3,076 results match your criteria Hernia Reduction


Perforation of gastric volvulus within a giant hiatus hernia secondary to alendronate: A rare complication of bisphosphonate use.

Int J Surg Case Rep 2020 Jun 20;73:5-8. Epub 2020 Jun 20.

Department of Surgery, Redcliffe Hospital, Anzac Avenue, Redcliffe, QLD, Australia.

Introduction: Bisphosphonates are commonly used in the treatment of metabolic bone disease. However, they are associated with gastrointestinal side effects including acid reflux, mucosal erosion, and oesophageal stricture. We present a rare case of alendronate causing perforated gastric volvulus in a patient with giant hiatus hernia. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7334440PMC

Really Totally Robotic SADI-S in a Patient with Extreme Morbid Obesity and Non-Reducible Umbilical Hernia: Case Report.

Obes Surg 2020 Jul 2. Epub 2020 Jul 2.

Endocrine, Metabolic and Bariatric Unit, General Surgery Department, Germans Trias i Pujol Hospital, Ctra de Canyet s/n, 08916, Badalona, Barcelona, Spain.

Background: Single anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-s) is a well-known and accepted technique for extreme obesity but technically challenging in this group of patients and so frequently is performed as a laparoscopic staged procedure. Robotic devices such as Da Vinci® system may solve some limitations of laparoscopic surgery. The video shows a really totally robotic SADI-s (RTR-SADI-s) in a single stage on a patient with extreme morbid obesity and a non-reducible umbilical hernia. Read More

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http://dx.doi.org/10.1007/s11695-020-04802-yDOI Listing

Internal hernia of the stomach through the lateral space of the colostomy: a case report.

J Surg Case Rep 2020 Jun 25;2020(6):rjaa124. Epub 2020 Jun 25.

Department of Surgery, JA Kohseiren Enshu Hospital, Hamamatsu, Japan.

An 81-year-old woman had undergone laparoscopic abdominoperineal resection for rectal cancer. A permanent colostomy was created through an intraperitoneal route. Three months after the surgery, the patient presented with lower abdominal pain and vomiting. Read More

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http://dx.doi.org/10.1093/jscr/rjaa124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316439PMC

Thromboelastography-guided management of coagulopathy in neonates with congenital diaphragmatic hernia supported by extracorporeal membrane oxygenation.

Pediatr Surg Int 2020 Jun 30. Epub 2020 Jun 30.

Department of Surgery, Division of Pediatric Surgery, University of Colorado School of Medicine, Aurora, CO, USA.

Purpose: Congenital diaphragmatic hernia (CDH) can cause severe hemodynamic deterioration requiring support with extracorporeal membrane oxygenation (ECMO). ECMO is associated with hemorrhagic and thromboembolic complications. In 2015, we standardized anti-coagulation management on ECMO, incorporating thromboelastography (TEG) as an adjunct to manage hemostasis of CDH patients. Read More

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http://dx.doi.org/10.1007/s00383-020-04694-0DOI Listing

Closed Incision Negative Pressure Therapy Achieves Better Outcome Than Standard Wound Care: Clinical Outcome and Cost-Effectiveness Analysis in Open Ventral Hernia Repair With Synthetic Mesh Positioning.

Cureus 2020 May 26;12(5):e8283. Epub 2020 May 26.

Surgical, Oncological and Oral Sciences, Policlinico Universitario P. Giaccone, University of Palermo, Palermo, ITA.

Background Surgical site infections (SSIs) and surgical site occurrences (SSOs) are frequent post-operative complications that are dependent on the presence of different risk factors. The use of closed incision negative pressure therapy (ciNPT) is considered a measure by the WHO guidelines for prevention of SSIs. The prevention of SSOs is an extremely important issue in the ventral hernia repair (VHR) surgical field. Read More

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http://dx.doi.org/10.7759/cureus.8283DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317132PMC

Fallopian tube herniation from trocar-site after laparoscopic appendectomy.

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):639-641

Department of General Surgery, University of Health Sciences, İstanbul Fatih Sultan Mehmet Training and Research Hospital, İstanbul-Turkey.

Trocar site hernias are a type of incisional hernias and may occur within a variable time shift after surgery. A mean incidence of 1.85% was reported, and the first trocar site hernia was narrated by Maio et al. Read More

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http://dx.doi.org/10.14744/tjtes.2019.72461DOI Listing

Laparoscopic repair of Morgagni's hernia in an elderly female patient.

J Surg Case Rep 2020 Jun 15;2020(6):rjaa182. Epub 2020 Jun 15.

General Surgery, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.

