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Hernia: the Journal of Hernias and Abdominal Wall Surgery

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https://www.readbyqxmd.com/read/29058132/an-evaluation-of-abdominal-wall-closure-in-general-surgical-and-gynecological-residents
#1
Z Williams, S Williams, H A Easley, H M Seita, W W Hope
PURPOSE: To evaluate abdominal wall closure knowledge base and technical skills in surgical and OB/GYN residents. METHODS: Residents consented to participate in a skills laboratory and quiz. The skills portion involved closure of a 10-cm incision on a simulated abdominal wall. Participants were timed, filmed, and graded using a standardized grading system. RESULTS: Thirty surgical and OB/GYN residents participated. All residents reported closing the abdominal wall continuously, 97% preferred slowly absorbing sutures (28/29), 97% preferred taking 1-cm bites (29/30), and 93% spaced bites 1 cm apart (27/29)...
October 22, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29052082/waiting-for-surgery-is-waiting-bad-for-anyone-or-everyone
#2
J M Sutherland, G Liu, R T Crump, A A Karimuddin
PURPOSE: For Canadians, as in many countries, waiting for elective surgery is expected. The duration of the wait raises questions about the maximum amount of time patients should wait for their surgery. The primary objective of this study was to test for a relationship between the length of time patients waited for elective hernia repair surgery and change in patients' self-reported health. METHODS: This study was based on a prospectively recruited longitudinal cohort of patients waiting for elective hernia repair surgery...
October 20, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29052081/comment-to-long-term-retromuscular-and-intraperitoneal-mesh-size-changes-within-a-randomized-controlled-trial-on-incisional-hernia-repair-including-a-review-of-the-literature-rogmark-p-ekberg-o-montgomery-a
#3
LETTER
https://www.readbyqxmd.com/read/29043582/triclosan-coated-sutures-and-surgical-site-infection-in-abdominal-surgery-the-tristan-review-meta-analysis-and-trial-sequential-analysis
#4
REVIEW
N A Henriksen, E B Deerenberg, L Venclauskas, R H Fortelny, J M Garcia-Alamino, M Miserez, F E Muysoms
INTRODUCTION: Surgical site infection (SSI) is a frequent complication of abdominal surgery causing increased morbidity. Triclosan-coated sutures are recommended to reduce SSI. The aim of this systematic review and meta-analysis was to evaluate the evidence from randomized controlled trials (RCT) comparing the rate of SSI in abdominal surgery when using triclosan-coated or uncoated sutures for fascial closure. METHODS: A systematic literature search was conducted using Medline, EMBASE, the Cochrane library, CINAHL, Scopus and Web of Science including publications until August 2017...
October 17, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29038901/pre-peritoneal-local-anaesthetic-does-not-reduce-post-operative-pain-in-laparoscopic-total-extra-peritoneal-inguinal-hernia-repair-double-blinded-randomized-controlled-trial
#5
S Kulasegaran, M Rohan, L Pearless, M Hulme-Moir
PURPOSE: Laparoscopic total extra-peritoneal hernia repair (TEP) is associated with less post-operative pain and earlier return to normal activity compared to open hernia repair (OHP). Despite this, post-operative pain remains a major issue. The aim of this double-blinded randomized controlled trial was to identify whether the instillation of local anaesthetic in the pre-peritoneal space improves pain scores following TEP. METHODS: One hundred patients undergoing laparoscopic total pre-peritoneal hernia repair (TEP) between the years of 2009-2014 were included...
October 16, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29032495/laparoscopic-versus-open-umbilical-or-paraumbilical-hernia-repair-a-systematic-review-and-meta-analysis
#6
REVIEW
S Hajibandeh, S Hajibandeh, A Sreh, A Khan, D Subar, L Jones
OBJECTIVES: To compare outcomes of laparoscopic repair to open repair of umbilical and paraumbilical hernias. METHODS: We performed a systematic review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement standards. The review protocol was registered with International Prospective Register of Systematic Reviews (Registration Number: CRD42016052131). We conducted a search of electronic information sources, including MEDLINE; EMBASE; CINAHL; the Cochrane Central Register of Controlled Trials (CENTRAL); the World Health Organization International Clinical Trials Registry; ClinicalTrials...
