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Cir Esp (Engl Ed) 2022 May 15. Epub 2022 May 15.

Unidad de Cirugía de Pared Abdominal, Hospital Universitari i Politècnic La Fe, Universidad de Valencia, Valencia, Spain.

Negative pressure wound therapy (NPWT) is widely known in surgical practice. The initial indications for NPWT were chronic wounds, especially diabetic foot, vascular and decubitus ulcers, and infected traumatic wounds. Nowadays, the use has been widely increased. Read More

JAMA Surg 2022 May 18. Epub 2022 May 18.

Department of Oncology and Metabolism, University of Sheffield, Sheffield, United Kingdom.

JAMA Surg 2022 May 18. Epub 2022 May 18.

Cleveland Clinic Foundation, Cleveland, Ohio.

Surg Laparosc Endosc Percutan Tech 2022 May 16. Epub 2022 May 16.

Department of Surgery, Mayo Clinic, Rochester, MN.

Background: Severe obesity leads to a higher incidence of ventral hernias, thus complicating up to 8% of bariatric procedures. The optimal management of these hernias continues to be a controversial topic. We present our novel approach of utilizing an omental plug for concomitant ventral hernia management during metabolic surgery. Read More

Surg Laparosc Endosc Percutan Tech 2022 Apr 19. Epub 2022 Apr 19.

Türkçapar Bariatrics, Obesity Center.

Aim: The aim of this study is to reveal incidence of gastroesophageal reflux disease (GERD) after laparoscopic sleeve gastrectomy (LSG) and to determine the effect of LSG with hiatal hernia repair on GERD.

Methods: A total of 440 patients, 395 of them underwent primary LSG (group A) and 45 of them underwent LSG with concomitant hiatal hernia repair (group B) between March 2018 and September 2020 were included in the study. Presence of hiatal hernia was evaluated with endoscopy and confirmed intraoperatively. Read More

Surg Laparosc Endosc Percutan Tech 2022 Apr 25. Epub 2022 Apr 25.

Department of General Surgery, Bakirkoy Dr. Sadi Konuk Training and Research Hospital.

Background: Conversion is a surgical concern because the surgical technique can change during surgery. Surprisingly, there is no study in the literature on the causes and risk factors leading to conversion in laparoscopic total extraperitoneal inguinal repair (TEP). There is also no consensus on the prevention and causes of this condition in TEP. Read More

Pol J Radiol 2022 5;87:e207-e214. Epub 2022 Apr 5.

Department of Cardiology, Pamukkale University, Denizli, Turkey.

Purpose: To evaluate the prevalence and significance of incidental non-cardiac findings (NCFs) on cardiac magnetic resonance imaging (MRI). We also aimed to assess the unreported rate and clinical significance of NCFs in official radiological reports.

Material And Methods: Consecutive cardiac MRI examinations of 400 patients were retrospectively analysed and MR images reviewed by 2 observers blinded to official radiology reports. Read More

Cureus 2022 Apr 14;14(4):e24137. Epub 2022 Apr 14.

Department of General Surgery, Bingol State Hospital, Bingol, TUR.

Objective: The study aimed to evaluate sexual function before and after inguinal hernia surgery using a standard, internationally approved, patient-administered questionnaire.

Methods: 57 male inguinal hernia cases operated with the Lichtenstein hernioplasty technique were prospectively included in the study. Patients who agreed to participate in the study had the IIEF (International Index of Erectile Function) scoring system form consisting of 15 questions filled in preoperatively, during the first and sixth months after surgery. Read More

Cureus 2022 Apr 14;14(4):e24141. Epub 2022 Apr 14.

Pediatrics, East Tennessee State University Quillen College of Medicine, Johnson City, USA.

Traumatic diaphragmatic hernia (TDH) is a known complication in patients with abdominal injuries. Delayed TDH, which presents long after the traumatic event, is a rare subset and is often missed upon initial presentation. We discuss a case involving a 15-year-old female who presented with persistent nausea, vomiting, and epigastric pain and was subsequently diagnosed with TDH via chest x-ray, later confirmed by CT scan. Read More

Contrast Media Mol Imaging 2022 28;2022:7730158. Epub 2022 Apr 28.

