5,581 results match your criteria Omphalocele


Nonoperative management of giant omphalocele leading to early fascial closure.

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

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December 2018
1 Read

Is It Safe for Trainees to Perform Single-Incision Pediatric Endosurgery Splenectomy?

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

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December 2018

Lateral sided trocar site hernia following laparoscopic hernia repair: results of a long-term follow-up.

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

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December 2018
2 Reads

National variation in opioid prescribing after pediatric umbilical hernia repair.

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

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November 2018

Mr. Edwards, on Umbilical Hernia.

Authors:
G F Edwards

Med Phys J 1808 Nov;20(117):405-407

Member of the Royal College of Surgeons. Walcot Parade, Bath.

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November 1808

Lower Risk of Recurrence After Mesh Repair Versus Non-Mesh Sutured Repair in Open Umbilical Hernia Repair: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

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

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November 2018

Mesh trimming and suture reconstruction for wound dehiscence after huge abdominal intercostal hernia repair: A case report.

Int J Surg Case Rep 2018 Nov 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

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November 2018
1 Read

Phenotypic spectrum associated with SPECC1L pathogenic variants: new families and critical review of the nosology of Teebi, Opitz GBBB, and Baraitser-Winter syndromes.

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

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November 2018
5 Reads

Practice Variation in Umbilical Hernia Repair Demonstrates a Need for Best Practice Guidelines.

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

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November 2018
2 Reads

Fetal Surgery and Delayed Cord Clamping: Neonatal Implications.

Authors:
Karen M Frank

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

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December 2018
2 Reads

Age-dependent outcomes in asymptomatic umbilical hernia repair.

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

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November 2018
1 Read

Importance of the physical exam: double-blind randomized controlled trial of radiologic interpretation of ventral hernias after selective clinical information.

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

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November 2018

Congenital diaphragmatic hernia in newborn infants: Variable endotracheal tube and umbilical venous catheter positions.

Early Hum Dev 2018 Nov 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

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November 2018
3 Reads
1.930 Impact Factor

Short stature as a presenting symptom of attenuated Mucopolysaccharidosis type I: case report and clinical insights.

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

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November 2018
1 Read

Outcomes in omphalocele correlate with size of defect.

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

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October 2018
1 Read

Insights into the etiology and embryology of gastroschisis.

Authors:
Sylvie Beaudoin

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

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October 2018
5 Reads

Predictors of mortality after elective ventral hernia repair: an analysis of national inpatient sample.

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

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November 2018
5 Reads

Umbilical hernia repair with composite prosthesis: a single-centre experience.

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

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November 2018

Two patients with FOXF1 mutations with alveolar capillary dysplasia with misalignment of pulmonary veins and other malformations: Two different presentations and outcomes.

Am J Med Genet A 2018 Oct 31. Epub 2018 Oct 31.

Division of Medical Genetics, Department of Pediatrics, University of California San Francisco, San Francisco, California.

Alveolar capillary dysplasia with misalignment of pulmonary veins (ACDMPV) describes a group of developmental disorders affecting the lungs with its pulmonary vasculature. Mutations in the FOXF1 gene have been reported in most cases, and extrapulmonary findings were described. We present two patients with ACDMPV and FOXF1 mutations that illustrate the variability in presentation and outcome of their disease. Read More

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October 2018
4 Reads

Fetal MRI in the Identification of a Fetal Ventral Wall Defect Spectrum.

AJP Rep 2018 Oct 29;8(4):e264-e276. Epub 2018 Oct 29.

Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana.

 To ascertain if useful criteria for prenatal diagnosis of fetal ventral body wall defects (VBWDs) exists by reviewing published literature on diagnosis of VBWD as compared with our own diagnostic experience.  A comprehensive literature review of diagnostic criteria of fetal VBWD including pentalogy of Cantrell (POC), omphalocele, exstrophy, imperforate anus, spina bifida (OEIS), cloacal exstrophy, limb-body wall complex (LBWC), and body stalk anomaly was performed followed by a retrospective review of all fetal magnetic resonance imaging (MRI) examinations from our medical center over a 2-year period.  Classically, OEIS is omphalocele, bladder exstrophy, imperforate anus, and spina bifida. Read More

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October 2018
2 Reads

Totally endoscopic sublay (TES) repair for midline ventral hernia: surgical technique and preliminary results.

