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Seroma after laparoscopic repair

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https://www.readbyqxmd.com/read/30315438/pitfalls-and-clinical-recommendations-for-the-primary-lumbar-hernia-based-on-a-systematic-review-of-the-literature
#1
REVIEW
S van Steensel, A Bloemen, L C L van den Hil, J van den Bos, G J Kleinrensink, N D Bouvy
PURPOSE: The lumbar abdominal wall hernia is a rare hernia in which abdominal contents protrude through a defect in the dorsal abdominal wall, which can be of iatrogenic, congenital, or traumatic origin. Two anatomical locations are known: the superior and the inferior lumbar triangle. The aim of this systematic review is to provide a clear overview of the existing literature and make practical clinical recommendations for proper diagnosis and treatment of the primary lumbar hernia. METHODS: The systematic review was conducted according to the PRISMA guidelines...
October 12, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/30225141/strangulated-hernia-can-be-a-risk-factor-of-seroma-following-laparoscopic-transabdominal-preperitoneal-repair
#2
Ryu Matsumoto, Yoshio Nagahisa, Kazuki Hashida, Mitsuru Yokota, Michio Okabe, Kazuyuki Kawamoto
Purposes: Seroma is a postoperative complication following laparoscopic transabdominal preperitoneal repair (TAPP) for inguinal hernioplasty. Seroma naturally resolves in most cases, but it can lead to an increased amount of visits to the outpatient clinic and can result in anxiety of the patient. Local inflammation of the inguinal area is etiology of seroma formation. Strangulated hernia involves severe inguinal pain and can lead to severe inflammation and subsequent seroma. There have been no reports demonstrating the links of seroma and strangulated hernia...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/30168007/laparoscopic-ventral-hernia-repair-with-and-without-defect-closure-comparative-analysis-of-a-single-institution-experience-with-783-patients
#3
Luis A Martin-Del-Campo, Heidi J Miller, Heidi L Elliott, Yuri W Novitsky
BACKGROUND: Laparoscopic ventral hernia repair (LVHR) has gained popularity, since it can decrease the incidence of surgical site complications while providing similar recurrence rates as open repairs. The role of defect closure in LVHR has been a subject of controversy and has not been fully elucidated. We aimed to compare outcomes of LVHR with and without defect closure in a contemporary cohort. METHODS: Single-institution retrospective review of consecutive adults undergoes elective LVHR for 2-8 cm defects...
August 25, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/30145622/causes-of-recurrence-in-laparoscopic-inguinal-hernia-repair
#4
REVIEW
Manjunath Siddaiah-Subramanya, Darius Ashrafi, Breda Memon, Muhammed Ashraf Memon
PURPOSE: Recurrence after laparoscopic inguinal herniorrhaphy is poorly understood. Reports suggest that up to 13% of all inguinal herniorrhaphies worldwide, irrespective of the approach, are repaired for recurrence. We aim to review the risk factors responsible for these recurrences in laparoscopic mesh techniques. METHODS: A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified English language, peer reviewed articles on the causes of recurrence following laparoscopic mesh inguinal herniorrhaphy published between 1990 and 2018...
August 25, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/30051443/-operative-strategy-and-short-term-efficacy-of-recurrent-groin-hernia
#5
Xitao Wang, Gengwen Huang, Dingcheng Shen, Jiayan Lin, Caihong Ning, Xintong Cao, Liandong Ji, Yebin Lu, Wei Wei
OBJECTIVE: To explore the appropriate operative strategy in recurrent groin hernia repair. METHODS: Clinical and follow-up data of 82 patients with recurrent groin hernia undergoing operation at Department of Pancreatobiliary Surgery, Xiangya Hospital of Central South University from April 2010 to April 2017 were analyzed retrospectively. The operative approaches included laparoscopic transabdominal preperitoneal (TAPP) hernia repair, Lichtenstein repair and hybrid repair...
