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https://www.readbyqxmd.com/read/28314871/-evidence-based-lichtenstein-technique
#1
W Reinpold, D Chen
Lichtenstein hernioplasty is the number one technique worldwide for open, mesh-based inguinal hernia repair. The principle of Lichtenstein hernioplasty is the tension-free reinforcement of the abdominal wall by covering the transversalis fascia and the oblique muscles with an artificial patch of mesh. The Lichtenstein technique has been modified since its inception. The technique has the benefits of low costs and a rapid learning curve and can be performed with the patient under local anesthesia. The recurrence rates after the Lichtenstein operation are significantly lower compared to open suture repair and equal to laparoendoscopic techniques...
March 17, 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28296756/transient-appearance-of-edta-dependent-pseudothrombocytopenia-in-a-postoperative-patient-with-sepsis-a-case-report
#2
Xiang Shi, Zhongyuan Lin, Liyan He, Wenchao Li, Lijun Mo, Yinyin Li, Zheng Yang, Wu-Ning Mo
RATIONALE: Ethylenediaminetetraacetic acid-dependent pseudothrombocytopenia (EDTA-PTCP) is a rare phenomenon characterized by spuriously low platelet counts when EDTA reacts with harvested blood. However, to the best of our knowledge, only two cases involving EDTA-PTCP in postoperative patients with sepsis have been reported. Here, we describe a case of EDTA-PTCP that appeared transiently in a postoperative patient with sepsis. PATIENT CONCERNS: A 68-year-old female patient underwent laparoscopic tension-free hernioplasty for incisional hernia...
March 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28289971/the-effect-of-transabdominal-preperitoneal-tapp-inguinal-hernioplasty-on-chronic-pain-and-quality-of-life-of-patients-mesh-fixation-versus-non-fixation
#3
Weiming Li, Dali Sun, Yanbo Sun, Yunyun Cen, Shumin Li, Qingwen Xu, Yijun Li, Yuxing Qi, Yueying Lin, Ting Yang, Pengyuan Xu
OBJECTIVES: The aim of this study was to compare the effect of transabdominal preperitoneal (TAPP) inguinal hernioplasty with or without mesh fixation on chronic pain and quality of life of patients. METHODS: One hundred patients with a simple oblique inguinal hernia were included and treated at the Second Affiliated Hospital of Kunming Medical University from July of 2015 to July of 2016. Patients were randomly assigned to TAPP inguinal hernioplasty with mesh fixation (fixation group, n = 50) or without mesh fixation (non-fixation group, n = 50)...
March 13, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28263435/anti-inflammatory-coatings-of-hernia-repair-meshes-a-pilot-study
#4
Dmitry Gil, James Rex, William Cobb, Vladimir Reukov, Alexey Vertegel
The current prevalence of postoperative chronic pain from hernioplasty procedures employing polymer mesh is close to 30%. Most of the researchers agree that oxidative stress, resulting from the release of oxidants and enzymes during acute inflammatory response, is a key factor in the development of posthernioplasty complications. This results in both the decrease of the biomechanical properties and stiffening of the polymer fibers of the mesh, leading to chronic pain. Moreover, enhanced activity of inflammatory cells can lead to an excessive deposition of connective tissue around the implant...
March 6, 2017: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://www.readbyqxmd.com/read/28260890/preparation-of-a-nano-and-micro-fibrous-decellularized-scaffold-seeded-with-autologous-mesenchymal-stem-cells-for-inguinal-hernia-repair
#5
Yinlong Zhang, Yuanyuan Zhou, Xu Zhou, Bin Zhao, Jie Chai, Hongyi Liu, Yifei Zheng, Jinling Wang, Yaozong Wang, Yilin Zhao
Prosthetic meshes used for hernioplasty are usually complicated with chronic pain due to avascular fibrotic scar or mesh shrinkage. In this study, we developed a tissue-engineered mesh (TEM) by seeding autologous bone marrow-derived mesenchymal stem cells onto nanosized fibers decellularized aorta (DA). DA was achieved by decellularizing the aorta sample sequentially with physical, mechanical, biological enzymatic digestion, and chemical detergent processes. The tertiary structure of DA was constituted with micro-, submicro-, and nanosized fibers, and the original strength of fresh aorta was retained...
