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open ventral hernia repair

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https://www.readbyqxmd.com/read/28643055/open-versus-laparoscopic-rectal-cancer-resection-and-risk-of-subsequent-incisional-hernia-repair-and-paracolostomy-hernia-repair-a-nationwide-population-based-cohort-study
#1
Peter Andersen, Rune Erichsen, Trine Frøslev, Mogens R Madsen, Søren Laurberg, Lene H Iversen
OBJECTIVE: To investigate the risk of incisional hernia repair (IHR) and paracolostomy hernia repair (PHR) following open and laparoscopic rectal cancer resection with curative intent. BACKGROUND: Laparoscopic rectal cancer resection has been implemented to varying degrees around the world. IHR and PHR following open and laparoscopic rectal cancer resection have only been sparingly evaluated. METHODS: Patients who underwent rectal cancer resection were identified in the Danish Colorectal Cancer Group's database...
June 22, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28637564/do-iodine-impregnated-adhesive-surgical-drapes-reduce-surgical-site-infections-during-open-ventral-hernia-repair-a-comparative-analysis
#2
Neal Moores, Steven Rosenblatt, Ajita Prabhu, Michael Rosen
This study evaluated the role of iodine-impregnated adhesive drapes to reduce surgical site infections and occurrences in open ventral hernia repairs. All patients undergoing open ventral hernia repair of clean wounds with a retromuscular repair using synthetic mesh by a single surgeon were prospectively evaluated from the American Hernia Society Quality Collaborative. Patients were divided into those that had an Ioban drape and those that did not. The primary endpoints of this study were postoperative surgical site occurrence and infections...
June 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28597282/the-general-surgeon-s-perspective-of-rectus-diastasis-a-systematic-review-of-treatment-options
#3
Elwin H H Mommers, Jeroen E H Ponten, Aminah K Al Omar, Tammo S de Vries Reilingh, Nicole D Bouvy, Simon W Nienhuijs
BACKGROUND: Diastasis of the rectus abdominis muscles (DRAM) is characterised by thinning and widening of the linea alba, combined with laxity of the ventral abdominal musculature. This causes the midline to "bulge" when intra-abdominal pressure is increased. Plastic surgery treatment for DRAM has been thoroughly evaluated, though general surgical treatments and the efficacy of physiotherapy remain elusive. The aim of this systematic literature review is to evaluate both general surgical and physiotherapeutic treatment options for restoring DRAM in terms of postoperative complications, patient satisfaction, and recurrence rates...
June 8, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28569365/risk-adjusted-procedure-tailoring-leads-to-uniformly-low-complication-rates-in-ventral-and-incisional-hernia-repair-a-propensity-score-analysis-and-internal-validation-of-classification-criteria
#4
U A Dietz, A Fleischhacker, S Menzel, U Klinge, C Jurowich, K Haas, P Heuschmann, C-T Germer, A Wiegering
BACKGROUND: The usual approach in hernia surgery is to select the ideal repair method independent of the patient's characteristics. In the present study, we change the approach to ask which technique is best for the individual patient`s risk profile. For this, two criteria are important: does the patient need reconstruction of the abdominal wall? or does he or she need treatment of symptoms without being exposed to unnecessarily high perioperative risks? METHODS: In a heuristic selection procedure, 486 consecutive patients were classified according to their characteristics as low-risk or high-risk for postoperative complications...
May 31, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28553149/a-multicenter-prospective-study-of-patients-undergoing-open-ventral-hernia-repair-with-intraperitoneal-positioning-using-the-monofilament-polyester-composite-ventral-patch-interim-results-of-the-panacea-study
#5
Frederik Berrevoet, Carl Doerhoff, Filip Muysoms, Steven Hopson, Marco Gallinella Muzi, Simon Nienhuijs, Eric Kullman, Tim Tollens, Mark R Schwartz, Karl LeBlanc, Vic Velanovich, Lars Nannestad Jørgensen
PURPOSE: This study assessed the recurrence rate and other safety and efficacy parameters following ventral hernia repair with a polyester composite prosthesis (Parietex™ Composite Ventral Patch [PCO-VP]). PATIENTS AND METHODS: A single-arm, multicenter prospective study of 126 patients undergoing open ventral hernia repair with the PCO-VP was performed. Patient outcomes were assessed at discharge and at 10 days, 1, 6, 12, and 24 months postoperative. RESULTS: All patients had hernioplasty for umbilical (n = 110, 87...
