87,147 results match your criteria Hernia Reduction


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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January 2018

[Chronic Pain After Outpatient Inguinal Hernioplasty: Retrospective Cohort Study].

Acta Med Port 2018 Nov 30;31(11):624-632. Epub 2018 Nov 30.

Unidade da Dor. Serviço de Anestesiologia. Hospital de Santo António. Centro Hospitalar do Porto. Porto. Portugal.

Introduction: Chronic postoperative pain is the most frequent late complication of inguinal hernia repair surgery. The aim of this study is to evaluate the incidence of chronic post-hernioplasty pain in outpatient care at Centro Hospitalar do Porto, describe it, analyse its relation with other variables defined in the literature and study its functional interference.

Material And Methods: We performed a retrospective cohort study between February and May 2016, using a structured telephone interview composed of questions from the authors and sections of published questionnaires, two of which are validated for the Portuguese language and culture. Read More

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November 2018
1 Read

Causes of recurrences after open inguinal herniorrhaphy.

Hernia 2018 Dec 5. Epub 2018 Dec 5.

Mayne Medical School, School of Medicine, University of Queensland, Brisbane, QLD, Australia.

Purpose: One of the most important measures of success of open inguinal herniorrhaphy is the incidence of recurrence. Reports suggest that up to 13% of all inguinal hernia repairs worldwide, irrespective of the approach, are repaired for recurrence. The reason as to why inguinal hernias recur is most likely multifactorial. Read More

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December 2018

Giant Left-Sided Amyand's Hernia: A Challenging Procedure in a Rural Hospital.

Case Rep Gastroenterol 2018 Sep-Dec;12(3):646-652. Epub 2018 Nov 14.

Surgery Department, Bengkayang District General Hospital, Bengkayang, Indonesia.

The finding of a vermiform appendix in the case of an inguinal hernia that extends below the midpoint of the inner thigh when the patient is in a standing position is defined as giant left-sided Amyand's hernia. It is a very rare case and significantly challenging in terms of preoperative diagnosis and surgical management. Here we present our experience with a case of a giant left-sided Amyand's hernia that was followed up for 2 months. Read More

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November 2018

Intra-amniotic Sildenafil Treatment Modulates Vascular Smooth Muscle Cell Phenotype in the Nitrofen Model of Congenital Diaphragmatic Hernia.

Sci Rep 2018 Dec 5;8(1):17668. Epub 2018 Dec 5.

Department of Pediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

The etiology of pulmonary vascular abnormalities in CDH is incompletely understood. Studies have demonstrated improvement in pulmonary vasculature with prenatal therapy in animal models. We hypothesize that prenatal sildenafil may attenuate defective pulmonary vascular development via modulation of vSMC phenotype from undifferentiated, proliferative phenotype to differentiated, contractile phenotype. Read More

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December 2018

[Women with groin hernias should be referred to surgery].

Ugeskr Laeger 2018 Nov;180(48)

In females, approximately 75% of groin hernias are inguinal hernias, and 25% are femoral. However, all groin hernias in women should be considered potential femoral hernias due to the difficult preoperative diagnosis of hernia type and the high incidence of femoral hernias. Complications following an untreated femoral hernia are unacceptable, which is why, watchful waiting is not recommended in women. Read More

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November 2018
1 Read

[A low risk of ileus, incisional hernia and impact on female fertility after appendectomy].

Ugeskr Laeger 2018 Nov;180(48)

Appendicitis is a common condition, which is often seen by the general practitioners as well as in the emergency departments. It is normally treated with laparoscopic appendectomy. This review gives an overview of the long-term surgical complications ileus and incisional hernia and of the impact of appendicitis and appendectomy on female fertility. Read More

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November 2018

Littre's hernia: a systematic review of the literature.

Hernia 2018 Dec 1. Epub 2018 Dec 1.

Department of Anatomy and Surgical Anatomy, National and Kapodistrian University of Athens, Athens, Greece.

Purpose: A hernia containing Meckel's diverticulum is called a Littre's Hernia. It's a rare entity and its diagnosis is often incidental during routine hernia repair surgery. The objective of this study is the evaluation of the current evidence on Littre's hernias regarding their clinical presentation and optimal treatment approach. Read More

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December 2018
1 Read

Laparoscopic transabdominal preperitoneal (TAPP) groin hernia repair using n-butyl-2-cyanoacrylate (Liquiband®Fix8™) for mesh fixation and peritoneal closure: learning experience during introduction into clinical practice.