Surg Endosc 2018 Oct 29. Epub 2018 Oct 29.

Hernia Center Rottenburg, Winghofer Medicum, Röntgenstr. 38, 72108, Rottenburg am Neckar, Germany.

Background: The Rives-Stoppa procedure is used for ventral hernia repair but requires a large midline incision. This report describes a new, totally endoscopic approach to the retromuscular plane, corresponding to a reversed totally extraperitoneal procedure, to perform sublay repair of primary and secondary ventral hernias. This totally endoscopic sublay (TES) repair is described in detail, and its safety and efficacy were evaluated. Read More

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October 2018
2 Reads

Umbilical cord anomalies: antenatal ultrasound findings and postnatal correlation.

BMJ Case Rep 2018 Oct 25;2018. Epub 2018 Oct 25.

Department of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore.

Umbilical cord anomalies are rare. The differential diagnosis for a cystic structure around the umbilical cord and its insertion include pseudocyst, omphalomesenteric duct cyst, haemangioma, omphalocele or anterior abdominal wall defects. Although cord anomalies can be detected through antenatal ultrasound scans (US), very often a definitive diagnosis cannot be made. Read More

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October 2018
4 Reads

Standardization of Outpatient Procedure (STOP) Narcotics: A Prospective Non-Inferiority Study to Reduce Opioid Use in Outpatient General Surgical Procedures.

J Am Coll Surg 2018 Sep 25. Epub 2018 Sep 25.

Division of General Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON. Electronic address:

Background: There has been a dramatic rise in opioid abuse, and diversion of excess, unused prescriptions is a major contributor. We assess the impact of implementing a new standardized pain care bundle, to reduce postoperative opioids in outpatient general surgical procedures.

Study Design: This study was designed to demonstrate non-inferiority for the primary outcome: patient-reported average pain in the first 7 postoperative days. Read More

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September 2018
14 Reads

Single-Port Laparoscopic Assisted Transcrotal Orchidopexy for Palpable Inguinal Canalicular Cryptorchidism Accompany With Indirect Inguinal Hernia.

Front Pediatr 2018 9;6:293. Epub 2018 Oct 9.

Department of Pediatric Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

To assess the outcomes of a novel laparoscopic assisted transcrotal orchidopexy (LATO) combined with percutaneous extraperitoneal closure (PEC) for palpable inguinal canalicular cryptorchidism accompany with indirect inguinal hernia, and evaluate its safety and efficiency. A retrospective cohort study for single-port LATO-PEC and traditional inguinal orchidopexy (TIO) was performed between 2011 and 2014. Totally 53 children with both palpable inguinal canalicular testes and indirect inguinal hernia were included. Read More

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October 2018
6 Reads

First-trimester cystic hygroma and omphalocele in a fetus with Turner syndrome.

Taiwan J Obstet Gynecol 2018 Oct;57(5):763-764

Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan; Department of Bioengineering, Tatung University, Taipei, Taiwan.

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October 2018
5 Reads

Prenatal diagnosis of Pallister-Killian syndrome in pregnancy with normal CVS result and abnormal ultrasound findings in the second trimester.

Taiwan J Obstet Gynecol 2018 Oct;57(5):726-729

Gennet, Prague, Czech Republic.

Objective: To highlight importance of detailed ultrasound examination in fetuses with known normal karyotype (and micro-array result) from CVS. In case of markedly abnormal ultrasound result repeated karyotyping by amniocentesis should be considered. Sample should be analyzed by routine cytogenetic techniques, however also micro-array and targeted FISH should be added in order to achieve most accurate diagnosis. Read More

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October 2018

Mesh OR Patch for Hernia on Epigastric and Umbilical Sites (MORPHEUS-Trial): The Complete Two-year Follow-up.