Morgagni's hernia is a very uncommon congenital diaphragmatic hernia. A few patients may remain asymptomatic until adulthood. Clinical presentation may include bowel obstruction, chest pain or dyspnoea. Read More

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http://dx.doi.org/10.1093/jscr/rjaa182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295565PMC

Incarcerated femoral hernia treated with elective totally extraperitoneal repair: a case report.

J Surg Case Rep 2020 Jun 16;2020(6):rjaa158. Epub 2020 Jun 16.

Department of Surgery, Cosmos Hospital, Usuki, Japan.

Incarcerated groin hernia is a common surgical emergency. However, reports of incarcerated femoral hernia treated with elective totally extraperitoneal repair are extremely rare. A 62-year-old woman visited our hospital with lower abdominal pain and bulging from a right groin lesion. Read More

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http://dx.doi.org/10.1093/jscr/rjaa158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297550PMC

Intersigmoid Hernia: A Forgotten Diagnosis-A Systematic Review of the Literature over Anatomical, Diagnostic, Surgical, and Medicolegal Aspects.

Emerg Med Int 2020 1;2020:4891796. Epub 2020 Jun 1.

Department of Surgical Sciences, University of Perugia, Piazza Dell' Università 1, Perugia 06100, Italy.

Introduction: Intersigmoid hernia is a hernia of the small bowel into the intersigmoid fossa. It is well known to be a rare condition. Recent reports reveal that the preoperative differentiation of intersigmoid hernias is difficult and the diagnosis is often confirmed during the laparotomic exploration. Read More

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http://dx.doi.org/10.1155/2020/4891796DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285387PMC

Favorable peri-operative outcomes observed in paraesophageal hernia repair with robotic approach.

Surg Endosc 2020 Jun 15. Epub 2020 Jun 15.

Section of Minimally Invasive Surgery, Department of Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8109, St. Louis, MO, 63110, USA.

Background: The robotic surgical approach offers enhanced visualization, dexterity and reach, which may facilitate the more technically demanding portions of paraesophageal hernia (PEH) repair such as hiatal reconstruction and mediastinal dissection. We sought to compare the peri-operative clinical outcomes of the laparoscopic vs. robotic approach to PEH repair. Read More

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http://dx.doi.org/10.1007/s00464-020-07700-7DOI Listing

Intrathoracic Sleeve Migrations After Sleeve Gastrectomy: A Compilation of Case Reports.

J Laparoendosc Adv Surg Tech A 2020 Jun 18. Epub 2020 Jun 18.

Division of Metabolic, Endocrine and Minimally Invasive Surgery, Department of Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure in the United States. Postoperative migration of the stomach into the chest is a rare complication of this procedure. In this study, we present a compilation of acute and chronic intrathoracic sleeve migrations (ITSMs) after LSG and present possible underlying mechanisms of this complication, as described in the literature. Read More

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http://dx.doi.org/10.1089/lap.2020.0237DOI Listing

Late presenting congenital diaphragmatic hernia misdiagnosed as a pleural effusion: A case report.

Medicine (Baltimore) 2020 Jun;99(24):e20684

Department of Surgery, Jeonbuk National University Medical School.

Rationale: Late presenting congenital diaphragmatic hernia (CDH) that develops after the neonatal period has various clinical manifestations and can often be misdiagnosed as pleural effusion, pneumonia, or pneumothorax. We report an adolescent case who was transferred to our hospital after iatrogenic gastric perforation during chest tube thoracotomy caused by misdiagnosis of pleural effusion.

Patient Concerns: A 13-year-old boy with no medical history of conditions relevant to CDH and traumatic events visited a community hospital complaining of left upper quadrant abdominal pain and vomiting over the previous 3 days. Read More

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http://dx.doi.org/10.1097/MD.0000000000020684DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302620PMC

Presurgical risk model for chronic postsurgical pain based on six clinical predictors: a prospective external validation.

Pain 2020 06 5. Epub 2020 Jun 5.

Staff Anesthesiologist, Department of Anesthesiology, Fundació Puigvert, Barcelona, Spain.

No externally validated presurgical risk score for chronic postsurgical pain (CPSP) is currently available. We tested the generalizability of a six-factor risk model for CPSP developed from a prospective cohort of 2929 patients in four surgical settings. Seventeen centers enrolled 1225 patients scheduled for inguinal hernia repair, hysterectomy (vaginal or abdominal), or thoracotomy. Read More

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http://dx.doi.org/10.1097/j.pain.0000000000001945DOI Listing

A case of indirect inguinal bladder hernia treated by laparoscopic hernia repair.

Asian J Endosc Surg 2020 Jun 4. Epub 2020 Jun 4.