Authors:
P Wilson L Hickey

Hernia 2018 Nov 30. Epub 2018 Nov 30.

University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, UK.

Introduction: In a single centre evaluation of a novel hernia repair device, 200 consecutive patients underwent 247 laparoscopic (TAPP) groin hernia repairs (47 bilateral) using n-butyl-2-cyanoacrylate (Liquiband®Fix8™) for mesh fixation and peritoneal closure over a 2-year period by a single experienced laparoscopic surgeon.

Patients And Methods: All groin hernia patients requiring TAPP repair were included in the study: Inguinal 142, Femoral 14, Spigelian 4, and Inguinal disruption 40. A retrospective review of the data was performed. Read More

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November 2018

One-year follow-up study of iBTA-induced allogenic biosheet for repair of abdominal wall defects in a beagle model: a pilot study.

Hernia 2018 Nov 30. Epub 2018 Nov 30.

Biotube Co., Ltd, 2-13-11 Shinkawa, Chuo, Tokyo, 104-0033, Japan.

Purpose: We evaluated the usefulness of biosheet, an in-body tissue-engineered collagenous membrane, as a novel repair material for abdominal wall defects in a beagle model.

Methods: Biosheets were prepared by embedding molds into subcutaneous pouches in two beagle dogs for 2 months, with subsequent storage in 70% ethanol. The obtained biosheets (thickness 0. Read More

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November 2018

Fetal Body Imaging: When is MRI Indicated?

Authors:
Marie Cassart

J Belg Soc Radiol 2017 Nov 18;101(Suppl 1). Epub 2017 Nov 18.

Hôpitaux Iris et Iris Sud, BE.

Recent improvements in fetal therapies and perinatal care and the multidisciplinary involvement in fetal medicine have increased the demand for more accurate prenatal diagnosis. Fetal Magnetic Resonance Imaging (MRI) is a complementary imaging technique for the assessment of thoraco-abdominal anomalies for which Ultrasonography (US) is not conclusive. It is indicated in selected situations to precise the prognosis in diaphragmatic hernia, to characterise the nature and extension of a pulmonary malformation, to locate a bowel atresia or to better depict an abdominal cystic lesion or tumoural extension. Read More

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November 2017
2 Reads

Incisions and reconstruction approaches for large sarcomas.

Transl Gastroenterol Hepatol 2018 31;3:86. Epub 2018 Oct 31.

Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Large intraabdominal, retroperitoneal, and abdominal wall sarcomas provide unique challenges in treatment due to their variable histology, potential considerable size at the time of diagnosis, and the ability to invade into critical structures. Historically, some of these tumors were considered inoperable if surgical access was limited or the consequential defect was unable to be closed primarily as reconstructive options were limited. Over time, there has been a greater understanding of the abdominal wall anatomy and mechanics, which has resulted in the development of new techniques to allow for sound oncologic resections and viable, durable options for abdominal wall reconstruction. Read More

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October 2018

Traumatic lumbar hernia: clinical features and management.

Ann Surg Treat Res 2018 Dec 26;95(6):340-344. Epub 2018 Nov 26.

Department of Trauma, Gachon University Gil Medical Center, Incheon, Korea.

Purpose: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias.

Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed. Read More

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December 2018
1 Read

Single-incision laparoscopic ileostomy is a safe and feasible method of fecal diversion for anastomotic leakage following laparoscopic low anterior resection.

Ann Surg Treat Res 2018 Dec 26;95(6):319-323. Epub 2018 Nov 26.

Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Purpose: Currently, many operations are performed using the single-incision laparoscopic method. Although there have been recent reports on single-incision laparoscopic ileostomy, none have compared this method to conventional laparoscopic ileostomy. This study aimed to assess the safety and feasibility of single-incision laparoscopic ileostomy for anastomotic leakage following laparoscopic low anterior resections. Read More

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December 2018

Abdominal herniation associated with bullhorn injury as a separate entity from traumatic abdominal wall hernias.

