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Fetal Pediatr Pathol 2019 Apr 19:1-6. Epub 2019 Apr 19.

a Center for Registry and Research in Congenital Anomalies (CRIAC), Service of Genetics and Cytogenetics Unit, Pediatrics Division, Dr. Juan I. Menchaca Civil Hospital of Guadalajara , Guadalajara , Jalisco , Mexico.

Background: Pfeiffer syndrome (PS) is an autosomal dominant entity characterized by craniosynostosis, broad thumbs, and preaxially deviated great toes. It is classified in three types depending on the severity. Type 1: Mild to moderate severity, Type 2: Severe presentation with cloverleaf skull, and Type 3: Severe craniosynostosis with prominent ocular proptosis. Read More

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

Hernia 2019 Apr 12. Epub 2019 Apr 12.

Department of General Surgery, University of Cagliari, Cagliari, Italy.

Purpose: Mesh fixation and broad overlap represent an open issue in umbilical hernia repair. A proprietary-designed implant with tentacle straps at its boundary has been developed to ensure a suture-free repair and a broader coverage of the abdominal wall. The study describes the results of umbilical hernia procedures carried out with the tentacle-shaped implant and the related surgical technique. Read More

World J Surg 2019 Apr 12. Epub 2019 Apr 12.

Unité de Chirurgie Viscérale et Digestive, Hôpital Privé d'Antony, Antony, France.

Background: Incarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia. Read More

AJP Rep 2019 Apr 9;9(2):e144-e146. Epub 2019 Apr 9.

Medical Student, Lorestan University of Medical Sciences, Khorramabad, Iran.

Pentalogy of Cantrell (PC) is an uncommon congenital disorder characterized by severe defects in the chest and abdomen, including abdominal visceral prolapsed via umbilical cord (omphalocele), defect in the lower part of the sternum, defect in the front of the diaphragm, defects in the anterior part of the pericardium, and the ectopiacordis. Here, we report a 2-hour-old girl, weighing 3,500 g, who was referred to Shahid Madani Hospital in Khorramabad due to the large omphalocele on her chest with pulsating mass above it. The baby was the first child of a 24-year-old mother who was born with an uncomplicated vaginal delivery. Read More

Surgery 2019 Apr 5. Epub 2019 Apr 5.

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

PLoS One 2019 8;14(4):e0214967. Epub 2019 Apr 8.

Department of Pediatric Pulmonology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.

Objective: Numerous studies established a link between socioeconomic status (SES) and several dimensions of general health. This study examines the association between maternal education as a widely used indicator of SES and outcome in newborns requiring surgical correction of congenital anomalies.

Methods: Ambispective data analysis of newborns with esophageal atresia (EA), intestinal atresia (IA), congenital diaphragmatic hernia (CDH), omphalocele (OC), gastroschisis (GS) undergoing surgery between 01/2008-11/2017 accessing the clinical databases Neodat and Viewpoint. Read More

J Med Primatol 2019 Apr 3. Epub 2019 Apr 3.

Wildlife Surgery International, Roslin, UK.

Laparoscopic umbilical hernia repair was performed in an adult female Western chimpanzee (Pan troglodytes verus) in a rescue centre in Sierra Leone. Biological mesh and laparoscopic spiral tacks via three 5 mm laparoscopy ports were used to close a 4 cm hernia. The chimpanzee recovered quickly and the hernia did not recur. Read More

Arch Plast Surg 2019 Apr 3. Epub 2019 Apr 3.

Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Umbilical preservation can be challenging, particularly in complex cases involving simultaneous ventral hernia repair and abdominoplasty. Although the umbilicus serves no functional purpose, removal of the umbilicus can draw unwanted attention to the abdominal area and can cause emotional distress to patients. There are several well documented options for umbilical reconstruction. Read More

Congenit Anom (Kyoto) 2019 Apr 1. Epub 2019 Apr 1.

Department of Surgery (Paediatric Surgery Section), University of Ulm, Ulm, Germany.

In the last decades, prevalence of gastroschisis (GS) has increased worldwide. The purpose of this study was to identify maternal risk factors explaining the described gain and to identify differences between GS and omphalocele (OC). Case-control design was used to compare GS (n=36) and OC (n=18) mothers to control group (CG; n=30) matched for maternal age. Read More

Surgery 2019 Mar 27. Epub 2019 Mar 27.

