin with regard to robotic transabdominal preperitoneal patch plasty (r‑TAPP) and illustrates the surgical steps of r‑TAPP with respective video sequences. Read More

View Article and Full-Text PDF

Abdominal wall reconstruction after emergent surgery for fistulizing incarcerated ventral wall hernia in morbidly obese patient.

Pol Przegl Chir 2020 Oct;93(2):1-5

Department of Surgery, University Hospital Centre Zagreb, Croatia.

Background: Incarcerated abdominal wall hernias may have a variety of manifestations and the most dreaded consequence is strangulation leading to obstruction and perforation of hollow viscus. Very rarely, such a perforation presents with fistulization into the abdominal wall and skin, which is often not considered but may complicate the management approach. <br/>Case presentation: We reported on presentation and management of a 56-year-old morbidly obese male with a fistulizing incarcerated ventral wall hernia and postoperative abdominal wall necrosis. Read More

View Article and Full-Text PDF
October 2020

Recurrent abdominal pain due to small bowel volvulus after transabdominal preperitoneal hernioplasty: A case report and review of literature.

World J Clin Cases 2021 May;9(15):3696-3703

Department of Hernia Surgery, Tianjin Union Medical Centre, Tianjin 300000, China.

Background: Compared with open mesh repair, transabdominal preperitoneal (TAPP) hernioplasty results in less chronic postoperative inguinal pain and faster postoperative recovery. However, it may still lead to rare but serious complications. Here we report a case of intestinal volvulus with recurrent abdominal pain as the only clinical symptom, which occurred 3 mo after TAPP repair for bilateral inguinal hernia. Read More

View Article and Full-Text PDF

Algorithm for management of an incarcerated inguinal hernia in the emergency settings with manual reduction. Taxis, the technique and its safety.

Hernia 2021 May 25. Epub 2021 May 25.

Royal Infirmary of Edinburgh, Edinburgh, UK.

Background: An acute inguinal hernia remains a common emergency surgical condition worldwide. While emergency surgery has a major role to play in treatment of acute hernias, not all patients are fit for emergency surgery, nor are facilities for such surgery always available. Taxis is the manual reduction of incarcerated tissues from the hernia sack to its natural compartment, and can help delay the need for surgery from days to months. Read More

View Article and Full-Text PDF

Post-traumatic diaphragmatic rupture with pericardial denudation: A case report.

Int J Surg Case Rep 2021 May 15;83:105970. Epub 2021 May 15.

Visceral Surgery Emergency Department 35, University hospital center Ibn Rochd, Casablanca, Morocco; Faculty of Medicine and Pharmacy, Hassan 2 university, Casablanca, Morocco.

Introduction: Post-traumatic diaphragmatic rupture is a lesion of variable severity. It is a rare and difficult to diagnose pathology, it has been found in 0.4% of all traumatized patients and in 1. Read More

View Article and Full-Text PDF

Totally extra-peritoneal repair versus trans-abdominal pre-peritoneal repair for the laparoscopic surgical management of sportsman's hernia: A systematic review and meta-analysis.

Surg Endosc 2021 May 18. Epub 2021 May 18.

Regional Hepato-Pancreato-Biliary Surgery Unit, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, UK.

Background: Open and laparoscopic modalities are employed for treatment of sportsman's hernia with totally extra-peritoneal (TEP) and trans-abdominal pre-peritoneal (TAPP) laparoscopic approaches both currently being utilised. At present, neither subtype has demonstrated a beneficial superiority for sportsman's hernia repair, as concluded in the most recent systematic review comparing the outcomes of each technique. The aim of this review was to evaluate current evidence to ascertain whether there was a difference in laparoscopic techniques following sportsman's hernia repair. Read More

View Article and Full-Text PDF

The efficacy of abdominal binders in reducing postoperative pain and distress after cesarean delivery: A meta-analysis of randomized controlled trials.

Eur J Obstet Gynecol Reprod Biol 2021 May 9;262:73-79. Epub 2021 May 9.

Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Policlinico Umberto I, Rome, Italy.

Objective: To evaluate the efficacy of abdominal binders in reducing postoperative pain, patient distress and surgical postoperative sequelae after cesarean delivery (CD).

Methods: A comprehensive search in electronic databases (MEDLINE, EMBASE, and Cochrane Central) was performed up to February 2021. Selection criteria included randomized clinical trials investigating the application or not of abdominal binder after CD. Read More

View Article and Full-Text PDF

Efficacy of fractional laser, radiofrequency and IPL rejuvenation of periorbital region.