2017: International Journal of Nanomedicine
https://www.readbyqxmd.com/read/28257318/the-hippo-trial-a-randomized-double-blind-trial-comparing-self-gripping-parietex-progrip-mesh-and-sutured-parietex-mesh-in-lichtenstein-hernioplasty-a-long-term-follow-up-study
#6
Marijke J Molegraaf, Brechtje Grotenhuis, Bart Torensma, Victor de Ridder, Johan F Lange, Dingeman J Swank
OBJECTIVE: To evaluate the effect of a self-gripping mesh (Progrip) on the incidence of chronic postoperative inguinal pain (CPIP) and recurrence rate after Lichtenstein hernioplasty. BACKGROUND: Chronic pain is the most common complication of inguinal hernioplasty. One of the causes may be the use of sutures to secure the mesh. METHODS: Adult male patients undergoing Lichtenstein hernioplasty for a primary unilateral inguinal hernia were randomized to a self-gripping polyester mesh or a sutured polyester mesh...
March 2, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28255618/absent-external-oblique-musculo-aponeurotic-complex-during-inguinal-hernioplasty-a-case-report-and-review-of-literature
#7
Royson Dsouza, Nachiket Shankar, Rohin Gurubatham, Wesley Rajaleelan, Nandakumar Menon
The external oblique musculo-aponeurotic complex is an important contributor to the strength of the inguinal canal. The present case report describes the bilateral absence of the external oblique muscle in a patient. A 40-year-old male patient presented with a history of intermittent lower abdominal pain for 15 years which had increased over the past 2 years. Abdominal examination revealed bilateral reducible, incomplete, direct inguinal hernia. Elective bilateral Lichtenstein's mesh hernioplasty was planned for the patient...
March 3, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28251124/laparoscopic-repair-of-parastomal-hernia
#8
Xuefei Yang, Kai He, Rong Hua, Qiwei Shen, Qiyuan Yao
Parastomal hernia is one of the most common long-term complications after abdominal ostomy. Surgical treatment for parastomal hernia is the only cure but a fairly difficult field because of the problems of infection, effects, complications and recurrence. Laparoscopic repair operations are good choices for Parastomal hernia because of their mini-invasive nature and confirmed effects. There are several major laparoscopic procedures for parastomal hernioplasty. The indications, technical details and complications of them will be introduced and discussed in this article...
February 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/28174148/local-anesthesia-versus-local-anesthesia-and-conscious-sedation-for-inguinal-hernioplasty-protocol-of-a-randomized-controlled-trial
#9
Pierre-Anthony Leake, Patrick J Toppin, Marvin Reid, Joseph M Plummer, Patrick O Roberts, Hyacinth Harding-Goldson, Michael E McFarlane
BACKGROUND: Conscious sedation is regularly used in ambulatory surgery to improve patient outcomes, in particular patient satisfaction. Reports suggest that the addition of conscious sedation to local anesthesia for inguinal hernioplasty is safe and effective in improving patient satisfaction. No previous randomized controlled trial has assessed the benefit of conscious sedation in this regard. OBJECTIVE: To determine whether the addition of conscious sedation to local anesthesia improves patient satisfaction with inguinal hernioplasty...
February 7, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28170080/mesh-fixation-with-glue-versus-suture-for-chronic-pain-and-recurrence-in-lichtenstein-inguinal-hernioplasty
#10
REVIEW
Ping Sun, Xiang Cheng, Shichang Deng, Qinggang Hu, Yi Sun, Qichang Zheng
BACKGROUND: Chronic pain following mesh-based inguinal hernia repair is frequently reported, and has a significant impact on quality of life. Whether mesh fixation with glue can reduce chronic pain without increasing the recurrence rate is still controversial. OBJECTIVES: To determine whether tissue adhesives can reduce postoperative complications, especially chronic pain, with no increase in recurrence rate, compared with sutures for mesh fixation in Lichtenstein hernia repair...