Department of Pediatric Anesthesiology, Warren Alpert Medical School Brown University, Providence, RI. Electronic address:

West Afr J Med 2019 Jan-Apr;36(1):25-28

Department of Obstetrics and Gynaecology College of Medicine, University of Lagos.

Background: Congenital Anomalies are a major contributor to perinatal deaths worldwide. The World Health Organization (WHO) estimates that 303,000 newborns die within the first 4 weeks of life worldwide as a result of it. The exact cause is often difficult to determine and as such efforts are geared towards prevention AIM AND OBJECTIVE: This study was done to determine the common presentations as well as epidemiological features of pregnant women with anomalous fetus and at the Lagos University Teaching Hospital. Read More

Plast Reconstr Surg 2019 04;143(4):729e-733e

San Diego, Calif.; Baton Rouge, La.; and New York, N.Y. From the Division of Plastic Surgery, Department of Surgery, University of California San Diego Medical Center; Associates in Plastic Surgery; and Hofstra Northwell Health System, Manhattan Eye, Ear, and Throat Hospital.

Patients with prior umbilical stalk detachment, secondary to limited abdominoplasty or prior umbilical hernia repair, may in the future be candidates for full abdominoplasty. In these patients, a circumferential incision around the umbilicus detaches the remaining cutaneous blood supply, prompting concern for umbilical viability. Minimal literature exists to guide clinical decision-making for these patients. Read More

Eur J Endocrinol 2019 Mar 1. Epub 2019 Mar 1.

A Bereket, Pediatric Endocrinology, Marmara University, Istanbul, 34726, Turkey.

Context: Most of the knowledge on the factors involved in human sexual development stems from studies of rare cases with disorders of sex development.Here, we have described a novel 46, XY complete gonadal dysgenesis syndrome caused by homozygous variants in PPP2R3C gene.This gene encodes B"gamma regulatory subunit of the protein phosphatase 2A (PP2A), which is a serine/threonine phosphatase involved in the phospho-regulation processes of most mammalian cell types. Read More

Fetal Pediatr Pathol 2019 Mar 20:1-8. Epub 2019 Mar 20.

a Division of Perinatology, Department of Obstetrics and Gynecology , Hacettepe University Hospital , Ankara , Turkey.

Objective: To evaluate and compare the outcomes of pregnancies with prenatally detected gastroschisis and omphalocele.

Materials And Methods: We retrospectively evaluated prenatally detected gastroschisis and omphalocele cases. Cases were compared in terms of maternal demographic and clinical characteristics as well as pregnancy and neonatal outcomes. Read More

J Pediatr Surg 2019 02 26. Epub 2019 Feb 26.

Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Johns Hopkins Hospital, Baltimore, MD, USA; Johns Hopkins Medical Institutions, Charlotte Bloomberg Children's Hospital, Baltimore, MD, USA. Electronic address:

Purpose: Cloacal exstrophy (CE) is the most severe presentation of the Exstrophy-Epispadias Complex (EEC) and is associated with an omphalocele, making the bladder and abdominal wall closure difficult. If the bladder closure fails, a secondary closure is necessary. The objective of this study is to identify patient or surgical factors associated with a successful secondary closure. Read More

Surg Endosc 2019 Mar 12. Epub 2019 Mar 12.

Department of Surgery, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Charité Campus Mitte, Campus Virchow Klinikum, Charitéplatz 1, 10117, Berlin, Germany.

Background: Single-incision laparoscopic surgery (SILS) is growing in popularity. The increased diameter of the umbilical incision might raise questions about the possibility of a greater risk of postoperative incisional hernia in comparison to conventional laparoscopy. This study aims to disclose the frequency of incisional hernia after SILS in long-term follow-up as well as to reveal the factors predisposing patients to this feared complication. Read More

Ann R Coll Surg Engl 2019 Mar 11:e1-e3. Epub 2019 Mar 11.

Dorset County Hospital NHS Foundation Trust.

A 37-year-old woman presented with an incarcerated hernia at a previous umbilical laparoscopic port site. This was found to contain an ischaemic appendix, which was managed successfully with open appendicectomy and a mesh repair. Previous imaging from a year prior to these events demonstrated a degree of intestinal malrotation with the caecal pole lying just under the umbilicus. Read More

Aust N Z J Obstet Gynaecol 2019 Mar 6. Epub 2019 Mar 6.