July 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/30051441/-application-of-single-hand-four-needle-suture-in-closing-pseudohernia-sac-of-direct-hernia
#6
Taicheng Zhou, Ning Ma, Hongyan Yu, Zhipeng Jiang, Yingru Li, Wenchang Gan, Zehui Hou, Shuang Cheng
OBJECTIVE: To investigate the efficacy of single-hand four-needle suture with sled-shaped needle three-tail fixed stitch in closure of pesudohernia sac of direct hernia under transabdominal preperitoneal (TAPP) inguinal hernia repair. METHODS: A randomized controlled trail was conducted on adult patients with unilateral direct inguinal hernia undergoing laparoscopic TAPP repair from January 2014 to January 2018 at the Sixth Affiliated Hospital of Sun Yat-sen University...
July 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29944530/management-of-incidental-hernia-discovered-during-abdominal-contouring-in-post-bariatric-surgery-patients
#7
Adam S Levy, Anant Dinesh, Leaque Ahmed, Norman Morrison, Ryan Engdahl
PURPOSE: An increase in bariatric surgery has led to a rise in postbariatric contouring procedures. Despite a comprehensive preoperative assessment, body habitus in these patients may significantly limit the abdominal exam. Abdominal contouring procedures typically elevate large portions of the skin and fat off the abdominal wall, and unexpected hernia may be discovered intraoperatively. No study to date has characterized such hernia discovery at the time of body contouring surgery. We reviewed our experience of management of incidental hernia found during abdominoplasty or panniculectomy after laparoscopic bariatric surgery...
November 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29934720/the-modified-laparoscopic-keyhole-parastomal-hernia-repair-with-in-situ-re-ostomy-has-low-recurrence-rate
#8
Zhibo Yan, Haifeng Zhang, Hanxiang Zhan, Dong Wu, Yugang Cheng, Qunzheng Wu, Guangyong Zhang
PURPOSE: This study aimed to present a modified laparoscopic keyhole parastomal hernia repair technique with in situ re-ostomy and show its safety and feasibility at a mid-term follow-up. METHODS: The technique begins with adhesiolysis during laparoscopy. An annular incision is made between the skin and stomal mucosa. Then, after all adhesions of the stomal bowel and its mesentery are separated from the hernial sac, the stomal bowel is delivered through the keyhole mesh...
June 22, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29912610/pain-and-surgical-outcomes-reporting-after-laparoscopic-ventral-hernia-repair-in-relation-to-mesh-fixation-technique-a-systematic-review-and-meta-analysis-of-randomized-clinical-trials
#9
Mooyad A Ahmed, Qutaiba A Tawfic, Christopher M Schlachta, Nawar A Alkhamesi
OBJECTIVES: The aim of this meta-analysis was to examine postoperative pain and surgical outcomes (operative time, hospital stay, the incidence of seroma and recurrence) with different mesh fixation methods following laparoscopic ventral hernia repair (LVHR). METHODS: Randomized clinical trials compared different methods of mesh fixation in LVHR and reported on pain outcome measures analyzed. The results were expressed as odds ratio (OR) for combined dichotomous and mean difference (MD) for continuous data...
June 18, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29882170/laparoscopic-versus-hybrid-approach-for-treatment-of-incisional-ventral-hernia-a-prospective-randomized-multicenter-study-of-1-month-follow-up-results
#10
M Ahonen-Siirtola, T Nevala, J Vironen, J Kössi, T Pinta, S Niemeläinen, U Keränen, J Ward, P Vento, J Karvonen, P Ohtonen, J Mäkelä, T Rautio
PURPOSE: The seroma rate following laparoscopic incisional ventral hernia repair (LIVHR) is up to 78%. LIVHR is connected to a relatively rare but dangerous complication, enterotomy, especially in cases with complex adhesiolysis. Closure of the fascial defect and extirpation of the hernia sack may reduce the risk of seromas and other hernia-site events. Our aim was to evaluate whether hybrid operation has a lower rate of the early complications compared to the standard LIVHR. METHODS: This is a multicenter randomized-controlled clinical trial...