J Res Med Sci 2018 26;23:86. Epub 2018 Oct 26.

Department of Anaesthesia, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

Bullhorn injury is a rare mechanism causing traumatic abdominal wall hernia (TAWH). Bullhorn injury needs to be discussed as a separate sub-entity among TAWHs as the mechanism of injury is such that the great force is generated at a relatively small area of impact for a short duration of time which may lead to muscle defect without compromising integrity of overlying skin (referred to as sheathed goring) leading to herniation of abdominal viscera. The purpose of this review was to discuss abdominal herniation's associated with bullhorn injury as a separate entity from TAWHs; recognize the common presentations, mechanism of injury, and modalities of treatment currently utilized for this rare condition. Read More

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October 2018

Inter- and Intra-rater Reliability of A Grading System for Congenital Diaphragmatic Hernia Defect Size.

J Surg Res 2019 Jan 17;233:82-87. Epub 2018 Aug 17.

Division of Pediatric Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address:

Background: The Congenital Diaphragmatic Hernia Study Group (CDHSG) registry is a multi-institutional tool to track outcomes of patients with CDH. The CDHSG asks surgeons to categorize diaphragmatic defect sizes as type A-D based on published guidelines. The reported size of the defect has been correlated with patient outcomes, but the reliability of this system has never been studied. Read More

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January 2019

A prospective Study on Femoral Hernia Repair: Is the Inguinal Better Than The Infrainguinal Approach?

J Surg Res 2019 Jan 19;233:420-425. Epub 2018 Sep 19.

Department of Gastrointestinal Surgery, Hernia Center, West China Hospital, Sichuan University, Chengdu, China. Electronic address:

Background: Femoral hernia repair has various surgical methods. However, controversy still exists regarding the best method for management. This study aimed to compare the infrainguinal with the inguinal approach in the treatment of femoral hernias. Read More

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January 2019

Influence of Elevated Intra-abdominal Pressure on Suture Tension Dynamics in a Porcine Model.

J Surg Res 2019 Jan 31;233:207-212. Epub 2018 Aug 31.

Department of Surgery, Rhenish-Westphalian Technical University of Aachen, Aachen, Germany. Electronic address:

Background: Inadequate suture tension is a risk factor for the failure of laparotomy closure. Suture tension dynamics in the abdominal wall are still obscure due to the lack of measuring devices. To answer the questions if intra-abdominal hypertension (IAH) influences suture tension in midline laparotomies and if IAH leads to a permanent loss of suture tension, microsensors were applied in a porcine model of IAH. Read More

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January 2019

Postoperative Surgical Complications of Live Unrelated Renal Transplants for Patients of End Stage Renal Disease Needing Renal Replacement Therapy.

J Coll Physicians Surg Pak 2018 Dec;28(12):941-944

Department of Anesthesia, Hamid Al-Essa Organ Transplant Center, Sabah Health Region, Kuwait.

Objective: To evaluate the postoperative surgical complications of live unrelated renal transplantation (LURRT) done abroad for patients of end stage renal disease (ESRD) who needed renal replacement therapy (RRT) in an organ transplant centre.

Study Design: Descriptive, observational study.

Place And Duration Of Study: Department of Renal Transplantation, Hamed Al-Essa Organ Transplant Center, Kuwait, from January 1993 to December 2015. Read More

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December 2018

Respiratory syncytial virus prophylaxis in infants with congenital diaphragmatic hernia in the CARESS registry (2005-2017).

Clin Infect Dis 2018 Nov 30. Epub 2018 Nov 30.

Medical Outcomes and Research in Economics (MORE®) Research Group, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.

Background: Infants with congenital diaphragmatic hernia (CDH) are at increased risk of respiratory morbidity from recurrent respiratory tract infections including those from respiratory syncytial virus (RSV). Data from prospective studies on RSV prophylaxis in CDH infants are limited. The objective was to determine the risk of respiratory illness- and RSV-related hospitalizations (RIH and RSVH, respectively) among infants prophylaxed for CDH, standard indications (SI), and those without increased risk (NR). Read More

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November 2018

Is It Safe for Trainees to Perform Single-Incision Pediatric Endosurgery Splenectomy?

J Laparoendosc Adv Surg Tech A 2018 Dec 5. Epub 2018 Dec 5.