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

Inguinal bladder hernia is a rare clinical condition, and only a small number of reported cases have been treated by laparoscopic surgery. In the present case, the patient was a 78-year-old man who presented to our emergency department with a chief complaint of right inguinal bulge and pain. CT imaging revealed an incarcerated right inguinal hernia containing the small intestine and a portion of the urinary bladder. Read More

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http://dx.doi.org/10.1111/ases.12818DOI Listing

Gastric volvulus and giant Bochdalek hernia in an adult patient that were safely repaired by endoscopic reduction and elective laparoscopic surgery.

Asian J Endosc Surg 2020 Jun 2. Epub 2020 Jun 2.

Department of Surgery, Higashi-Ohmi General Medical Center, Higashiomi, Japan.

A Bochdalek hernia (BH) is a congenital abnormality with incomplete closure of the diaphragm. It is usually manifested in infants but rarely in adults. Here, we report an adult patient with gastric volvulus and giant BH that were safely repaired by endoscopic reduction and elective laparoscopic surgery, respectively. Read More

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http://dx.doi.org/10.1111/ases.12806DOI Listing

A manual reduction of hernia under analgesia/sedation (Taxis) in the acute inguinal hernia: a useful technique in COVID-19 times to reduce the need for emergency surgery-a literature review.

Hernia 2020 May 29. Epub 2020 May 29.

Department of General Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.

Background: Acute IH is a common surgical presentation. Despite new guidelines being published recently, a number of important questions remained unanswered including the role of taxis, as initial non-operative management. This is particularly relevant now due to the possibility of a lack of immediate surgical care as a result of COVID-19. Read More

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http://dx.doi.org/10.1007/s10029-020-02227-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7258608PMC

Clinico-radiological Outcomes of Using Modified Stoppa Approach for Treating Acetabular Fractures: An Institutional Review.

Cureus 2020 Apr 24;12(4):e7821. Epub 2020 Apr 24.

Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, IND.

Introduction Acetabular fractures are complex intra-articular fractures. The extra-pelvic ilioinguinal (IL) has been the workhorse for the anterior approach and remains the gold standard. The major difference between the IL and the Stoppa approaches is that Stoppa allows for the avoidance of the middle window of the IL approach. Read More

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http://dx.doi.org/10.7759/cureus.7821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249772PMC

Quadratus Lumborum Block As A Single Anesthetic Method For Laparoscopic Totally Extraperitoneal (Tep) Inguinal Hernia Repair: A Randomized Clinical Trial.

Sci Rep 2020 May 22;10(1):8526. Epub 2020 May 22.

Full Professor of General Surgery at the University Santo Amaro, São Paulo, Brazil.

Minimally invasive surgery for inguinal hernia repair is advantageous in terms of return to usual activities and lower rates of chronic pain; however, it requires general anesthesia. This study sought to analyze the benefits of ultrasound guided locoregional anesthesia of the quadratus lumborum muscle (QL block) as a single anesthetic technique for endoscopic totally extraperitoneal (TEP) inguinal hernia repair with regard to postoperative pain, length of hospital stay, and hospital cost. A total of 46 patients, aged 18 to 80 years, with unilateral inguinal hernia, one group that received general anesthesia and one that received sedation and QL block for TEP inguinal hernia repair. Read More

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http://dx.doi.org/10.1038/s41598-020-65604-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244527PMC

Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study.

BMC Nurs 2020 11;19:38. Epub 2020 May 11.

2Federal Fluminense University, CNPq researcher, Rio de Janeiro, Brazil.

Background: Patient undergoing surgery may be afraid and concerned about the diagnosis, the treatment, the procedure, the postoperative care, and the surgical recovery. Good communication between staff and patients can minimize or prevent this situation. This study aimed to evaluate the effectiveness of a Telecare nursing intervention, "Telephone consultation", in reducing the "Delayed surgical recovery" nursing diagnosis in patients undergoing laparoscopic cholecystectomy and hernia repair. Read More

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http://dx.doi.org/10.1186/s12912-020-00432-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212613PMC

Acute intrathoracic gastric volvulus: A rare delayed presentation of congenital diaphragmatic hernia: A case report.

Int J Surg Case Rep 2020 11;70:123-125. Epub 2020 May 11.

Department of Pediatric Surgery, Faculty of Medicine, University of Alexandria, Egypt. Electronic address:

Introduction: Acute intrathoracic gastric volvulus occurs when the stomach undergoes organoaxial rotation in the chest due presence of a diaphragmatic defect. Gastric volvulus associated with congenital diaphragmatic hernia is extremely rare and can be explained as 2 of the 4 ligaments supporting the stomach (gastrophrenic and gastrosplenic) which are connected to the left diaphragm may become elongated or absent. According to the current literature, only 27 pediatric cases have been reported so far. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.066DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229233PMC

[Clinical research of early goal directed sedation applying in acute brain injury].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2020 Mar;32(3):345-349

Department of Geriatrics, the Third Medical Center of the Chinese People's Liberation Army General Hospital, Beijing 100039, China. Corresponding author: Yang Changchun, Email:

Objective: To investigate the value and feasibility of early goal directed sedation (EGDS) in patients with acute brain injury.

