11,306 results match your criteria ventral hernia

A case of Spigelian hernia after laparoscopic incisional hernia repair.

Asian J Endosc Surg 2021 Apr 13. Epub 2021 Apr 13.

Department of Surgery, Hyogo Prefectural Kakogawa Medical Center, Kakogawa, Japan.

Laparoscopic ventral hernia repair with intraperitoneal onlay mesh reinforcement is often performed in clinical practice. We herein describe a patient who developed a Spigelian hernia at the edge of the mesh due to rupture of the muscular layer in the abdominal wall. A 69-year-old woman developed a left-sided abdominal bulge 15 months after laparoscopic ventral hernia repair. Read More

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Amendment to: Comparison of biosynthetic versus synthetic mesh in clean and contaminated ventral hernia repairs.

Kellee Slater

ANZ J Surg 2021 Apr;91(4):761

Department of Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

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Combined approach with negative pressure wound therapy and biological mesh for treatment of enterocutaneous fistula after synthetic mesh repair of incisional hernia. A case report.

Ann Ital Chir 2021 Apr 12;10. Epub 2021 Apr 12.

Aim: Enterocutaneous fistula is a rare but severe complication of prosthetic incisional hernia repair. Management requires re-exploration with intestinal repair/resection and mesh removal. Repair of the parietal defect in this contaminated field is challenging. Read More

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Identifying predictors of ventral hernia recurrence: systematic review and meta-analysis.

BJS Open 2021 Mar;5(2)

Centre of Medical Imaging, University College Hospital, London, UK.

Background: Ventra hernias are increasing in prevalence and many recur despite attempted repair. To date, much of the literature is underpowered and divergent. As a result there is limited high quality evidence to inform surgeons succinctly which perioperative variables influence postoperative recurrence. Read More

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Onlay Poly-4-Hydroxybutyrate (P4HB) Mesh for Complex Hernia: Early Clinical and Patient Reported Outcomes.

J Surg Res 2021 Apr 7;264:199-207. Epub 2021 Apr 7.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA. Electronic address:

Background: While mesh re-enforcement and advanced surgical techniques are cornerstones of complex ventral hernia repair (CVHR), the risk of complications and recurrence is common. We aim to evaluate the efficacy, safety, and patient reported outcomes (PROs) of patients undergoing CVHR with onlay Poly-4-hydroxybutyrate (P4HB).

Methods: Adult (>18 y old) patients undergoing VHR with P4HB (Phasix) in the onlay plane by a single surgeon from 01/2015 to 05/2020 were reviewed. Read More

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Elective ventral hernia repair provides significant abdominal wall quality of life improvements in older patients.

Surg Endosc 2021 Apr 8. Epub 2021 Apr 8.

Department of Surgery, Ohio State University Wexner Medical Center, Columbus, OH, USA.

Background: An increasing proportion of ventral hernia patients are over age 65. These patients are frequently offered watchful waiting rather than surgical intervention due to their frail state or perioperative risk. However, many in this age group suffer from significant quality of life impacts that are not well understood. Read More

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Can Hernia Sac to Abdominal Cavity Volume Ratio Predict Fascial Closure Rate for Large Ventral Hernia? Reliability of the Tanaka Score.

J Am Coll Surg 2021 Apr 5. Epub 2021 Apr 5.

Center for Abdominal Core Health, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH.

Background: The hernia sac to abdominal cavity volume ratio (VR) on abdominal CT was described previously as a way to predict which hernias would be less likely to achieve fascial closure. The aim of this study was to test the reliability of the previously described cutoff ratio in predicting fascial closure in a cohort of patients with large ventral hernias.

Methods: Patients who underwent elective, open incisional hernia repair of 18 cm or larger width at a single center were identified. Read More

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Evaluation of Pre-peritoneal (Sublay) Mesh Repair for Treatment of Ventral Hernia.

Mymensingh Med J 2021 Apr;30(2):453-457

Dr Nelema Jahan, Associate Professor, Department of Surgery, Dhaka Dental College, Dhaka, Bangladesh; E-mail:

Ventral hernia after abdominal surgery is a common complication. Several techniques for the repair of ventral hernia have been described from time to time and it is a great challenge for a surgeon. The mesh placement by sublay technique authorized by Rives and Stoppa in Europe has been reported to be effective with low recurrence rate. Read More

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e-TEP repair for midline primary and incisional hernia: technical considerations and initial experience.

Hernia 2021 Apr 7. Epub 2021 Apr 7.

Calcutta Medical Research Institute, Kolkata, India.