3 Department of Anaesthesia, King Fahd Armed Forces Hospital , Jeddah, Saudi Arabia .

Introduction: Few centers worldwide have advanced single-incision pediatric endosurgery (SIPES) splenectomy. The safety and feasibility of SIPES performed by trainees were not assessed before. SIPES splenectomy is a demanding technique that needs high level of skills. Read More

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December 2018

Symptomatic, Radiological, and Quality of Life Outcome of Paraesophageal Hernia Repair With Urinary Bladder Extracellular Surgical Matrix: Comparison With Primary Repair.

Surg Laparosc Endosc Percutan Tech 2018 Dec 3. Epub 2018 Dec 3.

Division of General Surgery.

Introduction: Paraesophageal hernia repairs are prone to recurrence and mesh reinforcement is common. Both biologic and prosthetic meshes have been used. We report a comparison of a new type of biologically derived graft, Gentrix Surgical Urinary Bladder Matrix (UBM). Read More

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December 2018

Chronic Vasitis After Mesh Herniorrhaphy: A Potential Cause of False Positive Results in 18F-FDG PET/CT Studies.

Clin Nucl Med 2018 Dec 3. Epub 2018 Dec 3.

From the Departments of Nuclear Medicine.

We report two cases of supra-scrotal vasitis incidentally detected in patients who had undergone mesh herniorrhaphy. PET/CT in patients undergoing lymphoma work-up and health check-up revealed hypermetabolic dilatation of vas deferens in the external iliac area. There were no symptoms, and blood test results did not indicate acute inflammation. Read More

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December 2018

Linea Arcuate Hernia Following Transversus Abdominis Release Incisional Hernia Repair.

Ann Plast Surg 2019 Jan;82(1):85-88

Divisions of Plastic, Reconstructive, and Hand Surgery, Department of Surgery, West Virginia University School of Medicine, Morgantown, WV.

Open abdominal surgery continues to be most commonly complicated by postoperative herniation at the incision line. In 2012, Novitsky et al described a novel hernia repair technique that utilized a transversus abdominis release coupled with a posterior (retrorectus) component separation (TAR-PCS) of the ventral abdominal wall. Early reports attest to the versatility and low recurrence rate of this technique, particularly when repairing large and complex defects. Read More

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January 2019

What's left on the list? 'Just a hernia...'

ANZ J Surg 2018 Dec;88(12):1225-1226

Department of Surgery, Counties Manukau Health, The University of Auckland, Auckland, New Zealand.

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December 2018

Open Discectomy vs. Microdiscectomy: Results from 519 Patients Operated for Lumbar Disc Herniation.

Eurasian J Med 2018 Oct;50(3):178-181

Department of Neurosurgery, Atatürk University School of Medicine, Erzurum, Turkey.

Objective: The aim of this study was to evaluate the outcomes of patients with lumbar disk hernia operated between 2012 January and 2017 August and to compare the differences between open discectomy (OD) and microdiscectomy (MD).

Materials And Methods: Files of 519 patients who presented at our neurosurgical department with lumbar disk herniation were retrospectively reviewed and recorded. Preoperatively, all patients routinely underwent spinal lumbar magnetic resonance imaging (MRI) and anteroposterior as well as lateral lumbar vertebrae X-rays. Read More

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October 2018

ANNALS EXPRESS: Hematopoietic alterations in neonates with congenital diaphragmatic hernia receiving extracorporeal membrane oxygenation support.

Ann Clin Biochem 2018 Dec 4:4563218820052. Epub 2018 Dec 4.

Department of Neonatology and Pediatric Critical Care Medicine, University of Bonn Children's Hospital.

Background Extracorporeal membrane oxygenation procedure (ECMO) has been established in the therapy of respiratory insufficient infants with congenital diaphragmatic hernia (CDH). In CDH newborns, a delay in transfer to an ECMO center is associated with a sharp increase in mortality. Predictive factors for ECMO support are urgently needed. Read More

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December 2018

Pseudoaneurysm: A complication of laparoscopic inguinal hernia repair.

Int J Surg Case Rep 2018 Nov 27;54:39-41. Epub 2018 Nov 27.

