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Am Surg 2018 Oct;84(10):1604-1607

Department of Surgery, Harbor-UCLA Medical Center, Torrance, California, USA.

Historically, hernias were repaired before peritoneal dialysis (PD) catheter placement to obviate hernia complications, or after PD catheter placement once hernias became symptomatic or complicated. The aim of this study was to evaluate the outcomes and safety of combined hernia repair and PD catheter placement (HPD) compared with PD catheter placement alone. Within the NSQIP databases (2005-2014), 4406 patients who underwent PD catheter placement alone and 330 patients who underwent HPD were identified. Read More

Hormones (Athens) 2019 Feb 12. Epub 2019 Feb 12.

Ege University Faculty of Medicine Department of Pediatric Endocrinology and Diabetes, Ege University, 35100 Bornova, Izmir, Turkey.

Thyroid hormone receptor alpha (THRA) gene mutation is a thyroid hormone resistance syndrome characterized by near-normal thyroid function tests and tissue-specific hypothyroidism. In this case study, we report a novel de novo p.G291S heterozygous mutation in the THRA gene was detected at mutation analysis. Read More

Anim Genet 2019 Feb 12. Epub 2019 Feb 12.

College of Animal Science and Veterinary Medicine, Henan Agricultural University, Zhengzhou, 450002, China.

Pig umbilical hernia (UH) affects pig welfare and brings considerable economic loss to the pig industry. To date, the molecular mechanisms underlying pig UH are still poorly understood. To identify potential loci for susceptibility to this disease, we performed a genome-wide association study in an Erhualian × Shaziling F intercross population. Read More

Front Surg 2019 28;6. Epub 2019 Jan 28.

Hernienzentrum Köln, PAN-Klinik, Köln, Germany.

Recently, the promising results of new procedures for the treatment of rectus diastasis with concomitant hernias using extraperitoneal mesh placement and anatomical restoration of the linea alba were published. To date, there is no recognized classification of rectus diastasis (RD) with concomitant hernias. This is urgently needed for comparative assessment of new surgical techniques. Read More

J Surg Res 2019 Feb 6;238:57-63. Epub 2019 Feb 6.

Department of Surgery, Veterans Affairs Boston Healthcare System (112-C), Boston, Massachusetts. Electronic address:

Background: The present study was designed to implement and evaluate an interprofessional surgical technologist-to-surgical resident training program for junior general surgery residents aimed at enhancing their operating room skills. This program would be incorporated into the general surgery educational curriculum.

Material And Methods: Under the guidance and supervision of a surgical technologist, first-year and second-year general surgery residents performed the perioperative and intraoperative tasks that are the responsibilities of the surgical technologist for 16 inguinal/umbilical hernia and 15 laparoscopic appendectomy/cholecystectomy operations performed by attending surgeons assisted by other surgical residents from June 01, 2017 until December 31, 2017. Read More

Int Braz J Urol 2019 01 30;45. Epub 2019 Jan 30.

Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Introduction: Simple prostatectomy is the gold standard for prostates >80 grams, robotic system has proven to help into speed the recovery of the patient and in morbid obesity the advantages of the robotic system can help to perform a suc¬cessful surgery.

Case: 80 years old male with morbid obesity (BMI 45) and several other comorbidities, with history of an umbilical hernia and obstructive lower urinary tract symptoms in acute urinary retention. PSA was 7 ng/dl, DRE demonstrates a >100gr prostate gland. Read More

J Pediatr Surg 2018 Dec 28. Epub 2018 Dec 28.

Department of General Surgery, Buddhist Dalin Tzu Chi Hospital, Chia-Yi, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan. Electronic address:

Purpose: This study aims to identify the prevalence of Congenital abdominal wall defects (AWD), hospital outcomes, and related congenital abnormalities in Taiwan by using the National Health Insurance Research Database (NHIRD).