2017: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/28547932/from-intraperitoneal-onlay-mesh-repair-to-preperitoneal-onlay-mesh-repair
#6
REVIEW
George Pei Cheung Yang
Laparoscopic repair for ventral and incisional hernias was first reported in the early 1990s. It uses intraperitoneal only mesh placement to achieve a tension-free repair of the hernia. However, in recent years, there has been greater concern about long-term complication involving intraperitoneal mesh placement. Many case reports and case series have found evidence of mesh adhesion, mesh fistulation, and mesh migration into hollow organs including the esophagus, small bowel, and large bowel, resulting in various major acute abdominal events...
May 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28502075/vacuum-assisted-wound-closure-and-mesh-mediated-fascial-traction-for-open-abdomen-therapy-a-systematic-review
#7
Stefan Acosta, Martin Björck, Ulf Petersson
BACKGROUND: The aim of this paper was to review the literature on vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM) in open abdomen therapy. It was designed as systematic review of observational studies. METHODS: A Pub Med, EMBASE and Cochrane search from 2007/01-2016/07 was performed combining the Medical Subject Headings "vacuum", "mesh-mediated fascial traction", "temporary abdominal closure", "delayed abdominal closure", "open abdomen", "abdominal compartment syndrome", "negative pressure wound therapy" or "vacuum assisted wound closure"...
May 14, 2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28501135/impact-of-hernia-volume-on-pulmonary-complications-following-complex-hernia-repair
#8
Elwin H H Mommers, Johannes A Wegdam, Sander van der Wolk, Simon W Nienhuijs, Tammo S de Vries Reilingh
BACKGROUND: Despite a multitude of evidence-based prediction models and risk factors for postoperative complications after ventral hernia repair, estimating a patient's risk of postoperative complications after ventral hernia repair remains challenging. In an attempt to improve the preoperative assessment of complex hernia patients, some studies have examined pulmonary changes after hernia repair hypothesizing that large hernias lead to pulmonary changes and increased pulmonary complication rates...
May 1, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28378079/primary-fascial-closure-during-laparoscopic-ventral-hernia-repair-does-not-reduce-30-day-wound-complications
#9
Christina M Papageorge, Luke M Funk, Benjamin K Poulose, Sharon Phillips, Michael J Rosen, Jacob A Greenberg
BACKGROUND: Laparoscopic ventral hernia repair (LVHR) is associated with decreased wound morbidity compared to open repair. It remains unclear whether primary fascial closure (PFC) offers any benefit in reducing postoperative seroma compared to bridged repair. We hypothesized that PFC would have no effect on seroma formation following LVHR. METHODS: A retrospective cohort study was performed using data from the prospectively maintained Americas Hernia Society Quality Collaborative...
April 4, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28376488/laparoscopic-versus-hybrid-approach-for-treatment-of-incisional-ventral-hernia
#10
Mirella Ahonen-Siirtola, Tero Rautio, Fausto Biancari, Pasi Ohtonen, Jyrki Mäkelä
BACKGROUND: The aim of this study was to compare the efficacy of a hybrid approach (HA) versus laparoscopy in reducing the risk of complications related to complex adhesiolysis in incisional ventral hernia repair (IVHR). METHODS: This study included 269 adult patients who underwent laparoscopic IVHR at the Oulu University Hospital, Finland during 2006-2012. Baseline, operative and postoperative data was collected and compared between the treatment groups; that is, a comparison was made between the laparoscopic approach (LA, 38 patients) and the hybrid approach (HA, 24 patients)...
