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Abdominal wall hernia

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https://www.readbyqxmd.com/read/28917019/the-trend-toward-minimally-invasive-complex-abdominal-wall-reconstruction-is-it-worth-it
#1
Igor Belyansky, Adam S Weltz, Udai S Sibia, Justin J Turcotte, Haley Taylor, H Reza Zahiri, T Robert Turner, Adrian Park
BACKGROUND: Open abdominal wall reconstruction (AWR) was previously one of the only methods available to treat complex ventral hernias. We set out to identify the impact of laparoscopy and robotics on our AWR program by performing an economic analysis before and after the institution of minimally invasive AWR. METHODS: We retrospectively reviewed inpatient hospital costs and economic factors for a consecutive series of 104 AWR cases that utilized separation of components technique (57 open, 38 laparoscopic, 9 robotic)...
September 15, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28917010/differences-of-alternative-methods-of-measuring-abdominal-wall-hernia-defect-size-a-prospective-observational-study
#2
Deepa V Cherla, Debbie F Lew, Richard J Escamilla, Julie L Holihan, Arun S Cherla, Juan Flores-Gonzalez, Tien C Ko, Lillian S Kao, Mike K Liang
BACKGROUND: Despite the importance of defect size, there are no standardized recommendations on how to measure ventral hernias. Our aims were to determine (1) if any significant differences existed between various methods of measuring ventral hernias and (2) the effect of these methods of measurement on selection of mesh size. METHOD: A prospective study of all patients enrolled in a randomized trial assessing laparoscopic ventral hernia repair at a single institution from 3/2015 to 7/2016 was eligible for inclusion...
September 15, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28915205/postoperative-pain-after-laparoscopic-repair-of-primary-umbilical-hernia-titanium-tacks-versus-absorbable-tacks-a-prospective-comparative-cohort-analysis-of-80-patients-with-a-long-term-follow-up
#3
Vincent M A Stirler, Erol G Nallayici, Robbert J de Haas, Johan T F J Raymakers, Srdjan Rakic
We investigated if a novel fixation device with absorbable tacks (Securestrap) causes less early and chronic postoperative pain after laparoscopic repair with a double-crown mesh fixation of ventral abdominal wall hernia when compared with the standard fixation device with nonabsorbable titanium tacks (Protack). The primary outcome measure was early postoperative pain at 2, 6, and 12 weeks postoperatively. The secondary outcome measure was chronic postoperative pain measured ≥18 months after surgery. Pain levels were assessed using a visual analog scale ranging from 0 (no pain) to 100 mm (excruciating pain)...
September 14, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28903762/mesh-penetrating-the-cecum-and-bladder-following-inguinal-hernia-surgery-a-case-report
#4
Hiroshi Asano, Saori Yajima, Yoshie Hosoi, Makoto Takagi, Hiroyuki Fukano, Yasuhiro Ohara, Nozomi Shinozuka, Takaya Ichimura
BACKGROUND: Tension-free repair using mesh is a common inguinal hernia surgical procedure. However, various complications such as mesh-related infection and recurrence may develop as a result. Moreover, although rare, there are also reports of intestinal obstruction caused by adhesion of the mesh to the intestinal wall and cases of mesh migration into various organs. Here, we report our experience with a patient in whom mesh extraction was performed due to migration of mesh into the intestinal tract following inguinal hernia surgery and formation of a fistula with the bladder...
September 14, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28901533/characteristics-of-different-mesh-types-for-abdominal-wall-repair-in-an-experimental-model-of-peritonitis
#5
R Kaufmann, A P Jairam, I M Mulder, Z Wu, J Verhelst, S Vennix, L J X Giesen, M C Clahsen-van Groningen, J Jeekel, J F Lange
BACKGROUND: The use of synthetic mesh to repair a potentially contaminated incisional hernia may lead to higher failure rates. A biological mesh might be considered, but little is known about long-term results. Both biological and synthetic meshes were investigated in an experimental model of peritonitis to assess their characteristics in vivo. METHODS: Male Wistar rats were randomized into five groups and peritonitis was induced. A mesh was implanted after 24 h...
