90,080 results match your criteria Hernias


Single Centre Experience of Bilateral Gracilis Flap Perineal Reconstruction Following Extra-Levator Abdominoperineal Excision.

Colorectal Dis 2019 Apr 24. Epub 2019 Apr 24.

Royal Devon & Exeter Foundation Trust, Barrack Road, Exeter, Devon, EX2 5DW.

Aim: A variety of tissue flaps have been described for the closure of perineal wounds following abdominoperineal excision of the rectum (APE) or exenteration for locally advanced/ recurrent rectal cancer and salvage surgery for anal cancer. The aim of this study was to demonstrate the utility of the bilateral pedicled gracilis muscle flaps (BPGMF) as a reconstruction option in these patients. This is of particular benefit when using a laparoscopic approach for the abdominal component of the operation, avoiding disruption of the abdominal wall and risk of herniation with other reconstruction options e. Read More

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http://dx.doi.org/10.1111/codi.14654DOI Listing

Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation.

Cochrane Database Syst Rev 2019 Apr 24;4:CD009487. Epub 2019 Apr 24.

Department of Surgery, University Medical Centre Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, Mannheim, Baden-Württemberg, Germany, 68167.

Background: A parastomal hernia is defined as an incisional hernia related to a stoma, and belongs to the most common stoma-related complications. Many factors, which are considered to influence the incidence of parastomal herniation, have been investigated. However, it remains unclear whether the enterostomy should be placed through, or lateral to the rectus abdominis muscle, in order to prevent parastomal herniation and other important stoma complications. Read More

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http://dx.doi.org/10.1002/14651858.CD009487.pub3DOI Listing

Anterior Hepatic Herniation: An Unusual Presentation of Abdominal Incisional Hernia.

Cureus 2019 Feb 13;11(2):e4066. Epub 2019 Feb 13.

Gastroenterology and Hepatology, Saint Barnabas Hospital, Bronx, USA.

Hepatic herniation through an abdominal incisional hernia is a rare phenomenon that has been seldom reported in the medical literature. When present, this may cause patients significant distress and is associated with complications such as hepatic encephalopathy and Budd-Chiari syndrome. Most cases can be managed conservatively through observation, but many cases require surgical intervention to preserve hepatic function. Read More

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http://dx.doi.org/10.7759/cureus.4066DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464280PMC
February 2019

Adhesional small bowel obstruction related to stapling device from previous laparoscopic inguinal hernia repair.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

The Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Small bowel obstruction (SBO) is common surgical presenting problem, accounting for roughly 15 000 laparotomies per year in the UK. However, SBO post laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is uncommon with an estimated incidence of 0.2%-0. Read More

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http://dx.doi.org/10.1136/bcr-2019-229377DOI Listing

The role of the laparoscopic approach in the surgical management of acute adhesive small bowel obstruction.

BMC Surg 2019 Apr 24;19(1):40. Epub 2019 Apr 24.

Department of Surgery, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain.

Background: Postoperative adhesions represent 75% of all acute small bowel obstructions. Although open surgery is considered the standard approach for adhesiolysis, laparoscopic approach is gaining popularity.

Methods: A retrospective study with data from a prospectively maintained data base of all patients undergoing surgical treatment for adhesive small bowel obstruction (ASBO) from January 2007 to May 2016 was conducted. Read More

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http://dx.doi.org/10.1186/s12893-019-0504-xDOI Listing

Thirty Years of Minimally Invasive Surgery in Children: Analysis of Meta-Analyses.

Eur J Pediatr Surg 2019 Apr 23. Epub 2019 Apr 23.

Department of Pediatric Surgery, Hannover Medical School, Hannover, Germany.

Introduction:  In the last three decades, minimally invasive surgery (MIS) has been widely used in pediatric surgery. Meta-analyses (MAs) showed that studies comparing minimally invasive with the corresponding open operations are available only for selected procedures. We evaluated all available MAs comparing MIS with the corresponding open procedure in pediatric surgery. Read More

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http://dx.doi.org/10.1055/s-0039-1687901DOI Listing

Divulge the bulge: an international survey of abdominal donor site morbidity in free autologous breast reconstruction.

J Plast Surg Hand Surg 2019 Apr 23:1-6. Epub 2019 Apr 23.

a Division of Plastic and Reconstructive Surgery , University of Wisconsin School of Medicine and Public Health , Madison , WI , USA.

