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open ventral hernia repair

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https://www.readbyqxmd.com/read/27884801/effect-of-flexible-duty-hour-policies-on-length-of-stay-for-complex-intra-abdominal-operations-a-flexibility-in-duty-hour-requirement-for-surgical-trainees-first-trial-analysis
#1
Jonah J Stulberg, Emily Pavey, Mark E Cohen, Clifford Y Ko, David B Hoyt, Karl Y Bilimoria
BACKGROUND: Changes to resident duty hour policies in the Flexibility in Duty Hour Requirements for Surgical Trainees ("FIRST") Trial could impact hospitalized patients' length of stay (LOS) by altering care coordination. LOS may also serve as a reflection of all complications, particularly those not captured in the FIRST Trial (eg, pneumothorax from central line). Programs were randomized to either maintaining current ACGME duty hour policies ("Standard Arm") or more flexible policies waiving rules on maximum shift lengths and time off between shifts ("Flexible Arm")...
November 8, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27855958/prospective-multi-institutional-surgical-and-quality-of-life-outcomes-comparison-of-heavyweight-midweight-and-lightweight-mesh-in-open-ventral-hernia-repair
#2
Steven A Groene, Tanushree Prasad, Amy E Lincourt, Vedra A Augenstein, Ronald Sing, Brant Todd Heniford
BACKGROUND: Mesh choice in open ventral hernia repair (OVHR) remains controversial. Our aim was to analyze prospective outcomes among heavyweight, midweight, and lightweight (LW) mesh. METHODS: A study of the International Hernia Mesh Registry was performed for OVHR. Operative details, complications, recurrence, and quality of life (QOL) at 1, 6, 12, 24, and 36 months were evaluated. RESULTS: There were 549 OVHRs, 99 using heavyweight, 262 midweight, and 188 LW mesh...
September 28, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27822119/the-danish-ventral-hernia-database-a-valuable-tool-for-quality-assessment-and-research
#3
REVIEW
Frederik Helgstrand, Lars Nannestad Jorgensen
AIM: The Danish Ventral Hernia Database (DVHD) provides national surveillance of current surgical practice and clinical postoperative outcomes. The intention is to reduce postoperative morbidity and hernia recurrence, evaluate new treatment strategies, and facilitate nationwide implementation of evidence-based treatment strategies. This paper describes the design and purpose of DVHD. STUDY POPULATION: Adult (≥18 years) patients with a Danish Civil Registration Number and undergoing surgery under elective or emergency conditions for ventral hernia in a Danish surgical department from 2007 and beyond...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27785629/effect-of-hernia-size-on-operative-repair-and-post-operative-outcomes-after-open-ventral-hernia-repair
#4
K E Poruk, N Farrow, F Azar, K K Burce, C W Hicks, S C Azoury, P Cornell, C M Cooney, F E Eckhauser
BACKGROUND: Ventral hernia repair (VHR) is a commonly performed operation, but analysis of patient outcomes based upon hernia size is lacking. We sought to identify differences in operative repair and post-operative morbidity and mortality after open VHR based on hernia defect size. METHODS: Patient and operative data were retrospectively reviewed on all patients undergoing open incisional VHR between January 2008 and February 2015 by a single surgeon at the Johns Hopkins Hospital...
October 26, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27766419/endoscopic-mini-less-open-sublay-technique-emilos-a-new-technique-for-ventral-hernia-repair
#5
J Schwarz, W Reinpold, Reinhard Bittner
INTRODUCTION: The "MILOS concept" (mini/less open sublay repair) was developed to realize the benefits of minimally invasive surgery and avoid the disadvantages of traditional open techniques in repair of primary and secondary abdominal wall hernias. Utilizing the MILOS concept, the mesh can be placed in the retromuscular position without opening of the abdominal cavity or without the necessity to perform a large skin incision. The dissection of the retromuscular plane may be done by an open technique (MILOS) or endoscopically (EMILOS)...