April 5, 2017: Digestive Surgery
https://www.readbyqxmd.com/read/28374261/outcomes-after-laparoscopic-ventral-hernia-repair-does-the-number-of-previous-recurrences-matter-a-prospective-study
#11
Joaquín Picazo-Yeste, Carlos Moreno-Sanz, Cristina Sedano-Vizcaíno, Antonio Morandeira-Rivas, Francisco Sánchez-De Pedro
BACKGROUND: It is not yet clearly known whether laparoscopic ventral hernia repair (LVHR) is superior to the open approach in recurrent hernias. The aim of this study is to determine the safety and efficacy of laparoscopic technique for ventral hernias and investigate whether these outcomes are affected by the number of previous failed repairs. METHODS: Data from 124 consecutive patients who underwent LVHR using a standardized technique between September 2007 and June 2014 were collected prospectively...
April 3, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28364155/impact-of-minimally-invasive-surgery-on-healthcare-utilization-cost-and-workplace-absenteeism-in-patients-with-incisional-ventral-hernia-ivh
#12
Dean J Mikami, W Scott Melvin, Michael J Murayama, Kenric M Murayama
BACKGROUND: Incisional hernia repair is one of the most common general surgery operations being performed today. With the advancement of laparoscopy since the 1990s, we have seen vast improvements in faster return to normal activity, shorter hospital stays and less post-operative narcotic use, to name a few. OBJECTIVE: The key aims of this review were to measure the impact of minimally invasive surgery versus open surgery on health care utilization, cost, and work place absenteeism in the patients undergoing inpatient incisional/ventral hernia (IVH) repair...
March 31, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28350568/reducing-length-of-stay-using-a-robotic-assisted-approach-for-retromuscular-ventral-hernia-repair-a-comparative-analysis-from-the-americas-hernia-society-quality-collaborative
#13
Alfredo M Carbonell, Jeremy A Warren, Ajita S Prabhu, Conrad D Ballecer, Randy J Janczyk, Javier Herrera, Li-Ching Huang, Sharon Phillips, Michael J Rosen, Benjamin K Poulose
OBJECTIVE: The aim of this study was to compare length of stay (LOS) after robotic-assisted and open retromuscular ventral hernia repair (RVHR). BACKGROUND: RVHR has traditionally been performed by open techniques. Robotic-assisted surgery enables surgeons to perform minimally invasive RVHR, but with unknown benefit. Using real-world evidence, this study compared LOS after open (o-RVHR) and robotic-assisted (r-RVHR) approach. METHODS: Multi-institutional data from patients undergoing elective RVHR in the Americas Hernia Society Quality Collaborative between 2013 and 2016 were analyzed...
March 27, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28342133/is-old-age-a-contraindication-to-elective-ventral-hernia-repair
#14
Ruel Neupane, Mojtaba Fayezizadeh, Arnab Majumder, Yuri W Novitsky
BACKGROUND: Ventral hernia repair (VHR) is a frequent problem in the expanding aging population. However, advanced age is often viewed as a contraindication to elective hernia surgery. We aimed to analyze outcomes of VHR in a large cohort of elderly patients. We hypothesized that elective VHR is safe and effective even in patients over 70 years old. METHODS: We conducted a retrospective review of consecutive patients over the age of 70 who underwent VHR at a at a tertiary care hospital...
March 24, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28340926/impact-of-obesity-on-postoperative-30-day-outcomes-in-emergent-open-ventral-hernia-repairs
#15
Mary M Mrdutt, Yolanda Munoz-Maldonado, Justin L Regner
BACKGROUND: Anecdotally, obese patients experience increased morbidity with emergent ventral hernia repair (VHR). We hypothesized obese patients are over-represented in emergent VHRs and experience increased 30-day morbidity. METHODS: American College of Surgeons National Surgical Quality Improvement Program database (2011 to 2013) was queried for patients undergoing open VHR. Patients were stratified by body mass index (BMI) categories: underweight, normal weight, overweight, and obesity classes I, II, and III; 30-day postoperative complications (surgical site infections, return to operating room, dehiscence, death) were evaluated across BMI for elective vs emergent VHR...
