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Ann Med Surg (Lond) 2022 Jun 17;78:103801. Epub 2022 May 17.

Department of Surgery, Saint-Louis Regional Hospital, Gaston Berger University, Saint-Louis, Senegal.

Introduction: The linea alba is the second most frequent site of abdominal wall hernias after the inguinal region. Prosthetic approach, often recommended, comes up against the low socio-economic level and the availability of these materials in developing countries. Our objective is to evaluate the indications and results of midline ventral hernia surgery. Read More

Cold Spring Harb Mol Case Stud 2022 Jun 22;8(4). Epub 2022 Jun 22.

Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, New York 10032, USA.

Vacuolar ATPases (V-ATPases) are large multisubunit proton pumps conserved among all eukaryotic cells that are involved in diverse functions including acidification of membrane-bound intracellular compartments. The gene encodes an accessory subunit of the vacuolar (V)-ATPase protein pump. Pathogenic variants in have been described in association with a congenital disorder of glycosylation (CDG), which are highly variable, but often characterized by immunodeficiency, hepatopathy, and neurologic manifestations. Read More

Eur J Trauma Emerg Surg 2022 Jun 21. Epub 2022 Jun 21.

Department of Gastrointestinal Surgery, Arrowe Park University Teaching Hospital, Arrow Park Rd, Birkenhead, CH49 5PE, Wirral, UK.

Purpose: Abdominal wall hernias are common in the UK and many present in an emergent fashion. The widespread introduction of computed tomography (CT) imaging has transformed surgical practice but out of hours access can be limited by hospital resources and introduce delays. We investigated the influence of preoperative CT imaging in acutely symptomatic hernia and the association with surgical delay and risks of bowel ischemia. Read More

Ann Coloproctol 2022 Jun 21. Epub 2022 Jun 21.

Department of Surgery, Saga Medical Center Koseikan, Saga, Japan.

Purpose: Incisional hernia (IH) is a frequent complication following laparoscopic colorectal surgery. The present study investigated the risk factors for IH after laparoscopic surgery for colorectal cancer.

Methods: A retrospective study was conducted on 202 patients who underwent laparoscopic surgery for colorectal cancer. Read More

Ann Transl Med 2022 May;10(10):598

Department of General Surgery, The Affiliated Hospital of the Medical School of Ningbo University, Ningbo, China.

Background: In this research, the safety and feasibility of single-incision laparoscopic surgery for total intraperitoneal herniorrhaphy (SILS-TEP) was clarified through a customized single-port device.

Methods: A 2.5 cm curved incision was made along the lower umbilical margin. Read More

J Gynecol Obstet Hum Reprod 2022 Jun 15;51(7):102428. Epub 2022 Jun 15.

Department of Digestive and Thoracic Surgery, Robert Ballanger Hospital, Boulevard Robert Ballanger, 93602 Aulnay Sous-Bois, France.

Purpose: This retrospective study aims to describe morphological and therapeutic peculiarities of the suprapubic incisional hernia (SIH) encountered after a Joël-Cohen laparotomy.

Patients And Method: Serie-report: 9 patients had an SIH, 2 were sub-umbilical and did not concern the suprapubic scar, 3 were central, 2 on the whole length of the suprapubic scar, and 2 were bilateral in one case associated to a sub-umbilical incisional hernia.

Results: SIH were wide openings, with a hernial fascia constituted from the anterior fascia, without connexion with the parietal peritoneum, in a sub-umbilical position above the suprapubic scar, or through the suprapubic scar. Read More

J Surg Case Rep 2022 Jun 14;2022(6):rjac265. Epub 2022 Jun 14.

Department of Surgery, Kettering Health Dayton, Dayton, OH, USA.

Flood syndrome is a rare and potentially fatal complication of long-standing ascites resulting from a spontaneous rupture of an umbilical hernia. We present the case of a 67-year-old male with a medical history of diastolic heart failure, cocaine abuse, hepatitis C and cirrhosis secondary to daily alcohol consumption who presented to the emergency department with spontaneous rupture of an umbilical hernia with continuous, perfuse drainage of ascites from a 3 cm hernia defect. In this case report, we highlight the successful temporizing and definitive management of flood syndrome, as the patient presented to and was temporized a community hospital and was subsequently transferred to a tertiary care center for definitive management. Read More

Transl Pediatr 2022 May;11(5):617-624

Division of Neonatology, The Hospital for Sick Children, Toronto, Ontario, Canada.

Background: Prolonged mechanical ventilation (MV) should be avoided in neonates. Noninvasive ventilation (NIV) can facilitate weaning from MV but has risks for patients immediately following foregut surgery due to the potential risk of anastomotic leak. We evaluated the risk factors for prolonged MV following intestinal surgery in neonates. Read More

Turk J Surg 2021 Dec 31;37(4):413-416. Epub 2021 Dec 31.

Clinic of Hepatopancreaticobiliary Surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.

