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https://www.readbyqxmd.com/read/27452954/comparative-analysis-of-biologic-versus-synthetic-mesh-outcomes-in-contaminated-hernia-repairs
#1
Arnab Majumder, Joshua S Winder, Yuxiang Wen, Eric M Pauli, Igor Belyansky, Yuri W Novitsky
BACKGROUND: Contaminated operative fields pose significant challenges for surgeons performing ventral hernia repair. Although biologic meshes have been utilized increasingly in these fields, recent evidence suggests that synthetic meshes represent a viable option. We analyzed the outcomes of biologic and synthetic mesh utilized in patients undergoing major ventral hernia repair in clean-contaminated/contaminated fields. METHODS: We conducted a multicenter, retrospective review of patients undergoing open ventral hernia repair in clean-contaminated/contaminated fields using biologic or synthetic mesh...
October 2016: Surgery
https://www.readbyqxmd.com/read/27349683/outcomes-of-retromuscular-porcine-biologic-mesh-repairs-using-transversus-abdominis-release-reconstruction
#2
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/27046443/a-prospective-randomized-double-blinded-controlled-trial-evaluating-indocyanine-green-fluorescence-angiography-on-reducing-wound-complications-in-complex-abdominal-wall-reconstruction
#3
Blair A Wormer, Ciara R Huntington, Samuel W Ross, Paul D Colavita, Amy E Lincourt, Tanushree Prasad, Ronald F Sing, Stanley B Getz, Igor Belyansky, B Todd Heniford, Vedra A Augenstein
BACKGROUND: The purpose of this prospective, randomized, double-blinded controlled trial was to investigate the utility of indocyanine green fluorescence angiography (ICG-FA) in reducing wound complications in complex abdominal wall reconstruction. MATERIALS AND METHODS: All consented patients underwent ICG-FA with SPY Elite after hernia repair and before flap closure. They were randomized into the control group, in which the surgical team was blinded to ICG-FA images and performed surgery as they normally would, or the experimental group, in which the surgery team viewed the images and could modify tissue flaps according to their findings...
May 15, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/26863296/laparoscopic-subxiphoid-hernia-repair-with-intracorporeal-suturing-of-mesh-to-the-diaphragm-as-a-means-to-decrease-recurrence
#4
Omar M Ghanem, Hamid R Zahiri, Stephen Devlin, Udai Sibia, Adrian Park, Igor Belyansky
BACKGROUND: Subxiphoid hernias are a rare complication of median sternotomy with an incidence of 1%-4.2%. Repair of subxiphoid hernias is technically demanding with recurrence rates of 42% and 30% following open and laparoscopic repairs, respectively. We present a novel approach to the laparoscopic repair of subxiphoid hernias with improved overlap and fixation. MATERIALS AND METHODS: A novel technique for repairing subxiphoid hernias is described. The falciform ligament is dissected superiorly toward the diaphragm to allow proper subfascial positioning of the mesh with adequate overlap...
February 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/26603694/laparoscopic-transversus-abdominis-release-a-novel-minimally-invasive-approach-to-complex-abdominal-wall-reconstruction
#5
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/24793575/umbilical-hernia-repair-with-mesh-identifying-effectors-of-ideal-outcomes
#6
Paul D Colavita, Igor Belyansky, Amanda L Walters, Alla Y Zemlyak, Amy E Lincourt, B Todd Heniford, Vedra A Augenstein
BACKGROUND: Quality of life has become an important focus for improvement in hernia repair. METHODS: The International Hernia Mesh Registry was queried. The Carolinas Comfort Scale quantitated quality of life at 1-month, 6-month, and annual follow-up. Scores of 0 (completely asymptomatic) in all categories without recurrence defined an ideal outcome. RESULTS: The analysis consisted of 363 umbilical hernia repairs; 18.7% were laparoscopic. Demographics included age of 51...
September 2014: American Journal of Surgery
https://www.readbyqxmd.com/read/24733063/impact-of-the-establishment-of-a-specialty-hernia-referral-center
#7
Kristopher B Williams, Igor Belyansky, Kristian T Dacey, Yuliya Yurko, Vedra A Augenstein, Amy E Lincourt, James Horton, Kent W Kercher, B Todd Heniford
BACKGROUND: Creating a surgical specialty referral center requires a strong interest, expertise, and a market demand in that particular field, as well as some form of promotion. In 2004, we established a tertiary hernia referral center. Our goal in this study was to examine its impact on institutional volume and economics. MATERIALS AND METHODS: The database of all hernia repairs (2004-2011) was reviewed comparing hernia repair type and volume and center financial performance...