Materials And Methods: From 1998 through 2013, all pediatric patients with AWD were collected via ICD-9-CM diagnostic code 756.7x ("congenital anomalies of abdominal wall") or procedure codes (54. Read More

Cureus 2018 Nov 20;10(11):e3617. Epub 2018 Nov 20.

Pediatrics, Hospital General De San Luis De La Paz, San Luis de La Paz, MEX.

Introduction Mucopolysaccharidosis (MPS) are infrequent deposit diseases; generally, the diagnosis is delayed until symptoms appear. Age or presentation is related to the severity of the disease. A substantial number of patients are misdiagnosed since they describe nonspecific initial symptoms and signs in common. Read More

Hernia 2019 Jan 30. Epub 2019 Jan 30.

VA North Texas Health Care System, 4500 South Lancaster Road, Dallas, TX, 75216, USA.

Purpose: This study reviewed the literature regarding mesh migration in abdominal hernia repair. The aim of this study is to interrogate incidence, common type of abdominal hernia repair leading to migration, patterns of mesh migration, and materials associated with migration.

Methods: A comprehensive literature review was conducted. Read More

Pediatr Dev Pathol 2019 Jan 25:1093526619826714. Epub 2019 Jan 25.

2 Neonatal Unit, Birmingham Women's Hospital, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.

A rare complication of umbilical venous catheter (UVC) insertion is the extravasation of the infusate into the peritoneal cavity. We report 3 cases of abdominal extravasation of parenteral nutrition (PN) fluid via UVCs. Two of these cases presented as "acute abdomen" which were assumed to be necrotizing enterocolitis clinically; however, during postmortem, PN ascites and liver necrosis were found. Read More

Int J Surg 2019 Jan 22;62:62-66. Epub 2019 Jan 22.

Northern General Hospital, Sheffield, United Kingdom. Electronic address:

Background: The optimal methodology of surgical treatment of umbilical hernia in adults remains controversial. Previously published randomized controlled trials (RCTs) and cohort studies have demonstrated advantage for open mesh over suture repair. Two published meta-analyses, including RCTs and retrospective cohort studies, have compared the outcomes of open mesh versus suture repair of umbilical hernia in adult, which were flawed since they included both elective and emergency repairs of umbilical hernias. Read More

J Anat 2019 Jan 25. Epub 2019 Jan 25.

Human Health Science, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

The intestine elongates during the early fetal period, herniates into the extraembryonic coelom, and subsequently returns to the abdominal coelom. The manner of herniation is well-known; however, the process by which the intestinal loop returns to the abdomen is not clear. Thus, the present study was designed to document and measure intestinal movements in the early fetal period in three dimensions to elucidate the intestinal loop return process. Read More

J Laparoendosc Adv Surg Tech A 2019 Jan 24. Epub 2019 Jan 24.

1 Pediatric Surgery Unit, Department of Translational Medical Sciences, Federico II University of Naples, Naples, Italy.

Background: Sliding indirect inguinal hernias containing ovary are not uncommon in girls. We reported our experience with laparoscopic treatment of inguinal ovarian hernias in female infants and children with the aim to standardize the surgical technique.

Methods: The medical records of all girls who underwent laparoscopic inguinal hernia repair in our unit over the past 5 years were retrospectively reviewed. Read More

Zhonghua Yi Xue Za Zhi 2018 Dec;98(48):3946-3949

Department of Special Needs Medical, Nantong University Affiliated Hospital, Nantong 226001, China.

To summarize the clinical experience of transumbilical single-port laparoscopic cholecystectomy, and evaluate its clinical utility and the feasibility of widely usage. Between April 2012 and June 2017, 500 cases who underwent transumbilical single-port laparoscopic cholecystectomy with totally free umbilical ring by conventional instruments were enrolled. The clinical data were retrospectively analyzed. Read More

Emergencias 2019 Ene;31(1):74

Servicio de Urgencias, Hospital Álvaro Cunqueiro, Vigo, España.

J Laparoendosc Adv Surg Tech A 2019 Jan 10. Epub 2019 Jan 10.