Methods: A total of 110 patients with acute brain injury who were admitted to intensive care unit (ICU) of the Third Medical Center of the Chinese People's Liberation Army General Hospital from January 2015 to March 2019 were included and randomly divided into EGDS group and standard sedation group (STD) using the random number table. Patients in the EGDS group were sedated by continuous intravenous infusion of dexmedetomidine (initial dose of 0. Read More

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http://dx.doi.org/10.3760/cma.j.cn121430-20200106-00092DOI Listing

Endoscopic totally extraperitoneal approach (TEA) technique for primary ventral hernia repair.

Surg Endosc 2020 Aug 27;34(8):3734-3741. Epub 2020 Apr 27.

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Trubetskaya str., 8, b. 2, Moscow, Russia, 119992.

Background: Up to now the totally extraperitoneal (TEP) technique is limited to the treatment of inguinal hernias. Applying this anatomical repair concept to the treatment of other abdominal wall hernias, we developed an endoscopic totally extraperitoneal approach (TEA) to treat primary midline ventral hernias, including umbilical and epigastric hernias, in which for mesh placement, an anatomical space is developed between the peritoneum and the posterior rectus sheath in the ventral part of the abdominal wall (preperitoneal space).

Methods: Between September 2017 and December 2019 according to the selection criterions, 28 consecutive primary midline ventral hernias were repaired using TEA. Read More

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http://dx.doi.org/10.1007/s00464-020-07575-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326894PMC

Incarcerated Amyand's Hernia.

Acta Med Okayama 2020 Apr;74(2):171-174

Department of Surgery, Yakage Town National Health Insurance Hosptial, Yakage, Okayama 714-1201, Japan.

A 76-year-old Japanese man was transferred to our hospital to undergo rehabilitation after traffic accident-related injuries. Seven days post-admission, he presented with abdominal pain and an 8-cm lump in the right inguinal region. He was diagnosed with an incarcerated inguinal hernia and underwent elective surgery the day after manual reduction. Read More

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http://dx.doi.org/10.18926/AMO/58277DOI Listing

Effects of smoking and different BMI cutoff points on surgical site infection after elective open ventral hernia repair.

Hernia 2020 Apr 21. Epub 2020 Apr 21.

Department of Surgery, Harbor-UCLA Medical Center, 1000 W. Carson St. F10, Torrance, CA, 90502, USA.

Purpose: BMI > 40 kg/m and smoking have been identified as risk factors for surgical site infections (SSIs) after ventral hernia repair, however, the relationship with lower BMI values has not been described. The objective of this study was to analyze the relationship between different BMI thresholds, smoking, and SSI after open ventral hernia repair.

Methods: All patients who underwent an elective non-emergent open ventral hernia repair with mesh were extracted from the 2011 to 2016 NSQIP database. Read More

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http://dx.doi.org/10.1007/s10029-020-02190-xDOI Listing

The emerging role of sarcopenia as a prognostic indicator in patients undergoing abdominal wall hernia repairs: a systematic review of the literature.

Hernia 2020 Apr 16. Epub 2020 Apr 16.

Department of Surgery and Cancer, Imperial College, Chelsea and Westminster and the Royal Marsden Campus, Paddington, London, UK.

Background: There is strong evidence suggesting that excessive fat distribution, for example, in the bowel mesentery or a reduction in lean body mass (sarcopenia) can influence short-, mid-, and long-term outcomes from patients undergoing various types of surgery. Body composition (BC) analysis aims to measure and quantify this into a parameter that can be used to assess patients being treated for abdominal wall hernia (AWH). This study aims to review the evidence linking quantification of BC with short- and long-term abdominal wall hernia repair outcomes. Read More

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http://dx.doi.org/10.1007/s10029-020-02179-6DOI Listing

Polypropylene-nanodiamond composite for hernia mesh.

Mater Sci Eng C Mater Biol Appl 2020 Jun 26;111:110780. Epub 2020 Feb 26.