Ann Surg 2018 Oct 17. Epub 2018 Oct 17.

Department of Surgery, Catharina Ziekenhuis Eindhoven, Eindhoven, The Netherlands.

Objective: The objective of this trial was to identify a superior method for umbilical and epigastric hernia repair in terms of complications. Complications such as an extended operation duration, additional use of painkillers, reoperation, infection, seroma, extended wound care, extended hospitalization, and early recurrence were reported according to the Clavien-Dindo grading system.

Summary Background Data: Over the years mesh repair is proven the gold standard for umbilical and epigastric hernias. Read More

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October 2018
8 Reads

A rare male patient with Fontaine progeroid syndrome caused by p.R217H de novo mutation in SLC25A24.

Am J Med Genet A 2018 Oct 17. Epub 2018 Oct 17.

Laboratorio de Enfermedades Mitocondriales, Instituto de Investigación Hospital 12 de Octubre (i+12), Madrid, Spain.

We report the clinical and genetic findings in a 15-year-old Spanish boy presenting prenatal and postnatal growth retardation, reduced subcutaneous adipose tissue, premature skin wrinkling, sparse hair, short distal phalanges with small nails, umbilical hernia, wide anterior fontanel, and normal cognitive and motor development. Exome sequencing uncovered a heterozygous mutation in SLC25A24 (NM_013386: c.650G>A: p. Read More

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October 2018
13 Reads

Congenital peritoneopericardial diaphragmatic hernia in a family of Persian cats.

JFMS Open Rep 2018 Jul-Dec;4(2):2055116918804305. Epub 2018 Oct 9.

Section of Medical Genetics, Department of Clinical Sciences and Advanced Medicine, MJ Ryan Veterinary Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

Case Series Summary: The congenital midline defects of peritoneopericardial diaphragmatic hernia (PPDH) and omphalocele are believed to be related developmental defects, and have both been described in cats and dogs. This case series describes multiple cases of PPDH and omphalocele in related cats. The majority of cats affected with midline defects (PPDH or omphalocele) were male, consistent with previous reports of male overrepresentation. Read More

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October 2018
2 Reads

Evaluation of Clinical Outcomes of Sutureless vs Sutured Closure Techniques in Gastroschisis Repair.

JAMA Surg 2018 Sep 19. Epub 2018 Sep 19.

Division of Pediatric Surgery, Department of Surgery, University of California, San Francisco, San Francisco.

Importance: Sutureless gastroschisis repair offers an alternative to the traditional sutured method and has been associated with decreased intubation time. Published study results are inconsistent regarding the advantages of sutureless closure.

Objective: To compare the clinical outcomes of sutureless and sutured gastroschisis repair. Read More

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September 2018
2 Reads

The indications for early prenatal diagnosis of trisomy 18: a 7-year experience at mainland China.

J Matern Fetal Neonatal Med 2018 Nov 28:1-5. Epub 2018 Nov 28.

a Prenatal Diagnostic Center , Guangzhou Women and Children's Medical Center Affiliated to Guangzhou Medical University , Guangzhou , China.

Objective: To report the experience with first-trimester prenatal detection of pregnancies complicated by trisomy 18.

Study Design: Proven cases of trisomy 18 identified between 11 and 14 weeks of gestation were retrospectively reviewed. Information on maternal demographics, prenatal sonographic findings, indications for prenatal diagnosis and chromosomal analysis results was obtained by reviewing medical records. Read More

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November 2018
2 Reads

Intestinal malrotation in infants with omphalocele: A systematic review and meta-analysis.

J Pediatr Surg 2018 Sep 29. Epub 2018 Sep 29.

Division of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, ON, Canada. Electronic address:

Purpose: The management of intestinal malrotation in infants with omphalocele varies among surgeons. Herein, we aimed to determine whether infants with omphalocele should be investigated for malrotation.