October 14, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29027023/how-we-do-it-repair-of-large-perineal-hernia-after-abdominoperineal-resection
#7
J Li, W Zhang
BACKGROUND: Symptomatic perineal hernia is a rare complication after abdominoperineal resection (APR). Management of these hernias is challenging. The recurrence rate after surgical repair is high because of the difficulty of prosthetic material fixation; there is no consensus regarding the best method of repair. METHODS: We introduced a novel combined laparoscopic-perineal dual fixation technique in the repair of perineal hernias after APR. This technique begins with a perineal approach under laparoscopic vision...
October 12, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28975424/forty-one-cases-of-round-ligament-varicosities-that-are-easily-misdiagnosed-as-inguinal-hernias
#8
H Yonggang, Y Jing, W Ping, G Guodong, M Chenxia, X Xiaojing, Z Fangjie, W Hao
PURPOSE: To demonstrate the benefit and safety of conservative therapy for round ligament varicosities (RLVs) that are easily misdiagnosed as inguinal hernias. METHODS: We retrospectively analyzed clinical materials of 41 consecutive cases of RLVs diagnosed by ultrasound in a single hospital from January 2011 to December 2015. Misdiagnosis rate, clinical and sonographic features, management after diagnosis and prognosis were recorded. RESULTS: All forty-one cases were pregnant females in their second or third trimester...
October 3, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28965187/comment-to-a-modified-chevrel-technique-for-ventral-hernia-repair-long-term-results-of-a-single-centre-cohort-mommers-ehh-leenders-b-j-m-leclercq-w-k-g-et-al
#9
LETTER
J Li, W Zhang
No abstract text is available yet for this article.
September 30, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28965137/comparison-between-dexmedetomidine-and-midazolam-as-a-sedation-agent-with-local-anesthesia-in-inguinal-hernia-repair-randomized-controlled-trial
#10
T Mishina, T Aiba, K Hiramatsu, Y Shibata, M Yoshihara, T Aoba, N Yamaguchi, T Kato
PURPOSE: In Japan, inguinal hernia repair is widely performed with local anesthesia. The objective of this study was to evaluate safety and efficacy of intravenous dexmedetomidine as a sedation agent with local anesthesia in inguinal hernia repair. METHODS: We performed this randomized, single-blind study for 200 patients who were scheduled to undergo inguinal hernia repair with local anesthesia. Patients were randomly divided into two groups (dexmedetomidine group: Group D, midazolam group: Group M)...
September 30, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28942568/endoscopic-anterior-component-separation-a-novel-technical-approach
#11
B Dauser, S Ghaffari, C Ng, T Schmid, G Köhler, F Herbst
PURPOSE: Open anterior release of the external oblique fascia to enable midline closure of large abdominal wall defects is associated with relevant morbidity due to extensive subcutaneous dissection. Using endoscopic techniques, wound complications can be minimized. However, identification of the correct entry point (e.g. for balloon trocar insertion) can be challenging especially in adipose patients. We therefore present a technical modification facilitating the entire procedure. METHODS: A novel technique for endoscopic anterior component separation using a trocar system allowing blunt and sharp dissection under direct vision is described...
September 23, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28942543/suture-to-wound-length-ratio-in-abdominal-wall-closure-how-well-are-we-doing
#12
Z F Williams, P Tenzel, W B Hooks, W W Hope
PURPOSE: Research has established that a ≥4:1 suture to wound (S:W) length ratio decreases incisional hernias. We evaluated our ability to obtain a 4:1 S:W length ratio in a surgery residency program. METHODS: Consecutive abdominal wall closures from 12/1/2013 through 4/9/2015 were reviewed. The length of the incisions and amount of suture used were measured. Patient demographics and operative variables were documented and compared related to inability to obtain a 4:1 ratio...