School of Engineering, College of Science, Engineering and Health, RMIT University, Melbourne 3001, Australia. Electronic address:

Commercial hernia mesh is commonly made from polypropylene (PP), due to its inertness, biocompatibility, physical properties, ease of processing and versatility for conversion into flexible shape. However, reportedly hernia mesh prepared from PP experienced issues such as diminished long-term strength, foreign body rejection, lack of biocompatibility and high adhesion to the abdomen wall. Infiltration of the mesh by soft tissue (called remodeling) results in an integration of mesh into the body, leading to a rapid reduction in mesh mechanical properties and potential infection. Read More

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http://dx.doi.org/10.1016/j.msec.2020.110780DOI Listing
June 2020
3.088 Impact Factor

Expectant Management of Patients with Ventral Hernias: 3 Years of Follow-up.

World J Surg 2020 Aug;44(8):2572-2579

Department of Surgery, Lyndon B. Johnson Hospital, The University of Texas Health Science Center At Houston McGovern Medical School, 5656 Kelley St, Houston, TX, 77026, USA.

Background: The safety and effectiveness of expectant management (e.g., watchful waiting or initially managing non-operatively) for patients with a ventral hernia is unknown. Read More

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http://dx.doi.org/10.1007/s00268-020-05505-2DOI Listing

An intriguing case of post-operative respiratory failure from an occult diaphragmatic hernia- be aware of the masquerader.

Ann Card Anaesth 2020 Apr-Jun;23(2):237-240

Department of Cardiac Anaesthesia, Artemis Hospital, Sector 51, Gurugram, Haryana, India.

Though respiratory complications after cardiac surgery for congenital heart disease are common, and malformations of the diaphragm can be expected in these patients, the presence of an occult diaphragmatic defect unrecognisible preoperatively and complicating the post operative course is very rare and need a high index of suspicion for diagnosis in the setting of post operative respiratory failure. We present here a case of post operative respiratory failure from a delayed presenting diaphragmatic hernia in a 2-month-old boy who underwent corrective surgery for Taussig bing anomaly and hypoplastic aortic arch. Surgical repair of the diaphragmatic defect and reduction of the bowel loops to the abdomen resulted in rapid weaning from ventilation and recovery with subsequent discharge from hospital. Read More

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http://dx.doi.org/10.4103/aca.ACA_227_18DOI Listing

[Staged bilateral total extraperitoneal allohernioplasty by e-TEP in a patient with recurrent oblique inguinal hernia on the left and combined strangulated femoral hernia on the right].

Khirurgiia (Mosk) 2020 (3):85-88

Volgograd State Medical University of the Ministry of Health of Russia, Department of Surgical Diseases of Pediatric and Dental Faculties, Volgograd, Russia.

A case of two-stage minimally invasive surgical treatment of an elderly patient with bilateral inguinal hernia is presented: a recurrent oblique on the left, combined (femoral, obturator, oblique and direct inguinal) on the right with incarceration and necrosis of the small intestine in the femoral canal. Previously, the patient underwent closure of perforated ulcer of duodenum from upper-midline laparotomy, epicystostomy, transvesical adenomectomy from the lower-midline laparotomy. The first stage we performed diagnostic laparoscopy, minilaparotomy, reduction and resection of necrotic small intestine loop. Read More

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http://dx.doi.org/10.17116/hirurgia202003185DOI Listing

Laparoscopic repair of complete intrathoracic stomach with iron deficiency anemia: A case report.

World J Clin Cases 2020 Mar;8(6):1180-1187

Department of Minimally Invasive Surgery, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, Xinjiang Uygur Autonomous Region, China.

Background: Giant paraesophageal hiatal hernias (HH) are very infrequent, and their spectrum of clinical manifestations is large. Giant HH mainly occurs in elderly patients, and its relationship with anemia has been reported. For the surgical treatment of large HH, Nissen fundoplication is the most common antireflux procedure, and the reinforcement of HH repair with a patch (either synthetic or biologic) is still debatable. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i6.1180DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103977PMC

Machine learning for screening prioritization in systematic reviews: comparative performance of Abstrackr and EPPI-Reviewer.

Syst Rev 2020 Apr 2;9(1):73. Epub 2020 Apr 2.

Center for Clinical Excellence and Guidelines, ECRI Institute, Evidence-based Practice Center, 5200, Plymouth Meeting, PA, 19462-1298, USA.

Background: Improving the speed of systematic review (SR) development is key to supporting evidence-based medicine. Machine learning tools which semi-automate citation screening might improve efficiency. Few studies have assessed use of screening prioritization functionality or compared two tools head to head. Read More

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http://dx.doi.org/10.1186/s13643-020-01324-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118839PMC

Emergency surgery versus elective surgery after reduction for patients with incarcerated groin hernias.

ANZ J Surg 2020 Jun 31;90(6):1086-1091. Epub 2020 Mar 31.