Methods: Using a defined search strategy, three investigators identified all studies reporting patients with omphalocele and malrotation. Read More

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September 2018
1 Read

Omphalocele and epigastric heteropagus: implications and treatment.

Oxf Med Case Reports 2018 Oct 3;2018(10):omy074. Epub 2018 Oct 3.

Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

In heteropagus twins, the parasitic twin is incompletely formed which is attached to the autosite. We report a case of epigastric heteropagus twins with omphalocele. The parasite had two lower limbs, a rudimentary upper limb, genitalia with developed phallus and scrotum but absent testis. Read More

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October 2018
6 Reads

Randomized trial of umbilical incisional hernia in high-risk patients: extraction of gallbladder through subxiphoid port vs. umbilical port after laparoscopic cholecystectomy.

Wideochir Inne Tech Maloinwazyjne 2018 Sep 25;13(3):342-349. Epub 2018 May 25.

Department of Emergency Department, Anhui Armed Police General Hospital, Hefei, China.

Introduction: Trocar site incisional hernia (TSIH) is one of the most common complications of laparoscopic surgery. Using the umbilical port as a common hole for removing the gallbladder in laparoscopic cholecystectomy is more likely to lead to TSIH than other ports. Thus, extracting the gallbladder through other ports may reduce the incidence of TSIH. Read More

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September 2018
2 Reads

[Totally endoscopic sublay repair (TES)--a novel approach to repair midline ventral hernia].

Zhonghua Yi Xue Za Zhi 2018 Sep;98(36):2933-2936

Department of General Surgery, Affiliated Hexian Memorial Hospital of Southern Medical University, Guangzhou 511400, China.

Investigating a novel approach to treat a midline ventral hernia--totally endoscopic sublay repair (TES). The procedure will be described in detail and the safety and efficacy evaluated. During July and December 2017, eleven consecutive cases of primary and secondary epigastric midline ventral hernias were repaired using the TES procedure. Read More

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September 2018
3 Reads

Transumbilical repair of umbilical hernia in children: The covert scar approach.

J Pediatr Surg 2018 Sep 9. Epub 2018 Sep 9.

Division of Pediatric Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine and Texas Children's Hospital, 6621 Fannin St., Houston, TX, USA. Electronic address:

Background: Umbilical hernia repairs are one of the most commonly performed operations in children. The traditional repair involves an infraumbilical incision, which produces a visible scar. We report a novel technique of umbilical hernia repair through a transumbilical incision, which eliminates the scar by hiding it within the umbilicus. Read More

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September 2018

Massive gastric dilatation leading to acute respiratory distress 1 year after a Nissen fundoplication.

BMJ Case Rep 2018 Sep 27;2018. Epub 2018 Sep 27.

Surgery, BHR Hospitals Trust, Romford, UK.

Acute massive gastric dilatation (AMGD) is a recognised complication after Nissen fundoplication. A 63-year-old man recently presented to our emergency department in acute respiratory distress, acute abdominal pain and distension, having had an elective umbilical port incisional hernia repair a day prior. In the year preceding his presentation, the patient had undergone a laparoscopic paraoesophageal hiatus hernia repair and excision of sac, posterior cruropexy, dual mesh reinforcement of repair and 360° fundoplication, as a day case. Read More

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September 2018
2 Reads

A bizarre case of accessory larynx in an infant with OEIS syndrome.

Int J Pediatr Otorhinolaryngol 2018 Nov 31;114:134-137. Epub 2018 Aug 31.

Department of Otolaryngology, Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.

We report a bizarre case of accessory larynx in an infant with OEIS syndrome (omphalocele, cloacal exstrophy, imperforated anus & spinal defects). This is the first reported case in literature of a duplicate accessory larynx which is a mirror image of the true larynx. A congenital duplication of the larynx is a rare anomaly and can present in various forms. Read More

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November 2018
1.320 Impact Factor

Antenatal sildenafil administration to prevent pulmonary hypertension in congenital diaphragmatic hernia (SToP-PH): study protocol for a phase I/IIb placenta transfer and safety study.