Introduction: The Enhanced-View Totally Extra Peritoneal Rives-Stoppa (e-TEP-RS) Technique for the repair of large, complex, ventral abdominal hernias has gained popularity especially in overcoming the disadvantages with Intra Peritoneal Onlay Mesh (IPOM) repairs and to enable siting of a large prosthetic mesh in an anatomical plane distinct from the abdominal cavity and its contents. Evolving variations of the original technique have allowed the definitive repair of such defects in a reproducible manner. We present our initial experience of this approach and detailed steps of our native technical modifications in overcoming the challenges in performing this complex and potentially challenging procedure. Read More

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Patient-Reported Outcome Measures of abdominal wall morbidity after flank incision for open partial nephrectomy.

BJU Int 2021 Apr 7. Epub 2021 Apr 7.

Department of Surgical and Perioperative Sciences, Umeå University, Sweden.

Objective: To compare patient-reported outcome measures (PROMs) in patients with and without abdominal wall complications after open partial nephrectomy (OPN) via flank incision.

Patients And Methods: PROMs were collected in 2017 from all patients operated on with OPN via flank incision between 2004 and 2016 in Västerbotten County, Sweden. Patients were mailed the ventral hernia pain questionnaire (VHPQ) and an abdominal wall asymmetry (AWA) questionnaire to evaluate postoperative AWA, attributed to bulge or incisional hernia. Read More

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Observational Cohort Study on the Use of a Slowly Fully Resorbable Synthetic Mesh (Phasix™) in the Treatment of Complex Abdominal Wall Pathology with Different Grades of Contamination.

Surg Technol Int 2021 Apr 2;38. Epub 2021 Apr 2.

Department of Abdominal Surgery, General Hospital Imelda, Bonheiden, Belgium.

Purpose: Abdominal wall hernia repair in contaminated cases remains a therapeutic challenge due to the high risk of post-operative surgical site occurrences (SSO). Slowly resorbable synthetic (biosynthetic) meshes have recently been introduced and may offer unique advantages when challenged with bacterial colonization during abdominal wall reconstruction.

Methods: A multicenter single-arm retrospective observational cohort study examined all consecutive patients in whom a poly-4-hydroxybutyrate mesh (Phasix™ or Phasix™ ST; Becton Dickinson, Franklin Lakes, NJ, USA) was used for the repair of an inguinal or ventral/incisional hernia, or to replace an infected synthetic mesh. Read More

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Georgian Med News 2021 Feb(311):136-142

Tbilisi State Medical University, Georgia.

Ventral hernias, with the incidence of reherniation nearly as high as 50%, still remain to be a real challenge for surgeons worldwide. The use of mesh in the repair of abdominal wall defects reduces the incidence of reherniation; however, using a prosthetic mesh can lead to complications like wound infection, hematoma, seroma, enterocutaneous fistula, small bowel obstruction, recurrent herniation and erosion into adjacent structures including the intestine. The aim of the study was to develop a method for producing gelatin-coated decellularized and lyophilized human amniotic membrane graft and to determine its effectiveness for the reconstruction of the anterior abdominal wall defects. Read More

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February 2021


Georgian Med News 2021 Feb(311):27-32

Tbilisi State Medical University, Georgia.

Using the mesh for hernia repair is the most common type of hernia surgery. There are many types of meshes made of various synthetic materials, but all of these meshes have their own respective disadvantages. The aim of this study was to provide preliminary results of a non-randomized clinical trial evaluation of novel porcine grafts XI-S+® (Colorado Therapeutics LLC. Read More

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February 2021

Geriatric assessment and medical preoperative screening (GrAMPS) program for older hernia patients.

Hernia 2021 Apr 4. Epub 2021 Apr 4.

Department of Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.

Purpose: The incidence of older adults undergoing inguinal and ventral hernia repairs is increasing. Older adults are disproportionately affected by age-related risk factors, which are often under-recognized and may adversely affect surgical outcomes. These age-related risk factors often termed "geriatric syndromes," include multimorbidity, frailty, cognitive impairment, depression, obesity, functional impairment, polypharmacy, and poor subjective health. Read More

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Critical view of robotic-assisted transverse abdominal release (r-TAR).

Hernia 2021 Apr 2. Epub 2021 Apr 2.

Creighton University School of Medicine-Phoenix, Phoenix, USA.

Introduction: Establishing straightforward and reproducible steps to describe the technique performed with the aid of the robotic system for complex hernia surgery is key for good outcomes. Even using the description of open surgery as a parameter for performing the robotic technique, it is important to stress the particularities of this access. To describe the steps to perform robotic-assisted TAR (r-TAR) in a standardized technique, with a critical and safe view of all the anatomical structures. Read More

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[Ventral hernias part 1 : Operative treatment techniques].