Department of Anesthesia and Perioperative Medicine, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou 450000, Henan, China.

Objective: To analyze the application effect of image-text communication-based healthcare education combined with shifting of attention on child patients undergoing inguinal hernia repair under general anesthesia.

Methods: A total of 110 child patients with inguinal hernia treated in our hospital from January 2020 to January 2022 were selected as the study subjects and divided into the control group (CG, routine intervention measures) and the research group (RG, image-text communication-based healthcare education combined with shifting of attention) according to their preoperative intervention plans, with 55 cases each. After surgery, the child patients' psychological status, crying and shouting situation, and occurrence of complications were evaluated to compare and analyze the intervention effect of the two groups. Read More

Hum Cell 2022 May 18. Epub 2022 May 18.

Department of Hernia and Abdominal Wall Surgery, Beijing Chao-Yang Hospital, Capital Medical University, No. 5 Jingyuan Road, Shijingshan District, Beijing, 100043, People's Republic of China.

Lysine acetyltransferase 2 A (KAT2A) has been implicated in tumorigenesis; nevertheless, the mechanism underlying its tumor-initiating effect remains elusive. In the present study, we aimed to identify the possible role of KAT2A in regulating metabolic reprogramming, a hallmark of cancer, in colon cancer (CC). KAT2A was found to be overexpressed in CC and correlated with metastases. Read More

Langenbecks Arch Surg 2022 May 18. Epub 2022 May 18.

Ente Ospedaliero Cantonale Department of Surgery, Ospedale Regionale Di Bellinzona E Valli, via Ospedale 12, 6500, Bellinzona, Switzerland.

Purpose: The aim of this study was to assess the efficacy of our mesh fixation technique in robot-assisted transabdominal preperitoneal inguinal hernia repair (R-TAPP). The primary outcome was the recurrence rate. Secondary outcomes were postoperative pain, chronic pain, and return to normal activities. Read More

Int J Surg Case Rep 2022 May 11;95:107175. Epub 2022 May 11.

Pediatric Surgery, Cairo University, Egypt.

Introduction: Gastroschisis a common congenital anomaly in the anterior abdominal wall, the bowel is present outside the abdominal cavity, completely devoid of any coverings, management of gastroschisis involves umbilical cord graft coverage of the defect after bowel reduction when there are concerns about compartmental syndrome, this is a widely used technique but there are few reports about the incidence umbilical hernia development after this technique and need for future repair of the defect.

Presentation Of Cases: We had 8 patients with simple gastroschisis who had umbilical cord graft coverage of the defect at birth between 2017 and 2020, we present 4 patients who had the cord graft without cutting of rectus fascia, 2 patients resolved spontaneously and 2 developed an umbilical hernia requiring repair.

Discussion: Umbilical cord graft has been reported in several studies, in those studies the authors reported the spontaneous closure of the defect and some reported that incising the rectus fascia will contribute to development of the umbilical hernia, in our series the rectus fascia was preserved yet 2 patients developed umbilical hernia. Read More

JAMA Netw Open 2022 May 2;5(5):e2212444. Epub 2022 May 2.

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

Importance: Concern regarding surgical trainees' operative autonomy has increased in recent years, emphasizing patient safety and preparation for independent practice. Regarding abdominal wall reconstruction (AWR), long-term outcomes of fellow autonomy have yet to be delineated.

Objectives: To evaluate the long-term outcomes of AWRs performed by fellows and compare them with those of AWRs performed by assistant, associate, and senior-level professors. Read More

Surg Endosc 2022 May 17. Epub 2022 May 17.

Laparoscopy Auckland, Gillies Ave, Epsom, Auckland, New Zealand.

Background: Previous radical prostatectomy (RP) is considered a relative contraindication to the laparoscopic approach for inguinal hernia repair (LIHR). This study aimed to compare feasibility, safety and outcomes for patients undergoing totally extraperitoneal (TEP) LIHR who have previously undergone RP.

Methods: This single surgeon, case-control study was performed using a prospective database of all patients undergoing TEP LIHR between 1995 and 2020. Read More

Genet Med 2022 May 17. Epub 2022 May 17.