October 20, 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27752819/the-effect-of-tobacco-use-on-outcomes-of-laparoscopic-and-open-ventral-hernia-repairs-a-review-of-the-nsqip-dataset
#6
John C Kubasiak, Mackenzie Landin, Scott Schimpke, Jennifer Poirier, Jonathan A Myers, Keith W Millikan, Minh B Luu
INTRODUCTION: Tobacco smoking is a known risk factor for complications after major surgical procedures. The full effect of tobacco use on these complications has not been studied over large populations for ventral hernia repairs. This effect is more important as the preoperative conditioning, and optimization of patients is adopted. We sought to use the prospectively collected ACS-NSQIP dataset to evaluate respiratory and infectious complications for patients undergoing both laparoscopic and open ventral hernia repairs...
October 17, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27728955/laparoscopic-stapled-sublay-repair-with-self-gripping-mesh-a-simplified-technique-for-minimally-invasive-extraperitoneal-ventral-hernia-repair
#7
Alexandra M Moore, Lisa N Anderson, David C Chen
INTRODUCTION: Minimally invasive laparoscopic and robotic techniques for ventral hernia repair have evolved to achieve the benefits and minimize the limitations of both the open Rives-Stoppa sublay mesh repair and laparoscopic intraperitoneal onlay mesh (IPOM) repair. By combining the principles of a retromuscular repair with the benefits of a minimally invasive approach, these techniques attempt to decrease recurrence, increase functionality, exclude mesh from the viscera, limit infection and wound complications, and minimize pain...
October 6, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27725219/hidden-morbidity-of-ventral-hernia-repair-with-mesh-as-concerning-as-common-bile-duct-injury
#8
Kristy Kummerow Broman, Li-Ching Huang, Adil Faqih, Sharon E Phillips, Rebeccah B Baucom, Richard A Pierce, Michael D Holzman, Kenneth W Sharp, Benjamin K Poulose
BACKGROUND: Ventral hernia repair with mesh is increasingly common, but the incidence of long term complications that necessitate mesh explantation is unknown. We aimed to determine the epidemiology of mesh explantation after ventral hernia repair and to compare this with common bile duct injury, a dreaded complication of laparoscopic cholecystectomy. STUDY DESIGN: We evaluated a retrospective cohort of patients undergoing ventral hernia repair by linking the all-payers State Inpatient Databases and State Ambulatory Surgery Databases for NY, CA, and FL...
October 7, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27642515/best-evidence-topic-should-ventral-hernia-repair-be-performed-at-the-same-time-as-bariatric-surgery
#9
Mohammed Saif Sait, Robin Som, Cynthia Michelle Borg, Avril Chang, Sasindran Ramar
A best evidence topic has been constructed using a described protocol. The three-part question addressed was: In morbidly obese patients undergoing bariatric surgery, when a ventral hernia is picked up in clinic or intraoperatively is concurrent repair of the hernia better than delayed repair after weight loss with regards to complication rates? Using the reported search, 179 papers were found. 5 studies were deemed to be suitable to answer the question. All 5 studies assessed were non randomised studies either retrospective or prospective and the overall quality of these studies was poor...
November 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27602797/incidence-of-abdominal-hernias-in-service-members-active-component-u-s-armed-forces-2005-2014
#10
Francis L O'Donnell, Stephen B Taubman
From 1 January 2005 through 31 December 2014, a total of 87,480 incident diagnoses of the five types of abdominal hernia (incidence rate 63.3 cases per 10,000 person-years) were documented in the health records of 72,404 active component service members. The overall incidence rate of inguinal hernias among males was six times the rate among females. However, incidence rates of femoral, ventral/incisional, and umbilical hernias were higher among females than males. During the 10-year interval, annual incidence rates for most of the five types of hernia trended downward, but rates increased for umbilical hernias in both males and females and for ventral/ incisional hernias among females...