Chirurg 2021 Apr 1. Epub 2021 Apr 1.

Viszeral- und Gefäßchirurgie, Referenzzentrum für Hernienchirurgie, Vivantes Klinikum Spandau, Neue Bergstraße 6, 13585, Berlin, Deutschland.

Primary (umbilical, epigastric hernias) and secondary (incisional hernias) ventral hernias are among the most common surgical indications in general and visceral surgery. The defect width and defect localization have a considerable impact on treatment decision-making and outcomes. Therefore, preoperative computed tomography (CT) examination is increasingly recommended particularly for larger incisional hernias. Read More

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Length of stay and surgical site complications are not increased after elective incisional hernia in patients with a history of solid organ transplantation.

Surg Endosc 2021 Mar 31. Epub 2021 Mar 31.

Department of Surgery, Division of General and Gastrointestinal Surgery, The Ohio State University Wexner Medical Center, Columbus, USA.

Background: The incidence of ventral hernia development after solid organ transplantation has been reported to be up to 30%. We aim to determine the impact of previous solid organ transplant on post-operative length of stay (LOS) and surgical site complications in elective ventral hernia repairs.

Methods: A retrospective review of prospectively collected data from the Abdominal Core Health Quality Collaborative (ACHQC) was conducted to include all patients age 18 years or older who underwent elective incisional hernia repair. Read More

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Image Inversion during Xi Robotic ventral hernia repair: making it even more effective.

Rev Col Bras Cir 2021 24;48:e20202879. Epub 2021 Mar 24.

- Instituto Morrell, Cirurgia do Aparelho Digestivo Minimamente Invasiva e Robótica - São Paulo -SP - Brasil.

Introduction: currently, there are several clinical applications for robot-assisted surgery and in the hernia scenario, robot-assisted surgery seems to have the ability to overcome laparoscopic ventral hernias repairs limitations, facilitating dissection, defect closure, and mesh positioning. Exponentially grown in numbers of robotic approaches have been seen and even more complex and initially not suitable cases have recently become eligible for it. An appropriate tension-free reestablishment of the linea alba is still a major concern in hernia surgery and even with the robotic platform, dissecting and suturing in anterior abdominal wall may be challenging. Read More

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Skin-only closure as a temporary abdominal closure technique in a rural setting - exploring role and safety profile.

S Afr J Surg 2021 Mar;59(1):20-24

Ngwelezane General Hospital, South Africa and Department of Surgery, University of KwaZulu-Natal, South Africa.

Background: Acute laparotomy for trauma or sepsis often prevents definitive closure due to need for relook laparotomy or to prevent abdominal compartment syndrome. Skin-only closure is widely used in our setting. In this study, we review the safety and effectiveness of this technique. Read More

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The effects of onlay titanium-coated mesh on recurrence, foreign body sensation and chronic pain in ventral hernia repair.

Asian J Surg 2021 Mar 23. Epub 2021 Mar 23.

Department of General Surgery, Istanbul Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. Electronic address:

Background/objective: There are many complications of meshes in hernia repair. The aim of this study was to investigate the effects of onlay titanium-coated meshes (TCM) on recurrence, foreign body sensation and chronic pain in ventral hernia repair.

Methods: In this retrospective study, 160 patients undergone TCM or polypropylene mesh (PM) surgery for onlay repair of ventral hernia were examined between May 2014 and January 2018 at our center. Read More

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Giant pseudocyst of the abdominal wall following incisional ventral hernia repair: an extremely rare clinical entity. Report of a case.

Ann Ital Chir 2020 Dec 21;91. Epub 2020 Dec 21.

Background: The gold standard treatment for incisional ventral hernia (IVH) is a surgical repair with mesh employment, nevertheless this procedure is burdened by several post-operative complications; among these latter, giant pseudocyst of abdominal wall (GPAW) formation is one of the most rare and its etiopathogenesis remains unclear.

Case Report: We describe the case report of a 36 years old, diabetic and obese woman, previously underwent to a csection and IVH repair with on-lay mesh placement, presented to our unit with an asymptomatic left iliac fossa swelling. At ultrasound (US) and CT scan examination it appears to be a subcutaneous cyst of the anterior abdominal wall associated with a recurrent IVH. Read More

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December 2020

Impact of fellow compared to resident assistance on outcomes of minimally invasive surgery.