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

Background: The feasibility and potential advantages of elective surgery after manual reduction of incarcerated hernia (IH) have not been investigated in detail. Therefore, the aim of this retrospective study was to compare perioperative outcomes of emergency surgery to those of elective surgery after reduction of IH.

Methods: A total of 112 patients were preoperatively diagnosed with IH between January 2010 and April 2019. Read More

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http://dx.doi.org/10.1111/ans.15877DOI Listing

Standalone lordotic endoscopic wedge lumbar interbody fusion (LEW-LIF™) with a threaded cylindrical peek cage: report of two cases.

J Spine Surg 2020 Jan;6(Suppl 1):S275-S284

Fundación Universitaria Sanitas, Bogotá, D.C., Colombia.

We report two cases of a standalone lordotic endoscopic wedge lumbar interbody fusion (LEW-LIF™) with a stress-neutral non-expandable cylindrical threaded polyether ether ketone (PEEK) interbody fusion implant. Patients underwent full-endoscopic transforaminal decompression and fusion for symptomatic lateral recess stenosis due to disc herniation, and hypertrophy of the facet joint complex and ligamentum flavum and no more than grade I spondylolisthesis. Lumbar interbody fusion with cages traditionally calls for posterior supplemental fixation with pedicle screws for added stability. Read More

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http://dx.doi.org/10.21037/jss.2019.06.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063321PMC
January 2020

Preoperative Botulinum Toxin and Progressive Pneumoperitoneum in Loss of Domain Hernias-Our First 100 Cases.

Front Surg 2020 28;7. Epub 2020 Feb 28.

Surgical Unit of Abdominall Wall, Department of Digestive Surgery, "La Fe" Universitary Hospital, University of Valencia, Valencia, Spain.

Preoperative botulinum toxin type A (BT) and progressive pneumoperitoneum (PPP) are useful tools in the preparation of patients with loss of domain hernias (LODH). The purpose of our retrospective study is to report our experience in the treatment of 100 consecutive patients with LODH, with the combined use of these techniques. Of the 753 patients operated on for ventral incisional hernia between June 2010 and December 2018 in our hospital, 100 patients with LODH were analyzed retrospectively. Read More

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http://dx.doi.org/10.3389/fsurg.2020.00003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059432PMC
February 2020

Disinfection By-Product Exposures and the Risk of Musculoskeletal Birth Defects.

Environ Epidemiol 2020 Feb;4(1)

National Health and Environmental Effects Research Laboratory, Office of Research and Development, U.S. Environmental Protection Agency, Research Triangle Park, NC.

Background: Epidemiological studies suggest that exposure to water disinfection by-products (DBPs) may increase the risk of certain birth defects. However, evidence for musculoskeletal defects (MSDs) is limited. Previous MSD studies have not examined DBPs beyond trihalomethanes (THMs) and have not separately examined limb or diaphragm defects which may have distinct developmental etiologies. Read More

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http://dx.doi.org/10.1097/EE9.0000000000000081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061532PMC
February 2020

Internal herniation of the caecum and the ascending colon through the foramen of Winslow.

J Surg Case Rep 2020 Mar 2;2020(3):rjaa029. Epub 2020 Mar 2.

General Surgery Department, Ubbo-Emmius Klinik, Norden, Germany.

We are reporting a case of internal herniation of the bowel through the foramen of Winslow. This is a very rare condition that prompts an urgent operative intervention due to its potential fatal complications, as it is usually accompanied by bowel strangulation and ischemia. Due to the vague clinical picture, the diagnosis only reached using imaging techniques such as computed tomography or as a surgical surprise during the operation. Read More

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http://dx.doi.org/10.1093/jscr/rjaa029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054205PMC

Modulation of the In Vivo Inflammatory Response by Pro- Versus Anti-Inflammatory Intervertebral Disc Treatments.

Int J Mol Sci 2020 Mar 3;21(5). Epub 2020 Mar 3.

i3S-Instituto de Investigação e Inovação em Saúde, Universidade do Porto, 4200-135 Porto, Portugal.

Inflammation is central in intervertebral disc (IVD) degeneration/regeneration mechanisms, and its balance is crucial to maintain tissue homeostasis. This work investigates the modulation of local and systemic inflammatory response associated with IVD degeneration/herniation by administration of PRO- versus ANTI-inflammatory treatments. Chitosan/poly-γ-glutamic acid nanocomplexes, known as pro-inflammatory (PRO), and soluble diclofenac, a non-steroidal anti-inflammatory drug (ANTI), were intradiscally administered in a rat IVD injury model, 24 h after lesion. Read More

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http://dx.doi.org/10.3390/ijms21051730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084831PMC

Relaxation with heat and procedural information to diminish anxiety in presurgical patients of hernia surgery.