Lasers Med Sci 2021 May 14. Epub 2021 May 14.

Department of Cosmetology and Aesthetic Dermatology, Faculty of Pharmacy, Medical University of Łódź, Muszyńskiego 1 Street, 91-151, Łódź, Poland.

The purpose of this study was to assess skin elasticity, the reduction in the number and the depth of wrinkles and changes in the other skin defects (bags under the eyes, dark circles under the eyes, skin hyperpigmentation in the ageing eye area following the use of non-ablative fractional laser, bipolar radiofrequency and intense pulsed light). Moreover, the study was also comparison which device brought better results than the others. This study included 71 patients (66 women, 5 men), aged 33-63 years (the average age was 45. Read More

View Article and Full-Text PDF

A novel technique for superficial complicated stomas using the Dacron vascular prosthesis.

Langenbecks Arch Surg 2021 Jun 14;406(4):1239-1244. Epub 2021 May 14.

Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, 14048-900, Brazil.

Background And Purpose: Despite the advances achieved in surgical techniques in recent years, an intestinal stoma is still needed in many patients undergoing colorectal surgery. However, the intestinal stoma may be associated with serious complications and the need for a second surgical procedure. In extreme cases, when it is not possible to access the abdominal cavity, the management of a complicated stoma is challenging. Read More

View Article and Full-Text PDF

The impact of common chronic conditions on health-related quality of life: a general population survey in Iran using EQ-5D-5L.

Cost Eff Resour Alloc 2021 May 13;19(1):28. Epub 2021 May 13.

Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Poursina Ave, 1417613191, Tehran, Iran.

Background: Diseases have undeniable effects on Health-Related Quality of Life (HRQoL). Chronic diseases, in particular, limit the productive potentials and HRQoL of individuals. EQ-5D is a very popular generic instrument, which can be used to estimate HRQoL scores in any diseases. Read More

View Article and Full-Text PDF

Totally Extraperitoneal Herniorrhaphy (TEP): Lessons Learned from Anatomical Observations.

Minim Invasive Surg 2021 21;2021:5524986. Epub 2021 Apr 21.

Department of Surgery, Chashan Hospital of Guangdong Medical University, Guangzhou, China.

Background: Totally extraperitoneal herniorrhaphy (TEP) is a therapeutic challenge because of its complex anatomical location in inguinal region. The aim of this study was to describe the related surgical anatomy through laparoscopic observation and share the lessons learned from a review of 250 primary inguinal hernia repair procedures performed at our hospital from January 2013 to November 2019. . Read More

View Article and Full-Text PDF

The effect of the COVID pandemic lockdown measures on surgical emergencies: experience and lessons learned from a Greek tertiary hospital.

World J Emerg Surg 2021 05 7;16(1):22. Epub 2021 May 7.

Emergency and Trauma Surgery, Maggiore Hospital, Parma, Italy.

Background: The COVID-19 pandemic caused a rise in healthcare demands leading to significant restructuring of hospital emergency departments worldwide. The aim of the present study is twofold: firstly, to discern any differences in regard to reason for surgical emergency department (SED) attendance and hospital admission during the pandemic and pre-pandemic eras in Greece, and secondly, to assess the impact of the lockdown measures implemented during the pandemic on SED patient attendance.

Methods: Since the beginning of the COVID-19 pandemic in Greece (1 March 2020) and up to 15 December 2020, the charts of all adult patients arriving at the SED of the third surgical department of the "Attikon" University Hospital (a tertiary referral center for surgical and COVID-19 cases) were retrospectively reviewed and broken down in four periods reflecting two nationwide lockdown (period A 1/3/2020 to 30/4/2020 and period D 16/10/2020 to 15/12/2020) and two interim (period B 1/5/2020 to 15/6/2020 and period C 15/9/2020 to 30/10/2020) periods. Read More

View Article and Full-Text PDF

Strangulated Amyand's hernia: management during the COVID-19 pandemic.

J Surg Case Rep 2021 Apr 30;2021(4):rjab153. Epub 2021 Apr 30.

Cambridge Oesophago-gastric Centre, Addenbrookes Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge CB2 2QQ, UK.