Trials 2018 Sep 27;19(1):524. Epub 2018 Sep 27.

Department of Obstetrics and Gynecology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.

Background: Congenital diaphragmatic hernia is an orphan disease with high neonatal mortality and significant morbidity. An important cause for this is pulmonary hypertension, for which no effective postnatal therapy is available to date. An innovative strategy aiming at treating or preventing pulmonary hypertension more effectively is urgently needed. Read More

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September 2018
5 Reads

[Laparoscopic repair of inguinal hernia and communicating hydrocele in children. Our experience in the last years].

Cir Pediatr 2018 Aug 3;31(3):125-129. Epub 2018 Aug 3.

Servicio de Cirugía Pediátrica. Hospital Universitario Donostia. San Sebastián.

Introduction: Laparoscopic inguinal hernia and hydrocele repair has become an alternative to the more frequently used inguinal approach. We describe our experience with the laparoscopic technique.

Material And Methods: Retrospective study of laparoscopic inguinal hernia and hydrocele repair performed during the period between 2003-2016. Read More

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August 2018
8 Reads

[Surgical treatment algorithm for ventral hernias].

Ugeskr Laeger 2018 Sep;180(37)

This review updates the literature on surgical treatment algorithm for umbilical, epigastric and incisional hernias by proposing an algorithm. It is recommended, that small hernias (horizontal defect 0-2 cm) are repaired openly with sublay or onlay mesh with 1 cm mesh overlap. Medium-sized hernias (horizontal defect 2-6 cm) may be repaired laparoscopically with intraperitoneal mesh with at least 5 cm overlap or openly with sublay mesh. Read More

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September 2018
14 Reads

Features and Techniques of Laparoscopic Percutaneous Extraperitoneal Closure for Ovarian Hernia.

J Laparoendosc Adv Surg Tech A 2018 Sep 25. Epub 2018 Sep 25.

Department of Pediatric Surgery, Hiroshima City Hospital , Hiroshima, Japan .

Purpose: The purpose of this report was to evaluate the safety and efficacy of the simple laparoscopic percutaneous extraperitoneal closure (LPEC) method for treating ovarian hernia patients, including newborns and low-birth-weight infants.

Methods: We retrospectively reviewed the cases of ovarian hernia that were treated in our institution from May 2012 to September 2017.

Results: Thirty-four infants were included in this study (right side, n = 8; left side, n = 22; bilateral, n = 4). Read More

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September 2018

Robotic transabdominal retromuscular umbilical prosthetic hernia repair (TARUP): observational study on the operative time during the learning curve.

Hernia 2018 Dec 22;22(6):1101-1111. Epub 2018 Sep 22.

Department of Surgery, Minneapolis VA Medical Center, University of Minnesota, Minneapolis, USA.

Purpose: The use of extraperitoneal mesh in place of intra-peritoneal mesh is gaining popularity in laparoscopic ventral hernia repair. We have adopted a robotic assisted laparoscopic technique using a lateral single-dock robotic access with retromuscular mesh placement after opening the ipsilateral posterior rectus fascia. In this study, we wanted to evaluate the changes in operative times during the initial experience with this novel technique. Read More

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December 2018
1 Read

Mice doubly deficient in and show ventral body wall defects reproducing human omphalocele.

Dis Model Mech 2018 Oct 25;11(10). Epub 2018 Oct 25.

Division of Biology, Center for Molecular Medicine, Jichi Medical University, 3311-1, Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan

Omphalocele is a human congenital anomaly in ventral body wall closure and may be caused by impaired formation of the primary abdominal wall (PAW) and/or defects in abdominal muscle development. Here, we report that mice doubly deficient in homeobox genes and showed the same ventral body wall closure defects as those seen in human omphalocele. SIX4 and SIX5 were localized in surface ectodermal cells and somatic mesoderm-derived mesenchymal and coelomic epithelial cells (CECs) in the PAW. Read More

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October 2018
1 Read