The frequency of donor-site complications following abdominal free-flap breast reconstruction remains controversial. Consensus on strategies to minimize morbidity is underdeveloped. An online survey was distributed to surgeons practicing free-flap breast reconstruction worldwide. Read More

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http://dx.doi.org/10.1080/2000656X.2019.1597372DOI Listing

Genetic Analysis Reveals Complete Androgen Insensitivity Syndrome in Female Children Surgically Treated for Inguinal Hernia.

J Invest Surg 2019 Apr 23:1-7. Epub 2019 Apr 23.

e Division of Human Genetics , Centre for Biomedical Research Faculty of Medicine Diponegoro University (FMDU) , Semarang , Indonesia.

Background: Complete androgen insensitivity syndrome (CAIS) is a congenital condition caused by genetic defects in the androgen receptor (AR) gene located on the X chromosome, which lead to a phenotypical female individual with a 46, XY karyotype. Early diagnosis of CAIS is essential for proper clinical management, allows assessment of familial risk and contributes to healthcare decisions. However, diagnosis of CAIS can be overlooked in girls with inguinal hernia, resulting in inappropriate management. Read More

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http://dx.doi.org/10.1080/08941939.2019.1602690DOI Listing

Long-Term Outcomes Following Laparoscopic Repair of Large Hiatus Hernias Performed by Trainees Versus Consultant Surgeons.

J Gastrointest Surg 2019 Apr 22. Epub 2019 Apr 22.

Discipline of Surgery Flinders University, Flinders Medical Centre, Bedford Park, South Australia, 5042, Australia.

Background: The laparoscopic approach is the preferred method for repair of large hiatus hernias but can be technically challenging. Training surgeons need experience as the primary operator to gain competency in this operation. However, learning the procedure should not compromise the functional long-term outcome for patients. Read More

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http://link.springer.com/10.1007/s11605-019-04218-9
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http://dx.doi.org/10.1007/s11605-019-04218-9DOI Listing
April 2019
1 Read

Clinical and Functional Outcome After Abdominal Wall Incisional Hernia Repair: Evaluation of Quality-of-Life Improvement and Comparison of Assessment Scales.

World J Surg 2019 Apr 22. Epub 2019 Apr 22.

Department of Surgical, Oncological and Oral Sciences, University of Palermo, Policlinico P. Giaccone. Via Liborio Giuffré 5, 90127, Palermo, Italy.

Background: Hernias severely impact patient quality of life (QoL), and 80% of patients need surgical operation. The primary outcome of the study is to assess improvements in balance, posture and deambulation after abdominal hernia repair. Moreover, the study investigated the improvement in the postoperative QoL. Read More

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http://dx.doi.org/10.1007/s00268-019-05003-0DOI Listing

Reduced Elective Operation Rates and High Patient Satisfaction After the Implementation of Decision Aids in Patients with Gallstones or an Inguinal Hernia.

World J Surg 2019 Apr 22. Epub 2019 Apr 22.

Department of Surgery, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.

Background: For both gallbladder removal and inguinal hernia repair, it is important to include patients' perspective in the decision-making process, as watchful waiting is an accepted alternative in selected patients. The aim of this study was to evaluate operation rates before and after implementation of decision aids (DAs) and to assess patient compliance with the use of DAs.

Methods: A single-centered retrospective study was performed, including all patients ≥18 years referred to the surgical outpatient clinic with symptomatic gallstones or an inguinal hernia between January 2014 and December 2017. Read More

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http://dx.doi.org/10.1007/s00268-019-05007-wDOI Listing

Homozygous non-canonical splice variant in LSM1 in two siblings with multiple congenital anomalies and global developmental delays.

Cold Spring Harb Mol Case Stud 2019 Apr 22. Epub 2019 Apr 22.

Columbia University;

Two siblings, one male and one female, ages 6 and 13 years old have similar clinical features of global developmental delay, multiple congenital anomalies affecting the cardiac, genitourinary, and skeletal systems, and abnormal eye movements. Whole genome sequencing revealed a homozygous splice variant (NM_014462.3:c. Read More

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http://dx.doi.org/10.1101/mcs.a004101DOI Listing

Factors Associated to Abnormal Distal Esophageal Exposure to Acid and Esophagitis in Individuals Seeking Bariatric Surgery.

Surg Obes Relat Dis 2019 Feb 3. Epub 2019 Feb 3.