Psychol Health Med 2020 Mar 3:1-7. Epub 2020 Mar 3.

Departamento de Psicología Básica, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara, Guadalajara, México.

Presurgical anxiety has been associated with postsurgical pain and complications, therefore we decided to compare two psychological interventions in order to reduce presurgical anxiety-state and pain in patients undergoing hernia surgery. Patients undergoing the presurgical consultation for hernia repair (umbilical or inguinal), were invited. The group of procedural information consisted in administering an informative brochure after the presurgical consultation, while the relaxation with heat group (RWH) consisted in giving a heat pack to the patients while asking them to think in the benefits of the surgery and instructions of relaxation were given, this was performed at the operating theater before surgery. Read More

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http://dx.doi.org/10.1080/13548506.2020.1734217DOI Listing

A rare complication of video-assisted thoracoscopic surgery: lung herniation retrospective case series of three patients and review of the literature.

Wideochir Inne Tech Maloinwazyjne 2020 Mar 17;15(1):215-219. Epub 2019 Oct 17.

Department of Thoracic Surgery, Dr Suat Seren Chest Diseases and Surgery Medical Practice and Research Center, University of Health Sciences, Izmir, Turkey.

Introduction: Lung herniation is defined as a protrusion of the lung parenchyma with its pleura through the intercostal space. It is a rare condition and usually occurs after thoracic trauma and surgical interventions. A few cases of lung herniations have been reported after video-assisted thoracoscopic surgery (VATS) but only two cases have been reported after VATS lobectomy. Read More

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http://dx.doi.org/10.5114/wiitm.2019.87937DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020719PMC

Extra-Corporeal Membrane Oxygenation for Neonatal Respiratory Support.

Semin Thorac Cardiovasc Surg 2020 Feb 27. Epub 2020 Feb 27.

East Midlands Congenital Heart Centre, University Hospitals of Leicester, Leicester, UK.

To review our experience with Extra-Corporeal Membrane Oxygenation (ECMO) for respiratory support in neonates. From 1989 to 2018 2114 patients underwent respiratory ECMO support, with 764 (36%) neonates. Veno-Venous (V-V) cannulation was used in 428 (56%) neonates and Veno-Arterial (V-A) in 336 (44%). Read More

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http://dx.doi.org/10.1053/j.semtcvs.2020.02.021DOI Listing
February 2020

Pelvic peritoneum closure reduces postoperative complications of laparoscopic abdominoperineal resection: 6-year experience in single center.

Surg Endosc 2020 Feb 21. Epub 2020 Feb 21.

Department of General Surgery, Shanghai Minimally Invasive Surgery Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, No. 197, Ruijin Er Road, Shanghai, 200025, China.

Background: To investigate feasibility of laparoscopic abdominoperineal resection with pelvic peritoneum closure (LAPR-PPC) for lower rectal cancer.

Methods: LAPR-PPC has been used for lower rectal cancer in our institution since 2014. In this study, we retrospectively analyzed the data from 86 patients who underwent LAPR-PPC and compared with the data from 96 patients who underwent laparoscopic APR without PPC (LAPR) from January 2013 to December 2018. Read More

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http://dx.doi.org/10.1007/s00464-020-07414-wDOI Listing
February 2020

Novel laparoscopic methods for inguinal hernia post pelvic fracture: A case report.

Int J Surg Case Rep 2020 6;67:173-177. Epub 2020 Feb 6.

Sakai City Medical Center, Critical Care Medical Center, Department of Acute Care Surgery, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai City, Osaka, 593-8304, Japan. Electronic address:

Introduction: Pelvic fractures can occur in minor injuries, such as falls, in the elderly. Extensive adhesion of preperitoneal space is common after pelvic fracture surgery; hence, surgical interventions for inguinal hernia may be challenging. We treated a case of inguinal hernia after pelvic fracture surgery, using novel laparoscopic methods: iliopubic tract repair (IPTR) and modified intraperitoneal onlay mesh (mIPOM) approach. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.01.048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025095PMC
February 2020

Prevention of incisional hernia after midline laparotomy with prophylactic mesh reinforcement: a meta-analysis and trial sequential analysis.

BJS Open 2020 Jun 14;4(3):357-368. Epub 2020 Feb 14.

Department of Surgery, Maria Middelares Hospital, Ghent, Belgium.

Background: Incisional hernia is a frequent complication after abdominal surgery. The aim of this study was to assess the efficacy of prophylactic mesh reinforcement (PMR) after midline laparotomy in reducing the incidence of incisional hernia.