Amyand's hernia, presence of the appendix within an inguinal hernial sac, is a rare condition. We report a case of a 68-year-old woman who presented during the COVID-19 pandemic with an acute right groin pain due to a tender incarcerated inguinal hernia. Cross-sectional imaging confirmed an Amyand's hernia. Read More

View Article and Full-Text PDF

Preventing Peterson's space hernia using a BIO synthetic mesh.

BMC Surg 2021 May 4;21(1):236. Epub 2021 May 4.

WeightWorks Clinics, Surgical weight Loss Clinic, Amersfoort, The Netherlands.

Background: Internal hernias occur after Roux-en-Y gastric bypass surgery (RYGB) when small bowel herniates into the intermesenteric spaces that have been created. The closure technique used is related to the internal hernia risks outcomes. Using a non-resorbable double layered suture, this risk can be significantly reduced from 8. Read More

View Article and Full-Text PDF

Speeding up the clinical routine: Compressed sensing for 2D imaging of lumbar spine disc herniation.

Eur J Radiol 2021 Jul 29;140:109738. Epub 2021 Apr 29.

Philips Healthcare Germany, Hamburg, Germany.

Purpose: Increasing economic pressure and patient demands for comfort require an ever-increasing acceleration of scan times without compromising diagnostic certainty. This study tested the new acceleration technique Compressed SENSE (CS-SENSE) as well as different reconstruction methods for the lumbar spine.

Methods: In this prospective study, 10 volunteers and 14 patients with lumbar disc herniation were scanned using a sagittal 2D T2 turbo spin echo (TSE) sequence applying different acceleration factors of SENSE and CS-SENSE. Read More

View Article and Full-Text PDF

Effectiveness of Bariatric Surgery in Increasing Kidney Transplant Eligibility in Patients with Kidney Failure Requiring Dialysis.

Obes Surg 2021 May 4. Epub 2021 May 4.

Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, Houston, TX, 77030, USA.

Purpose: Severe obesity can increase risk of complications after kidney transplantation. There is a paucity of literature on bariatric surgery outcomes in renal transplant candidates. The objective of this study was to analyze outcomes of bariatric surgery as a weight reduction strategy for patients with kidney failure to enhance eligibility for kidney transplantation. Read More

View Article and Full-Text PDF

Reduction en masse of inguinal hernia after self-reduction: a case report.

J Med Case Rep 2021 May 4;15(1):251. Epub 2021 May 4.

Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Imam Khomeini St., Tehran, Iran.

Background: Reduction en mass (REM) is one of the rare complications of inguinal hernia reduction. Although REM can be detected on the basis of specific computed tomography (CT) scan findings, many radiologists are not familiar with its radiological appearance because of the scarcity of this complication, which may cause a delay in diagnosis.

Case Presentation: The patient reported in this article was a 50-year-old Persian man with a history of inguinal hernia, who had been referred with the periumbilical pain that radiated to the right lower quadrant and developed following hernia replacement by the patient himself. Read More

View Article and Full-Text PDF

Incarcerated Colonoscope in a Left Inguinal Hernia During Diagnostic Colonoscopy.

ACG Case Rep J 2021 Apr 26;8(4):e00564. Epub 2021 Apr 26.

Department of Gastroenterology and Hepatology, Hennepin Healthcare, Minneapolis, MN.

Colonoscope entrapment in an inguinal hernia is rare and few cases have been described in the literature. We present a 54-year-old patient who underwent a diagnostic colonoscopy which was complicated by incarceration of the colonoscope in a left inguinal hernia. This rare complication occurs more frequently during withdrawal, and our case was unique, given the incarceration of the colonoscope occurred during the insertion phase. Read More

View Article and Full-Text PDF

Increased Elasticity Modulus of Polymeric Materials Is a Source of Surface Alterations in the Human Body.

J Funct Biomater 2021 Apr 16;12(2). Epub 2021 Apr 16.

Department of Surgery, Klinikum Guetersloh, Reckenberger Strasse 19, 33332 Guetersloh, Germany.

The introduction of alloplastic materials (meshes) in hernia surgery has improved patient outcome by a radical reduction of hernia recurrence rate, but discussion about the biocompatibility of these implanted materials continues since observations of surface alterations of polypropylene and other alloplastic materials were published. This study intends to investigate if additives supplemented to alloplastic mesh materials merge into the solution and become analyzable. Four polypropylene and one polyester alloplastic material were incubated in different media for three weeks: distilled water, saline solution, urea solution, formalin, and hydrogen peroxide. Read More

View Article and Full-Text PDF

Right sided Bochdalek diaphragmatic hernia appeared as a life-threatening event in an infant: a case report.