February 7, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28164741/single-incision-laparoscopic-inguinal-hernioplasty-versus-conventional-laparoscopic-inguinal-hernioplasty
#11
Shanshan Luo, Shike Wu, Hao Lai, Xianwei Mo, Jiansi Chen
PURPOSE: Additional studies comparing single-incision laparoscopic inguinal hernioplasty (SILH) and conventional laparoscopic inguinal hernioplasty (CLH) have been published, and this study updates the meta-analysis of this subject. METHODS: Two reviewers independently searched the PubMed, Embase, Google Scholar, and Cochrane Library electronic databases to locate original articles that compared SILH and CLH for inguinal hernia that were published until October 2015...
January 1, 2017: Surgical Innovation
https://www.readbyqxmd.com/read/28133091/-two-cases-pancreatic-carcinoma-detected-incidentally-during-treatment-of-acute-abdomen-from-other-causes
#12
Shigeru Fujisaki, Motoi Takashina, Ryouichi Tomita, Kenichi Sakurai, Tadatoshi Takayama
We report 2 cases of pancreatic cancer discovered incidentally in the wake of acute abdomen from other causes. Case 1 is a 67-year-old man who was referred to our hospital in October 2010 for the treatment of an incarcerated right inguinal hernia. The hernia was manually reduced, and mesh plug hernioplasty was scheduled for the next day. A 2.9 cm diameter tumor was detected in the tail of the pancreas on plain CT at the first visit and confirmed on enhanced CT soon after the hernia repair. A follow-up abdominal CT scan approximately 1 month later showed modest enlargement of the tumor to 3...
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28132034/-clinical-evaluation-of-the-new-antiseptic-meshes
#13
M Gogoladze, M Kiladze, T Chkhikvadze, D Jiqia
Improving the results of hernia treatment and prevention of complications became a goal of our research which included two parts - experimental and clinical. Histomorphological and bacteriological researches showed that the best result out of the 3 control groups was received in case of covering implant "Coladerm"+ with chlorhexidine. Based on the experiment results working process continued in clinics in order to test and introduce new "coladerm"+ chlorhexidine covered poliprophilene meshes into practice. For clinical illustration there were 60 patients introduced to the research who had hernioplasty procedures by different nets: I group - standard meshes+"coladerm"+chlorhexidine, 35 patients; II group - standard meshes +"coladerm", 15 patients; III group - standard meshes, 10 patients...
December 2016: Georgian Medical News
https://www.readbyqxmd.com/read/28078456/a-video-presentation-on-technique-of-laparoscopic-redo-of-stenotic-gastrojejunostomy-with-hiatal-hernioplasty-and-right-crural-release-in-a-patient-with-previous-roux-en-y-gastric-bypass
#14
Amit Surve, Hinali Zaveri, Daniel Cottam, LeGrand Belnap, Walter Medlin, Christina Richards, Austin Cottam, Samuel Cottam
No abstract text is available yet for this article.
January 11, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28065949/hernioplasty-tension-free-mesh-repair-versus-mayos-repair-for-umbilical-hernias
#15
Nazir Ahmed Tunio
OBJECTIVE: To compare two different techniques of repairing umbilical hernia. METHODS: The comparative study was conducted from April 2009 to December 2011 at the Gambat Institute of Medical Sciences, Gambat, Pakistan, and comprised hernia patients who were randomly allocated to group A and group B. In group A, repair was carried with tension free hernioplasty, while group B underwent Mayo's repair. All patients were operated by the same consultant surgeon. All patients were followed up for 36 months...
