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"Abdominal wall closure"

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https://www.readbyqxmd.com/read/27757361/mesh-sutured-repairs-of-abdominal-wall-defects
#1
Steven T Lanier, Gregory A Dumanian, Sumanas W Jordan, Kyle R Miller, Nada A Ali, Stuart R Stock
: A new closure technique is introduced, which uses strips of macroporous polypropylene mesh as a suture for closure of abdominal wall defects due to failures of standard sutures and difficulties with planar meshes. METHODS: Strips of macroporous polypropylene mesh of 2 cm width were passed through the abdominal wall and tied as simple interrupted sutures. The surgical technique and surgical outcomes are presented. RESULTS: One hundred and seven patients underwent a mesh sutured abdominal wall closure...
September 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27665495/high-mortality-among-children-with-gastroschisis-after-the-neonatal-period-a-long-term-follow-up-study
#2
Kirsten Risby, Steffen Husby, Niels Qvist, Marianne S Jakobsen
BACKGROUND: During the last decades neonatal outcomes for children born with gastroschisis have improved significantly. Survival rates >90% have been reported. Early prenatal diagnosis and increased survival enforce the need for valid data for long-term outcome in the pre- and postnatal counseling of parents with a child with gastroschisis. METHODS: Long-term follow-up on all newborns with gastroschisis at Odense University Hospital (OUH) from January 1 1997-December 31 2009...
September 2, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27634489/hughes-abdominal-repair-trial-hart-abdominal-wall-closure-techniques-to-reduce-the-incidence-of-incisional-hernias-study-protocol-for-a-randomised-controlled-trial
#3
J Cornish, R L Harries, D Bosanquet, B Rees, J Ansell, N Frewer, P K Dhruva Rao, C Parry, R Ellis-Owen, S M Phillips, C Morris, J Horwood, M L Davies, M M Davies, R Hargest, Z Davies, J Hilton, D Harris, A Ben-Sassi, R Rajagopal, D Hanratty, S Islam, A Watkins, N Bashir, S Jones, I R Russell, J Torkington
BACKGROUND: Incisional hernias are common complications of midline closure following abdominal surgery and cause significant morbidity, impaired quality of life and increased health care costs. The 'Hughes Repair' combines a standard mass closure with a series of horizontal and two vertical mattress sutures within a single suture. This theoretically distributes the load along the incision length as well as across it. There is evidence to suggest that this technique is as effective as mesh repair for the operative management of incisional hernias; however, no trials have compared the Hughes Repair with standard mass closure for the prevention of incisional hernia formation following a midline incision...
September 15, 2016: Trials
https://www.readbyqxmd.com/read/27547691/retrospective-analysis-of-a-vacm-vacuum-assisted-closure-and-mesh-mediated-fascial-traction-treatment-manual-for-temporary-abdominal-wall-closure-results-of-58-consecutive-patients
#4
Christian Beltzer, Alexander Eisenächer, Steffen Badendieck, Dietrich Doll, Markus Küper, Stefan Lenz, Björn Dirk Krapohl
INTRODUCTION: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. MATERIAL AND METHODS: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed...
2016: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://www.readbyqxmd.com/read/27531016/-access-routes-and-abdominal-wall-closure
#5
EDITORIAL
C-T Germer, U A Dietz
No abstract text is available yet for this article.
September 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27495164/-do-we-need-to-relearn-abdominal-wall-closure-small-stitches
#6
M Golling, S Felbinger, Z Zielska, K Maurer, P Baumann
The 1‑year incisional hernia rate of 9-30 % has been tolerated for decades. Even in the 1970s and 1980s there was evidence that supported reducing suture tension. Recently, the traditional 4:1 relationship between suture and wound length, which has been passed on for years, has been questioned. After first experimental and clinical data suggested an advantage by reducing the width and interval of stitches by 50 %, the prospective randomized STITCH study has now provided evidence by significantly lowering the 1‑year hernia rate from 21 % to 13 %...
September 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27392763/-current-standards-of-abdominal-wall-closure-techniques-conventional-suture-techniques
#7
P Heger, F Pianka, M K Diener, A L Mihaljevic
BACKGROUND: The most frequent complications following midline abdominal laparotomy include incisional hernias, which develop in 10-15 % of patients and surgical site infections in 15-25 % of cases; however, the risk of these complications can be reduced by the surgical technique and the use of special suture materials. In 2010, the INLINE meta-analysis performed by the Study Centre of the German Society of Surgery (SDGC) revealed that a continuous suture technique using slowly absorbable suture material resulted in the lowest risk of developing postoperative incisional hernia after elective midline laparotomy...