Surg Endosc 2021 Mar 24. Epub 2021 Mar 24.

Department of Surgery, Boston Medical Center, Boston University School of Medicine, One Boston Medical Center Drive, Collamore 501, Boston, MA, 02118, USA.

Introduction: As fellowship training after general surgery residency has become increasingly common, the impact on resident education must be considered. Patient safety and procedure outcomes are often used as justification by attendings who favor fellows over residents in certain minimally invasive surgery (MIS) operations. The aim of the present study was to compare the impact of trainee level on the outcomes of selected MIS operations to determine if giving preference to fellows on grounds of outcomes is warranted. Read More

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[Iliac artery reconstruction in patients with chronic critical limb ischemia: endarterectomy or replacement].

Khirurgiia (Mosk) 2021 (4):15-20

Sklifosovsky Research Institute of Emergency Care, Moscow, Russia.

Objective: To evaluate the effectiveness and postoperative morbidity after endarterectomy from the iliac arteries in comparison with ilio-femoral and aorto-femoral replacement in patients with chronic critical lower limb ischemia.

Material And Methods: There were 95 patients with chronic critical lower limb ischemia. Iliac artery replacement was carried out in 43 (45. Read More

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January 2021

Bilateral transversus abdominis release: Complex hernia repair without sacrificing quality of life.

Am J Surg 2021 Mar 18. Epub 2021 Mar 18.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA. Electronic address:

Background: Transversus Abdominis Release (TAR) during ventral hernia repair (VHR) allows for further lateral dissection by dividing the transversus abdominis muscles (TAM). The implications of division of the TAM on clinical and patient-reported outcomes has not be extensively studied.

Methods: Adult patients undergoing retrorectus (RR) VHR with biosynthetic mesh with or without bilateral TAR were retrospectively identified. Read More

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Laparoscopic-Assisted Relocation of the Umbilicus With Umbilicoplasty in Complex Abdominal Wall Reconstruction.

Am Surg 2021 Mar 20:31348211003068. Epub 2021 Mar 20.

Department of Plastic Surgery & Neurosurgery, 3139Hackensack University Medical Center, Hackensack, NJ, USA.

Patients with complex abdominal wall pathology often present with significant distortion of their umbilicus. Ventral and umbilical hernias often create widening or protrusion of the umbilicus, while obesity and laxity of the skin and subcutaneous tissue of the abdominal wall further exacerbates the deformity. The primary goal of hernia repair is always reduction of the hernia with a tension-free repair; however, an important secondary goal is esthetic improvement of the abdominal wall. Read More

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The Impact of Surgeon Adherence to Preoperative Optimization of Hernia Repairs.

J Surg Res 2021 Mar 18;264:8-15. Epub 2021 Mar 18.

Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, Michigan; Department of Surgery, University of Michigan, Ann Arbor, Michigan. Electronic address:

Background: At the patient level, optimizing risk factors before surgery is a proven approach to improve patient outcomes after hernia repair. However, nearly 25% of patients are not adequately optimized before surgery. It is currently unknown how surgeon-level adherence to preoperative optimization impacts postoperative outcomes. Read More

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Ventral Hernia Management in Obese Patients.

Surg Clin North Am 2021 Apr;101(2):307-321

Department of Surgery, Division of Minimal Access & Bariatric Surgery, Prisma Health-Upstate, University of South Carolina School of Medicine Greenville, 701 Grove Road, ST 3, Greenville, SC 29607, USA. Electronic address:

Ventral and incisional hernias in obese patients are particularly challenging. Suboptimal outcomes are reported for elective repair in this population. Preoperative weight loss is ideal but is not achievable in all patients for a variety of reasons, including access to bariatric surgery, poor quality of life, and risk of incarceration. Read More

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The incidence of occult paraumbilical hernias in patients undergoing primary umbilical hernia repair.

Hernia 2021 Mar 20. Epub 2021 Mar 20.

General Surgeon at Shouldice Hospital, 7750 Bayview Ave., Thornhill, ON, L3T 7N2, Canada.

Purpose: The primary goal of this study was to determine the incidence of occult paraumbilical hernias during open primary umbilical hernia repair. The secondary objective was to further characterize the clinical features of these patients and hernias.

Methods: This was a retrospective chart review of patients undergoing primary umbilical hernia repair at Shouldice Hospital, from 2007 to 2017. Read More

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Massive ventral hernia with small bowel obstruction in a cirrhotic patient.

ANZ J Surg 2021 Mar 18. Epub 2021 Mar 18.

General Surgery Department, Alexandria University, Alexandria, Egypt.

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