Postgraduate Program in Medicine: Surgical Sciences, Federal University of Rio Grande do Sul, 2400 Ramiro Barcelos Street, Porto Alegre, RS, Brazil.

Background: Gastroesophageal reflux disease (GERD) impacts choice and outcomes of bariatric surgery. However, GERD diagnosis based solely on symptoms yields inaccurate results.

Objective: To determine the factors associated with a positive 24h pH-monitoring (pH-test) or esophagitis in patients with severe obesity seeking bariatric surgery. Read More

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http://dx.doi.org/10.1016/j.soard.2019.01.031DOI Listing
February 2019

Opioid-prescribing patterns, storage, handling, and disposal in postoperative pediatric urology patients.

J Pediatr Urol 2019 Feb 23. Epub 2019 Feb 23.

The University of North Carolina at Chapel Hill, Department of Urology, USA.

Background: Emerging research on surgeons and the opioid epidemic have focused on the adult population. Consequently, little is known regarding opioid-prescribing practices in the pediatric population. The goal of this study is to examine postoperative opioid-prescribing and consumption patterns, as well as storage and disposal trends for specific pediatric urologic procedures. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.02.009DOI Listing
February 2019

[ABDOMINAL MASS AND ASCITES AS RISK FACTORS OF PELVIC ORGAN PROLAPSE].

Nihon Hinyokika Gakkai Zasshi 2018 ;109(2):96-101

Department of Urology, Japanese Red Cross Nagoya First Hospital.

(Objective) A rise of intra-abdominal pressure may exacerbate pelvic organ prolapse (POP) as well as abdominal hernias. This paper aims to assess the possible risk factors of an abdominal mass and ascites as comorbidities of POP. (Methods) We retrospectively reviewed the medical charts of 2,748 POP patients between 2010 and 2016 and extracted eight cases (0. Read More

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https://www.jstage.jst.go.jp/article/jpnjurol/109/2/109_96/_
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http://dx.doi.org/10.5980/jpnjurol.109.96DOI Listing
January 2018
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Inconsistency in Opioid Prescribing Practices After Pediatric Ambulatory Hernia Surgery.

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

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

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

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

Gender Matters: Mandating Sex as a Biologic Variable in Hernia Research.

Ann Surg 2019 Apr 17. Epub 2019 Apr 17.

Department of Surgery, University of Michigan, Ann Arbor, MI.

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http://dx.doi.org/10.1097/SLA.0000000000003323DOI Listing

Laparoscopic Percutaneous Extraperitoneal Internal Ring Closure for Pediatric Inguinal Hernia: 1,142 Cases.

J Laparoendosc Adv Surg Tech A 2019 Apr 20. Epub 2019 Apr 20.

Department of Pediatric Surgery, Fujian Provincial Maternity and Children's Hospital, Fuzhou, P.R. China.

The purpose of this study was to summarize the clinical experience of the laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural needle for the treatment of inguinal hernias. There were 1,142 children with an isolated inguinal hernia who participated in this study from January 2013 to May 2018. An epidural needle was used to treat the indirect inguinal hernia with laparoscopic assistance. Read More

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http://dx.doi.org/10.1089/lap.2018.0721DOI Listing

Serum substance P and vasoactive intestinal peptide levels in infants with acute intussusception.

J Int Med Res 2019 Apr 21:300060519844401. Epub 2019 Apr 21.

Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China.

Objective: We aimed to investigate the role of the intestinal neurotransmitters vasoactive intestinal peptide (VIP) and substance P (SP) at different time points in infants with acute intussusception.

Methods: Thirty patients who were diagnosed with acute intussusception were enrolled in the study and classified as the experimental group. Another 30 patients with an indirect inguinal hernia who had no intestinal injury were included as the control group. Read More

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http://dx.doi.org/10.1177/0300060519844401DOI Listing

Paraduodenal hernias: a systematic review of the literature.

Hernia 2019 Apr 20. Epub 2019 Apr 20.

Third Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Purpose: Paraduodenal hernias (PDH), also called mesocolic hernias, account for up to 53% of all internal hernias, but they cause only 0.2-0.9% of all cases of intestinal obstruction. Read More

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http://link.springer.com/10.1007/s10029-019-01947-3
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http://dx.doi.org/10.1007/s10029-019-01947-3DOI Listing
April 2019
1 Read

Impact of body mass index on minimally invasive ventral hernia repair: an ACS-NSQIP analysis.

Hernia 2019 Apr 20. Epub 2019 Apr 20.