1 Department of Surgical Gastroenterology, Command Hospital, Lucknow, India.

Introduction: Creation of pneumoperitoneum and laparoscopic entry into the abdominal cavity are crucial initial steps of laparoscopic surgery and associated with bowel and major vessel injuries. Various methods have been described in literature such as Veress needle, open access technique (OAT), direct trocar insertion (DTI), and optical port. There is no consensus on the safest method of gaining access to the peritoneal cavity to create a pneumoperitoneum. Read More

BMC Pregnancy Childbirth 2019 Jan 7;19(1). Epub 2019 Jan 7.

Departement of Surgery and Specialities, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon.

Background: Uterine fibroids are the most common uterine tumours in females of reproductive age. During pregnancy, uterine fibroids may be complicated by aseptic necrobiosis. We herein report an ambiguous clinical presentation of uterine fibroids in pregnancy and discuss the diagnostic challenges encountered in our resource-constraint setting. Read More

Am J Case Rep 2019 Jan 2;20:5-9. Epub 2019 Jan 2.

School of Pharmacy, Master Program in Clinical Pharmacy, College of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan.

BACKGROUND Hepatorenal syndrome (HRS), which is a type of functional renal impairment, is one of the most serious complications in patients with liver cirrhosis. Terlipressin can induce splanchnic vasoconstriction, which increases the renal blood flow and has beneficial effects on HRS. However, terlipressin administration may cause serious ischemic complications such as skin ischemia, peripheral gangrene, and ischemic bowel necrosis. Read More

J Hered 2018 Dec 31. Epub 2018 Dec 31.

Department of Animal Science, University of California, Davis, CA.

Next-generation sequencing (NGS) and expression technologies were utilized to investigate the genes and sequence elements in a 586 kb region of chicken chromosome 1 associated with the autosomal recessive diplopodia-1 (dp-1) mutation. This mutation shows a syndromic phenotype similar to known human developmental abnormalities (e.g. Read More

J Laparoendosc Adv Surg Tech A 2018 Dec 31. Epub 2018 Dec 31.

Digestive Surgery Department, Gastromed Institute, São Paulo, Brazil.

Background: Abdominal wall defects (AWDs) include recti diastasis and midline hernias (umbilical, epigastric, and incisional). In the coexistence of such fascia defects, simultaneous repair is recommended. Conventional and hybrid techniques have been reported as an option of approach. Read More

Fetal Pediatr Pathol 2018 Dec 31:1-7. Epub 2018 Dec 31.

a Unité d'Embryofœtopathologie, Service d'Histologie-Embryologie-Cytogénétique, Hôpital Necker-Enfants Malades, APHP , Paris , France.

Introduction: Beckwith-Wiedemann syndrome (BWS) is the most common overgrowth syndrome. Clinical features are highly variable, including occasional posterior fossa malformations but no femoral shortening.

Case Report: We report two fetuses with BWS associated with short femurs and corpus callosum hypoplasia. Read More

European J Pediatr Surg Rep 2018 Jan 26;6(1):e97-e99. Epub 2018 Dec 26.

Division of Pediatric Surgery, Department of Surgery, Stanford University, Stanford, California, United States.

We herein describe a case of serial reduction of an extremely large and complex gastroschisis using vacuum-assisted closure (VAC) therapy in a boy born at 35 weeks' gestation. A spring-loaded silicone silo was placed at birth. By day of life (DOL) 22, minimal visceral contents had been reduced, and the silo was difficult to maintain due to the size of the fascial defect and loss of abdominal domain. Read More

Am J Surg 2018 Dec 14. Epub 2018 Dec 14.

Howard University College of Medicine, 520 W St NW, Washington, DC, 20059, USA; Department of Surgery, Howard University Center for Wellness and Weight Loss Surgery, 2041 Georgia Ave NW, Tower Building 4100B, Washington, DC, 20060, USA. Electronic address:

Background: Hernias represent one of the most common surgical conditions with a high-burden on health expenditures. We examined the impact of socioeconomic-status and complexity of presentation among patients in the Emergency Department (ED).

