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Transversus abdomini release

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https://www.readbyqxmd.com/read/27757337/abdominal-closure-after-tram-flap-breast-reconstruction-with-transversus-abdominis-muscle-release-and-mesh
#1
Antonio Espinosa-de-Los-Monteros, Héctor Avendano-Peza, Yuri W Novitsky
Breast reconstruction with a pedicled transverse rectus abdominis muscle (TRAM) flap can result in significant abdominal wall donor-site morbidity. Although the pedicled TRAM flap donor area reinforced with mesh results in decreased rates of postoperative abdominal bulging and hernias, the best technique to accomplish that is yet to be elucidated. We present our novel technique of posterior components separation with transversus abdominis muscle release and retromuscular mesh reinforcement for donor-area closure during pedicled TRAM flap breast reconstruction...
September 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27728955/laparoscopic-stapled-sublay-repair-with-self-gripping-mesh-a-simplified-technique-for-minimally-invasive-extraperitoneal-ventral-hernia-repair
#2
Alexandra M Moore, Lisa N Anderson, David C Chen
INTRODUCTION: Minimally invasive laparoscopic and robotic techniques for ventral hernia repair have evolved to achieve the benefits and minimize the limitations of both the open Rives-Stoppa sublay mesh repair and laparoscopic intraperitoneal onlay mesh (IPOM) repair. By combining the principles of a retromuscular repair with the benefits of a minimally invasive approach, these techniques attempt to decrease recurrence, increase functionality, exclude mesh from the viscera, limit infection and wound complications, and minimize pain...
October 6, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27558150/liposomal-bupivacaine-peripheral-nerve-block-for-the-management-of-postoperative-pain
#3
REVIEW
Thomas W Hamilton, Vassilis Athanassoglou, Marialena Trivella, Louise H Strickland, Stephen Mellon, David Murray, Hemant G Pandit
BACKGROUND: Postoperative pain remains a significant issue with poor perioperative pain management associated with an increased risk of morbidity and mortality. Liposomal bupivacaine is an analgesic consisting of bupivacaine hydrochloride encapsulated within multiple, non-concentric lipid bi-layers offering a novel method of sustained release. OBJECTIVES: To assess the analgesic efficacy and adverse effects of liposomal bupivacaine infiltration peripheral nerve block for the management of postoperative pain...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27513800/initial-uk-experience-with-transversus-abdominis-muscle-release-for-posterior-components-separation-in-abdominal-wall-reconstruction-of-large-or-complex-ventral-hernias-a-combined-approach-by-general-and-plastic-surgeons
#4
N D Appleton, K D Anderson, K Hancock, M H Scott, C J Walsh
INTRODUCTION Large, complicated ventral hernias are an increasingly common problem. The transversus abdominis muscle release (TAMR) is a recently described modification of posterior components separation for repair of such hernias. We describe our initial experience with TAMR and sublay mesh to facilitate abdominal wall reconstruction. METHODS The study is a retrospective review of patients undergoing TAMR performed synchronously by gastrointestinal and plastic surgeons. RESULTS Twelve consecutive patients had their ventral hernias repaired using the TAMR technique from June 2013 to June 2014...
August 11, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27414154/transversus-abdominis-muscle-release-innovations-in-technique-can-still-happen
#5
Benjamin K Poulose
No abstract text is available yet for this article.
August 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27352787/differences-in-midline-fascial-forces-exist-following-laparoscopic-and-open-transversus-abdominis-release-in-a-porcine-model
#6
Joshua S Winder, Jerome Lyn-Sue, Allen R Kunselman, Eric M Pauli
INTRODUCTION: Posterior component separation herniorrhaphy via transversus abdominis release (TAR) permits midline reapproximation of large fascial defects. To date, no report delineates the reduction in tensile force to reapproximate midline fascia following TAR. We hypothesized that open and laparoscopic TAR would provide similar reductions in midline reapproximation forces in a porcine model. METHODS: Under general anesthesia, a 20-cm midline laparotomy was created and bilateral lipocutaneous flaps were raised to expose the anterior rectus sheath...
June 28, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27349683/outcomes-of-retromuscular-porcine-biologic-mesh-repairs-using-transversus-abdominis-release-reconstruction
#7
Mojtaba Fayezizadeh, Arnab Majumder, Igor Belyansky, Yuri W Novitsky
BACKGROUND: Optimal mesh reinforcement and operative technique for major abdominal wall reconstructions (AWR) remain debatable. Posterior component separation via transversus abdominis release (TAR) allows for wide sublay mesh reinforcement with durable reconstruction, and has been gaining popularity in recent years. Although biologic mesh has been associated with mixed results, outcomes of AWR with bioprosthetics have not been well elucidated to date. We evaluated our outcomes of TAR reconstructions with retromuscular porcine biologic mesh reinforcement...