The number of patients with obesity is set to rise, as is the proportion with severe obesity. These patients are a high-risk subgroup who present addi- tional challenges to the surgeon when performing laparoscopic cholecystectomy. It is important that all surgeons who perform this procedure have a safe strategy they can revert to. Read More

Int J Surg Case Rep 2022 May 28;94:107130. Epub 2022 Apr 28.

Department of General Surgery, Zaghouen Hospital, Tunisia; Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.

Introduction And Importance: Jejunal divertica is a rare entity with an often clinically silent course. However, it may be associated to life-threatening complications such as perforation. Therefore it should be considered in every case of acute abdomen. Read More

Front Public Health 2022 12;10:821905. Epub 2022 May 12.

Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.

Evidence of the association between maternal sulfur dioxide (SO) exposure and the risk of omphalocele is limited and equivocal. We aimed to assess the aforementioned topic during the first trimester of pregnancy. A population-based case-control study was carried out in infants consisting of 292 cases of omphalocele and 7,950 healthy infant controls. Read More

Surg Case Rep 2022 May 30;8(1):104. Epub 2022 May 30.

Department of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogo-in Kawaracho, Sakyo-ku, Kyoto, 606-8507, Japan.

Background: Although small bowel obstruction (SBO) is a major complication occurring after abdominal surgery, few reports have described strangulated SBO after pelvic lymphadenectomy (PL). This report describes two cases of strangulated SBO caused by a skeletonized obturator nerve and pelvic vessels after laparoscopic PL during gynecologic surgery.

Case Presentation: Case 1: A 57-year-old woman with endometrial cancer underwent a laparoscopic semi-radical total hysterectomy with PL. Read More

Am Surg 2022 Jun 1:31348221091960. Epub 2022 Jun 1.

Department of General Surgery, 24520Novant Health New Hanover Regional Medical Center, Wilmington, NC, USA.

Background: Umbilical and epigastric hernias are among the top three most common hernia surgeries performed in the USA with varied techniques. The European and Americas Hernia Societies (EAHS) recently published guidelines for repair of umbilical and epigastric hernias. We evaluated how closely the general surgeons of the Abdominal Core Health Quality Collaborative (ACHQC) follow these guidelines and to identify areas for possible improvement. Read More

Pediatr Neonatol 2022 May 18. Epub 2022 May 18.

The Metabolomics Core Laboratory, Centers of Genomic and Precision Medicine, National Taiwan University, Taipei, Taiwan; Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan; Department of Computer Science and Information Engineering, National Taiwan University, Taipei, Taiwan. Electronic address:

Background: Omphalocele and gastroschisis are the two most common congenital abdominal wall defects; however, no previous study has focused on gastrointestinal and hepatobiliary tract malformations in these two conditions. This study aimed to investigate the demographic characteristics, coexisting congenital gastrointestinal and hepatobiliary tract anomalies, hospital course, and outcomes of patients with gastroschisis and omphalocele.

Methods: This is retrospective chart review of all patients admitted to one tertiary medical center in Taiwan between January 1, 2000 and June 30, 2020 with a diagnosis of gastroschisis or omphalocele. Read More

Ann Med Surg (Lond) 2022 May 6;77:103569. Epub 2022 Apr 6.

Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.

Introduction: The coexistence of thyroid dysgenesis and resistance to thyroid hormone (RTH) is a very rare occurrence. The current study aims to report a unique case of thyroid agenesis with RTH in a pediatric patient.

Case Report: A 5-year-old male patient presented with poor feeding, excessive somnolence, and a noticeable umbilical hernia since the age of 2 months. Read More

Cir Esp (Engl Ed) 2022 Jun 23;100(6):336-344. Epub 2022 May 23.

Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, Spain; Servicio de Cirugía General, Hospital Universitari del Mar, Barcelona, Spain. Electronic address:

Background: Incisional hernia (HI), in open and laparoscopic surgery, is a very frequent complication. HI located in the umbilical region are called M3. The main aim of this study is to compare HI produced by the placement of an umbilical laparoscopic trocar (M3T) with those located in M3 in open surgery (M3O) in terms of basal characteristics, complications and recurrences; and secondarily the identification of risk factors. Read More

Langenbecks Arch Surg 2022 May 25. Epub 2022 May 25.

Department of General and Abdominal Surgery, AZ Damiaan, Gouwelozestraat 100, 8400, Ostend, Belgium.

Purpose: Robotic retromuscular abdominal wall repair (RAWR) for ventral hernias can be performed transabdominal or extraperitoneal by using an enhanced view totally extraperitoneal repair (eTEP). For defects in the meso- or epigastric region, an inverted approach can be used, starting the development of the totally extraperitoneal plane in the suprapubic region and progressing in a caudal-to-cranial direction (inverted TEP, iTEP). The aim of the study is to present the surgical technique and to report the short-term outcomes. Read More

Br J Surg 2022 May 24. Epub 2022 May 24.

Academic Directorate of General Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

Background: Acutely symptomatic abdominal wall and groin hernias are a common reason for acute surgical hospital admissions. There are limited data to guide the treatment of these patients. This study aimed to assess outcomes of emergency hernia surgery and identify common management strategies, to improve care for these high-risk patients. Read More

J Surg Res 2022 May 20;278:179-189. Epub 2022 May 20.

