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Parastomal hernia

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https://www.readbyqxmd.com/read/29788989/loop-ostomy-following-laparoscopic-low-anterior-resection-for-rectal-cancer-after-neoadjuvant-chemoradiotherapy
#1
Xin Wu, Guole Lin, Huizhong Qiu, Yi Xiao, Bin Wu, Miner Zhong
BACKGROUND: Both loop ileostomy (LI) and loop transverse colostomy (LTC) could achieve absolute fecal diversion and have several advantages. This study compared LI and LTC following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy. METHODS: Between January 2009 and December 2016, 186 patients who underwent laparoscopic low anterior resection for rectal cancer and loop ostomy were included. All patients received preoperative neoadjuvant chemoradiotherapy...
May 22, 2018: European Journal of Medical Research
https://www.readbyqxmd.com/read/29779245/laparoscopic-technique-of-modified-extraperitoneal-retrotransversalis-end-colostomy-for-abdomino-perineal-resection
#2
I A Tulina, Y E Kitsenko, M N Ubushiev, S K Efetov, S Wexner, P V Tsarkov
AIM: To describe the technique of a modified extraperitoneal retrotransversalis end colostomy as part of a laparoscopic abdomino-perineal resection (APR). METHOD: The colostomy site is preoperatively chosen and intraoperatively used for a trocar. After the rectum has been mobilized the descending colon is freed. The peritoneal margin is gently grasped and the parietal peritoneum, extraperitoneal together with the transversalis fascia are separated from the transverse abdominal muscle fibres upwards for 3-4 cm aiming at the trocar site to form the extraperitoneal retrotransversalis canal...
May 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29754694/risk-factors-for-bad-outcomes-in-incisional-hernia-repair-lessons-learned-from-the-national-registry-of-incisional-hernia-evereg
#3
José Antonio Pereira, Blanca Montcusí, Manuel López-Cano, Pilar Hernández-Granados, Laura Fresno de Prado
INTRODUCTION: Registries are powerful tools for identifying factors predicting bad results. Our objective was to analyse data from the Spanish Registry of Incisional Hernia (EVEREG) to detect risk situations for the development of complications and recurrences. METHODS: We have analysed data of the cohort of hernias registered during the period from July 2012 to June 2014. We have compared the data between complicated and non-complicated patients in the short and long term follow-up...
May 10, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29754623/surgical-management-of-parastomal-hernias
#4
REVIEW
Jennifer Colvin, Steven Rosenblatt
Parastomal hernias are a common complication after ostomy formation that can require surgical repair when they become symptomatic. Operative planning and a thorough understanding of the anatomy of the abdominal wall are important. Simple fascial repair is associated with an unacceptably high recurrence rate and should be used as a temporary measure only. Stoma relocation has a high recurrence rate. Prophylactic mesh can and should be used. At this time, the use of mesh is considered the standard of care in the repair of parastomal hernias...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754617/role-of-prophylactic-mesh-placement-for-laparotomy-and-stoma-creation
#5
REVIEW
Irfan A Rhemtulla, Charles A Messa, Fabiola A Enriquez, William W Hope, John P Fischer
Incisional and parastomal hernias are a cause of significant morbidity and have a substantial effect on quality of life and economic costs for patients and hospital systems. Although many aspects of abdominal hernias are understood, prevention is a feature that is still being realized. This article reviews the current literature and determines the utility of prophylactic mesh placement in prevention of incisional and parastomal hernias.
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29746337/bowel-obstruction-and-ventral-hernia-after-laparoscopic-versus-open-surgery-for-rectal-cancer-in-a-randomized-trial-color-ii
#6
Josefin Petersson, Thomas W Koedam, H Jaap Bonjer, John Andersson, Eva Angenete, David Bock, Miguel A Cuesta, Charlotte L Deijen, Alois Fürst, Antonio M Lacy, Jacob Rosenberg, Eva Haglind
OBJECTIVE: The aim of this study was to evaluate the risk of bowel obstruction, incisional, and parastomal hernia following laparoscopic versus open surgery for rectal cancer. SUMMARY BACKGROUND DATA: Laparoscopic surgery for rectal cancer has been adopted worldwide, after trials reported similar oncological outcomes compared with open surgery. Little is known about long-term morbidity, including bowel obstruction, incisional, and parastomal hernia following surgery...