January 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28044960/transversus-abdominis-muscle-release-tar-for-large-incisional-hernia-repair
#16
Valentin Oprea, Victor Gheorghe Radu, Doru Moga
Background: complex ventral hernia repair is a frequent and challenging topic. Reconstructive techniques are numerous but most of them are unable to achieve the goals of hernioplasty. Posterior component separation with transverses abdominis muscle release (TAR) is a novel approach that offers a solution for complex ventral hernias. METHOD: The posterior rectus sheath is incised and the retrorectus plane is developed. In a modification of the Rives-Stoppa technique, the transversus abdominis is released medial to the linea semilunaris to expose a broad plane that extends from the central tendon of the diaphragm superiorly, to the space of Retzius inferiorly, and laterally to the retro-peritoneum...
November 2016: Chirurgia
https://www.readbyqxmd.com/read/28032550/three-year-results-of-a-randomized-study-comparing-self-gripping-mesh-with-sutured-mesh-in-open-inguinal-hernia-repair
#17
Ceith Nikkolo, Tiit Vaasna, Marko Murruste, Jaanus Suumann, Ülle Kirsimägi, Helmut Seepter, Andres Tein, Urmas Lepner
BACKGROUND: The primary aim of the present study was to evaluate whether usage of self-gripping mesh in open inguinal hernia repair, compared with standard Lichtenstein repair with sutured mesh, could result in a decreased rate of chronic pain. The secondary aim was to evaluate the rate of foreign body feeling, hernia recurrence, and risk factors for chronic pain development. METHODS: The patients were randomized into two study groups: the OLP group received Optilene LP mesh and the PPG group received self-gripping Parietex ProGrip mesh...
October 15, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/28025741/prospective-study-evaluating-the-impact-of-severity-of-chronic-pain-on-quality-of-life-after-inguinal-hernioplasty
#18
C Nikkolo, Ü Kirsimägi, T Vaasna, M Murruste, J Suumann, H Seepter, U Lepner
PURPOSE: The definition of chronic pain after inguinal hernioplasty and the methods of its assessment vary a great deal, which make it complicated to conduct meta-analyses. The primary aim of the present prospective study was to evaluate at which pain severity degree the quality-of-life scores will be reduced. METHOD: A prospective study of patients operated for inguinal hernia was conducted. A pain questionnaire and a quality-of-life (QoL) questionnaire were completed...
April 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28018702/laparoscopic-fenestration-of-a-giant-pseudocyst-after-totally-extra-peritoneal-inguinal-hernia-repair
#19
Yu-Ting van Loon, Maaike S Ibelings
A giant pseudocyst is a rare complication after hernioplasty and is seldom seen. The pathophysiology is unclear; it characteristically does not contain epithelial lining and can be considered giant if the diameter exceeds 10 cm. Pseudocysts are mostly described after incisional hernia repairs and are usually treated with surgical resection. We report a case of a giant pseudocyst three years after totally extra peritoneal inguinal hernia repair. Laparoscopic fenestration without removing the pseudocyst with or without removal of the polypropylene mesh is a safe and effective minimal invasive approach to the treatment of a symptomatic pseudocyst and should also be considered in the approach of other large symptomatic cysts...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/28008400/obscure-overt-gastrointestinal-bleeding-secondary-to-ventral-hernioplasty-mesh-small-bowel-perforation-visualized-with-video-capsule-endoscopy
#20
Yumi Mendez-Ishizaki, Javier L Parra
We report a case of a 79-year-old female presenting with hematemesis and melena 9 years after ventral hernioplasty with mesh. After initial normal endoscopy and colonoscopy, video capsule endoscopy revealed a metallic wire mesh perforating the jejunum. Abdominal computed tomography did not identify a perforation although metallic mesh was visualized close to the small bowel. We present the first ventral hernia mesh perforation diagnosed via video capsule endoscopy. Such a finding emphasizes the importance of a complete diagnostic workup when approaching a patient with obscure overt gastrointestinal bleeding...
August 2016: ACG Case Reports Journal
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