September 13, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28894618/percutaneous-emergency-needle-caecostomy-for-prevention-of-caecal-perforation
#6
Alexandra M Limmer, Zackariah Clement
Caecal perforation is a life-threatening complication of large bowel obstruction with a reported mortality of 34% to 72%. This case describes the novel use of percutaneous needle caecostomy as a life-saving measure to prevent imminent caecal perforation in a 68-year-old lady with large bowel obstruction secondary to an incarcerated incisional hernia. After careful review of computed tomography images and measurement of distances from the abdominal wall to the caecum, the patient's caecum was decompressed in the emergency department using a needle under local anaesthetic...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28894539/prevalence-risk-factors-and-character-of-abdominal-hernia-in-arar-city-northern-saudi-arabia-in-2017
#7
Abdulmajeed AhmedAlenazi, Mahmoud Mohammed Alsharif, Malik Azhar Hussain, Naif Gharbi Alenezi, Abdulrhman Ahmed Alenazi, Shouq Amjad Almadani, Nour Homoud Alanazi, Jazzaa Hammad Alshammari, Alwaleed Oqab Altimyat, Tariq Hulayyil Alanazi
BACKGROUND: Abdominal wall hernias are a very common surgical condition affecting all ages and both sexes. The main risk factors of hernias include pregnancy, weight lifting, constipation, and weight gain. OBJECTIVE: The aim of this study was to determine the prevalence and risk factors of abdominal hernias, their causes, treatment and complications among both sexes of the Arar population (Saudi Arabia). METHODS: A cross-sectional study was conducted among 1,567 adults living in Arar city in 2017...
July 2017: Electronic Physician
https://www.readbyqxmd.com/read/28892783/internal-supravesical-hernia-repaired-via-the-anterior-approach-alone-a-case-report
#8
Masaki Morimoto, Soichiro Honjo, Teruhisa Sakamoto, Naruo Tokuyasu, Yosuke Arai, Masataka Amisaki, Ei Uchinaka, Yasuro Kurisu, Sadamu Takahashi, Hiroshi Watanabe, Satoshi Nagai, Yoshiyuki Fujiwara
INTRODUCTION: Internal supravesical hernia is one of the rarest types of inguinal hernia. The hernial orifice is surrounded by the transverse vesical fold, median umbilical fold, and medial umbilical fold. PRESENTATION OF CASE: A 75-year-old male presented with lower abdominal pain and nausea. Plain abdominal CT showed that the bladder was suppressed by small bowel near the left internal inguinal ring. A part of the small bowel wall seemed to be inlaid, and so the patient was diagnosed with a strangulated left inguinal hernia...
August 24, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28892467/a-new-approach-to-umbilical-hernia-repair-the-circular-suture-technique-for-defects-less-than-2-cm
#9
Ihsan Yıldız, Yavuz Savas Koca
BACKGROUND: Umbilical hernia, unlike other abdominal wall hernias, occurs when the umbilical ring opens and expands. Its' symptoms and complications show similarities with other hernias. Although there are various repair techniques, there is not a standard technique yet. This paper investigated the outcomes of double layer circular suture technique as a new approach in the repair of umbilical hernia. MATERIAL AND METHOD: A total number of 282 patients comprised of 102 males and 180 females with an age range of 18-89 whose umbilical hernias were repaired between 2002 and 2013, retrospectively studied in two groups group 1 (circular suture technique) and group 2 (open primary suture)...
May 18, 2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/28890392/natural-history-and-predictors-of-parastomal-hernia-after-robot-assisted-radical-cystectomy-and-ileal-conduit-urinary-diversion
#10
Ahmed A Hussein, Youssef E Ahmed, Paul May, Taimoor Ali, Basim Ahmad, Sana Raheem, Kevin Stone, Adam Hasasnah, Omer Rana, Adam Cole, Derek Wang, Peter Loud, Khurshid A Guru
INTRODUCTION: We investigated the prevalence, variables associated with parastomal hernia (PSH), and its outcomes of after robot-assisted radical cystectomy (RARC) and ileal conduit (IC) for bladder cancer. METHODS: Retrospective review of RARC at our institution was conducted. PSH was defined as protrusion of abdominal contents through the stoma defect in the abdominal wall on cross sectional imaging. PSH was further described in terms of patient and hernia characteristics, symptoms, management and outcomes...