December 2014: Surgical Innovation
https://www.readbyqxmd.com/read/24430889/regionalization-and-outcomes-of-hepato-pancreato-biliary-cancer-surgery-in-usa
#8
Paul D Colavita, Victor B Tsirline, Igor Belyansky, Ryan Z Swan, Amanda L Walters, Amy E Lincourt, David A Iannitti, B Todd Heniford
BACKGROUND: Recent publications demonstrate regionalization of complex operations to high-volume centers (HVCs) in the USA. We hypothesize that this pattern applies to hepato-pancreato-biliary (HPB) cancer resections and improved outcomes. METHODS: The Nationwide Inpatient Sample (NIS) data were analyzed from 1995-1999(T1) to 2005-2009(T2) for all HPB oncologic resections. Division of hospitals into high-, mid-, and low-volume centers (HVC, MVC, LVC) was performed...
March 2014: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/23896254/preoperative-pain-is-the-strongest-predictor-of-postoperative-pain-and-diminished-quality-of-life-after-ventral-hernia-repair
#9
Victor B Tsirline, Paul D Colavita, Igor Belyansky, Alla Y Zemlyak, Amy E Lincourt, B Todd Heniford
With evolution of hernia repair surgery, quality of life (QOL) became a major outcome measure in nearly 350,000 ventral hernia repairs (VHRs) performed annually in the United States. This study identified predictors of chronic pain after VHR. A prospective database of patient-reported QOL outcomes at a tertiary referral center was queried from 2007 to 2010; 512 patients met inclusion criteria. Factors including demographics, medical comorbidities, preoperative symptoms, and hernia characteristics were analyzed using advanced statistical modeling...
August 2013: American Surgeon
https://www.readbyqxmd.com/read/23896245/postoperative-quality-of-life-after-open-transinguinal-preperitoneal-inguinal-hernia-repair-using-memory-ring-or-three-dimensional-devices
#10
MULTICENTER STUDY
Kristopher B Williams, Joel F Bradley, Blair A Wormer, Alla Y Zemlyak, Amanda L Walters, Paul D Colavita, Amy E Lincourt, Victor B Tsirline, Igor Belyansky, B Todd Heniford
A transinguinal preperitoneal (TIPP) approach has become a common technique for inguinal hernia repair. Our goal was to compare the impact of the two mesh designs for this operation: a flat mesh with a memory ring device (MRD) or a three-dimensional device (3DD) containing both onlay and preperitoneal mesh components. The prospective International Hernia Mesh Registry (2007 to 2012) was queried for MRD and 3DD inguinal hernia repairs. Outcomes and patient quality of life (QOL), using the Carolinas Comfort Scale (CCS), were examined at 1, 6, 12, and 24 months...
August 2013: American Surgeon
https://www.readbyqxmd.com/read/23843156/quality-of-life-following-component-separation-versus-standard-open-ventral-hernia-repair-for-large-hernias
#11
David A Klima, Victor B Tsirline, Igor Belyansky, Kristian T Dacey, Amy E Lincourt, Kent W Kercher, B Todd Heniford
INTRODUCTION: Component separation (CS) has become a viable alternative to repair large ventral defects when the fascia cannot be reapproximated. However, the impact of transecting the external oblique to facilitate closure of the abdomen on quality of life (QOL) has yet to be investigated. The study goal was to investigate QOL and outcomes after standard open ventral hernia repair (OVHR) versus CS for large ventral hernias. STUDY DESIGN: Prospective data for all CSs were reviewed and compared with matched OVHR controls...
April 2014: Surgical Innovation
https://www.readbyqxmd.com/read/23816002/the-regionalization-of-ventral-hernia-repair-occurrence-and-outcomes-over-a-decade
#12
MULTICENTER STUDY
Paul D Colavita, Amanda L Walters, Victor B Tsirline, Igor Belyansky, Amy E Lincourt, Kent W Kercher, Ronald F Sing, B Todd Heniford
Ventral hernia repairs (VHRs) have always been considered standard general surgery cases. Recently, there has been a call for "Centers of Excellence." We sought to investigate outcomes and trends between high- and low-volume centers. The Nationwide Inpatient Sample (NIS) data were analyzed from 1998-1999 (T1) and 2008-2009 (T2) for all VHRs. Hospitals were stratified into high-, medium-, and low-volume centers (HVC/MVC/LVC). Demographics, comorbidities, and outcomes were compared. Surgical cases totaled 22,771 in T1 and 37,044 in T2...
July 2013: American Surgeon
https://www.readbyqxmd.com/read/23292674/preliminary-results-of-surgical-and-quality-of-life-outcomes-of-physiomesh-in-an-international-prospective-study
#13
Joel F Bradley, Kristopher B Williams, Blair A Wormer, Victor B Tsirline, Amanda L Walters, Ronald F Sing, Igor Belyansky, B Todd Heniford
Physiomesh is a novel, lightweight, large pore, polypropylene mesh designed to have flexibility that matches the compliance of the abdominal wall in an effort to improve patient quality of life (QOL). The International Hernia Mesh Registry was queried for ventral hernia repair (VHR) and inguinal hernia repair (IHR) with Physiomesh. Demographics, operative and postoperative details, and the Carolinas Comfort Scale (CCS) as a measure of QOL were recorded. Physiomesh was used in 100 patients, 29 IHR and 71 VHR...
