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Abdominal wall defect

Daiki Yasukawa, Yuki Aisu, Yusuke Kimura, Yuichi Takamatsu, Taku Kitano, Tomohide Hori
BACKGROUND Colostomy creation via intraperitoneal route is often performed during laparoscopic Hartmann's operation or abdominoperineal resection (APR). Herein, we report 3 rare cases of internal hernia associated with colostomy (IHAC). CASE REPORT The first case involved a 70-year-old man with IHAC after laparoscopic APR. Laparoscopy revealed the small intestine passed through a defect between the lifted sigmoid colon and left lateral abdominal wall in a cranial-to-caudal direction. The dislocated bowel with ischemic change was restored to its normal position and the lateral defect was covered with lateral peritoneum and greater omentum...
December 14, 2018: American Journal of Case Reports
Luis Enrique Becerra Coral, Lorena Natalia Gomez Ceron, Adriana Isabel Delgado Bravo
Peritonitis is one of the main complications of abdominal emergencies. Laparoscopy serves both for the diagnostic and therapeutic management of the acute abdomen; in expert hands the morbimortality of this method is minimal. OBJECTIVE: The objective is to verify the efficacy of laparoscopy in patients with secondary peritonitis performing a single surgery without the need for reinterventions, ensuring the least damage of the abdominal wall, avoiding laparotomy. MATERIAL AND METHODS: Retrospective study included patients with final diagnosis of peritonitis and managed with laparoscopic technique, covering a period from May 2011 to July 2016, admitted to Clínica Nuestra Señora de Fátima, Pasto, Colombia...
July 2018: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Hui-Fang Zhou, Christopher J O'Conor, Chiraag Gangahar, Louis P Dehner
Background: Omphalocele is a rare congenital abdominal wall defect. It is frequently associated with genetic abnormality and other congenital anomalies, although isolated omphalocele cases do exist. Data have shown that omphalocele with co-occurring genetic abnormality has worse prognosis than isolated omphalocele. Chromosomal analysis by a conventional technique such as karyotyping can only detect aneuploidy and large segmental duplication or deletion. Newer techniques such as high-resolution microarray analysis allow for the study of alterations in chromosomal segments that are less than 5 Mb in length; this has led to identification of critical region and genes in the pathogenesis of omphalocele...
2018: Case Reports in Pediatrics
Aarón de Jesus Palacios-Rodríguez, Mauricio Flores-Moreno, Laura Edith Castellano, Ramón Carriles, Iraís Quintero-Ortega, Mario Murguía-Pérez, Guillermo Cruz, Juan Vargas-Mancilla, Arturo Vega-González, Birzabith Mendoza-Novelo
The stability and bioactivity of biologic implants rely mainly on the control of the crosslinking process of collagen. However, the most common methods have no control on the crosslinking degree producing it excessively. This study outlines the role of crosslinking of collagen-based implants with oligourethane on the host response following reconstruction of a rat full-thickness abdominal wall defect. We decellularized and crosslinked bovine pericardial tissue to achieve two crosslinking degrees. For the decellularized implants, named as non-crosslinked (N-CL), the collagen-amines were 0...
December 10, 2018: Journal of Biomaterials Applications
N A Henriksen, K K Jensen, F Muysoms
PURPOSE: The number of robot-assisted hernia repairs is increasing, but the potential benefits have not been well described. The aim of this study was to evaluate the available literature reporting on outcomes after robot-assisted hernia repairs. METHODS: This is a qualitative review and meta-analysis of papers evaluating short-term outcomes after inguinal or ventral robot-assisted hernia repair compared with either open or laparoscopic approach. The primary outcome was postoperative complications and secondary outcomes were duration of surgery, postoperative length of stay and financial costs...
December 6, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Ian Lambourne McCulloch, Cody L Mullens, Kristen M Hardy, Jon S Cardinal, Cristiane M Ueno
Open abdominal surgery continues to be most commonly complicated by postoperative herniation at the incision line. In 2012, Novitsky et al described a novel hernia repair technique that utilized a transversus abdominis release coupled with a posterior (retrorectus) component separation (TAR-PCS) of the ventral abdominal wall. Early reports attest to the versatility and low recurrence rate of this technique, particularly when repairing large and complex defects. We present a rare case of herniation below the linea arcuate (LAH) following repair via TAR-PCS...
December 3, 2018: Annals of Plastic Surgery
T Terazawa, M Furukoshi, Y Nakayama
PURPOSE: We evaluated the usefulness of biosheet, an in-body tissue-engineered collagenous membrane, as a novel repair material for abdominal wall defects in a beagle model. METHODS: Biosheets were prepared by embedding molds into subcutaneous pouches in two beagle dogs for 2 months, with subsequent storage in 70% ethanol. The obtained biosheets (thickness 0.5 mm, size 25 cm2 ) were implanted to replace same-size defects in the abdominal wall of two beagles in an allogenic manner...