September 7, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28878603/abdominal-mass-after-robotic-assisted-laparoscopic-prostatectomy-spigelian-type-trocar-hernia
#11
Seyed Behzad Jazayeri, Johnson F Tsui, David B Samadi
Prostate cancer is the most common cancer in men. Men are diagnosed at early stages of prostate cancer with the use of prostate specific antigen. Surgical removal of the prostate is the standard treatment in localized prostate cancer. Complications after surgical procedures are inevitable. Although robotic prostatectomy has resulted in decreased complications compared to open surgery, complications occur. After an uneventful robotic assisted laparoscopic prostatectomy in a 71-year-old gentleman, with history of chronic cough and continued low dose glucocorticoid use, the patient returned to hospital with complain of a tender abdominal mass in right lower quadrant...
August 2017: Current Urology
https://www.readbyqxmd.com/read/28876612/laparoscopic-ventral-hernia-repair-a-single-surgeon-study-using-a-circumferential-transfascial-suture-technique
#12
G Campbell, R P Mills
BACKGROUND: The ideal technique for ventral primary and incisional hernia repair is unclear. There is a paucity of literature from South African authors. In this report, a standardised technique of intraperitoneal mesh placement and fixation is described. METHOD: A retrospective study of 152 patient records. Each patient underwent laparoscopic ventral hernia repair between 2007 and 2016 by a single surgeon. A standardised technique was used in every operation. In each case a circumferential mesh overlap of 5 centimetres from the defect was achieved...
September 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28874630/decellularized-human-dermal-matrix-produced-by-a-skin-bank-a-new-treatment-for-abdominal-wall-defects
#13
Martina Ghetti, Elena Bondioli, Valeria Purpura, Giovanna Cenacchi, Paolo Ruscelli, Davide Melandri
BACKGROUND: Interest is increasing for human decellularized scaffolds for their ability to favor healing and cell infiltration after transplantation, in the treatment of abdominal wall defects. The purpose of the present study is to show the clinical results obtained after the application of human decellularized dermal matrix (HDM) produced by RER Skin Bank, on patients suffering from different abdominal wall defects. METHODS: Between 2012 and 2014, 64 patients, average age 64 years, received HDM, to replace and cover the damage area during abdominal wall surgery...
July 25, 2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/28871371/management-of-skin-and-subcutaneous-tissue-in-complex-open-abdominal-wall-reconstruction
#14
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/28860228/anterior-transversalis-fascia-approach-versus-preperitoneal-space-approach-for-inguinal-hernia-repair-in-residents-in-northern-china-study-protocol-for-a-prospective-multicentre-randomised-controlled-trial
#15
Qing Fan, De-Wei Zhang, Da-Ye Yang, Hong-Wu Li, Shi-Bo Wei, Liang Yang, Fu-Quan Yang, Shao-Jun Zhang, Yao-Qiang Wu, Wei-de An, Zhong-Shu Dai, Hui-Yong Jiang, Fu-Rong Wang, Shi-Feng Qiao, Hang-Yu Li
INTRODUCTION: Many surgical techniques have been used to repair abdominal wall defects in the inguinal region based on the anatomic characteristics of this region and can be categorised as 'tension' repair or 'tension-free' repair. Tension-free repair is the preferred technique for inguinal hernia repair. Tension-free repair of inguinal hernia can be performed through either the anterior transversalis fascia approach or the preperitoneal space approach. There are few large sample, randomised controlled trials investigating the curative effects of the anterior transversalis fascia approach versus the preperitoneal space approach for inguinal hernia repair in patients in northern China...