December 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/28277031/procedural-volume-cost-and-reimbursement-of-outpatient-incisional-hernia-repair-implications-for-payers-and-providers
#16
Chao Song, Emelline Liu, Scott Tackett, Lizheng Shi, Daniel Marcus
OBJECTIVE: This analysis aimed to evaluate trends in volumes and costs of primary elective incisional ventral hernia repairs (IVHRs) and investigated potential cost implications of moving procedures from inpatient to outpatient settings. METHODS: A time series study was conducted using the Premier Hospital Perspective(®) Database (Premier database) for elective IVHR identified by International Classification of Diseases, Ninth revision, Clinical Modification codes...
February 28, 2017: Journal of Medical Economics
https://www.readbyqxmd.com/read/28219819/laparoscopic-ventral-hernia-repair-with-composite-mesh-analysis-of-risk-factors-for-recurrence-in-185-patients-with-5-years-follow-up
#17
Mario Nardi, Paolo Millo, Riccardo Brachet Contul, Riccardo Lorusso, Antonella Usai, Manuela Grivon, Fabio Persico, Elisa Ponte, Paolo Bocchia, Salvatore Razzi
BACKGROUND: Laparoscopic ventral hernia repair is widely used although its clinical indications are often debated. The aim of this study is to describe our surgical experience in order to establish the safety, efficacy, feasibility of laparoscopic ventral hernia repair and to identify the factors that influence the risk of recurrence in a group of patients treated with only one type of prosthetic mesh and by the same surgical team. MATERIALS AND METHODS: Between January 2007 and December 2016, 512 patients were admitted to the General and Urgent Surgery Unit, with diagnosis of ventral hernia...
April 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28187028/comparison-of-surgeon-specialty-in-open-ventral-hernia-repair
#18
Chris M Reid, Michael G Brandel, Amanda A Gosman
BACKGROUND: Ventral hernia repair is a common procedure and is undertaken by surgeons with varying training backgrounds. Outcomes after hernia repair depend on numerous factors, some being patient or surgeon specific. It remains unclear what the ideal roles are for general and plastic surgeons in open ventral hernia repair. We hypothesized that open ventral hernia repair by plastic surgeons is safe and comparable with general surgeons. METHODS: We performed a retrospective observational study using data from the National Surgical Quality Improvement Program database from 2007 to 2013...
May 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28161483/onlay-with-adhesive-use-compared-with-sublay-mesh-placement-in-ventral-hernia-repair-was-chevrel-right-an-americas-hernia-society-quality-collaborative-analysis
#19
Ivy N Haskins, Guy R Voeller, Nathaniel F Stoikes, David L Webb, Robert G Chandler, Sharon Phillips, Benjamin K Poulose, Michael J Rosen
BACKGROUND: The use of mesh during ventral hernia repair (VHR) is a well-accepted concept. However, the ideal location of mesh placement remains strongly debated. Although VHR with onlay mesh placement has historically been associated with a high rate of wound events, this surgical approach is technically less challenging than VHR with sublay mesh placement. The purpose of this study was to compare 30-day wound events after onlay mesh placement with adhesive fixation vs those after sublay mesh placement using the Americas Hernia Society Quality Collaborative database...
May 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28039655/the-effect-of-component-separation-technique-on-quality-of-life-qol-and-surgical-outcomes-in-complex-open-ventral-hernia-repair-ovhr
#20
Laurel J Blair, Tiffany C Cox, Ciara R Huntington, Steven A Groene, Tanushree Prasad, Amy E Lincourt, Kent W Kercher, B Todd Heniford, Vedra A Augenstein
INTRODUCTION: Outcomes following OVHR may be affected by type of component separation. In this study, outcomes including QOL of patients undergoing OVHR were evaluated based on the utilization of transversus abdominis release (TAR), posterior rectus sheath release (PRSR) alone or in combination with external oblique release (EOR + PRSR). METHODS: A prospective, single-institution study following open ventral hernia repair involving component separation was performed from May 2005 to April 2015...
December 30, 2016: Surgical Endoscopy
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