August 2016: MSMR
https://www.readbyqxmd.com/read/27546188/meta-analysis-of-closure-of-the-fascial-defect-during-laparoscopic-incisional-and-ventral-hernia-repair
#11
A Tandon, S Pathak, N J R Lyons, Q M Nunes, I R Daniels, N J Smart
BACKGROUND: Laparoscopic incisional and ventral hernia repair (LIVHR) is being used increasingly, with reported outcomes equivalent to those of open hernia repair. Closure of the fascial defect (CFD) is a technique that may reduce seroma formation and bulging after LIVHR. Non-closure of the fascial defect makes the repair of larger defects easier and reduces postoperative pain. The aim of this systematic review was to determine whether CFD affects the rate of adverse outcomes, such as recurrence, pseudo-recurrence, mesh eventration or bulging, and the rate of seroma formation...
August 22, 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27528210/biologic-mesh-in-ventral-hernia-repair-outcomes-recurrence-and-charge-analysis
#12
Ciara R Huntington, Tiffany C Cox, Laurel J Blair, Samuel Schell, David Randolph, Tanushree Prasad, Amy Lincourt, B Todd Heniford, Vedra A Augenstein
BACKGROUND: Biologic mesh choice in ventral hernia repair is challenging due to lack of prospective data. This study examines long-term, single-center biologic mesh outcomes. METHODS: Prospective operative outcomes data was queried for open ventral hernia repair with biologic mesh. Univariate and multivariate analysis were used to compare mesh outcomes. RESULTS: In the study, 223 patients underwent open ventral hernia repair with biologic mesh, including 40 with Alloderm, 23 AlloMax, 70 FlexHD, 68 Strattice, and 22 Xenmatrix...
December 2016: Surgery
https://www.readbyqxmd.com/read/27495347/robotic-assisted-ventral-hernia-repair-a-multicenter-evaluation-of-clinical-outcomes
#13
Anthony Gonzalez, Ernesto Escobar, Rey Romero, Gail Walker, Jacqueline Mejias, Michelle Gallas, Eugene Dickens, Christopher J Johnson, Jorge Rabaza, Omar Yusef Kudsi
BACKGROUND: The open approach continues to be widely performed for ventral hernia repair, while the minimally invasive laparoscopic approach has grown adoption over the last decade. Recently, robotic operation was described as a new modality due to the ease for performing intracorporeal closure of the hernia defect. This study is one of the first multi-institutional case series evaluating robotic-assisted laparoscopic ventral hernia repairs, with the goal of describing robotic-assisted surgical techniques for ventral and incisional hernia repair and the outcomes in teaching and community hospital settings...
August 5, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27495345/outcomes-of-concomitant-ventral-hernia-repair-performed-during-bariatric-surgery
#14
G Sharma, M Boules, S Punchai, A Strong, D Fryolich, N H Zubaidah, C O'Rourke, S A Brethauer, J Rodriguez, K El-Hayek, M Kroh
BACKGROUND: Currently there is no consensus on management of ventral hernias encountered during bariatric surgery (BS). This study aims to evaluate the incidence and outcomes of concomitant ventral hernia repair (VHR) during BS at our institution. METHODS: Patients who had concomitant VHR during BS from 2004 to 2015 were identified. Data collected included baseline demographics, comorbidities, perioperative parameters, surgical approach and postoperative outcomes...
August 5, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27475223/open-repair-of-incisional-ventral-abdominal-hernias-with-mesh-leads-to-long-term-improvement-in-pain-interference-as-measured-by-patient-reported-outcomes
#15
Eugene Park, Jennifer E Cheesborough, Jason M Souza, Gregory A Dumanian
BACKGROUND: The Patient-Reported Outcomes Measurement Information System was used to evaluate the effects of open incisional ventral hernia repair on hernia-related pain. METHODS: All patients who underwent elective repair of a primary or recurrent midline incisional hernia over a 3-year period completed Patient-Reported Outcomes Measurement Information System pain surveys and rated their pain intensity on a visual analogue scale. A retrospective review of these patients was performed...