Methods: Retrospective analysis of 2006-2014 data from the Nationwide Emergency Department Sample, identified adult discharges with a diagnosis of inguinal, femoral, and umbilical hernia. Read More

Ann Med Surg (Lond) 2019 Feb 12;38:1-7. Epub 2018 Dec 12.

General Surgery Division, Cavalese Hospital, Cavalese, Italy.

Background: Midline primary hernias represent one of the most frequent abdominal wall defects in the adult population and in almost half of the cases they are associated with a rectus abdominis diastasis (RAD). Despite the high incidence of these defects there is currently no consensus in the literature on what is the preferred surgical technique for treatment. In this paper we present the first case series treated with an innovative technique that aims to repair the defects of the midline and RAD, while combining the advantages of the sublay Rives-Stoppa technique with those of the minimally-invasive surgery. Read More

Pan Afr Med J 2018 17;30:214. Epub 2018 Jul 17.

Clinique Universitaire de Chirurgie Pédiatrique CNHU-HKM, Cotonou, Bénin.

Meckel's diverticulum is the most common congenital anomaly of the small bowel. Although it is a common anomaly in the general population, its occurrence in a hernial sac, in particular at the umbilicus, is uncommon and it is known as Littré's hernia. We here report the case of a 6-month female infant, admitted with painful irreducible umbilical swelling. Read More

Zentralbl Chir 2018 Dec 18. Epub 2018 Dec 18.

Klinik für Allgemein-, Viszeral- und Schilddrüsenchirurgie, BETHLEHEM Gesundheitszentrum Stolberg gGmbH, Deutschland.

Introduction: There is an ongoing debate as to which patients presenting with an umbilical hernia should be operated with the sole suture technique or augmented by mesh. After treating most of our patients for a long period uniformly with a double running suture line, the aim of this study was to evaluate the performance of this strategy - especially in patients with larger defects.

Patients And Methods: From 1/2004 to 4/2017, all patients operated on for an umbilical hernia were identified through our hospital information system (KIS). Read More

Case Rep Pediatr 2018 13;2018:8702568. Epub 2018 Nov 13.

The Department of Pathology and Immunology, Washington University School of Medicine, Saint Louis, MO 63110, USA.

Background: Omphalocele is a rare congenital abdominal wall defect. It is frequently associated with genetic abnormality and other congenital anomalies, although isolated omphalocele cases do exist. Data have shown that omphalocele with co-occurring genetic abnormality has worse prognosis than isolated omphalocele. Read More

Local Reg Anesth 2018 15;11:91-109. Epub 2018 Nov 15.

Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA,

Regional anesthesia is becoming increasingly popular among anesthesiologists in the management of postoperative analgesia following pediatric surgery. The main objective of this review was to systematically evaluate the last 5 years of randomized controlled trials on the role of regional anesthesia techniques in alleviating postoperative pain associated with various pediatric surgical procedures. Forty studies on 2,408 pediatric patients were evaluated. Read More

J Surg Res 2019 Feb 23;234:287-293. Epub 2018 Oct 23.

Department of Surgery, Middlemore Hospital, Counties Manukau Health, Auckland, New Zealand.

Background: Ethnic disparities in surgical care and outcomes have been previously reported in studies for other surgical procedures. In addition, it has been reported that ethnic differences in postoperative analgesia exist. We aimed to determine ethnic disparities in postoperative outcomes, total opioid analgesia use, and complication rates of all patients who underwent a laparoscopic ventral hernia repair (LVHR) at our institution over a 3-y period. Read More

Ann Chir Plast Esthet 2018 Dec 4. Epub 2018 Dec 4.

Hôpital de la Croix-Rousse, 69004 Lyon, France.