May 9, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29742528/prophylactic-mesh-for-the-prevention-of-parastomal-hernias-need-for-a-deep-dive
#7
Christoffer Odensten, Karin Strigård, Jörgen Rutegård, Michael Dahlberg, Ulrika Ståhle, Ulf Gunnarson, Pia Näsvall
No abstract text is available yet for this article.
May 8, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29732505/prophylactic-mesh-reinforcement-of-stomas-a-cost-effectiveness-meta-analysis-of-randomised-controlled-trials
#8
J M Findlay, C P J Wood, C Cunningham
BACKGROUND: Previous meta-analyses of randomised controlled trials (RCTs) have suggested a reduction in parastomal hernias (PSH) with prophylactic mesh. However, concerns persist regarding variably supportive evidence and cost. We performed an updated systematic review and meta-analysis to inform a novel cost-effectiveness analysis. METHODS: The PubMed, EMBASE and Cochrane Centre Register of Controlled Trials databases were searched (February 2018). We included RCTs assessing mesh reinforcement during stoma formation...
May 7, 2018: Techniques in Coloproctology
https://www.readbyqxmd.com/read/29697456/prophylactic-mesh-for-the-prevention-of-parastomal-hernias-need-for-a-deep-dive
#9
Fahima Dossa, Nancy N Baxter
No abstract text is available yet for this article.
April 24, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29643952/parastomal-hernia-current-knowledge-and-treatment
#10
REVIEW
Roman Styliński, Adam Alzubedi, Sławomir Rudzki
Intestinal stoma creation is one of the most common surgical procedures. The most common long-term complication following stoma creation is parastomal hernia, which according to some authors is practically unavoidable. Statistical differences of its occurrence are mainly due to patient observation time and evaluation criteria. Consequently, primary prevention methods such as placement of prosthetic mesh and newly developed minimally invasive methods of stoma creation are used. It seems that in the light of evidence-based medicine, the best way to treat parastomal hernia is the one that the surgeon undertaking therapy is the most experienced in and is suited to the individuality of each patient, his condition and comorbidities...
March 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29582804/laparoscopic-repair-for-parastomal-hernia-with-ongoing-barbed-suture-followed-by-sandwich-technique-sandwich-plus-technique
#11
Reiko Wiessner, Thomas Vorwerk, Alexander Gehring
The incidence of parastomal hernias after a permanent stoma is between 50% and 80% depending on the type of stoma, the definition of the hernia (clinical or radiological), and the length of the follow-up. Surgical therapy is complex and involves several techniques with different recurrence rates. We present three cases where we have closed the hernia gap with continuous, non-resorbable, self-retaining sutures with subsequent use of the sandwich technique ('Sandwich-plus-technique'). There were pronounced parastomal hernias in three female patients (mean age was 72 years and the range was 63-78 years) with permanent colostomata...
March 23, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29573536/outcome-of-surgery-for-recurrent-anal-cancer-results-from-a-tertiary-referral-centre
#12
M Bignell, H Chave, G Branagan
AIM: Chemoradiotherapy remains the first line treatment for anal cancer with surgery reserved for cancer recurrence or persistence. The low incidence of anal cancer means the numbers undergoing surgery is small with centralization for excision to regional cancer centres. We present our experience of abdominal perineal excision, with reconstruction of the perineal defect (APERR), within a tertiary centre. METHOD: Over a fifteen year period data were collected retrospectively from notes of patients who underwent an APERR...
March 24, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29560352/parastomal-hernia-prevention-with-mesh-in-the-context-of-laparoscopic-approach-an-opinion-based-on-current-literature
#13
Manuel López-Cano, José Antonio Pereira Rodriguez
No abstract text is available yet for this article.
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29517333/using-a-risk-assessment-tool-for-parastomal-hernia-prevention
#14
Wendy Osborne, Jacqui North, Julia Williams
All patients with a stoma are at risk of developing some degree of parastomal herniation given enough follow-up time. Based on current evidence, preventive measures are strongly advised to minimise the incidence of a parastomal hernia forming. This article explores the evidence for consistency in care and management of parastomal hernia, focusing on the development of a risk assessment tool, taking into consideration the patient's and the nurse's perspective.