Department of Surgical Gastroenterology, Medical College, Kolkata, India.

Introduction: Laparoscopic inguinal hernia repair has gained importance during last few decades, because of its several advantages. However, it has its own set of complications, which can be avoided by following the basic anatomical principles of laparoscopic inguinal hernia repair.

Presentation Of Case: An 85-year-old male patient, developed a painless intraabdominal lump following laparoscopic inguinal hernia repair. Read More

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November 2018
2 Reads

Longitudinal changes in lung size and intrapulmonary artery Doppler during the second half of pregnancy in fetuses with congenital diaphragmatic hernia.

Prenat Diagn 2018 Dec 4. Epub 2018 Dec 4.

Fetal Medicine Mexico Foundation, Department of Fetal Surgery, Children and Women's Specialty Hospital of Queretaro, Mexico.

Objective: To evaluate longitudinal changes in lung size and intrapulmonary artery (IPa) Doppler in fetuses with congenital diaphragmatic hernia (CDH) and assess their contribution in predicting neonatal survival.

Methods: The observed/expected lung-to-head ratio (O/E-LHR) and IPa-Pulsatility Index (PI) and Peak Early Diastolic Reversed Flow (PEDRF) were evaluated in a cohort of left-sided CDH fetuses managed expectantly during pregnancy. Longitudinal changes were analyzed by multilevel analysis, and their value to predict survival using multiple logistic regression and decision-tree analysis was assessed. Read More

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December 2018
2 Reads

Comparison of inflammatory stress response between laparoscopic and open approach for pediatric inguinal hernia repair in children.

Surg Endosc 2018 Dec 3. Epub 2018 Dec 3.

Department of Research in Biomedicine and Health, School of Medicine, University of Split, Šoltanska 2, Split, Croatia.

Background: The aim of this study was to compare inflammatory stress response between laparoscopic percutaneous inguinal ring suturing (PIRS) and open modified Marcy technique for pediatric inguinal hernia repair.

Methods: From May 2017 to April 2018, 32 male children with median age of 4.5 years undergoing inguinal hernia repair were included in randomized controlled trial. Read More

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December 2018

Feasibility of totally extraperitoneal (TEP) laparoscopic hernia repair in elderly patients.

Hernia 2018 Dec 3. Epub 2018 Dec 3.

Department of Surgery, Kyung Hee University School of Medicine, Kyung Hee University Hospital at Gangdong, Dongnam-ro 892, Gangdong-gu, Seoul, South Korea.

Introduction: Laparoscopic total extraperitoneal peritoneal (TEP) repair has become increasingly popular since its introduction. The purpose of this study is to establish the safety and feasibility of TEP in elderly patients compared to that in younger patients.

Methods: The clinical records of patients who received TEP hernia repair from August 2007 to September 2016 were reviewed. Read More

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December 2018
1 Read

Lateral sided trocar site hernia following laparoscopic hernia repair: results of a long-term follow-up.

Hernia 2018 Dec 3. Epub 2018 Dec 3.

Department of General Surgery, Dr. Lutfi Kirdar Kartal Research and Education Hospital, Semsi Denizer Street, Cevizli, Kartal, Istanbul, Turkey.

Purpose: Trocar site hernias (TSH) at the umbilical site following laparoscopic cholecystectomy forms the majority of the studies about TSH and there is a missing data in literature about lateral sided TSH. We aimed to evaluate the incidence and factors affecting lateral sided TSH occurrence following laparoscopic abdominal wall hernia repair (LAHR).

Methods: Patients who underwent LAHR between March 2013 and 2015 were included in the study. Read More

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December 2018
2 Reads

Total extraperitoneal (TEP) management of mesh erosion into bladder following transabdominal preperitoneal inguinal hernia repair (TAPP).

Authors:
J Li

Hernia 2018 Dec 3. Epub 2018 Dec 3.

Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, 210009, China.

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December 2018

Biological mesh is a safe and effective method of abdominal wall reconstruction in cytoreductive surgery for peritoneal malignancy.

BJS Open 2018 Dec 2;2(6):464-469. Epub 2018 Aug 2.

Peritoneal Malignancy Institute Basingstoke and North Hampshire Hospital Basingstoke RG24 9NN UK.