Background: Umbilical necrosis is a well-known complication of abdominoplasty, the risk of this complication can be increased when an associated umbilical hernia requires further dissection in peri-umbilical region, potentially leading to umbilical devascularisation. Multiple minimally invasive open techniques were described to avoid this problem. The combined approach of abdominoplasty with laparoscopic umbilical hernia repair is one promising solution to avoid devascularising the umbilicus. Read More

J Pediatr Surg 2018 Dec 2;53(12):2404-2408. Epub 2018 Sep 2.

Sunrise Children's Hospital, Las Vegas, NV.

Purpose: We describe our series of giant omphalocele patients treated with a serial taping method for gradual reduction of the abdominal contents and early fascial closure.

Methods: Between 2010 and 2017 we cared for ten newborns with giant omphaloceles. The average gestational age was 35. Read More

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

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

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

Hernia 2018 Dec 3. Epub 2018 Dec 3.

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

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

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

Surgery 2018 Nov 30. Epub 2018 Nov 30.

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

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

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

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

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

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

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

Int J Surg Case Rep 2018 22;53:381-385. Epub 2018 Nov 22.

Department of Gastroenterological Surgery II, Hokkaido University Faculty School of Medicine, North 15 West 7, Kita-ku, Sapporo 0608638, Hokkaido, Japan. Electronic address:

Introduction: Abdominal intercostal hernia repair for huge incisional hernia after thoracoabdominal surgery involves a complex anatomical structure. Hence, it is difficult to apply the laparoscopic approach to large hernias in the lateral upper abdomen. Further the optimal approach to mesh exposure without infection after incisional hernia repair is still controversial. Read More

Eur J Med Genet 2018 Nov 22. Epub 2018 Nov 22.

Department of Genetics, APHP-Robert DEBRE University Hospital, Sorbonne Paris-Cité University, and INSERM UMR 1141, Paris, France. Electronic address:

The SPECC1L protein plays a role in adherens junctions involved in cell adhesion, actin cytoskeleton organization, microtubule stabilization, spindle organization and cytokinesis. It modulates PI3K-AKT signaling and controls cranial neural crest cell delamination during facial morphogenesis. SPECC1L causative variants were first identified in individuals with oblique facial clefts. Read More

Am Surg 2018 Sep;84(9):e413-e415

J Pediatr 2018 Nov 15. Epub 2018 Nov 15.

Division of Pediatric Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI; Wisconsin Surgical Outcomes Research Program, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI.

Objective: To evaluate and better understand variations in practice patterns, we analyzed ambulatory surgery claims data from 3 demographically diverse states to assess the relationship between age at umbilical hernia repair and patient, hospital, and geographic characteristics.

Study Design: We performed a cross-sectional descriptive study of uncomplicated hernia repairs performed as a single procedure in 2012-2014, using the State Ambulatory Surgery and Services Database for Wisconsin, New York, and Florida. Age and demographic characteristics of umbilical hernia repair patients are described. Read More

Crit Care Nurs Clin North Am 2018 Dec 16;30(4):499-507. Epub 2018 Oct 16.

Department of Nursing, Towson University, LI 322, 8000 York Road, Towson, MD 21252, USA. Electronic address:

Advances made in the last several decades in the care of the fetus and newborn have had a significant impact on morbidity and mortality. Delayed umbilical cord clamping in the preterm newborn results in fewer transfusions for anemia, decreased intraventricular hemorrhage, and decreased necrotizing enterocolitis. Because of advances made in fetal ultrasound diagnosis and technological advances, fetal surgeries to treat congenital diaphragmatic hernia, myelomeningocele, twin-to-twin transfusion syndrome, fetal lower urinary tract obstructions, amniotic band syndrome, and congenital cystic adenoid malformation or congenital pulmonary airway malformations have improved the quality of life and survival for these patients. Read More

Pediatr Surg Int 2018 Nov 14. Epub 2018 Nov 14.

Division of Pediatric Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue Madison, Madison, WI, 53792-7375, USA.

Purpose: Umbilical hernias are common in young children. Many resolve spontaneously by age four with very low risk of symptoms or incarceration. Complications associated with surgical repair of asymptomatic umbilical hernias have not been well elucidated. Read More

Hernia 2018 Nov 14. Epub 2018 Nov 14.

