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"Incisional hernia"

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https://www.readbyqxmd.com/read/29457355/visceral-obesity-is-a-significant-risk-factor-for-incisional-hernia-after-laparoscopic-colorectal-surgery-a-single-center-review
#1
Masateru Yamamoto, Yuji Takakura, Satoshi Ikeda, Toshiyuki Itamoto, Takashi Urushihara, Hiroyuki Egi
INTRODUCTION: Although laparoscopic surgery uses relatively small incisions, incisional hernia after surgery is not uncommon. However, the incidence of incisional hernia and its risk factors are not well known. The purpose of our study was to investigate risk factors for incisional hernia after laparoscopic colorectal cancer surgery. METHODS: The study group consisted of 212 patients who underwent laparoscopic colorectal cancer surgery at Hiroshima Prefectural Hospital between November 2008 and October 2013...
February 19, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29454636/incisional-hernia-prevention-and-use-of-mesh-a-narrative-review
#2
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 14, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29454569/risk-of-recurrence-following-mesh-associated-incisional-hernia-repair-using-the-retromuscular-technique-in-patients-with-relevant-medical-conditions
#3
Maciej Stodolski, Marios Papadakis, Hubert Zirngibl, Peter C Ambe
BACKGROUND: Incisional hernia is a common problem following open abdominal surgery. Hernia repair in patients with relevant medical conditions is a topic of controversy due to the high risk of morbidity and recurrence. We investigated the risk of recurrence in patients with relevant medical conditions managed with a prosthesis in the retromuscular position. METHODS: A retrospective review of the data of patients undergoing midline incisional hernia repair was performed...
February 14, 2018: Asian Journal of Surgery
https://www.readbyqxmd.com/read/29452914/corrigendum-to-patient-reported-outcome-measurements-in-the-diagnosis-of-incisional-hernia-promis-questionnaire-a-pilot-study-journal-of-surgical-research-203-2-2016-378-382
#4
An P Jairam, Michael Wilson, Ewout W Steyerberg, Johannes Jeekel, Johannes F Lange
No abstract text is available yet for this article.
February 13, 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29450631/preoperative-combination-of-progressive-pneumoperitoneum-and-botulinum-toxin-type-a-in-patients-with-loss-of-domain-hernia
#5
José Bueno-Lledó, Antonio Torregrosa, Raquel Jiménez, Providencia García Pastor
INTRODUCTION: Preoperative progressive pneumoperitoneum (PPP) and botulinum toxin type A (BT) are tools in the surgical preparation of patients with loss of domain hernias (LODH). The aim of this paper is to report our experience with these preoperative techniques in 70 patients with LODH. METHODS: Observational study of 70 consecutive patients with LODH was conducted between May 2010 and May 2016. Diameters of the hernia sac, incisional hernia (VIH), and abdominal cavity (VAC) volumes, and VIH/VAC ratio were measured before and after PPP and BT, using abdominal CT scan data...
February 15, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29442058/multiparametric-evaluation-of-risk-factors-associated-to-seroma-formation-in-abdominal-wall-surgery
#6
L Licari, G Salamone, Z Parinisi, S Campanella, C Sabatino, G Ciolino, P De Marco, N Falco, S Boventre, G Gulotta
INTRODUCTION: Incisional hernia is one of the main topics in the general surgery since there is not a unanimous consensus concerning to the best surgical methodology to adopt. It seems that prosthetic surgery is the best technique, even if responsible for the development of periprosthetic seroma. The aim of this study is to assess whether the preoperative abnormalities of the bio-humoral parameters may be considered as risk factors for seroma. PATIENTS AND METHODS: From July 2016 to July 2017 at the "Policlinico Paolo Giaccone", Palermo, Department of Emergency Surgery, 56 patients included in this study, underwent laparotomic mesh repair...
November 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29437528/impact-of-surgical-site-infections-on-elective-incisional-hernia-surgery-a-prospective-study
#7
Montserrat Juvany, Carlos Hoyuela, Miguel Trias, Fernando Carvajal, Jordi Ardid, Antoni Martrat
BACKGROUND: Although incisional hernia repair is classified as a clean surgery, it still has a high incidence of surgical site infection (SSI) (0.7%-26.6%). The presence of an SSI could increase early recurrence rates after incisional hernia repair. PATIENTS AND METHODS: Patients undergoing elective incisional hernia repair with no bowel contamination between January and December 2015 were assessed prospectively. Demographic and surgical data, local post-operative complications, and one-year recurrence rates in patients with and without SSI were compared...