Background: Patients with peritoneal malignancy often have multiple laparotomies before referral for cytoreductive surgery (CRS). Some have substantial abdominal wall herniation and tumour infiltration of abdominal incisions. CRS involves complete macroscopic tumour removal and hyperthermic intraperitoneal chemotherapy (HIPEC). Read More

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December 2018

Systematic review of the stage of innovation of biological mesh for complex or contaminated abdominal wall closure.

BJS Open 2018 Dec 14;2(6):371-380. Epub 2018 Jun 14.

College of Medical and Dental Sciences University of Birmingham Birmingham UK.

Background: Achieving stable closure of complex or contaminated abdominal wall incisions remains challenging. This study aimed to characterize the stage of innovation for biological mesh devices used during complex abdominal wall reconstruction and to evaluate the quality of current evidence.

Methods: A systematic review was performed of published and ongoing studies between January 2000 and September 2017. Read More

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December 2018
2 Reads

Modified laparoscopic Sugarbaker repair of parastomal hernia with a three-point anchoring technique.

World J Clin Cases 2018 Nov;6(14):759-766

Department of General Medicine, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.

Aim: To retrospectively evaluate the safety and feasibility of a new modified laparoscopic Sugarbaker repair in patients with parastomal hernias.

Methods: A retrospective study was performed to analyze eight patients who underwent parastomal hernia repair between June 2016 and January 2018. All of these patients received modified laparoscopic Sugarbaker hernia repair treatment. Read More

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November 2018

Benefits of the Seattle biopsy protocol in the diagnosis of Barrett's esophagus in a Chinese population.

World J Clin Cases 2018 Nov;6(14):753-758

Division of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan.

Aim: To investigate the benefits of the Seattle protocol in the diagnosis of Chinese individuals with Barrett's esophagus.

Methods: Subjects enrolled were patients from one center with endoscopically-suspected esophageal metaplasia. These patients first received narrow-band imaging-targeted biopsy, and later, the Seattle protocol-guided biopsy, within a period from October 2012 to December 2014. Read More

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November 2018

Inguinal Bladder Hernia in Female Patient.

Iran J Med Sci 2018 Nov;43(6):671-672

Department of Urology, Çorum Training and Research Hospital, Hitit University, Çorum, Turkey.

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November 2018

Vanished into thin air - Morgagni hernia producing echo artifact and diagnosed by cardiac CT.

J Cardiovasc Comput Tomogr 2018 Nov 27. Epub 2018 Nov 27.

Division of Cardiology, Rush University Medical Center, Chicago, IL, 60612, USA. Electronic address:

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November 2018

National variation in opioid prescribing after pediatric umbilical hernia repair.

Surgery 2018 Nov 30. Epub 2018 Nov 30.

Department of Surgery, University of Wisconsin-Madison, WI.

Background: Pediatric umbilical hernia repair is a common procedure that requires minimal tissue disruption. We examined variation in opioid prescription fills after repair of uncomplicated umbilical hernias to characterize the types and doses of medication used and persistent postsurgical use.

Methods: Using the Truven Health Analytics MarketScan© Research Database for June 2012-September 2015, we identified pediatric patients undergoing umbilical hernia repair. Read More

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November 2018

Outcomes of emergency abdominal surgery in octogenarians: A single-center analysis.

Am J Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Switzerland. Electronic address:

Background: The aim of this study was to assess outcomes of octogenarians undergoing emergency abdominal surgery (EAS).

Methods: Octogenarians undergoing EAS 12/2011-12/2016 were retrospectively analysed. The outcomes were assessed by univariable and multivariable regression analysis. Read More

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November 2018

Long-term Results of Robotic Modified Belsey (Gastroesophageal Valvuloplasty) Fundoplication.

Surg Technol Int 2018 Nov 30;34. Epub 2018 Nov 30.

University of Arizona Medical Center, Tucson, AZ.

Purpose: Nissen fundoplication is associated with poor long-term durability, as well as dysphasia and gas bloat. We report here the long-term results of modified Belsey fundoplication (Gastroesophageal Valvuloplasty; GEV) performed laparoscopically using a surgical robot.

Methods: Patients who underwent robotic GEV were reviewed retrospectively. Read More

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November 2018
8 Reads

Superficial femoral venous aneurysm in a patient with Klippel-Trenaunay Syndrome: the inguinal hernia mimic.