March 8, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29499860/parastomal-hernia-repair-using-the-top-hat-technique-an-initial-experience-in-30-patients-at-memorial-sloan-kettering-cancer-center
#15
Michael J Fitzgerald, Sarah Ullrich, Kumar Singh, Oren Misholy, Peter Kingham, Mary S Brady
Parastomal hernia repair remains a significant surgical challenge. Recurrence after standard "keyhole" or primary suture repair is common. We adopted and modified a new technique using a construct shaped like an inverted top hat. We review our experience over the last six years in the first 30 patients (31 consecutive procedures). Of these 31 procedures, six (19%) resulted in a parastomal hernia recurrence with a median follow-up of 31 months (range 0.5-80). Four of the recurrences occurred in our initial experience, when we constructed the top hat of xenograft alone...
February 22, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29454636/incisional-hernia-prevention-and-use-of-mesh-a-narrative-review
#16
Pilar Hernández-Granados, Manuel López-Cano, Salvador Morales-Conde, Filip Muysoms, Josep García-Alamino, José Antonio Pereira-Rodríguez
Incisional hernias are a very common problem, with an estimated incidence around 15-20% of all laparotomies. Evisceration is another important problem, with a lower rate (2.5-3%) but severe consequences for patients. Prevention of both complications is an essential objective of correct patient treatment due to the improved quality of life and cost savings. This narrative review intends to provide an update on incisional hernia and evisceration prevention. We analyze the current criteria for proper abdominal wall closure and the possibility to add prosthetic reinforcement in certain cases requiring it...
February 2018: Cirugía Española
https://www.readbyqxmd.com/read/29423157/acute-cholecystitis-in-a-parastomal-hernia-causing-a-small-bowel-obstruction
#17
Chetna Bakshi, Samantha Ruff, Frank Caliendo, Jennifer Agnew
A parastomal hernia is the abnormal protrusion of intra-abdominal tissue and organs through a defect in the abdominal wall around an ostomy. Commonly, they involve intra-abdominal fat, omentum or bowel. However, there are rare cases that involve other organs. We present the case of an 89-year-old gentleman with a gallbladder in his parastomal hernia. Due to his acute cholecystitis, the distended gallbladder compressed adjacent bowel loops in the parastomal hernia, resulting in a mechanical bowel obstruction...
December 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29388080/what-is-the-evidence-for-the-use-of-biologic-or-biosynthetic-meshes-in-abdominal-wall-reconstruction
#18
REVIEW
F Köckerling, N N Alam, S A Antoniou, I R Daniels, F Famiglietti, R H Fortelny, M M Heiss, F Kallinowski, I Kyle-Leinhase, F Mayer, M Miserez, A Montgomery, S Morales-Conde, F Muysoms, S K Narang, A Petter-Puchner, W Reinpold, H Scheuerlein, M Smietanski, B Stechemesser, C Strey, G Woeste, N J Smart
INTRODUCTION: Although many surgeons have adopted the use of biologic and biosynthetic meshes in complex abdominal wall hernia repair, others have questioned the use of these products. Criticism is addressed in several review articles on the poor standard of studies reporting on the use of biologic meshes for different abdominal wall repairs. The aim of this consensus review is to conduct an evidence-based analysis of the efficacy of biologic and biosynthetic meshes in predefined clinical situations...
April 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29354894/-2017-hotspots-review-and-future-prospects-of-abdominal-wall-and-hernia-surgery
#19
Shuang Chen, Taicheng Zhou
Hernia and abdominal surgery keeps moving forward rapidly In 2017, lots of progress were achieved in etiology, material, and surgical technique. In etiology, TTN gene missense mutation was found in family members of indirect inguinal hernia. In material, a long-term slow-absorptive patch was present leading to a good choice of hernia therapy; application of 3D print for individual patch repair was expected. In surgical technique, efficacy of laparoscopic minimal invasive procedure or MILOS and eMILOS procedures was satisfactory in the treatment of complicated incisional hernia; tissue separation, patch placement and abdominal wall reconstruction by robotic surgery resulted in bigger operative space, faster postoperative recovery and lower morbidity of infection and seroma at operative site...
January 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29349616/outcomes-of-utilizing-absorbable-mesh-as-an-adjunct-to-posterior-sheath-closure-during-complex-posterior-component-separation
#20
J S Winder, A Majumder, M Fayezizadeh, Y W Novitsky, E M Pauli
BACKGROUND: A minority of patients undergoing posterior component separation (PCS) have abdominal wall defects that preclude complete reconstruction of the visceral sac with native tissue. The use of absorbable mesh bridges (AMB) to span such defects has not been established. We hypothesized that AMB use during posterior sheath closure of PCS is safe and provides favorable outcomes. METHODS: We performed a retrospective review of consecutive patients undergoing PCS with AMB at two hernia centers...
April 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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