Division of Gastrointestinal Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, 19104, USA.

Purpose: Body mass index (BMI) ≥ 35 kg/m is a known independent risk factor for complications following open ventral hernia repair (VHR). We sought to examine the relationship between BMI and minimally invasive VHR.

Methods: The ACS-NSQIP database was queried for all patients age ≥ 18 years undergoing minimally invasive VHR (2005-2015). Read More

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http://link.springer.com/10.1007/s10029-019-01944-6
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http://dx.doi.org/10.1007/s10029-019-01944-6DOI Listing
April 2019
1 Read

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

J Pain 2019 Apr 18. Epub 2019 Apr 18.

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

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

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

Fabricated Tropoelastin-Silk Yarns and Woven Textiles for Diverse Tissue Engineering Applications.

Acta Biomater 2019 Apr 17. Epub 2019 Apr 17.

Charles Perkins Centre, University of Sydney, NSW 2006, Australia; School of Life and Environmental Sciences, University of Sydney, NSW 2006, Australia; Bosch Institute, University of Sydney, NSW 2006, Australia. Electronic address:

Electrospun yarns offer substantial opportunities for the fabrication of elastic scaffolds for flexible tissue engineering applications. Currently available yarns are predominantly made of synthetic elastic materials. Thus scaffolds made from these yarns typically lack cell signaling cues. Read More

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http://dx.doi.org/10.1016/j.actbio.2019.04.029DOI Listing

Could long-term follow-up modify the outcomes after laparoscopic TAPP? A 5-year retrospective cohort study.

Hernia 2019 Apr 19. Epub 2019 Apr 19.

Division of Abdominal Wall Surgery, Department of General Surgery, Hospital Alemán of Buenos Aires, Av. Pueyrredón 1640, AAT1118C, Buenos Aires, Argentina.

Purpose: Laparoscopic inguinal hernia repair (LIHR) has demonstrated multiple benefits. However, long-term results regarding recurrence and quality of life (QoL) are still on debate. We aimed to analyze postoperative outcomes with long-term follow-up after LIHR. Read More

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http://link.springer.com/10.1007/s10029-019-01953-5
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http://dx.doi.org/10.1007/s10029-019-01953-5DOI Listing
April 2019
5 Reads

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

Authors:
P K F Yip

Hernia 2019 Apr 19. Epub 2019 Apr 19.

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

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

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

Submucosal mucoid as a late complication after appendectomy-A case report.

Int J Surg Case Rep 2019 Apr 5;58:37-40. Epub 2019 Apr 5.

Radiological Department, Klatovy Hospital, Plzeňská 929, 339 01, Klatovy II, Czech Republic.

Introduction: Shortly after an operation infection, intraabdominal abscess, seroma, haemorrhage or development of paralytic ileus may occur. Postoperative adhesions, nonspecific abdominal pain without signs of obstruction, incisional hernia and appendicitis or mucocele in appendiceal stump present common late complications. We present a unique case of a late complication after appendectomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612193017
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http://dx.doi.org/10.1016/j.ijscr.2019.03.051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475718PMC
April 2019
1 Read

Fasciae of the musculoskeletal system: MRI findings in trauma, infection and neoplastic diseases.

Insights Imaging 2019 Apr 18;10(1):47. Epub 2019 Apr 18.

Department of Radiology - Musculoskeletal Imaging Unit, Cliniques universitaires Saint-Luc - Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Belgium.

The fascial system is a continuum of connective tissues present everywhere throughout the body that can be locally involved in a large variety of disorders. These disorders include traumatic disorders (Morel-Lavallée lesion, myo-aponeurotic injuries, and muscle hernia), septic diseases (necrotizing and non-necrotizing cellulitis and fasciitis), and neoplastic diseases (superficial fibromatosis, desmoid tumors, and sarcomas). The current pictorial review aims to focus on these localized disorders involving the fasciae of the musculoskeletal system and their appearance at MRI. Read More

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https://insightsimaging.springeropen.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s13244-019-0735-5DOI Listing
April 2019
1 Read

Radical cystectomy and W-shaped ileal orthotopic neobladder reconstruction with serosa-lined tunneled ureteroileal anastomoses: A critical analysis of the short-term voiding patterns and urodynamic and functional outcomes.

Indian J Urol 2019 Apr-Jun;35(2):121-128

Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Introduction: We present the short-term voiding patterns and functional and urodynamic outcomes of W-shaped ileal orthotopic neobladder (ONB) following radical cystectomy (RC).