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Vascular Surgery, Waikato District Health Board, Hamilton, New Zealand.

Venous aneurysms are a rare vascular anomaly characterised by a solitary area of dilatation containing all three layers of the venous vessel wall. Described throughout the venous system, venous aneurysms can be classified as deep or superficial based on the vein involved. Whilst generally asymptomatic, superficial venous aneurysms can be associated with venous insufficiency or venous thromboembolism and are often confused for soft tissue masses or hernias. Read More

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November 2018
4 Reads

Meshes in a mess: Mesenchymal stem cell-based therapies for soft tissue reinforcement.

Acta Biomater 2018 Nov 27. Epub 2018 Nov 27.

Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Ctra. N-521, km 41.8, 10071 Cáceres, Spain; CIBER de Enfermedades Cardiovasculares, Avenida Monforte de Lemos, 3-5. Pabellón 11. Planta 0, 28029 Madrid, Spain.

Surgical meshes are frequently used for the treatment of abdominal hernias, pelvic organ prolapse, and stress urinary incontinence. Though these meshes are designed for tissue reinforcement, many complications have been reported. Both differentiated cell- and mesenchymal stem cell-based therapies have become attractive tools to improve their biocompatibility and tissue integration, minimizing adverse inflammatory reactions. Read More

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November 2018
2 Reads

[Disc hernia regression as a natural course of discogenic lumbosacral radiculopathy].

Zh Nevrol Psikhiatr Im S S Korsakova 2018 ;118(10):58-62

Sechenov First Moscow State Medical University, Moscow, Russia.

Disc herniation with radiculopathy is a common cause of severe back pain leading to significant disability and a decrease in patients' quality of life. The authors report a case of 38-year-old female patient with radiculopathy of the first sacral root due to a large (11 mm) sequestered disc herniation between the fifth lumbar and the first sacral vertebrae. Conservative treatment with fluoroscopically-guided epidural steroid injection provided a significant clinical improvement, the patient was able to return to normal daily and professional activity in a short time. Read More

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January 2018
4 Reads

Five common errors to avoid in clinical practice: the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) Choosing Wisely Campaign.

Intern Emerg Med 2018 Nov 29. Epub 2018 Nov 29.

Digestive Endoscopy Unit, Humanitas Research Hospital, Milan, Italy.

Modern medicine provides almost infinite diagnostic and therapeutic possibilities if compared to the past. As a result, patients undergo a multiplication of tests and therapies, which in turn may trigger further tests, often based on physicians' attitudes or beliefs, which are not always evidence-based. The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) adhered to the Choosing Wisely Campaign to promote an informed, evidence-based approach to gastroenterological problems. Read More

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November 2018
1 Read

Lower Risk of Recurrence After Mesh Repair Versus Non-Mesh Sutured Repair in Open Umbilical Hernia Repair: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Scand J Surg 2018 Nov 29:1457496918812208. Epub 2018 Nov 29.

3 Gastrounit, Medical Division, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.

Background And Aims:: The use of mesh repair in a small- or middle-sized umbilical hernia remains controversial, and evidence is based on only few and small heterogeneous randomized trials. The primary aim was to assess differences, if any, in recurrence (clinical and reoperation), and secondary aim was to assess differences in infections, seroma formation, hematomas, chronic pain, cosmetic result, and quality of life.

Method:: A systematic review (predefined search strategy) and meta-analyses were conducted based on pre-study strict and well-defined methodology. Read More

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November 2018

Transmesenteric hernia with two mesenteric defects in an adult.

J Surg Case Rep 2018 Nov 23;2018(11):rjy318. Epub 2018 Nov 23.

Division of Surgery, Fujinomiya City General Hospital, Fujinomiya, Japan.

Transmesenteric hernia is a rare cause of small bowel strangulation in adults and, to our knowledge, no one has reported the existence of two mesenteric defects in an adult. Our patient was a 73-year-old Japanese woman who presented to our emergency department complaining of abdominal pain and nausea. Computed tomography with contrast enhancement revealed a closed loop obstruction in the pelvis, suggesting small bowel strangulation due to an internal hernia. Read More

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November 2018