September 23, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28913639/invited-comment-to-the-abdoman-an-artificial-abdominal-wall-simulator-for-biomechanical-studies-on-laparotomy-closure-techniques-l-f-kroese-j-j-harlaar-c-ordrenneau-j-verhelst-g-gu%C3%A3-rin-f-turquier-r-h-m-goossens-g-j-kleinrensink-j-jeekel-j-f-lange
#13
LETTER
https://www.readbyqxmd.com/read/28889330/desarda-s-technique-versus-lichtenstein-technique-for-the-treatment-of-primary-inguinal-hernia-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#14
REVIEW
S H Emile, H Elfeki
PURPOSE: The Lichtenstein technique (LT) has been recognized as the standard treatment for inguinal hernia in adults owing to the high recurrence rates of tissue-based repairs. However, Desarda technique (DT) appeared as promising tissue-based repair that provided low incidence of recurrence without the need for implanting prosthetic or foreign materials in the inguinal canal. This meta-analysis of randomized controlled trials (RCTs) comparing DT and LT for primary inguinal hernia in adults aimed to determine which technique had better clinical outcome regarding recurrence and complication rates...
September 9, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28887764/humanitarianism-in-surgery
#15
A D Schroeder, G Campanelli, M Cavalli, R Cusick, R Fitzgibbons, A Gilbert, C Lawson, J Manion, B Matthews, W Reinpold, S Roll, L-F Telemaque, J P Wagner, D C Chen, C J Filipi
PURPOSE: Humanitarianism is by definition a moral of kindness, benevolence and sympathy extended to all human beings. In our view as surgeons working in underserved countries, humanitarianism means performing the best operation in the best possible circumstances with high income country (HIC) results and training in-country surgeons to do the same. Hernia Repair for the Underserved (HRFU), a not for profit organization, is developing a long term public health initiative for hernia surgery in Western Hemisphere countries...
September 8, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28884464/tribute-to-volker-schumpelick-editor-in-chief-emeritus-of-hernia
#16
J Conze
No abstract text is available yet for this article.
September 7, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28871414/postoperative-urinary-retention-after-inguinal-hernia-repair-a-single-institution-experience
#17
A B Blair, A Dwarakanath, A Mehta, H Liang, X Hui, C Wyman, J P P Ouanes, H T Nguyen
PURPOSE: Inguinal hernia repair is a common general surgery procedure with low morbidity. However, postoperative urinary retention (PUR) occurs in up to 22% of patients, resulting in further extraneous treatments.This single institution series investigates whether patient comorbidities, surgical approaches, and anesthesia methods are associated with developing PUR after inguinal hernia repairs. METHODS: This is a single institution retrospective review of inguinal hernia from 2012 to 2015...
September 4, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28871403/comment-to-rectus-abdominis-atrophy-after-ventral-abdominal-incisions-midline-versus-chevron-by-vigneswaran-et-al
#18
LETTER
K K Jensen
No abstract text is available yet for this article.
September 4, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28871371/management-of-skin-and-subcutaneous-tissue-in-complex-open-abdominal-wall-reconstruction
#19
REVIEW
I Khansa, J E Janis
PURPOSE: Open abdominal wall reconstruction is often a complex endeavor, usually performed on patients with multiple risk factors and co-morbidities. METHODS: In this article, we review soft tissue management techniques that can optimize the skin and subcutaneous tissue, with the goal of reducing surgical-site occurrences. RESULTS: Regardless of the hernia repair technique used, outcomes can be highly dependent on the appropriate management of the skin and subcutaneous tissue...
September 4, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28864961/the-effect-of-smoking-on-surgical-outcomes-in-ventral-hernia-repair-a-propensity-score-matched-analysis-of-the-national-surgical-quality-improvement-program-data
#20
N P Borad, A M Merchant
PURPOSE: Although studies have implicated smoking as a positive predictor of post-operative outcomes in inguinal hernia repair, its impact on ventral hernia repair (VHR) is not as clear. This study aims to fill this gap by investigating the impact of smoking on developing adverse 30-day post-operative outcomes in VHR. METHODS: Patients undergoing VHR between 2005 and 2014 were extracted from the American College of Surgeons National Surgical Quality Improvement Program database...
September 1, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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