June 18, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27452954/comparative-analysis-of-biologic-versus-synthetic-mesh-outcomes-in-contaminated-hernia-repairs
#16
Arnab Majumder, Joshua S Winder, Yuxiang Wen, Eric M Pauli, Igor Belyansky, Yuri W Novitsky
BACKGROUND: Contaminated operative fields pose significant challenges for surgeons performing ventral hernia repair. Although biologic meshes have been utilized increasingly in these fields, recent evidence suggests that synthetic meshes represent a viable option. We analyzed the outcomes of biologic and synthetic mesh utilized in patients undergoing major ventral hernia repair in clean-contaminated/contaminated fields. METHODS: We conducted a multicenter, retrospective review of patients undergoing open ventral hernia repair in clean-contaminated/contaminated fields using biologic or synthetic mesh...
October 2016: Surgery
https://www.readbyqxmd.com/read/27440197/what-is-the-bmi-threshold-for-open-ventral-hernia-repair
#17
Luise I M Pernar, Claire H Pernar, Bryan V Dieffenbach, David C Brooks, Douglas S Smink, Ali Tavakkoli
BACKGROUND: Overweight and obese patients are often asked to lose weight prior to ventral hernia repair (VHR). Improved outcomes are the reasons behind this strategy. Data regarding weight loss targets are scant, and it is not known at what body mass index (BMI) threshold postoperative complications increase. This study aimed to determine the threshold to allow proper patient counseling. METHODS: All patients who underwent open VHR at our institution between 2002 and 2015 captured in the NSQIP database were included...
July 20, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27421887/early-clinical-outcomes-of-a-novel-antibiotic-coated-non-crosslinked-porcine-acellular-dermal-graft-after-complex-abdominal-wall-reconstruction
#18
Erin H Baker, Darren Lepere, Megan P Lundgren, Patrick J Greaney, David A Ehrlich, Steven E Copit, Allison L Murphree, Anthony J Canfield, Glenn Parker, David A Iannitti
BACKGROUND: Non-crosslinked porcine acellular dermal grafts (NCPADG) are currently the mainstay biomaterial for abdominal wall reconstruction (AWR) in complex hernia patients. We report early clinical outcomes using a novel rifampin/minocycline-coated NCPADG for AWR. STUDY DESIGN: A multi-institutional retrospective review was performed of patients who underwent ventral hernia repair using XenMatrix AB Surgical Graft (CR Bard, Inc [Davol]). Patient demographics, hernia and procedure characteristics, and surgical site occurrences/postoperative complications were reviewed up to 6 months after AWR...
October 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27399983/national-results-after-ventral-hernia-repair
#19
Frederik Helgstrand
Ventral hernia repairs are among the most frequently performed surgical procedures. The variations of repair techniques are multiple and outcome has been unacceptable. Despite the high volume, it has been difficult to obtain sufficient data to provide evidence for best practice. In order to monitor national surgical quality and provide the warranted high volume data, the first national ventral hernia register (The Danish Ventral Hernia Database) was established in 2007 in Denmark. The present study series show that data from a well-established database supported by clinical examinations, patient files, questionnaires, and administrative data makes it possible to obtain nationwide high volume data and to achieve evidence for better outcome in a complex surgical condition as ventral hernia...
July 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27387174/increased-use-of-surgical-energy-promotes-methicillin-resistant-staphylococcus-aureus-colonization-in-rabbits-following-open-ventral-hernia-mesh-repair
#20
Joseph S Fernandez-Moure, Jeffrey L Van Eps, Lilia Peress, Concepcion Cantu, Randall J Olsen, Leslie Jenkins, Fernando J Cabrera, Ennio Tasciotti, Bradley K Weiner, Brian J Dunkin
BACKGROUND: Surgical energy has been widely implemented because of ease of use, effective hemostasis, and surgical dissection. Studies demonstrate its use to be an independent risk factor for postoperative wound infection. Methicillin-resistant Staphylococcus aureus (MRSA) is the most common bacteria found in postoperative mesh infection. No reports are available on the sequelae of surgical energy use for open ventral hernia repair (oVHR) with mesh. We hypothesized that increasing amounts of surgical energy will result in higher infectious burden after oVHR with composite multifilament polyester mesh (Parietex™ PCO)...
July 7, 2016: Surgical Endoscopy
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