September 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27152591/reply-posterior-component-separation-with-transversus-abdominis-release-technique-utility-and-outcomes-in-complex-abdominal-wall-reconstruction
#8
Christine M Jones, Joshua S Winder, John D Potochny, Eric M Pauli
No abstract text is available yet for this article.
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27152590/posterior-component-separation-with-transversus-abdominis-release-technique-utility-and-outcomes-in-complex-abdominal-wall-reconstruction
#9
Riccardo Gazzola, Michele Lombardo, Riccardo Rosati, Franz Wilhelm Baruffaldi Preis
No abstract text is available yet for this article.
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27107825/transversus-abdominis-release-for-abdominal-wall-reconstruction-early-experience-with-a-novel-technique
#10
Joshua S Winder, Brittany J Behar, Ryan M Juza, John Potochny, Eric M Pauli
BACKGROUND: Ventral hernias are common sequelae of abdominal surgery. Recently, transversus abdominis release has emerged as a viable option for large or recurrent ventral hernias. Our objective was to determine the outcomes of posterior component separation via transversus abdominis release for the treatment of abdominal wall hernias in the first series of patients at one institution. METHODS: We performed a retrospective review of a prospectively maintained database of open ventral hernia repair patients to identify patients who underwent posterior component separation via transversus abdominis release at one institution from 2012 to 2015...
August 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27049780/benefits-of-multimodal-enhanced-recovery-pathway-in-patients-undergoing-open-ventral-hernia-repair
#11
Arnab Majumder, Mojtaba Fayezizadeh, Ruel Neupane, Heidi L Elliott, Yuri W Novitsky
BACKGROUND: Use of Enhanced Recovery After Surgery (ERAS) pathways have evidenced improved outcomes in several surgical specialties. The effectiveness of ERAS pathways specific to hernia surgery, however, has not yet been investigated. We hypothesized that our ERAS pathway would accelerate functional recovery and shorten hospitalization in patients undergoing open ventral hernia repair (VHR). STUDY DESIGN: Consecutive patients undergoing open major VHR using transversus abdominis release and sublay synthetic mesh placement, with use of our ERAS pathway, were compared with a historical cohort before ERAS implementation...
June 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27023876/how-i-do-it-novel-parastomal-herniorrhaphy-utilizing-transversus-abdominis-release
#12
Eric M Pauli, Ryan M Juza, Joshua S Winder
INTRODUCTION: Parastomal hernias are a complex surgical problem affecting a large number of patients. Recurrences continue to occur despite various methods of repair. We present a novel method of open parastomal hernia repair with retromuscular mesh reinforcement in a modified Sugarbaker configuration. METHODS: A full mildline laparotomy is performed and all adhesions are taken down. We then perform an open parastomal hernia repair by utilizing retromuscular dissection, posterior component separation via transversus abdominis release, and lateralization of the bowel utilizing a modified Sugarbaker mesh configuration within the retromuscular space...
August 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/26910200/outcomes-of-posterior-component-separation-with-transversus-abdominis-muscle-release-and-synthetic-mesh-sublay-reinforcement
#13
Yuri W Novitsky, Mojtaba Fayezizadeh, Arnab Majumder, Ruel Neupane, Heidi L Elliott, Sean B Orenstein
OBJECTIVE: To evaluate the safety and efficacy of transversus abdominis muscle release (TAR) with retrorectus synthetic mesh reinforcement in a large series of complex hernia patients. BACKGROUND: Posterior component separation via TAR during abdominal wall reconstruction (AWR) continues to gain popularity. Although our early experience with TAR has been promising, long-term outcomes have not been reported. METHODS: From December 2006 to December 2014, consecutive patients undergoing open AWR utilizing TAR were identified in our prospectively maintained database and reviewed retrospectively...
August 2016: Annals of Surgery
https://www.readbyqxmd.com/read/26886501/transversus-abdominis-release-as-an-alternative-component-separation-technique-for-ventral-hernia-repair
#14
Jeffrey A Blatnik, David M Krpata, Yuri W Novitsky
No abstract text is available yet for this article.