September 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27345767/gastroschisis-with-gastric-perforation-and-jejunal-stenosis-a-rare-association-of-anomalies
#8
Vesna Milojkovic Marinovic, Marija Lukac Lukac, Zeljko Mikovic, Blagoje Grujic, Aleksandra Stojanovic, Dalibor Sabbagh, Gordana Samardžija
AIM: Gastroschisis with prenatal gastric perforation and intestinal stenosis is a rare and serious anomaly. although there are several case reports, no case series exists to suggest the prognosis for these infants. MATERIAL AND METHODS: In this report a case of gastroschisis with gastric perforation and jejunal stenosis in male newborn is presented with literature review. The stomach, small bowel and the part of the colon were herniated through the abdominal wall defect...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/27290966/effects-of-intraoperative-high-dose-vs-low-dose-remifentanil-for-postoperative-epidural-analgesia-after-gynecological-abdominal-surgery-a-randomized-clinical-trial
#9
Soichiro Yamashita, Takako Yokouchi, Makoto Tanaka
STUDY OBJECTIVES: To evaluate whether intraoperative high-dose remifentanil infusion increased local anesthetic consumption in postoperative epidural analgesia and postoperative pain scores compared with low-dose remifentanil infusion. DESIGN: Prospective, randomized controlled study. SETTING: Operating room, university hospital. PATIENTS: Thirty female patients scheduled for elective gynecological abdominal surgery...
August 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27054034/effectiveness-and-properties-of-the-biological-prosthesis-permacol%C3%A2-in-pediatric-surgery-a-large-single-center-experience
#10
Claudia Filisetti, Sara Costanzo, Federica Marinoni, Claudio Vella, Catherine Klercy, Giovanna Riccipetitoni
INTRODUCTION: The use of prosthetic patches of non-absorbable materials represents a valid tool in the treatment of abdominal wall and diaphragmatic defects in pediatric age. In recent years research has developed biological dermal scaffolds made from a sheet of acellular matrix that can provide the desired support and reduce the occurrence of complications from non-absorbable implant. We present our experience and a systematic review to evaluate the use of biologic prosthesis for abdominal wall closure in pediatric patients...
May 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/26996209/gastroschisis-with-gastric-perforation-and-jejunal-stenosis-a-rare-association-of-anomalies
#11
Vesna Milojkovic Marinovic, Marija Lukac Lukac, Zeljko Mikovic, Blagoje Grujic, Aleksandra Stojanovic, Dalibor Sabbagh, Gordana Samardzija
AIM: Gastroschisis with prenatal gastric perforation and intestinal stenosis is a rare and serious anomaly. although there are several case reports, no case series exists to suggest the prognosis for these infants. MATERIAL AND METHODS: In this report a case of gastroschisis with gastric perforation and jejunal stenosis in male newborn is presented with literature review. The stomach, small bowel and the part of the colon were herniated through the abdominal wall defect...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/26908242/is-early-reversal-of-defunctioning-ileostomy-a-shorter-easier-and-less-expensive-operation
#12
Konstantinos Lasithiotakis, Assad Aghahoseini, David Alexander
BACKGROUND: A defunctioning loop ileostomy mitigates the consequences of anastomotic leak from low rectal anastomosis but it is associated with significant morbidity. In this study, the outcome of early reversal of defunctioning ileostomy during the same admission with the primary operation was assessed. METHODS: This randomized study was carried out at York Teaching Hospital during the period 2003-2007. All patients with defunctioning ileostomy were considered for an early second operation if they had an uneventful recovery and were in good general condition...
July 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/26833235/managing-the-open-abdomen-negative-pressure-closure-versus-mesh-mediated-fascial-traction-closure-a-randomized-trial
#13
RANDOMIZED CONTROLLED TRIAL
J Camilo Correa, D Alejandro Mejía, N Duque, M Montoya J, C Morales Uribe
PURPOSE: To compare the effectiveness of abdominal wall closure using the vacuum-assisted closure (NPC) as described by Barker et al. with an institutional protocol using a double polyvinyl bag in the first surgery, which is changed in subsequent surgeries to a polyvinyl bag placed over the bowel loops and a prolene mesh attached to the abdominal fascia (MMFC). METHODS: Randomized controlled trial. Patients with open abdomen (OA) due to a traumatic or a medical cause were included in the study...
April 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/26819597/techniques-for-abdominal-wall-closure-after-damage-control-laparotomy-from-temporary-abdominal-closure-to-early-delayed-fascial-closure-a-review
#14
REVIEW
Qian Huang, Jieshou Li, Wan-Yee Lau
Open abdomen (OA) has been an effective treatment for abdominal catastrophes in traumatic and general surgery. However, management of patients with OA remains a formidable task for surgeons. The central goal of OA is closure of fascial defect as early as is clinically feasible without precipitating abdominal compartment syndrome. Historically, techniques such as packing, mesh, and vacuum-assisted closure have been developed to assist temporary abdominal closure, and techniques such as components separation, mesh-mediated traction, bridging fascial defect with permanent synthetic mesh, or biologic mesh have also been attempted to achieve early primary fascial closure, either alone or in combined use...