Methods: A meta-analysis was conducted following PRISMA guidelines. Read More

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http://dx.doi.org/10.1002/bjs5.50261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260413PMC

Traumatic intradural ruptured lumbar disc with a spinal compression fracture: A case report.

Medicine (Baltimore) 2020 Feb;99(7):e19037

Department of Neurosurgery, Chonnam National University Hospital and Medical School, Gwangju, Republic of Korea.

Rationale: We present a rare case of a traumatic intradural ruptured disc associated with a mild vertebral body compression fracture along with a review of the relevant medical literature. An intradural ruptured disc often occurs due to chronic degenerative diseases and is rarely due to trauma. It can cause irreversible neurological complications if the appropriate treatment is not planned. Read More

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http://dx.doi.org/10.1097/MD.0000000000019037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035050PMC
February 2020

Prophylactic biological mesh reinforcement versus standard closure of stoma site (ROCSS): a multicentre, randomised controlled trial.

Authors:

Lancet 2020 02;395(10222):417-426

Background: Closure of an abdominal stoma, a common elective operation, is associated with frequent complications; one of the commonest and impactful is incisional hernia formation. We aimed to investigate whether biological mesh (collagen tissue matrix) can safely reduce the incidence of incisional hernias at the stoma closure site.

Methods: In this randomised controlled trial (ROCSS) done in 37 hospitals across three European countries (35 UK, one Denmark, one Netherlands), patients aged 18 years or older undergoing elective ileostomy or colostomy closure were randomly assigned using a computer-based algorithm in a 1:1 ratio to either biological mesh reinforcement or closure with sutures alone (control). Read More

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http://dx.doi.org/10.1016/S0140-6736(19)32637-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016509PMC
February 2020
45.217 Impact Factor

Right Colectomy with Absorbable Mesh Repair as a Salvage Solution for the Management of Giant Incisional Hernia with Loss of Domain: Results of a Bicentric Study.

World J Surg 2020 Jun;44(6):1762-1770

Department of Digestive and Bariatric Surgery, Hospices Civils de Lyon, Hôpital Edouard Herriot, Lyon, France.

Background: Incisional hernia (IH) may occur in 20% of patients after laparotomy. The hernia sac volume may be of significance, with reintegration of visceral contents potentially leading to repair failure or abdominal compartment syndrome. The present study aimed to evaluate a two-step surgical strategy comprising right colectomy for hernia reduction with synchronous absorbable mesh repair followed by definitive non-absorbable mesh repair in recurrence. Read More

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http://dx.doi.org/10.1007/s00268-020-05395-4DOI Listing

Using Point-of-Care Ultrasound to Characterize Acute Inguinal Swelling of Young Children in the Pediatric Emergency Department.

Pediatr Emerg Care 2020 Jun;36(6):304-307

From the Department of Pediatric Emergency Medicine, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.

Acute inguinal swelling in young children is frequently assumed to be an inguinal hernia, often prompting a bedside reduction attempt. We report 3 cases of inguinal swelling where the use of point-of-care ultrasound changed the patients' management by identifying an alternate diagnosis, thus avoiding unnecessary and painful procedures as well as their associated sedation risks. Read More

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http://dx.doi.org/10.1097/PEC.0000000000002014DOI Listing

Inguinal hernias in children.

Aust J Gen Pract 2020 Jan-Feb;49(1-2):38-43

MBBS, BSc (Hons), GCCS (Hons), FRCSEd (Paed Surg), FFSTEd, FRACS (Paeds), Consultant Paediatric and Neonatal Surgeon,@ Department of Paediatric Surgery, Monash Children@s Hospital, Vic; Senior Lecturer, Department of Paediatrics, School of Clinical Sciences at Monash Health, Medicine, Nursing and Health Sciences, Monash University, Vic.

Background: An inguinal hernia is one of the most common paediatric surgical presentations in a primary care setting. Hernias can present in multiple ways, ranging from an emergency such as a strangulated hernia to a less urgent reducible hernia.

Objective: The aim of this article is to aid in appropriate diagnosis and management of hernias in children. Read More

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http://dx.doi.org/10.31128/AJGP-08-19-5037DOI Listing
February 2020

[Experience of general surgical procedures in patients after heart transplantation].

Kardiologiia 2019 Nov 12;59(12S):57-63. Epub 2019 Nov 12.

Federal State Budgetary Institution "V.A. Almazov National Medical Research Centre" of the Ministry of Health of the Russian Federation.

Purpose: To study the frequency of general surgical diseases development snd their features in patients after heart transplantation (HTx).

Methods: From January 2010 to December 2018 it was performed 112 HTx (mean age - 46.7±14. Read More

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http://dx.doi.org/10.18087/10.18087/cardio.n623DOI Listing
November 2019