April 2016: JAMA Surgery
https://www.readbyqxmd.com/read/26818302/posterior-component-separation-with-transversus-abdominis-release-technique-utility-and-outcomes-in-complex-abdominal-wall-reconstruction
#15
REVIEW
Christine M Jones, Joshua S Winder, John D Potochny, Eric M Pauli
BACKGROUND: Ventral hernia formation is a frequent and increasingly difficult problem. Nonmidline hernias, parastomal hernias, hernias near bony landmarks, and recurrent ventral hernias (especially after anterior component separation) present particular challenges. Typical reconstructive techniques may struggle to reestablish abdominal domain and to create a lasting repair. Posterior component separation with transversus abdominis release is a novel technique that offers a durable solution to a variety of complex ventral hernias...
February 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26673040/impact-of-volume-expansion-on-the-efficacy-and-pharmacokinetics-of-liposome-bupivacaine
#16
REVIEW
Admir Hadzic, John A Abikhaled, William J Harmon
Liposome bupivacaine is a prolonged-release liposomal formulation of bupivacaine indicated for single-dose infiltration into the surgical site to produce postsurgical analgesia of longer duration than traditional local anesthetics. This review summarizes the available data on how volume expansion may impact the analgesic efficacy of liposome bupivacaine. The Phase II and III clinical studies that involved surgical site administration of liposome bupivacaine at various concentrations in different surgical settings revealed no apparent concentration-efficacy relationship...
2015: Local and Regional Anesthesia
https://www.readbyqxmd.com/read/26642754/increased-sliding-of-transverse-abdominis-during-contraction-after-myofascial-release-in-patients-with-chronic-low-back-pain
#17
Yen-Hua Chen, Huei-Ming Chai, Yio-Wha Shau, Chung-Li Wang, Shwu-Fen Wang
PURPOSE: Recent evidence suggested the significance of integrity of the tension balance of the muscle-fascia corset system in spinal stability, particularly the posterior musculofascial junction which is adjacent to dorsal located paraspinal muscles joining each other at lateral raphe (LR). The purpose of this study was to compare the contraction of the transversus abdominis (TrA) at both anterior and posterior musculofascial muscle-fascia junctions in patients with low back pain (LBP) and asymptomatic participants before and immediately after a sustained manual pressure to LR...
June 2016: Manual Therapy
https://www.readbyqxmd.com/read/26603694/laparoscopic-transversus-abdominis-release-a-novel-minimally-invasive-approach-to-complex-abdominal-wall-reconstruction
#18
Igor Belyansky, H Reza Zahiri, Adrian Park
BACKGROUND: Open abdominal wall reconstruction is used to repair complex abdominal wall hernias with contour abnormalities. We present a novel minimally invasive approach to address these types of defects, completed entirely laparoscopically. METHODS: Three patients underwent laparoscopic abdominal wall reconstruction for complex hernias in August and September of 2015. Operative approach consisted of laparoscopic transversus abdominis components separation, defect closure, and wide mesh implantation in the retromuscular space...
April 2016: Surgical Innovation
https://www.readbyqxmd.com/read/26055001/value-based-clinical-quality-improvement-cqi-for-patients-undergoing-abdominal-wall-reconstruction
#19
Bradley Stephan, Bruce Ramshaw, Brandie Forman
Patients with complex ventral/incisional hernias often undergo an abdominal wall reconstruction (AWR). These operations have a high cost of care and often result in a long hospital stay and high complication rates. Using the principles of clinical quality improvement (CQI), several attempts at process improvement were implemented in one hernia program over a 3-year period. For consecutive cases of patients undergoing abdominal wall reconstruction, process improvement attempts included the use of a long-term resorbable synthetic mesh (TIGR® Resorbable Matrix, Novus Scientific, Uppsala, Sweden) in place of a biologic mesh, the use of the transversus abdominis release approach in place of an open or endoscopic component separation (external oblique release) technique, and the use of a preoperative transversus abdominis plane (TAP) block using a long-acting local anesthetic (Exparel®, Pacira Pharmaceutical, Parsippany, NJ) as a part of perioperative multi-modal pain management and an enhanced recovery program...
May 2015: Surgical Technology International
https://www.readbyqxmd.com/read/26026668/reply-to-comment-to-article-posterior-component-separation-with-transversus-abdominis-release-successfully-addresses-recurrent-ventral-hernias-following-anterior-component-separation-bruce-tulloh-andrew-charles-de-beaux-doi-10-1007-s10029-015-1391-4
#20
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