Pan Afr Med J 2021 10;38:150. Epub 2021 Feb 10.

Department of Paediatric Surgery, Medical School, Aristotle University of Thessaloniki, General Hospital of "Papageorgiou", Thessaloniki, Greece.

We report a case of a 5-month-old female infant who presented with a cardiorespiratory distress and shock. After thoracic computed tomography (CT) scan, a right sided Bochdalek hernia was diagnosed with massive herniation of the abdominal viscera causing mediastinal shift. The girl underwent emergency laparotomy, which confirmed the right sided diaphragmatic hernia with herniation of small bowel and colon. Read More

View Article and Full-Text PDF

The Management of Indirect Inguinal Hernia Sac in Laparoscopic Inguinal Hernia Repair: A Systemic Review of Literature.

Surg Laparosc Endosc Percutan Tech 2021 Apr 23. Epub 2021 Apr 23.

Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing Department of General Surgery, People's Hospital of Leshan, Leshan, China.

Background: The aim of this study is to investigate the current management strategy of indirect hernia sac during laparoscopic inguinal hernia repair.

Objectives: The aim was to evaluate the various indirect hernia sac management strategies when performing laparoscopic inguinal hernia repair.

Data Sources: Major databases (PubMed, Embase, Springer, and Cochrane Library). Read More

View Article and Full-Text PDF

Amyand's hernia complicated with appendicitis: an interval approach with transabdominal laparoscopic appendectomy and laparoscopic hernioplasty-a case report.

J Surg Case Rep 2021 Apr 14;2021(4):rjaa499. Epub 2021 Apr 14.

Department of General Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA.

Amyand's hernia is a rare classification of inguinal hernia where the vermiform appendix is located within the hernial sac. This case report discusses a patient presenting with abdominal and groin pain shown to be an Amyand's hernia complicated by acute appendicitis on computed tomography. The patient was treated with a two-stage approach, involving transabdominal laparoscopic appendectomy and elective laparoscopic hernioplasty after recovery. Read More

View Article and Full-Text PDF

Comparison of efficacy and safety of the enhanced-view totally extraperitoneal (eTEP) and transabdominal (TARM) minimal access techniques for retromuscular placement of prosthesis in the treatment of irreducible midline ventral hernia.

J Minim Access Surg 2021 Mar 2. Epub 2021 Mar 2.

Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Background: Retromuscular plane for mesh placement is preferred for ventral hernia repair. With the evolution of minimal access surgeries, newer techniques to deploy a mesh in the sublay plane have evolved. We compared two such minimally invasive approaches for repair of irreducible ventral midline hernia with respect to the efficacy and safety of the procedures. Read More

View Article and Full-Text PDF

The impact of the novel coronavirus pandemic on gastrointestinal operative volume in the United States.

Surg Endosc 2021 Apr 19. Epub 2021 Apr 19.

Department of Surgery, Irvine Medical Center, University of California, 333 City Bldg. West, Suite 1600, Orange, CA, 92868, USA.

Background: In March 2020, the Surgeon General recommended limiting elective procedures to prepare for the COVID-19 surge. We hypothesize a consequence of COVID-19 is reduced operative volume across the country. We aim to examine changes in volume of common gastrointestinal operations during COVID-19, including elective, urgent/emergent, and cancer operations. Read More

View Article and Full-Text PDF

Trends in Emergent Groin Hernia Repair-An Analysis From the Herniamed Registry.

Front Surg 2021 30;8:655755. Epub 2021 Mar 30.

COPV - Hernia Center, Berlin, Germany.

While the proportion of emergency groin hernia repairs in developed countries is 2.5-7.7%, the percentage in developing countries can be as high as 76. Read More

View Article and Full-Text PDF

A comparison of postoperative outcomes after open and laparoscopic reduction of Petersen's Hernia: a multicenter observational cohort study.

BMC Surg 2021 Apr 15;21(1):195. Epub 2021 Apr 15.

Department of Surgery, Gyeongsang National University School of Medicine, Jinju, South Korea.

Background: The aim of this multicenter cohort study was to compare the clinical courses between open and laparoscopic Petersen's hernia (PH) reduction.

Method: We retrospectively collected the clinical data of patients who underwent PH repair surgery after gastrectomy for gastric cancer from 2015-2018. Forty patients underwent PH reduction operations that were performed by six surgeons at four hospitals. Read More

View Article and Full-Text PDF