November 30, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Leigh J Spera, Rachel M Danforth, Ivan Hadad
Large intraabdominal, retroperitoneal, and abdominal wall sarcomas provide unique challenges in treatment due to their variable histology, potential considerable size at the time of diagnosis, and the ability to invade into critical structures. Historically, some of these tumors were considered inoperable if surgical access was limited or the consequential defect was unable to be closed primarily as reconstructive options were limited. Over time, there has been a greater understanding of the abdominal wall anatomy and mechanics, which has resulted in the development of new techniques to allow for sound oncologic resections and viable, durable options for abdominal wall reconstruction...
2018: Translational Gastroenterology and Hepatology
Singh Mathuria Kaushal-Deep, Vikas Singh, Poonam Gupta, Rudra Mani, Mehershree Lodhi
Bullhorn injury is a rare mechanism causing traumatic abdominal wall hernia (TAWH). Bullhorn injury needs to be discussed as a separate sub-entity among TAWHs as the mechanism of injury is such that the great force is generated at a relatively small area of impact for a short duration of time which may lead to muscle defect without compromising integrity of overlying skin (referred to as sheathed goring) leading to herniation of abdominal viscera. The purpose of this review was to discuss abdominal herniation's associated with bullhorn injury as a separate entity from TAWHs; recognize the common presentations, mechanism of injury, and modalities of treatment currently utilized for this rare condition...
2018: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
Christos D Karkos, Panagiotis D Pepis, Marios Theologou, Konstantinos Ballas, Panagiotis Petras, Stergios Arapoglou, Ioakeim T Giagtzidis, Maria Mitka, Ioannis Pliatsios, Konstantinos O Papazoglou, Apostolos G Kambaroudis
BACKGROUND: We present a unique case scenario of a periaortic liposarcoma masquerading as an impending rupture of an inflammatory abdominal aortic aneurysm (AAA). CASE REPORT: A 57-year-old man was referred to our unit for an emergency endovascular repair of "an inflammatory AAA with CT features of impending rupture". He underwent an uneventful endovascular repair with a bifurcated endograft (C3, Gore, Flagstaff, AZ, USA). Seven weeks later, CT showed that the periaortic "mass" grew larger and asymmetric and a CT-guided needle biopsy suggested the presence of a high grade malignant mesenchymal tumor...
November 26, 2018: Annals of Vascular Surgery
Adam A Vukovic, Meifawn D Poole, Erin F Hoehn, Alicia K Caldwell, Amanda C Schondelmeyer
We describe 2 cases of child maltreatment who presented as common pediatric conditions: preseptal cellulitis and gastroenteritis. The first case is an 8-year-old girl who presented with progressive right eye pain, swelling, and discharge. She was initially treated for preseptal cellulitis, but eye cultures ultimately grew Neisseria gonorrhoeae. Further investigation revealed sexual abuse by a male family member. The second case is a 2-year-old previously healthy girl who presented with 6 hours of emesis, lethargy, and abdominal pain...
November 26, 2018: Pediatric Emergency Care
Marta Pokrywczynska, Arkadiusz Jundzill, Marta Rasmus, Jan Adamowicz, Daria Balcerczyk, Monika Buhl, Karolina Warda, Lukasz Buchholz, Maciej Gagat, Dariusz Grzanka, Tomasz Drewa
BACKGROUND: The tissue engineering of urinary bladder advances rapidly reflecting clinical need for a new kind of therapeutic solution for patients requiring urinary bladder replacement. Majority of the bladder augmentation studies have been performed in small rodent or rabbit models. Insufficient number of studies examining regenerative capacity of tissue-engineered graft in urinary bladder augmentation in a large animal model does not allow for successful translation of this technology to the clinical setting...
November 28, 2018: Stem Cell Research & Therapy
Zhou Ye, Mo-Jin Wang, Li-Fen Bai, Han-Xiang Zhuang, Wen Zhuang
BACKGROUND: Spigelian hernia (SH) is rare and constitutes less than 2% of all hernias. It is reported that more than 90% of SHs lie in the "Spigelian belt", but SH in the upper abdominal wall is extremely uncommon. Here, we report a case of SH in the right upper quadrant of abdomen. CASE PRESENTATION: A 38-year-old female was admitted to hospital with complaints of abdominal pain and right upper quadrant mass for 10 days. Contrast-enhanced computed tomography (CECT) of abdomen revealed the dilated small intestine between the swelling ventral muscles in the right upper abdominal wall which suggested a ventral hernia...
November 27, 2018: BMC Surgery
Alison Brebner, Nicholas Czuzoj-Shulman, Haim Arie Abenhaim
PURPOSE: Gastroschisis is a rare congenital anomaly consisting of an abdominal wall defect resulting in extrusion of the abnormal organs. Survival of these infants exceeds 90%. Few large-scale studies have examined the predictors of mortality for these infants. Our objective was to conduct a population-based study to determine prevalence and predictors of mortality among infants born with gastroschisis. MATERIALS AND METHODS: We used the "Period Linked Birth-Infant Death" database to create a cohort of all births occurring between 2009 and 2013...