December 2012: Surgical Technology International
https://www.readbyqxmd.com/read/23096973/discussion-a-decade-of-ventral-incisional-hernia-repairs-with-biologic-acellular-dermal-matrix-what-have-we-learned
#14
COMMENT
Igor Belyansky, B Todd Heniford
No abstract text is available yet for this article.
November 2012: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/23095614/prospective-long-term-comparison-of-quality-of-life-in-laparoscopic-versus-open-ventral-hernia-repair
#15
MULTICENTER STUDY
Paul D Colavita, Victor B Tsirline, Igor Belyansky, Amanda L Walters, Amy E Lincourt, Ronald F Sing, B Todd Heniford
OBJECTIVES: To compare laparoscopic ventral hernia repair (LVHR) versus open ventral hernia repair (OVHR) for quality of life (QOL), complications, and recurrence in a large, prospective, multinational study. INTRODUCTION: As recurrence rates have decreased for LVHR and OVHR, QOL has become an extremely important differentiating outcomes measure. METHODS: A prospective, international database was queried from September 2007 to July 2011 for LVHR and OVHR...
November 2012: Annals of Surgery
https://www.readbyqxmd.com/read/22911123/nationwide-inpatient-sample-have-antireflux-procedures-undergone-regionalization
#16
Paul D Colavita, Igor Belyansky, Amanda L Walters, Victor B Tsirline, Alla Y Zemlyak, Amy E Lincourt, B Todd Heniford
No abstract text is available yet for this article.
January 2013: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/22748537/radiofrequency-ablation-offers-a-reliable-surgical-modality-for-the-treatment-of-barrett-s-esophagus-with-a-minimal-learning-curve
#17
Alla Y Zemlyak, Thomas Pacicco, Ebrahem M Mahmud, Victor B Tsirline, Igor Belyansky, Amanda Walters, B Todd Heniford
Radiofrequency ablation (RFA) has gained popularity as treatment for Barrett's esophagus. Inclusive series of patients from initiation of our Barrett's Therapy Program were studied. Review of patients undergoing RFA for Barrett's was performed from September 2008 to May 2011. Patients' outcomes were recorded and analyzed using standard statistical methods. Seventy patients were treated. Average age was 61 (28-70); 80 per cent were male. Seventy-four per cent had dysplasia; 44 low-grade and eight high-grade...
July 2012: American Surgeon
https://www.readbyqxmd.com/read/22733198/laparoscopic-versus-open-hernia-repair-outcomes-and-sociodemographic-utilization-results-from-the-nationwide-inpatient-sample
#18
COMPARATIVE STUDY
Paul D Colavita, Victor B Tsirline, Amanda L Walters, Amy E Lincourt, Igor Belyansky, B Todd Heniford
INTRODUCTION: The differences and advantages of laparoscopic (LVHR) and open ventral hernia repair (OVHR) have been debated since laparoscopic hernia repair was first described. The purpose of this study is to compare LVHR and OVHR with mesh in the United States using the Nationwide Inpatient Sample (NIS). METHODS: The NIS, a representative sample of approximately 20% of all inpatient encounters in the United States, was queried for all ventral hernia repairs with graft or prosthesis in 2009 using ICD-9-CM codes...
January 2013: Surgical Endoscopy
https://www.readbyqxmd.com/read/22192896/application-of-subcutaneous-talc-after-axillary-dissection-in-a-porcine-model-safely-reduces-drain-duration-and-prevents-seromas
#19
COMPARATIVE STUDY
David A Klima, Igor Belyansky, Victor B Tsirline, Amy E Lincourt, Edward H Lipford, Stanley B Getz, B Todd Heniford
BACKGROUND: Talc, the most common pleurodesis agent, has recently been shown to prevent seromas and decrease drain duration when placed subcutaneously after large subcutaneous dissection accompanying open ventral hernia repair. We hypothesized that talc would decrease drain duration and prevent seromas after axillary dissection without local or systemic side effects. STUDY DESIGN: Six pigs underwent full, bilateral axillary dissection (n 12 dissections). Three animals each had aerosolized small particle (SP) talc and large particle (LP) talc sprayed unilaterally (TALC) before closure, with the contralateral axillary dissection serving as the control (NOTALC)...
March 2012: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/21997807/prospective-comparative-study-of-postoperative-quality-of-life-in-tep-tapp-and-modified-lichtenstein-repairs
#20
COMPARATIVE STUDY
Igor Belyansky, Victor B Tsirline, David A Klima, Amanda L Walters, Amy E Lincourt, Todd B Heniford
INTRODUCTION: The purpose of this study was to compare postoperative quality of life (QOL) in patients undergoing laparoscopic totally extraperitoneal (TEP), transabdominal preperitoneal (TAPP), or modified Lichtenstein (ML) hernia repairs. METHODS: The International Hernia Mesh Registry (2007-2010) was interrogated. 2086 patients who underwent 2499 inguinal hernia repairs were identified. A Carolinas Comfort Score was self-reported at 1-, 6-, 12-months and results were compared...
November 2011: Annals of Surgery
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