97,427 results match your criteria Hernias


Local Anesthesia is Associated with Fewer Complications in Umbilical Hernia Repair in Frail Veterans.

J Surg Res 2021 May 11;266:88-95. Epub 2021 May 11.

North Texas VA Healthcare System, Department of Surgery, Dallas, Texas; Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas; University of Texas Southwestern, Surgical Center for Outcomes, Implementation, and Novel Interventions (S-COIN), Dallas, Texas.

Background: The optimal anesthesia modality for umbilical hernia repair is unclear. We hypothesized that using local rather than general anesthesia would be associated with improved outcomes, especially for frail patients.

Methods: We utilized the 1998-2018 Veterans Affairs Surgical Quality Improvement Program to identify patients who underwent elective, open umbilical hernia repair under general or local anesthesia. Read More

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Treatment Options for Scrotal Migration of Ventriculoperitoneal Shunts: Case Illustration and Systematic Review of 48 Cases.

Oper Neurosurg (Hagerstown) 2021 May 14. Epub 2021 May 14.

Department of Neurosurgery, Kepler University Hospital, Neuromedcampus, Linz, Austria.

Background: Scrotal migration of intact or disconnected tubing is a rare complication of ventriculoperitoneal shunts. While some illustrative case reports can be found in the literature, a systematic review on treatment options is lacking.

Objective: To propose the first literature-based treatment algorithm on scrotal shunt migration. Read More

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

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

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

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

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Chylous ascites in the setting of internal hernia: a reassuring sign.

Surg Endosc 2021 May 14. Epub 2021 May 14.

Section of Minimally Invasive and Bariatric Surgery, Department of Surgery, Indiana University School of Medicine, 545 Barnhill Dr. EH 122, Indianapolis, IN, 46202, USA.

Background: Chylous ascites is often reported in cases with lymphatic obstruction or after lymphatic injuries such as intraabdominal malignancies or lymphadenectomies. However, chylous ascites is also frequently encountered in operations for internal hernias. We sought to characterize the frequency and conditions when chylous ascites is encountered in general surgery patients. Read More

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

Langenbecks Arch Surg 2021 May 14. Epub 2021 May 14.

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

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

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High-risk bariatric candidates: does red-flagging predict the post-operative course?

Surg Endosc 2021 May 13. Epub 2021 May 13.

Department of Surgery, University School of Medicine, Indiana, USA.

Background: Standards for preoperative bariatric patient selection include a thorough psychological evaluation. Using patients "red-flagged" during preoperative evaluations, this study aims to identify trends in long-term follow-up and complications to further optimize bariatric patient selection.

Methods: A multidisciplinary team held a case review conference (CRC) to discuss red-flagged patients. Read More

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Laparoscopic repair of giant hiatal hernia for elderly patients.

Ann Transl Med 2021 Apr;9(8):704

Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.

Background: Giant hiatal hernias are more common in older patients and can significantly reduce their quality of life. However, open surgery for patients of advanced age is thought to be associated with high morbidity and mortality. The aim of this retrospective study was to evaluate the safety of laparoscopic giant hiatal hernia repair for elderly patients as compared to younger patients. Read More

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Common Iliac Vein Injury in Blunt Abdominal Trauma Without Pelvic Fractures.

Cureus 2021 Apr 10;13(4):e14401. Epub 2021 Apr 10.

Trauma and Acute Care Surgery, Riverside Community Hospital, Riverside, USA.

Iliac vein injury in the absence of pelvic fractures is rare. We present the case of a 27-year-old male involved in a motorcycle crash. Imaging demonstrated a lumbar hernia and pelvic hematoma in the absence of pelvic fractures. Read More

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

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

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

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

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Mesh repair for lateral inguinal hernias: a non-evidence-based practice.

Hernia 2021 May 13. Epub 2021 May 13.

División Cirugía General, Sanatorio Municipal "Dr. Julio Méndez", Sucre 1437, Buenos Aires, Argentina.

Introduction: The EHS clinical guidelines recommend the use of mesh to repair symptomatic primary inguinal hernias (PIH) in adult males but, in spite of this, it begs the question as to why there is still place for tissue techniques. Lack of stratification of patients according to risk of recurrence in RCTs might be a cause of results disparity, since medial and mixed are hernias with higher risk of recurrence (HRRH), whereas lateral hernias present a lower risk (LRRH).

Objective: To determine whether the lack of stratification may lead to questionable conclusions regarding the protective effect of mesh techniques and to identify other methodological flaws. Read More

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Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review.

Surg Case Rep 2021 May 13;7(1):121. Epub 2021 May 13.

Department of Surgery, Sapporo Higashi Tokushukai Hospital, 3-1, N-33, E-14, Higahi-ku, Sapporo, Hokkaido, 0650033, Japan.

Background: Hydrocele of canal of Nuck (HCN) is a rare disease in adult female. The diagnosis and treatment of HCN is still a challenge for surgeons.

Case Presentation: A 56-year-old female presented with recent onset of occasional pain during exercise and an asymptomatic left groin swelling. Read More

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How to do a combined endoscopic and tailored open extraperitoneal approach for large congenital inguinoscrotal hernia.