November 26, 2018: Journal of Maternal-fetal & Neonatal Medicine
Barbara Jasiewicz, Magdalena Stachura, Tomasz Potaczek, Slawomir Duda, Piotr Michno, Stanislaw Kwiatkowski
CONTEXT: Spine duplication is a rare condition, with various extents and severe additional anomalies. The goal of this study was to describe a unique case of a boy with split notochord syndrome who was followed up from birth until maturity. FINDINGS: Physical examination at birth showed defects of the abdominal wall and cloacal exstrophy with visible urether outlets. A transposed anus was present in the perineal region. Split bony elements of the spine with nonpalpable sacral bone were noted...
November 26, 2018: Journal of Spinal Cord Medicine
Shuo Yang, Jie Chen, Yingmo Shen, Minggang Wang, Zhenyu Zou, Cuihong Jin
PURPOSE: Animal models play an important role in abdominal wall hernia research. However, there is still no standard animal models for abdominal wall hernia. This study aimed to introduce a novel rabbit model of giant abdominal wall hernia. METHODS: Sixteen 1-year-old New Zealand rabbits weighing 3 to 5 kg were used. After general anesthesia, a 5-cm longitudinal incision was made 2 cm lateral to the ventral midline, and a full-thickness laparotomy incision was made en bloc including the peritoneum (except skin)...
November 25, 2018: Surgical Innovation
Jorge Victor da Silva Costa, Carlos Eduardo Coimbra Melonio, Ciro Bezerra Vieira, Caio Marcio Barros de Oliveira, Plínio da Cunha Leal, Elizabeth Teixeira Noguera Servín, Lyvia Maria Rodrigues de Sousa Gomes, Ed Carlos Rey Moura
Pentalogy of Cantrell is a congenital anomaly associated with defects in the abdominal wall, sternum, diaphragm, and diaphragmatic pericardium formation, in addition to the development of cardiac abnormalities. It is a rare disease with an estimated incidence of one case for every 65,000 births, being more common in males (60% of cases). It has a reserved prognosis with mortality around 63%, and a maximum of 9 months survival after surgery. There are few case reports addressing the pentalogy of Cantrell, which is justified by the rarity of this pathology...
November 20, 2018: Revista Brasileira de Anestesiologia
José Bueno-Lledó, Antonio Torregrosa, Raquel Jiménez-Rosellón, Providencia García, Santiago Bonafé, José Iserte
BACKGROUND: Rives-Stoppa retromuscular repair (RSR) has been traditionally used to provide adequate coverage for large abdominal wall defects and appears to be more advantageous compared to other surgical techniques concerning complications and recurrence rates. The aim of this study was to identify the independent predictors associated to hernia recurrence after RSR in the treatment of incisional hernias. METHODS: This is a retrospective observational study of 213 patients who underwent RSR between June 2007 and January 2014 at a tertiary centre...
November 19, 2018: Surgical Endoscopy
Colin G Steward, Sarah J Groves, Carolyn T Taylor, Melissa K Maisenbacher, Birgitta Versluys, Ruth A Newbury-Ecob, Hulya Ozsahin, Michaela K Damin, Valerie M Bowen, Katherine R McCurdy, Michael C Mackey, Audrey A Bolyard, David C Dale
PURPOSE OF REVIEW: Barth syndrome (BTHS) is an X-linked disease characterized by defective remodeling of phospholipid side chains in mitochondrial membranes. Major features include neutropenia, dilated cardiomyopathy, motor delay and proximal myopathy, feeding problems, and constitutional growth delay. We conducted this review of neutropenia in BTHS to aid in the diagnosis of this disease, and to improve understanding of both the consequences of neutropenia and the benefits of treatment with granulocyte colony-stimulating factor (G-CSF)...
January 2019: Current Opinion in Hematology
Alexandre Doussot, Fawaz Abo-Alhassan, Sofiane Derbal, Isabelle Fournel, Faustin Kasereka-Kisenge, Tatiana Codjia, Haitham Khalil, Vincent Dubuisson, Haythem Najah, Alexis Laurent, Benoît Romain, Christophe Barrat, Christophe Trésallet, Muriel Mathonnet, Pablo Ortega-Deballon
INTRODUCTION: To reduce the occurrence of complications in the setting of high-risk patients with contaminated operative field, a wide range of biologic meshes has been developed. Yet, few series have reported outcomes after abdominal wall repair (AWR) using such meshes. Permacol is an acellular porcine dermal collagen matrix with a cross-linked pattern. This study reports short- and long-term outcomes after AWR for incisional hernia using Permacol. MATERIALS AND METHODS: All consecutive patients undergoing single-stage open AWR using Permacol mesh at eight university hospitals were included...
November 13, 2018: World Journal of Surgery
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