Maternal Fetal Medicine, School of Medicine, University of Auckland, Auckland, New Zealand.

Background: Anterior abdominal wall defects, including gastroschisis and omphalocoele, are common fetal anomalies. The management remains complicated, and their diagnosis may lead to significant parental distress. Effective parental counselling may impact on parental perceptions of the defect and help guide pregnancy management. Read More

Chirurgia (Bucur) 2019 Jan-Feb;114(1):95-102

Laparoscopy of abdominal wall defects becomes more and more actual, considering the well-known advantages of minimally invasive surgery, and the reduced incidence of post-operative ventral infections and recurrence rates compared to the the open repair with or without mesh. We hereby present the technique of the laparoscopic repair of small ventral hernias (defect 2 centimetres), using the Ventralex mesh, which is bi-faceted, polypropylene and PTFE, circular preformed, it has 8 centimeters in diameter, fixated with 4 transparietal sutures. The mesh is created for open surgery but it is placed in the intraperitoneal cavity. Read More

Chirurgia (Bucur) 2019 Jan-Feb;114(1):29-38

The abdominal wall hernias in patients with liver cirrhosis have a significant higher prevalence than those in non- cirrhotic patients. The best surgical treatment option and the optimal operative time still represent a subject of debate. Material and method: We have retrospectively analyzed the cases of abdominal wall hernias in patients with liver cirrhosis admitted in the Surgical Department of the Sfantul Pantelimon Clinical Emergency Hospital from Bucharest, undergoing surgical treatment between January 2012 and December 2016. Read More

Ann Surg 2019 Feb 8. Epub 2019 Feb 8.

Section of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale School of Medicine, New Haven, CT.

MINI: Nontrauma surgical emergencies are an underappreciated public health crisis. We employed a novel use of ecological analysis with beta regression to investigate the relationship between hospital emergency operative volume and mortality. Survival rates were improved for all 10 types of general surgery emergency operations when performed at higher-volume hospitals. Read More

Birth Defects Res 2019 Apr 28;111(6):294-311. Epub 2019 Feb 28.

Division of Medical Genetics, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah.

Recent advances have now made it possible to speak of gastroschisis narrowly in morphogenetic terms invoking the Rittler-Beaudoin (R-B) model. This proceeds from the appreciation of gastroschisis as a congenital intestinal herniation (without cover or liver) within the primordial umbilical ring, mostly to the right side of a normally formed umbilical cord. Presently, it is unresolved whether this visceral prolapse represents failure of ring closure before return of the physiological hernia into the abdomen or rupture of the delicate amniotic/peritoneal membrane at the ring's edge to the right of the cord. Read More

BMJ Case Rep 2019 Feb 22;12(2). Epub 2019 Feb 22.

Department of Internal Medicine, New York-Presbyterian/Queens, Flushing, New York, USA.

A 62-year-old man with no pertinent medical history presented with lower extremity weakness and worsening distal fingertips and toe cyanosis/gangrene. In the outpatient setting, he was initially being treated for Raynaud's phenomenon with a calcium channel blocker. On presentation, the patient had elevated inflammatory markers and white blood cell count. Read More

Prenat Diagn 2019 Feb 19. Epub 2019 Feb 19.

Department of Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Purpose: Prenatal occurrence and timing of appearance of associated features in Beckwith-Wiedemann syndrome (BWS) are unknown. We reviewed our BWS patients with serial fetal imaging and correlated these with postnatal findings.

Methods: All BWS patients with fetal ultrasound (US) or magnetic resonance imaging (MRI) from 2000 to 2016 were reviewed to determine the presence of polyhydramnios, placentamegaly, macrosomia, macroglossia, retrognathia, omphalocele, visceromegaly, and hemihypertrophy. Read More

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 Apr 12;50(2):162-165. 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 Jun 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 Apr 30;23(2):235-243. 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 Feb 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 Apr 25;234(4):456-464. 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 Apr 24;29(4):568-572. 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 Apr 10;29(4):489-494. 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 2019 Mar;110(2):194-210

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 2019 Apr 31;29(4):523-530. 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;37(6):411-417. 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