ANZ J Surg 2021 May 13. Epub 2021 May 13.

Department of General Surgery, Bankstown Lidcombe Hospital, Bankstown, New South Wales, Australia.

Large inguinoscrotal hernias require experienced and skilful laparoscopic hernia surgeons to reap the benefits of laparoscopic versus open surgery. We advocate for an alternative hybrid TEP-open technique that allows tissue extraction away from the groin area, whenever necessary, thus avoiding more painful conventional open herniorrhaphy incision. Read More

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An educated guess - Distance estimation by surgeons.

Surg Open Sci 2020 Jul 30;2(3):113-116. Epub 2020 Apr 30.

University of Maryland, Department of Surgery, Baltimore, MD, USA.

Introduction: Estimating distance is a common task in surgery, yet development of distance estimation ability receives little attention in surgical training. Although the Small bites versus large bites for closure of abdominal midline incisions (STITCH) trial reinforced the importance of suture spacing by demonstrating reduced incisional hernia incidence in placement of 5-mm fascial sutures over 1 cm, we hypothesize that neither trainee nor attending surgeons possess the ability to estimate these distances with accuracy.

Methods: We distributed a 4-question distance estimation exercise and a 6-question survey to resident and attending surgeons at a single academic medical center. Read More

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Metastatic Hepatic Epitheloid Hemangioendothelioma in a Young Male: A Rare Presentation.

Gastrointest Tumors 2021 Apr 18;8(2):58-62. Epub 2021 Feb 18.

Department of General Surgery, AIIMS, Bhopal, Madhya Pradesh, India.

Hepatic EHE (epithelioid hemangioendothelioma) is an uncommon entity of vascular origin and a low-grade malignant tumor. Primary hepatic EHE is rare. These tumors can be multifocal at presentation like in the soft tissues, bones, brain, liver, and small intestine. Read More

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A case presentation with tranverse testicular ectopia.

Urol Case Rep 2021 Sep 5;38:101674. Epub 2021 Apr 5.

Department of Ultrasonic Medicine, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, 610041, China.

Transverse testicular ectopia (TTE) is a rare congenital anomaly, in which both gonads migrate toward the same hemiscrotum with increased risk of testicular malignancy and associated with various abnormalities. Proper knowledge and imaging techniques are essential in diagnosis. Ultrasonography(USG) offer an easy, safe, and convenient alternative in assessment of TTE. Read More

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September 2021

Complex giant incisional hernia repair with intraperitoneal mesh: A case report.

Ann Med Surg (Lond) 2021 May 16;65:102340. Epub 2021 Apr 16.

General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo 1248, Córdoba Capital, Argentina.

Introduction And Importance: An incisional hernia is one of the most frequent complications after abdominal surgery, with an estimated incidence of 2-20% after midline laparotomy. They are often caused by poor wound healing. We present the case of a complex giant incisional hernia that was repaired by implanting an intraperitoneal mesh. Read More

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Small cell neuroendocrine carcinoma presenting as inguinal hernia: A case report.

Ann Med Surg (Lond) 2021 May 15;65:102310. Epub 2021 Apr 15.

Lake Erie College of Osteopathic Medicine, Bradenton, United States.

Introduction: One of the most common surgical procedures performed annually is inguinal hernia repair. Inguinal hernias are traditionally known to be caused by a weakening in the abdominal wall and precipitated by increased intraabdominal pressure. Recently, intra-abdominal cancer producing the increased intraabdominal pressure, along with metastasis directly into the inguinal canal, have been identified in more studies as causes of inguinal hernias. Read More

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Laparo-Endoscopic Repair of Ventral Hernia and Rectus Diastasis.

JSLS 2021 Apr-Jun;25(2)

Military Hospital Cluj-Napoca, Department of Surgery, Romania.

Background: Both umbilical and epigastric hernias may be associated with rectus muscle divarication. In such cases, isolated repair of combined hernia defects can have high recurrence rates and poorer cosmetic outcomes, thus the repair of both pathologies ought to be favored. The goal of the study below is to provide detailed technical aspects of the endoscopic retro-rectus mesh repair. Read More

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The effect of preoperative stoma site marking on risk of stoma-related complications in patients with intestinal ostomy-protocol of a systematic review and meta-analysis.

Syst Rev 2021 May 12;10(1):146. Epub 2021 May 12.

Institute for Research in Operative Medicine, Witten/Herdecke University, Ostmerheimer Str. 200, 51109, Cologne, Germany.

Background: An intestinal ostomy is an artificial bowel opening created on the skin. Procedure-related mortality is extremely rare. However, the presence of an ostomy may be associated with significant morbidity. Read More

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Technique and Outcomes in Laparoscopic Repair of Morgagni Hernia in Adults.

J Laparoendosc Adv Surg Tech A 2021 May 12. Epub 2021 May 12.

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, North Carolina, USA.

Morgagni hernias (MHs) are rare anteromedial congenital diaphragmatic hernias. This study describes the effectiveness of a laparoscopic approach for these defects. A prospectively collected institutional database at a tertiary referral center was queried for patients (≥18 years) with MHs. Read More

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Development and Implementation of Preoperative Optimization for High-Risk Patients With Abdominal Wall Hernia.