Materials And Methods: Forty-one patients who underwent RC and W-shaped ONB creation between July 2015 and January 2018 were enrolled. Data were analyzed in terms of voiding patterns, urodynamic findings, and functional outcomes at 6 months after surgery. Read More

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http://dx.doi.org/10.4103/iju.IJU_356_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458799PMC
April 2019
1 Read

Surgical Outcomes in Lateral Abdominal Wall Reconstruction: A Comparative Analysis of Surgical Techniques.

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

Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX.

Background: Lateral abdominal wall (LAW) myofascial defects are a challenging reconstructive problem, and no consensus exists on their surgical management. We hypothesized that mesh repairs anchored to the non-yielding LAW boundaries [pillar-anchored repairs (PARs)] would provide more durable reconstructions with lower hernia recurrence and bulge occurrence rates compared to mesh repairs anchored to the surrounding oblique muscle complexes [direct repairs (DRs)].

Study Design: We retrospectively reviewed LAW reconstructions at a single center from 2004-2010. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.03.023DOI Listing
April 2019
2 Reads

Shorter time to achieve endoscopic eradication is not associated with improved long-term outcomes in Barrett's esophagus.

Dis Esophagus 2019 Apr 17. Epub 2019 Apr 17.

Department of Medicine, Columbia University Medical Center, New York, USA.

Quality indicators have been proposed for endoscopic eradication therapy of Barrett's esophagus (BE). One such measure suggests that complete eradication of intestinal metaplasia (CE-IM) should be achieved within 18 months of starting treatment. The aim of this study was to assess whether achievement of CE-IM within 18 months is associated with improved long-term clinical outcomes. Read More

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http://dx.doi.org/10.1093/dote/doz026DOI Listing

Gallbladder complicating a parastomal hernia.

J Surg Case Rep 2019 Apr 10;2019(4):rjz107. Epub 2019 Apr 10.

Joondalup Health Campus, Western Australia.

The presence of the gallbladder in a parastomal hernia is exceeding rare. We present the case of a 75-year-old female with a parastomal hernia complicated by presence of the gallbladder. The patient was managed with surgical intervention to repair the hernia and reduce the gallbladder to its correct abdominal position without cholecystectomy. Read More

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http://dx.doi.org/10.1093/jscr/rjz107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457066PMC

Benefit of Laparoendoscopic Repair of Hiatal Hernia in the Presence of Aberrant Left Hepatic Artery.

Authors:
Medhat Y Fanous

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, Aspirus Iron River Hospital and Clinics, Iron River, Michigan, USA.

Background And Objectives: An aberrant left hepatic artery (ALHA) limits the already confined operative field of laparoscopic antireflux surgery (LARS) and laparoscopic hiatal hernia repair (LHHR). The aim of this study is to provide a safe laparoendoscopic technique for hiatal hernia repair in the presence of an ALHA.

Methods: We conducted a retrospective chart review of patients who underwent LARS or LHHR between March 2016 and March 2018. Read More

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http://dx.doi.org/10.4293/JSLS.2019.00004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452417PMC
April 2019
1 Read

[Mechanical thrombectomy treatment in patients with acute ischemic stroke: a single center study].

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Apr;51(2):256-259

Department of Interventional Radiologyand Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.

Objective: To evaluate the effectiveness and safety of mechanical thrombectomy treatment in patients with acute ischemic stroke (AIS),and to explore influential factors of the clinical prognosis preliminarily.

Methods: Clinical data of 26 patients with acute cerebral arterial occlusion treated with mechanical thrombectomy in Peking University Third Hospital from January 2014 to June 2017 were retrospectively collected. The immediate effects of the 26 patients in this group after mechanical thrombectomy treatment were analyzed,The national institutes of health stroke scale (NIHSS) scores between preoperative and at discharge of the 26 patients in this group were compared,and modified Rankin scale (mRS) scores of 90 days post operation were analyzed to assess the prognosis of the 26 patients in this group. Read More

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April 2019
1 Read

Transforaminal epidural steroid injection and infraneural approach.

Agri 2019 Apr;31(2):104-106

Department of Anesthesiology and Reanimation, Pain Clinic, Ege University, Izmir, Turkey.