Division of Pediatric Surgery, Children's Wisconsin and Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address:

Introduction: Telemedicine (TM) use accelerated out of necessity during the COVID-19 pandemic, but the utility of TM within the pediatric surgery population is unclear. This study measured utilization, adequacy, and disparities in uptake of TM in pediatric surgery during the COVID-19 pandemic.

Methods: Scheduled outpatient pediatric surgery clinic encounters at a large academic children's hospital from January 2020 through March 2021 were reviewed. Read More

Int J Surg Case Rep 2022 Jun 4;95:107144. Epub 2022 May 4.

Faculty of Medicine, Department of Surgery, Kuwait University, Kuwait; Department of Pediatric Surgery, Ibn Sina Hospital, Sabah Medical Center, Kuwait. Electronic address:

Introduction: Omphalocele, bladder extrophy, imperforate anus and spinal defect (known as OEIS) is a very rare congenital anomaly with an unknown etiology. In this report we describe a case of an OEIS variant associated with a wide pubic diastasis, bladder extrophy with a recto-bladder neck fistula and a high ano-rectal malformation. This work has been reported in line with the SCARE 2020 criteria. Read More

Pediatr Surg Int 2022 Jul 19;38(7):1047-1055. Epub 2022 May 19.

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Anschutz Medical Campus, Children's Hospital Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA.

Background: Social media has become a means to allow individuals affected by rare diseases to connect with others. This study aimed to characterize the use of three popular social media platforms by individuals affected by common pediatric surgery index conditions.

Methods: A systematic search of Instagram, Facebook, and Twitter was performed using standardized terms for the following pediatric surgical conditions: anorectal malformation, biliary atresia, bronchopulmonary sequestration, congenital diaphragmatic hernia (CDH), congenital pulmonary airway malformation, duodenal atresia, esophageal atresia/tracheoesophageal fistula (EA/TEF), gastroschisis, Hirschsprung disease (HD), and omphalocele. Read More

Int J Surg Case Rep 2022 Jun 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

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

Pediatr Surg Int 2022 Jul 14;38(7):963-983. Epub 2022 May 14.

Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, 302004, India.

Purpose: Heteropagus twinning (HT) is a rare anomaly. Six new cases along with a systematic review are described.

Methods: Six cases of HT managed at two tertiary care teaching hospitals over the last 26 years are described. Read More

Ultrasound Obstet Gynecol 2022 May 13. Epub 2022 May 13.

Fetal Medicine Unit, Department of Obstetrics and Gynecology, Copenhagen University Hospital Hvidovre, Denmark.

Chirurgia (Bucur) 2022 Apr;117(eCollection):1-6

The laparoscopic treatment of the hiatal hernias is nowadays the standard procedure. However, due to the volume and the age of the affliction, there are some situations in which the classical approach is indicated. The latter is associated with specific risks. Read More

Turk J Anaesthesiol Reanim 2022 Apr;50(2):151-154

Department of Anaesthesiology, İstanbul Haseki Education and Research Hospital, İstanbul, Turkey.

In this study, we report 3 cases of ultrasound-guided rectus sheath block used for anaesthetic management of simple periumbilical surgery. We selected 3 patients based on the American Society of Anaesthesiology I-II and defect sizes known to be smaller than 4 cm without peritoneal involvement. We applied a rectus sheath block with 10 mL of 0. Read More

Cureus 2022 Apr 5;14(4):e23851. Epub 2022 Apr 5.

Internal Medicine, University of Missouri, Kansas City School of Medicine, Kansas City, USA.

Umbilical hernia is a relatively common complication developing in patients with liver cirrhosis with recurrent ascites. Abdominal paracentesis is considered the mainstay procedure to manage refractory ascites and to diagnose spontaneous bacterial peritonitis. Incarceration of umbilical hernia is a rare but serious adverse event following therapeutic paracentesis that requires prompt management. Read More

Mater Sci Eng C Mater Biol Appl 2021 Dec 14:112609. Epub 2021 Dec 14.

Key Laboratory of Science and Technology of Eco-Textile, Ministry of Education, College of Chemistry, Chemical Engineering and Biotechnology, Donghua University, Shanghai 201620, PR China. Electronic address:

Deficient angiogenesis is the major abnormality impairing the healing process of diabetic wounds. Electrospun nanofiber membranes have shown promise for wound dressing. A prerequisite for electrospun membranes to treating diabetic wounds is the capacity to promote angiogenesis of wounds. Read More

J Surg Res 2022 Sep 4;277:290-295. Epub 2022 May 4.

Department of Surgery, Boston Children's Hospital, Boston, Massachusetts. Electronic address:

Introduction: The American Association of Pediatrics released guidelines in 2019 recommending delay of surgical referral in children with asymptomatic umbilical hernias until 4-5 y of age. The purpose of this study was to assess contemporary rates of potentially avoidable referrals in this cohort of children, and to assess whether rates have decreased following guideline release.

Methods: Retrospective analysis of umbilical hernias referrals evaluated at a single pediatric surgery clinic from October 2014 to August 2021. Read More