JAMA Netw Open 2021 May 3;4(5):e216836. Epub 2021 May 3.

Division of Minimally Invasive Surgery, Department of Surgery, University of Michigan, Ann Arbor.

Importance: Real-world surgical practice often lags behind the best scientific evidence. For example, although optimizing comorbidities such as smoking and morbid obesity before ventral and incisional hernia repair improves outcomes, as many as 25% of these patients have a high-risk characteristic at the time of surgery. Implementation strategies may effectively increase use of evidence-based practice. Read More

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Hernia U: challenges and opportunities of an online platform for surgical education.

Rev Col Bras Cir 2021 31;48:e20202873. Epub 2021 Mar 31.

- Montefiore Medical Center, Director Abdominal Wall Program, Department of Surgery - The Bronx - NY - Estados Unidos.

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[Features and choice of surgical strategy in patients with gastrointestinal fistulas].

Khirurgiia (Mosk) 2021 (5):58-62

Samara State Medical University, Samara, Russia.

Objective: To evaluate the features and choice of surgical strategy in patients with gastrointestinal fistula based on classification of their types.

Material And Methods: There were 398 patients with gastrointestinal fistula. Fistula type 1 was found in 126 (31. Read More

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[Multiple-center study of laparoscopic and open treatment of duodenal atresia].

Khirurgiia (Mosk) 2021 (5):5-13

Voyno-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia.

Objective: To summarize data of a multiple-center study of the treatment of duodenal atresia in 3 children's hospitals of the Siberian Federal District.

Material And Methods: We analyzed postoperative outcomes in 211 patients with duodenal atresia. All patients underwent surgery at various hospitals of the Siberian Federal District: Ivano-Matreninsky Children's Clinical Hospital in Irkutsk (expert hospital) - 120 patients; Center for Maternal and Child Welfare in Krasnoyarsk (learning hospital No. Read More

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Trocar site hernia resulting in intestinal necrosis 48 hours after robot-assisted radical prostatectomy.

IJU Case Rep 2021 May 16;4(3):180-183. Epub 2021 Mar 16.

Department of Nephro-urology Nagoya City University Graduate School of Medical Sciences Nagoya Aichi Japan.

Introduction: Trocar site hernia is a potentially serious sequela of laparoscopic procedures that may lead to bowel incarceration and strangulation. We report a case of trocar site hernia secondary to robot-assisted radical prostatectomy.

Case Presentation: A 71-year-old Japanese man underwent robot-assisted radical prostatectomy without any intraoperative events; however, a brief dislodgement of a 12-mm AIRSEAL trocar occurred. Read More

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

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

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

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

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Irreducible inflamed inguinal hernia with infected gangrenous omentum after laparoscopic appendectomy: a case report.

J Surg Case Rep 2021 May 5;2021(5):rjab172. Epub 2021 May 5.

Department of General Surgery, Nizwa Hospital, Nizwa, Al Dakhiliya, Oman.

We reported a rare complication of laparoscopic appendectomy in a 19-year-old patient, who was admitted with acute appendicitis and had no history of inguinal hernia. He underwent laparoscopic appendectomy for suppurative appendicitis. Eight days later, he presented with irreducible incarcerated right inguinal hernia. Read More

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Parietal peritoneal lipomas: a first case report of two lipomas of the parietal peritoneum.

Authors:
Yagan Pillay

J Surg Case Rep 2021 May 4;2021(5):rjab162. Epub 2021 May 4.

Department of General Surgery, University of Saskatchewan, Saskatchewan, Canada.

Parietal peritoneal lipomas are a rare surgical entity with seven case reports in the published literature. Their aetiology remains nebulous and includes theories such as misplaced embryonic tissue, adipose hyperproliferation, trauma and fat herniation or excessive obesity. This is the first case report in the literature with two parietal peritoneal lipomas incarcerated in an umbilical hernia. Read More

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Endoscopic sleeve gastroplasty requiring conversion to partial gastrectomy with paraesophageal hernia repair.

J Surg Case Rep 2021 May 4;2021(5):rjab149. Epub 2021 May 4.

Department of General Surgery, Jersey Shore University Medical Center, Neptune, New Jersey, USA.

Endoluminal bariatric surgery has lower costs and perceived risks compared to traditional surgery. Endoluminal procedures are a newer approach to weight loss but long-term outcomes and complications continue to emerge. This case report is an endoscopic sleeve gastroplasty that resulted in a paraesophageal hernia repair with removal of gastroplasty sutures and partial gastrectomy. Read More

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Intracranial Hemorrhage in a Pediatric Patient with Chronic Myeloid Leukemia in Chronic Phase: A Case Report.

Case Rep Oncol 2021 Jan-Apr;14(1):525-530. Epub 2021 Mar 22.

Department of Pediatric Oncology, Fukushima Medical University, Fukushima, Japan.

Chronic myeloid leukemia (CML) is an uncommon entity in pediatric patients. CML in chronic phase (CML-CP) has a relatively favorable outcome. Leukostasis occurs in 9. Read More

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