August 31, 2017: BMJ Open
https://www.readbyqxmd.com/read/28857656/diaphragm-reconstruction-combined-with-thoraco-abdominal-wall-reconstruction-after-tumor-resection
#16
Hiroaki Kuwahara, Juho Salo, Erkki Tukiainen
BACKGROUND: Thoraco-abdominal wall resection including diaphragm resection results in a challenging surgical defect. Various methods have been used for diaphragm reconstruction. The aim of this study was to describe our methods of diaphragm and thoraco-abdominal wall reconstruction after combined resection of these anatomical structures. METHODS: Twenty-one patients underwent diaphragm resection at our institution between 1997 and 2015. We used a mesh or direct closure for diaphragm defect and a mesh for chest wall stabilization...
August 31, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28856355/referral-patterns-for-chronic-groin-pain-and-athletic-pubalgia-sports-hernia-magnetic-resonance-imaging-findings-treatment-and-outcomes
#17
Mark P Zoland, Matthew E Maeder, Joseph C Iraci, Devon A Klein
Chronic groin pain is a common problem and has been well-described in high-performance athletes. Its presentation in the recreational athlete has been less frequently described. We present the experience of a tertiary group of physicians specializing in groin pain and athletic pubalgia. Dynamic magnetic resonance imaging (MRI) protocol was employed. Surgery was performed in patients failing non-surgical management. A retrospective review was performed. Of 117 mostly non-professional athletes, there were 79 MRI-positive cases of athletic pubalgia (68%)...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28846952/mesh-erosion-to-urinary-bladder-causing-fistulation-to-abdominal-wall-resulting-in-necrotizing-fasciitis-a-case-report-of-late-complication-of-incisional-hernia
#18
Amy S Y Kok, Tommy S H Cheung, Dennis C T Lam, Wilson H C Chan, Sharon W W Chan, T L Chow
INTRODUCTION: Incisional hernia is not an uncommon complication after abdominal operation, and laparoscopic ventral hernia repair with mesh is commonly performed nowadays. It is thought to have less complication compare to the traditional open repair, yet late complication is still observed occasionally and can be disastrous. CASE REPORT: We hereby report a case of abdominal wall necrotizing fasciitis 21 months after laparoscopic incisional hernia repair in lower midline with dual mesh, due to mesh migration and erosion into urinary bladder, resulting in fistulation between bladder and abdominal wall...
August 18, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28841540/laparoscopically-assisted-treatment-of-entero-atmospheric-fistula-following-abdominal-wall-repair-of-complex-incisional-hernia-case-report
#19
Francesca Ceci, Linda D'Amore, Maria Romana Grimaldi, Elena Annesi, Domenico Tuscano, Francesco Gossetti, Paolo Negro
INTRODUCTION: Entero-atmospheric fistula (EAF) is an uncommon complication. Its timing and surgical management could be extremely challenging because extensive adhesions may heavily affect the approach to the abdominal cavity. PRESENTATION OF CASE: We hereby report a case of EAF in a 70 year-old man. In order to control the fistula output and the surrounding tissue damage from enteric content, the patient was managed conservatively using different technical solutions...
August 8, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28831346/donor-site-morbidity-after-dieap-flap-breast-reconstruction-a-2-year-postoperative-computed-tomography-comparison
#20
Christoffer Aam Ingvaldsen, Gerhard Bosse, Georg Karl Mynarek, Thomas Berg, Tyge Tind Tindholdt, Kim Alexander Tønseth
The study was undertaken to provide a more complete picture of donor-site morbidity following the deep inferior epigastric artery perforator (DIEAP) flap harvest in breast reconstruction. Most studies evaluating this subject have been performed using ultrasonography. Computed tomography (CT) might provide valuable information. METHODS: In 14 patients who were reconstructed with a DIEAP flap, donor-site morbidity was assessed by comparing routine preoperative CT abdomen with CT abdomen performed 2 years postoperatively...
July 2017: Plastic and Reconstructive Surgery. Global Open
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