Department of Clinical Genetics, Aarhus University Hospital, Aarhus, Denmark; Pediatrics and Adolescent Medicine, Centre for Rare Diseases, Aarhus University Hospital, Aarhus, Denmark.

Purpose: Genome-wide sequencing is increasingly being performed during pregnancy to identify the genetic cause of congenital anomalies. The interpretation of prenatally identified variants can be challenging and is hampered by our often limited knowledge of prenatal phenotypes. To better delineate the prenatal phenotype of Coffin-Siris syndrome (CSS), we collected clinical data from patients with a prenatal phenotype and a pathogenic variant in one of the CSS-associated genes. Read More

Am Surg 2022 May 16:31348221101577. Epub 2022 May 16.

Division of Trauma, Emergency Surgery & Surgical Critical Care, Department of Surgery, 2348Massachusetts General Hospital, Boston, MA, USA.

Background: Abdominal wall hernias represent a common problem that can present as surgical emergencies with increased morbidity and mortality. The data examining outcomes in elderly patients with hernia emergencies is scant.

Methods: The 2007-2017 ACS-NSQIP database was queried. Read More

Phenomics 2022 May 12:1-10. Epub 2022 May 12.

Department of Epidemiology and Health Statistics, School of Public Health and Key Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Xue Yuan Road 1, University Town, Fuzhou, 350122 China.

Women's health is important for society. Despite the known biological and sex-related factors influencing the risk of diseases among women, the network of the full spectrum of diseases in women is underexplored. This study aimed to systematically examine the women-specific temporal pattern (trajectory) of the disease network, including the role of baseline physical examination indexes, and blood and urine biomarkers. Read More

Am Surg 2022 May 16:31348221102608. Epub 2022 May 16.

21640Harbor UCLA Medical Center, Torrance, CA, USA.

Introduction: Body mass index (BMI) has been established as an independent risk factor for complications after abdominal hernia repairs. While various thresholds have been proposed, there is no consensus for an ideal BMI for elective hernia repair.

Objective: To identify the BMI threshold at which risk for hernia recurrence is significantly increased in patients undergoing ventral and incisional hernia repair. Read More

Hernia 2022 May 16. Epub 2022 May 16.

Department of Biomedical Science for Health, Division of General Surgery, University of Milan, Istitituto Clinico Sant'Ambrogio, Milan, Italy.

Background: Paraesophageal hiatal hernia (PEH) is characterized by protrusion of intra-abdominal organs into the posterior mediastinum. Respiratory symptoms and reduced pulmonary function have been described as possibly related to lung compression.

Objective: To assess the effect of laparoscopic Toupet fundoplication (LTF) for PEH repair on pulmonary function, measured with pulmonary function tests (PFTs), and respiratory symptoms. Read More

Surg Endosc 2022 May 16. Epub 2022 May 16.

Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, A10-133, Cleveland, OH, 44195, USA.

Introduction: Robotic inguinal hernia repair is growing in popularity among general surgeons despite little high-quality evidence supporting short- or long-term advantages over traditional laparoscopic inguinal hernia repair. The original RIVAL trial showed increased operative time, cost, and surgeon frustration for the robotic approach without advantages over laparoscopy. Here we report the 1- and 2-year outcomes of the trial. Read More

Langenbecks Arch Surg 2022 May 17. Epub 2022 May 17.

Department of Clinical Science and Education, Karolinska Institute, Södersjukhuset, Stockholm, Sweden.

Purpose: Standardization of abdominal wall closure is suggested to improve quality and reduce the risk for late abdominal wall complications. The purpose of this study was to explore the impact of a structured introduction of guidelines for abdominal wall closure on the rates of incisional hernia and wound dehiscence.

Methods: All procedures performed via a midline incision in 2010-2011 and 2016-2017 at Capio St Göran's Hospital were identified and assessed for complications and risk factors. Read More

Eur J Surg Oncol 2022 May 7. Epub 2022 May 7.

Candiolo Cancer Institute, FPO - IRCCS, Candiolo, Turin, Italy.