2016: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/26800685/coexistence-of-congenital-diaphragmatic-hernia-and-abdominal-wall-closure-defect-with-chromosomal-abnormality-two-case-reports
#15
Seiichiro Inoue, Akio Odaka, Yuki Muta, Yoshifumi Beck, Hisanori Sobajima, Masanori Tamura
BACKGROUND: We reported two rare cases of congenital diaphragmatic hernia with abdominal wall closure defect, which were not associated with septum transversum diaphragmatic defects or Fryns syndrome. CASE PRESENTATION: Case 1: a Japanese baby boy was delivered at 37 weeks' gestation by urgent cesarean section because of the diagnosis of severe fetal distress. Congenital diaphragmatic hernia with omphalocele was prenatally diagnosed with fetal ultrasound. A ruptured omphalocele was confirmed at delivery...
January 22, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/26707332/performing-a-right-hemihepatectomy-sequentially-after-deceased-donor-liver-transplantation-the-solution-for-a-large-for-size-graft-a-case-report
#16
E Y Kim, Y C Yoon
BACKGROUND: Large-for-size (LFS) is a serious problem that can develop during liver transplantation (LT) and is related to morbidities such as insufficient blood supply causing graft dysfunction or impractical closure of the abdominal wall leading to graft compression. LFS is usually discussed in pediatric LT and is often managed by reducing the size of the graft before implantation. In contrast, only a few cases about managing unexpected LFS during adult LT have been reported, and no case after the vascular anastomosis has been completed has been reported...
December 2015: Transplantation Proceedings
https://www.readbyqxmd.com/read/26445471/indications-for-use-of-damage-control-surgery-in-civilian-trauma-patients-a-content-analysis-and-expert-appropriateness-rating-study
#17
Derek J Roberts, Niklas Bobrovitz, David A Zygun, Chad G Ball, Andrew W Kirkpatrick, Peter D Faris, Karim Brohi, Scott D'Amours, Timothy C Fabian, Kenji Inaba, Ari K Leppäniemi, Ernest E Moore, Pradeep H Navsaria, Andrew J Nicol, Neil Parry, Henry T Stelfox
OBJECTIVES: To characterize and evaluate indications for use of damage control (DC) surgery in civilian trauma patients. BACKGROUND: Although DC surgery may improve survival in select, severely injured patients, the procedure is associated with significant morbidity, suggesting that it should be used only when appropriately indicated. METHODS: Two investigators used an abbreviated grounded theory method to synthesize indications for DC surgery reported in peer-reviewed articles between 1983 and 2014 into a reduced number of named, content-characteristic codes representing unique indications...
May 2016: Annals of Surgery
https://www.readbyqxmd.com/read/26260490/abdominal-wall-dysfunction-in-adult-bladder-exstrophy-a-treatable-but-under-recognized-problem
#18
M A Manahan, K A Campbell, A P Tufaro
PURPOSE: Bladder exstrophy is defined by urogenital and skeletal abnormalities with cosmetic and functional deformity of the lower anterior abdominal wall. The primary management objectives have historically been establishment of urinary continence with renal function preservation, reconstruction of functional and cosmetically acceptable external genitalia, and abdominal wall closure of some variety. The literature has focused on the challenges of neonatal approaches to abdominal wall closure; however, there has been a paucity of long-term followup to identify the presence and severity of abdominal wall defects in adulthood...
August 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/26180651/the-combination-of-gastroschisis-jejunal-atresia-and-colonic-atresia-in-a-newborn
#19
Zachary Bauman, Victor Nanagas
We encountered a rare case of gastroschisis associated with jejunal atresia and colonic atresia. In our case, the jejunal atresia was not discovered for 27 days after the initial abdominal wall closure. The colonic atresia was not discovered for 48 days after initial repair of the gastroschisis secondary to the rarity of the disorder. Both types of atresia were repaired with primary hand-sewn anastomoses. Other than the prolonged parenteral nutrition and hyperbilirubinemia, our patient did very well throughout his hospital course...
2015: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/26171624/association-between-triclosan-coated-sutures-for-abdominal-wall-closure-and-incisional-surgical-site-infection-after-open-surgery-in-patients-presenting-with-fecal-peritonitis-a-randomized-clinical-trial
#20
RANDOMIZED CONTROLLED TRIAL
Jaime Ruiz-Tovar, Natalia Alonso, Vicente Morales, Carolina Llavero
BACKGROUND: A factor that may influence the incidence of surgical site infections (SSIs) is the suture used for closure of the abdominal wall because bacteria may adhere to the suture material. Sutures can be coated with antibacterial substances that may reduce the bacterial load in the incision. OBJECTIVE: The aim of this study was to evaluate the effect of triclosan-coated sutures used in abdominal wall closure in patients with fecal peritonitis. METHODS: A randomized study was performed...
October 2015: Surgical Infections
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