Transforaminal epidural steroid injections are a common intervention in the treatment of radicular pain. Complications are rare, but can be catastrophic. One of the potentially devastating complications is occlusion of the artery of Adamkiewicz (AKA). Read More

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http://www.agridergisi.com/jvi.aspx?pdir=agri&plng=eng&a
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http://dx.doi.org/10.5505/agri.2017.26097DOI Listing
April 2019
1 Read

The proportion of alveolar type 1 cells decreases in murine hypoplastic congenital diaphragmatic hernia lungs.

PLoS One 2019 17;14(4):e0214793. Epub 2019 Apr 17.

Department of Development and Regeneration, Division Organ Systems, KU Leuven, Leuven, Belgium.

Background: Pulmonary hypoplasia, characterized by incomplete alveolar development, remains a major cause of mortality and morbidity in congenital diaphragmatic hernia. Recently demonstrated to differentiate from a common bipotent progenitor during development, the two cell types that line the alveoli type 1 and type 2 alveolar cells have shown to alter their relative ratio in congenital diaphragmatic hernia lungs.

Objective: We used the nitrofen/bisdiamine mouse model to induce congenital diaphragmatic hernia and accurately assess the status of alveolar epithelial cell differentiation in relation to the common bipotent progenitors. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214793PLOS

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

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

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

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

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

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

Hernia 2019 Apr 16. Epub 2019 Apr 16.

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

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

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

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

Lactation Experience of Mothers and Feeding Outcomes of Infants with Congenital Diaphragmatic Hernia.

Breastfeed Med 2019 Apr 16. Epub 2019 Apr 16.

5 Department of Neonatology, Thoracic, and Fetal Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Objective: This study explores the congenital diaphragmatic hernia (CDH) infant-mother dyad with regard to maternal lactation outcomes and infant exposure to a human milk diet.

Study Design: This was a retrospective descriptive cohort study conducted at Children's Hospital of Philadelphia. A total of 149 infants born with CDH and admitted to the Newborn/Infant Intensive Care Unit (N/IICU) were included in the study. Read More

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http://dx.doi.org/10.1089/bfm.2019.0011DOI Listing

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

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

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

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

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http://dx.doi.org/10.1002/bjs.11139DOI Listing
March 2019
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Novel understanding of high mobility group box-1 in the immunopathogenesis of incisional hernias.

Expert Rev Clin Immunol 2019 Apr 16. Epub 2019 Apr 16.

a Departments of Clinical and Translational Science , Creighton University School of Medicine , Omaha , USA.

Introduction: Incisional hernias (IH) arise as a complication of patients undergoing a laparotomy. Current literature has assessed the role of extracellular matrix (ECM) disorganization, alterations in type I and type III collagen, matrix metalloproteinases, and tissue inhibitors of metalloproteases on IH. However, there is limited information on the underlying molecular mechanisms that lead to ECM disorganization. Read More

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http://dx.doi.org/10.1080/1744666X.2019.1608822DOI Listing

Congenital sternal defect repair in an adult cat with incomplete pentalogy of Cantrell.

J Am Vet Med Assoc 2019 May;254(9):1099-1104

Case Description: A 1-year-old spayed female domestic shorthair cat was evaluated for a sternal defect and ventral abdominal wall hernia.

Clinical Findings: The cat appeared healthy. Palpation revealed a sternal defect, and the heart could be observed beating underneath the skin at the caudoventral aspect of the thorax. Read More

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http://dx.doi.org/10.2460/javma.254.9.1099DOI Listing
May 2019
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MYRF haploinsufficiency causes 46,XY and 46,XX disorders of sex development: bioinformatics consideration.

Hum Mol Genet 2019 Apr 1. Epub 2019 Apr 1.

Department of Human Genetics.

Disorders of sex development (DSDs) are defined as congenital conditions in which chromosomal, gonadal or anatomical sex is atypical. In many DSD cases, genetic causes remain to be elucidated. Here, we performed a case-control exome sequencing study comparing gene-based burdens of rare damaging variants between 26 DSD cases and 2625 controls. Read More

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http://dx.doi.org/10.1093/hmg/ddz066DOI Listing

Decreased catalase expression is associated with ligamentum flavum hypertrophy due to lumbar spinal canal stenosis.

Medicine (Baltimore) 2019 Apr;98(15):e15192

Department of Neurosurgery, Erzincan Binali Yildirim University Medical Faculty, Başbağlar Mah, Center of City Erzincan, Turkey.