Background: PIPAC (Pressurized IntraPeritoneal Aerosol Chemotherapy) is a minimally invasive approach relying on physical principles for improving intraperitoneal drug delivery, including optimizing the homogeneity of drug distribution through an aerosol. Feasibility and safety of the new approach are now consolidated and data on its effectiveness are continuously increasing. Although any surgical procedure associated with PIPAC had always been discouraged due to the high risk of complications, surgical practice is constantly changing: with growing expertise, more and more surgical teams associate PIPAC with surgery. Read More

J Am Anim Hosp Assoc 2022 May;58(3):141-145

From the Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy.

A 2 mo old domestic shorthair kitten was presented for acute respiratory distress and severe ambulatory difficulties. Thoracic radiography revealed hyperinflation of the left cranial lung lobe and a mass with soft-tissue/gas opacity in the caudal mediastinum, leading to the suspicion of congenital lung lobe emphysema and hiatal hernia. Decreased bone radiopacity and suspected pathological fractures were also present. Read More

Hernia 2022 May 16. Epub 2022 May 16.

Clinic for Digestive Surgery, University Clinical Center of Serbia, Koste Todorovica 6, 11 000, Belgrade, Serbia.

Purpose: The purpose of this study is to present a concept combining three modifications of the component separation technique (CST) in one procedure as an original solution for the management of complex subcostal abdominal wall hernia.

Methods: Between January 2010 and January 2020, seven patients presenting at the high-volume academic center with complex subcostal hernia underwent surgery in which three modifications of CST were combined into one procedure. Major complex subcostal hernia was defined by either width or length of the defect being greater than 10 cm. Read More

Am Surg 2022 May 15:31348221091968. Epub 2022 May 15.

Division of Pediatric General and Thoracic Surgery, 2518Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Background: Extracorporeal membrane oxygenation (ECMO) is an expensive therapeutic modality. We sought to identify the main charge contributors to patient bills and analyze their patterns of reimbursement. We additionally sought to evaluate the impact of 2015 Current Procedural Terminology (CPT) code changes in professional billing for pediatric surgeons. Read More

Front Surg 2022 29;9:885580. Epub 2022 Apr 29.

Department of Neurosurgery, The Third People's Hospital of Chengdu, Chengdu, China.

Background: Surgery is the main method for the clinical treatment of hypertensive cerebral hemorrhage. Traditional craniotomy faces the disadvantages of the long operation time, easy to cause secondary injury to patients during the operation, and prone to infection after the operation, which is not conducive to the rehabilitation of patients. At present, it is urgent to find a surgical scheme, which can clear hematoma in time, protect brain tissue, and effectively reduce surgical trauma in the clinic. Read More

Cureus 2022 Apr 13;14(4):e24121. Epub 2022 Apr 13.

Obstetrics and Gynecology, California Hospital Medical Center, Los Angeles, USA.

This case report follows the treatment of a 32-year-old Hispanic female who developed an incisional hernia after her first cesarean delivery. During her second cesarean section, the ventral hernia needed to be repaired due to the inability to approximate the fascial ring and close the abdominal wall. Hernias, in general, are uncommon during pregnancy and given that ventral hernias are virtually nonexistent in this patient population, we are left to deal with a host of different obstacles in their diagnosis and treatment. Read More

Front Med (Lausanne) 2022 28;9:895202. Epub 2022 Apr 28.

Diagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.

Intestinal obstruction is one of the most common complications of Crohn's disease (CD), jeopardizing the quality of life of patients. Numerous factors may contribute to intestinal obstruction in CD. Thus far, the primary reason has been identified as intestinal fibrosis caused by repeated chronic inflammation during the active phase of CD. Read More

J Anus Rectum Colon 2022 27;6(2):113-120. Epub 2022 Apr 27.

Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa, Japan.

Objectives: The role of enterocele in the obstructed defecation syndrome (ODS) has remained to be controversial, as patients with enterocele frequently exhibit multiple risk factors, including aging, parity, concomitant different abnormalities, previous histories of pelvic surgery, and incomplete emptying of the rectum. Thus, in this study, we aimed to investigate the association between enterocele and ODS using multivariate analysis.

Methods: Between June 2013 and June 2021, 336 women underwent defecography as they had symptoms of ODS. Read More