February 13, 2018: Surgical Infections
https://www.readbyqxmd.com/read/29428038/incisional-hernia-in-the-united-states-trends-in-hospital-encounters-and-corresponding-healthcare-charges
#8
Valeriy Shubinets, Justin P Fox, Michael A Lanni, Michael G Tecce, Eric M Pauli, William W Hope, Stephen J Kovach, John P Fischer
Incisional hernia (IH) is a challenging, potentially morbid condition. This study evaluates recent trends in hospital encounters associated with IH care in the United States. Using Nationwide Inpatient Sample databases from 2007 to 2011, annual estimates of IH-related hospital discharges, charges, and serious adverse events were identified. Significance in observed trends was tested using regression modeling. From 2007 to 2011, there were 583,054 hospital discharges associated with a diagnosis of IH. 81.1 per cent had a concurrent procedure for IH repair...
January 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29428035/the-state-of-prophylactic-mesh-augmentation
#9
Michael A Lanni, Michael G Tecce, Valeriy Shubinets, Michael N Mirzabeigi, John P Fischer
Prophylactic mesh augmentation (PMA) is the implantation of mesh during closure of an index laparotomy to decrease a patient's risk for developing incisional hernia (IH). The current body of evidence lacks refined guidelines for patient selection, mesh placement, and material choice. The purpose of this study is to summarize the literature and identify areas of research needed to foster responsible and appropriate use of PMA as an emerging technique. We conducted a comprehensive review of Scopus, Cochrane, PubMed, and <ext-link ext-link-type="uri" xlink:href="http://clinicaltrials...
January 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29426630/modifying-hernia-mesh-design-to-improve-device-mechanical-performance-and-promote-tension-free-repair
#10
Mohamed M Ibrahim, Luke P Poveromo, Richard R Glisson, Agustin Cornejo, Alfredo E Farjat, Ken Gall, Howard Levinson
PURPOSE: Approximately 348,000 ventral hernia repairs are performed annually in the United States and the incisional hernia recurrence rate is approximately 20% as a result of suture and mesh device failure. Device failure is related to changes at the suture/tissue interface that leads to acute or chronic suture pull-through and surgical failure. To better manage mechanical tension, we propose a modified mesh design with extensions and demonstrate its mechanical superiority. METHODS: Comparative uniaxial static tensile testing was conducted on polypropylene suture and a modified mesh...
February 2, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29413874/primary-and-incisional-ventral-hernias-are-different-in-terms-of-patient-characteristics-and-postoperative-complications-a-prospective-cohort-study-of-4-565-patients
#11
Leonard F Kroese, Jean-Francois Gillion, Johannes Jeekel, Gert-Jan Kleinrensink, Johan F Lange
BACKGROUND: Primary and incisional hernias are often pooled in publications studying hernia symptoms, treatment, or surgical outcomes. The question rises whether this is justified or if primary and incisional hernia should be considered as two separate entities. The aim of this prospective cohort study is to compare primary and incisional ventral hernias regarding patient characteristics, hernia characteristics, surgical characteristics, and postoperative complications. MATERIALS AND METHODS: A registry-based, prospective cohort study was performed...
January 26, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29411105/laparoscopic-pyloromyotomy-for-hypertrophic-pyloric-stenosis-a-survey-of-407-children
#12
Aurélien Binet, C Klipfel, P Meignan, F Bastard, A R Cook, K Braïk, A Le Touze, T Villemagne, M Robert, Q Ballouhey, F Lengelle, S Amar, H Lardy
INTRODUCTION: Pyloromyotomy is the standard care for hypertrophic pyloric stenosis. The traditional approach for this procedure is a right upper quadrant transverse incision, although other "open" approaches, such as circumumbilical or periumbilical incision have been described. The more recent approach used is laparoscopic pyloromyotomy (LP), but experience feedback is still debated and its benefits remain unproven. The aim of this study was to make a review of all our LP procedures with an objective evaluation according to the literature...
February 6, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29409537/complete-resection-of-a-rectus-abdominis-muscle-invaded-by-desmoid-tumors-and-subsequent-management-with-an-abdominal-binder-a-case-report
#13
Tatsuhiko Ogawa
BACKGROUND: Desmoid-type fibromatosis is characterized by desmoid tumors, which are benign soft tissue tumors that can be locally aggressive but typically do not metastasize. Desmoid tumors can manifest anywhere in the body, and those in the abdominal cavity account for approximately 30 to 50% of all such tumors. Complete resection with free margins has been the standard treatment, but non-surgical therapies have been implemented recently. However, if tumors are strongly invasive and/or persistently recur, radical surgical resection with free margins remains the primary treatment...