Department of Surgery, Lyndon Baines Johnson Hospital, University of Texas Health Science Center at Houston, 5656 Kelley St, Suite 3OS62008, Houston, TX, 77026, USA.

Purpose: Increasingly, radiologic imaging is obtained as part of the pathway in diagnosing ventral hernias. Often, radiologists receive incomplete or incorrect clinical information from clinicians.

Objective: The aim of the study is to determine if clinical exam findings alter radiological interpretation of ventral hernias on CT. Read More

Early Hum Dev 2019 01 10;128:12-14. Epub 2018 Nov 10.

Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, UK; MRC-Asthma UK Centre in Allergic Mechanisms of Asthma, King's College London, UK; National Institute for Health Research (NIHR) Biomedical Research Centre Based at Guy's and St. Thomas' NHS Foundation Trust and King's College London, UK.

We reviewed the radiographs of 131 infants with congenital diaphragmatic hernia and report that the umbilical venous catheter usually deviates to the ipsilateral and the endotracheal tube to the contralateral side of the defect. The trachea and the umbilical vein, however, can be found on either side of the midline. Read More

BMC Endocr Disord 2018 Nov 12;18(1):83. Epub 2018 Nov 12.

Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, 1124 West Carson Street, Liu Research Building, Torrance, CA, 90502, USA.

Background: Mucopolysaccharidosis type I (MPS I) results in significant disease burden and early treatment is important for optimal outcomes. Recognition of short stature and growth failure as symptoms of MPS I among pediatric endocrinologists may lead to earlier diagnosis and treatment.

Case Presentation: A male patient first began experiencing hip pain at 5 years of age and was referred to an endocrinologist for short stature at age 7. Read More

J Pediatr Surg 2018 Oct 22. Epub 2018 Oct 22.

Division of Pediatric Surgery, Department of Surgery, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address:

Background: Omphaloceles can be some of the more challenging cases managed by pediatric surgeons. Single center studies have not been meaningful in delineating outcomes due to the length of time required to accumulate a large enough series with historical changes in management negating the results. The purpose of this study was to evaluate factors impacting the morbidity and mortality of neonates with omphaloceles. Read More

Semin Pediatr Surg 2018 Oct 27;27(5):283-288. Epub 2018 Aug 27.

Service de Chirurgie Pédiatrique, Hôpital Universitaire Necker Enfants Malades, APHP, Paris, France; Département d'Anatomie et Morphogenèse, Université Paris Descartes, Paris, France. Electronic address:

The development of gastroschisis has long remained an area of interest and controversy. Successive theories about its pathogenesis are herein reviewed and discussed. Two historical assumptions, that omphalocele results from a persistent umbilical hernia, and that gastroschisis does not involve the umbilical cord, are dismissed. Read More

Hernia 2018 Nov 3. Epub 2018 Nov 3.

Department of Surgery, College of Medicine, University of Oklahoma, 4502 E 41st Street, Tulsa, OK, 74135, USA.

Purpose: Deciding between surgery and non-operative management of a non-obstructive ventral hernia (VH) in a high-risk patient often poses a clinical challenge. The aim of this study is to evaluate a national series of open and laparoscopic ventral hernia repair (VHR), and to assess predictors of mortality after elective VHR.

Methods: A retrospective analysis of 2008-2014 data from the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample was performed. Read More

Hernia 2018 Nov 2. Epub 2018 Nov 2.

Department of Surgery, Hospital Universitario Clínico San Carlos, C/ Profesor Martin Lagos SN, 28040, Madrid, Spain.

Purpose: Since 2004, composite prosthesis repair is the preferred procedure for umbilical hernia repair in our centre, although long-term results of this technique are lacking. The aim of this study was to analyze the long-term results of a cohort of patients who underwent umbilical hernia repair with this procedure.

Methods: A retrospective cohort study of patients who underwent umbilical hernia repair with composite prosthesis was conducted. Read More