June 7, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29794357/laparoscopic-parastomal-hernia-repair-a-modified-technique-of-mesh-placement-in-sugarbaker-procedure
#11
Sameer Rege, Amiteshwar Singh, Ajinkya Rewatkar, Janesh Murugan, Richard Menezes, Shrinivas Surpam, Roshan Chiranjeev
Introduction: Conventional surgery for parastomal hernia entails primary suture repair or stoma relocation. Laparoscopic surgery has advantages of less pain, faster post-operative recovery and better cosmesis. While the Sugarbaker technique has been valued for least recurrences, however, it exposes the stomal loop to the parietal surface of the mesh exposing it to complications. We report a modification of mesh placement after primary defect repair to improvise the safety of meshplasty and to minimise mesh erosions into the stomal loop of bowel...
May 24, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29704737/laparoscopic-and-percutaneous-repair-of-a-large-midline-incisional-hernia-extending-to-the-bilateral-subcostal-region-a-case-report
#12
Shingo Tsujinaka, Yukio Nakabayashi, Nao Kakizawa, Rina Kikugawa, Nobuyuki Toyama, Toshiki Rikiyama
INTRODUCTION: Optimal surgery for a midline incisional hernia extending to the subcostal region remains unclear. We report successful hybrid laparoscopic and percutaneous repair for such a complex incisional hernia. PRESENTATION OF CASE: An 85-year-old woman developed a symptomatic incisional hernia after open cholecystectomy. Computed tomography revealed a 14 × 10 cm fascial defect. Four trocars were placed under general anesthesia. Percutaneous defect closure was performed using multiple non-absorbable monofilament threads, i...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29696790/efficacy-of-single-incision-laparoscopic-totally-extraperitoneal-repair-for-irreducible-or-incarcerated-inguinal-hernia
#13
Masaki Wakasugi, Yujiro Nakahara, Masaki Hirota, Takashi Matsumoto, Hiroyoshi Takemoto, Ko Takachi, Kiyonori Nishioka, Satoshi Oshima
INTRODUCTION: The aim of this study was to evaluate the efficacy of single-incision laparoscopic surgery for totally extraperitoneal repair (SILS-TEP) of irreducible inguinal hernias and incarcerated inguinal hernias. METHODS: We performed a retrospective analysis of 194 patients, including 16 with irreducible or incarcerated hernia, who had undergone SILS-TEP from May 2016 to December 2017 at Kinki Central Hospital. The outcomes of patients with irreducible or incarcerated hernia and those with reducible hernia were compared...
April 25, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29573191/is-fascial-defect-closure-with-intraperitoneal-onlay-mesh-superior-to-standard-intraperitoneal-onlay-mesh-for-laparoscopic-repair-of-large-incisional-hernia
#14
Katsuhito Suwa, Tomoyoshi Okamoto, Katsuhiko Yanaga
INTRODUCTION: The ideal surgical technique for large incisional hernia repair has not yet been identified. The aim of this study was to evaluate surgical outcomes of standard intraperitoneal onlay mesh (sIPOM) versus fascial defect closure with intraperitoneal onlay mesh (IPOM-Plus) for large incisional hernia repair. METHODS: Of 49 patients who underwent laparoscopic incisional hernia repair between November 2005 and December 2016, 26 cases with large incisional hernia (transverse diameter ≥10 cm) were examined to compare surgical outcomes between sIPOM (n = 12) and IPOM-Plus (n = 14)...
March 23, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29392506/benefits-of-laparoscopic-posterior-wall-suture-repair-in-treating-adolescent-indirect-inguinal-hernias
#15
S R Lee
PURPOSE: Adolescent inguinal hernias are treated using high ligation or posterior wall suture repair with laparoscopic mesh implantation. This study aimed to evaluate the efficacy of laparoscopic intracorporeal posterior wall suture repair without mesh implantation for treating adolescent indirect inguinal hernias. METHODS: Laparoscopic herniorrhaphy was performed between September 2012 and April 2015 in 244 patients aged 11-18 years who were diagnosed with indirect inguinal hernias at Damsoyu Hospital, Seoul, Korea...