Background: This is an immunohistologic study of gene expression between patients and controls.This study aims to evaluate expression of the catalase gene in hypertrophied ligamentum flavum (LF) specimens obtained from patients with lumbar spinal canal stenosis (LSCS).LSCS is one of the most common spinal disorders. Read More

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http://dx.doi.org/10.1097/MD.0000000000015192DOI Listing
April 2019
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Segmental zoster abdominal paresis mimicking an abdominal hernia: A case report and literature review.

Medicine (Baltimore) 2019 Apr;98(15):e15037

Department of Hepatobiliary and Abdominal Hernias Surgery, Weihai Central Hospital, Weihai, Shandong Province, People's Republic of China.

Rationale: Herpes zoster infection typically involves the posterior root ganglia and most of the symptoms are sensory. Motor involvement can occur in the same distribution but is relatively uncommon. Segmental zoster paresis is a rare motor complication of Herpes zoster, mimicking an abdominal hernia, but it needs no surgery different from the real abdominal wall hernia. Read More

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http://dx.doi.org/10.1097/MD.0000000000015037DOI Listing

Comment on "Is It Time to Reconsider Postoperative Epidural Analgesia in Patients Undergoing Elective Ventral Hernia Repair?"

Ann Surg 2019 May;269(5):e67

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

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http://dx.doi.org/10.1097/SLA.0000000000002906DOI Listing

Modified Implantation of Self-Adhesive Mesh in Laparoscopic Total Extraperitoneal Inguinal Hernia Repair.

J Laparoendosc Adv Surg Tech A 2019 Apr 13. Epub 2019 Apr 13.

2 Department of General Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Introduction: The self-adhesive mesh has become increasingly popular since its launch and has been proven to be reliable in laparoscopic hernia reparation. However, self-adhesive mesh may encounter unexpected adhesions during operation because one side of the mesh was covered with microgrips.

Objective: Performing a modified technique of self-adhesive mesh implantation to avoid unexpected adhesions to the mesh itself and to the surrounding tissues in the operation space. Read More

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http://dx.doi.org/10.1089/lap.2018.0783DOI Listing
April 2019
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3D reconstruction of diaphragmatic defects in CDH: a fetal MRI study.

Ultrasound Obstet Gynecol 2019 Apr 15. Epub 2019 Apr 15.

Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.

Objectives: To assess the clinical feasibility and validity of fetal MRI-based 3D reconstructions to localize, classify, and quantify diaphragmatic defects in congenital diaphragmatic hernia (CDH).

Methods: Manual segmentation of the diaphragm based on 65 in vivo and four postmortem fetal MRI scans of 46 CDH cases (gestational age 16 - 38 gestational weeks (GW)) was performed using SSFP, T2-weighted, and T1-weighted sequences and ITK-Snap. The resultant 3D models of the fetal diaphragm and its defect(s) were validated by postmortem MRI segmentation in four cases and/or comparison to a reference classification based on autopsy and surgery reports. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/uog.20296
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http://dx.doi.org/10.1002/uog.20296DOI Listing
April 2019
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The Evidence and Future Potential of WeChat in Providing Support for Chinese Parents of Pediatric Patients Undergoing Herniorrhaphy.

J Transcult Nurs 2019 Apr 15:1043659619841672. Epub 2019 Apr 15.

3 Hubei University of Medicine, Shiyan, Hubei, PRC.

Introduction: Based on the current medical environment in China, this study developed a WeChat-based health education program for parents of children undergoing day surgery herniorrhaphy and evaluated the users' satisfaction of its usage by adapting the technology acceptance model.

Methodology: A descriptive quantitative online design with a researcher-developed Satisfaction Questionnaire was used to survey 198 users in the university-affiliated hospital in China.

Results: The users were generally satisfied with the program. Read More

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http://dx.doi.org/10.1177/1043659619841672DOI Listing

Maternal Risk Factors and Perinatal Characteristics in Congenital Diaphragmatic Hernia: A Nationwide Population-Based Study.

Fetal Diagn Ther 2019 Apr 12:1-8. Epub 2019 Apr 12.

Department of Pediatric Surgery, Karolinska University Hospital, Stockholm, Sweden.

Background: The etiology of congenital diaphragmatic hernia (CDH) remains poorly understood. We hypothesize that environmental factors play an important role in the development of CDH.

Aim: The objective of this study was to investigate associated maternal risk factors in pregnancies with CDH. Read More

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http://dx.doi.org/10.1159/000497619DOI Listing
April 2019
2 Reads