February 7, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29408835/incidence-and-factors-correlating-with-incisional-hernia-following-open-bowel-resection-in-patients-with-inflammatory-bowel-disease-a-review-of-1000-patients
#14
Tomas M Heimann, Santosh Swaminathan, Adrian J Greenstein, Randolph M Steinhagen
OBJECTIVE: The aim of this study was to identify the incidence and factors associated with the development of incisional hernia (IH) in patients with inflammatory bowel disease (IBD) undergoing open bowel resections. BACKGROUND: Predisposing factors for IH have not been well studied in patients with IBD undergoing open bowel resection. The role of duration of the disease, nutritional factors, anti-inflammatory treatment, previous operative procedures, wound infection, and other complicating factors remains unclear...
March 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29398631/enhancing-confidence-in-graduating-general-surgery-residents-establishing-a-chief-surgery-resident-service-at-an-independent-academic-medical-center
#15
Benjamin T Jarman, Colette T O'Heron, Kara J Kallies, Thomas H Cogbill
OBJECTIVE: Providing opportunities for autonomy to enhance the development of independence and confidence during surgery residency remains among the greatest challenges of the current training paradigm. The objective of this study was to evaluate the implementation and outcomes of a chief resident service (CRS). DESIGN: A CRS was designed with operative, call and office responsibilities. Supervision and evaluation were consistent with institutional guidelines. CRS operative logs from 2011 to 2014 were compared with logs from the participants' first year in practice...
February 2, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29398241/the-results-of-expanded-polytetrafluoroethylene-mesh-repair-in-difficult-abdominal-wall-defects
#16
Tarkan Ünek, Selman Sökmen, Tufan Egeli, Vildan Avkan Oğuz, Hülya Ellidokuz, Funda Obuz
BACKGROUND: The repair of difficult abdominal wall defects (AWDs) continues to be a crucial and demanding issue for surgeons. This study aimed to present the risk factors and the long-term results of usage of an expanded-polytetrafluoroethylene (e-PTFE) synthetic mesh for the AWR of difficult abdominal wall defects. METHODS: This study included 156 adult patients who underwent difficult AWR with e-PTFE mesh for incisional hernia, ventral hernia, and created AWDs of various etiopathologies...
February 2, 2018: Asian Journal of Surgery
https://www.readbyqxmd.com/read/29392914/all-complex-abdominal-incisional-hernia-repairs-using-mesh-must-be-drained-it-s-the-law
#17
EDITORIAL
Philip G Truskett
No abstract text is available yet for this article.
January 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29389227/single-incision-versus-conventional-laparoscopic-sleeve-gastrectomy-for-morbid-obesity-a-meta-analysis
#18
Dimitrios E Magouliotis, Vasiliki S Tasiopoulou, Alexis A Svokos, Konstantina A Svokos, Eleni Sioka, Dimitrios Zacharoulis
INTRODUCTION: The purpose of this study was to review the existing evidence on obese patients treated with single-incision laparoscopic sleeve gastrectomy (SILSG) or conventional laparoscopic sleeve gastrectomy (LSG), to compare the perioperative parameters and outcomes of the two bariatric procedures. MATERIALS AND METHODS: A systematic literature search was performed in PubMed, Scopus, and Cochrane library, in accordance with the PRISMA guidelines. Seventeen articles met the inclusion criteria and incorporated 3843 patients...
February 1, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29388078/complications-and-recurrence-rates-of-patients-with-ehlers-danlos-syndrome-undergoing-ventral-hernioplasty-a-case-series
#19
L F Kroese, E H Mommers, C Robbens, N D Bouvy, J F Lange, F Berrevoet
PURPOSE: Ventral hernia repair is one of the most frequently performed surgical procedures, though recurrences are common. Recurrence can be caused by impaired collagen formation or maturation; hence, patients with Ehlers-Danlos syndrome (EDS) are potentially at increased risk for hernia recurrence. EDS causes altered collagen metabolism, though little is known about the influence of EDS on ventral hernioplasty outcomes. This study aims to analyze these patients to report complication rates, recurrence rates, and, if possible, to give recommendations for surgical intervention...
January 31, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29380158/incidence-etiology-management-and-outcomes-of-flank-hernia-review-of-published-data
#20
REVIEW
D J Zhou, M A Carlson
PURPOSE: To review the published data describing the incidence, etiology, management, and outcomes of flank hernia. METHODS: A retrospective review of articles identified with an online search (using the terms "flank hernia", "flank bulge", "lateral hernia", "retroperitoneal aorta hernia", and "open radical nephrectomy") was performed. Studies exclusively on lumbar hernia or subcostal hernia were excluded. RESULTS: All articles retained for analysis (N = 26) were uncontrolled series or case reports; there were no controlled trials...
January 27, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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