August 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29344785/laparoscopic-intracorporeal-rectus-aponeuroplasty-lira-technique-a-step-forward-in-minimally-invasive-abdominal-wall-reconstruction-for-ventral-hernia-repair-lvhr
#16
Julio Gómez-Menchero, Juan Francisco Guadalajara Jurado, Juan Manuel Suárez Grau, Juan Antonio Bellido Luque, Joaquin Luis García Moreno, Isaías Alarcón Del Agua, Salvador Morales-Conde
BACKGROUND: Closing the defect (CD) during laparoscopic ventral hernia repair began to be performed in order to decrease seroma, to improve the functionality of the abdominal wall, and to decrease the bulging effect. However, tension at the incision after CD in large defects is related to an increased rate of pain and recurrence. We present the preliminary results of a new technique for medium midline hernias as an alternative to conventional CD. METHODS: A prospective controlled study was conducted from January 2015 to January 2017 to evaluate an elective new procedure (LIRA) performed on patients with midline ventral hernias (4-10 cm width)...
August 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29335909/persistent-posterior-seroma-after-laparoscopic-repair-of-ventral-abdominal-wall-hernias-with-expanded-polytetrafluoroethylene-mesh-prevalence-independent-predictors-and-detached-tacks-retrospective-review
#17
V M A Stirler, R J de Haas, J T F J Raymakers, S Rakic
PURPOSE: A persistent seroma located posterior to a mesh (PPS) remains a little known complication after laparoscopic ventral hernia repair (LVHR). The aim of this large case series was to analyse the prevalence and clinical course as well as identify related factors and independent predictors of PPS. METHODS: All 1288 adult patients who underwent a LVHR with an expanded polytetrafluoroethylene mesh (ePTFE) between January 2003 and July 2014 were reviewed. Those who underwent an abdominal computed tomography (CT) scan more than 3 months afterwards (n = 166) were included and their scans were analysed...
April 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29332240/preperitoneal-closed-system-suction-drainage-after-totally-extraperitoneal-hernioplasty-in-the-prevention-of-early-seroma-formation-a-prospective-double-blind-randomised-controlled-trial
#18
J K M Fan, J Liu, K Chen, X Yang, X Xu, H K Choi, F S Y Chan, K W H Chiu, C M Lo
OBJECTIVES: Seroma is a virtually unavoidable early sequela after TEP hernioplasty. This randomised controlled trial evaluated the outcomes of preperitoneal closed-system suction drainage in laparoscopic totally extraperitoneal (TEP) hernioplasty for inguinal hernia. METHODS: Ninety patients aged 18-80 years who presented to our hospital between May 2016 and February 2017 with primary unilateral inguinal hernia were randomised into the preperitoneal drain and no-drain groups...
June 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28969193/comparing-early-outcomes-using-non-absorbable-polypropylene-mesh-and-partially-absorbable-composite-mesh-through-laparoscopic-transabdominal-preperitoneal-repair-of-inguinal-hernia
#19
Tarun Kalra, Rajesh Kumar Soni, Ajit Sinha
INTRODUCTION: Laparoscopic hernia repair is in vogue in the present era. Both the operating surgeon and the patient are concerned about the postoperative inguinodynia which has now replaced recurrence as the predominant factor affecting quality of life. AIM: Our study aimed to compare early postoperative outcomes with the standard non absorbablepolypropylene and the newer partially absorbable composite meshes. MATERIALS AND METHODS: A total of 60 patients with unilateral uncomplicated inguinal hernia were included in the study and randomly divided into two groups, one each for one kind of mesh...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28876694/comparing-outcomes-after-laparoscopic-totally-extraperitoneal-repair-versus-open-lichtenstein-repair-of-inguinoscrotal-hernia-at-dr-george-mukhari-academic-hospital
#20
B Shazi, M Z Koto
BACKGROUND: Inguinal hernia is a common surgical condition. Inguinal hernia can present with a wide variety of symptoms. It can even extend into the scrotum resulting in what is known as an inguinoscrotal hernia. At Dr George Mukhari Hospital, approximately 5-10% of patients with inguinal hernia present with inguinoscrotal hernia. There is paucity of data on the role of laparoscopy in the management of inguinoscrotal hernia. At our institution some of the patients with inguinoscrotal hernia are offered open (Lichtenstein) repair whilst others are offered totally extraperitoneal (TEP) laparoscopic repair...
June 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
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