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https://www.readbyqxmd.com/read/29775979/-the-open-retromuscular-preperitoneal-mesh-repair-of-the-incisional-lateral-hernia-technique-and-results-of-a-prospective-cohort-study
#1
Friedrich-Eckart Isemer, Ulrich Dietz, Maximilian Ackermann
INTRODUCTION: Surgical approaches to flank hernias have been poorly standardised. The most demanding issues in intermuscular net insertion are the limited area in the dorsal direction and the difficulties in fixing the net to the costal arch or the iliac crest. This is why many different surgical procedures have been published. PATIENTS/MATERIAL AND METHODS: From August 2015 to October 2016, nine patients with a primary incisional lateral hernia received open retromuscular preperitoneal mesh repair...
May 18, 2018: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29775558/reconstructing-a-traumatic-empty-orbit-principles-difficulties-of-treatment-and-literature-review
#2
REVIEW
Panagiotis Stathopoulos, Philip Ameerally
PURPOSE: This report describes the case of a serious orbital injury in which the globe was completely displaced into the nasal cavity and the orbit was clinically empty. The authors discuss the difficulties encountered in the management of this patient and their principles in the reconstruction of a complex defect. MATERIALS AND METHODS: In this rare case of severe injury, the authors used a combined transconjunctival and ethmoidal approach to retrieve the displaced globe from the nasal cavity...
April 21, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29772857/-posterior-spinal-canal-decompression-with-screw-fixation-and-reconstruction-of-three-vertebral-column-for-thoracolumbar-burst-fractures-complicated-with-nerve-injury
#3
Li-Yong Wu, Xue-Mei Huang, Yue Wang, Zhao-Bo Yang, Sheng-Hui Su, Chun Wang
OBJECTIVE: To explore the feasibility and clinical effect of posterior spinal canal decompression with pedicle screw fixation and reconstruction of anterior and middle vertebral column for thoracolumbar burst fractures complicated with nerve injury. METHODS: A total of 36 patients with thoracolumbar burst fractures treated from March 2011 to April 2016 were enrolled in the retrospective study. There were 20 males and 16 females, aged from 21 to 52 years old with an average of 37...
April 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29766347/towards-alternative-approaches-for-coupling-of-a-soft-robotic-sleeve-to-the-heart
#4
Markus A Horvath, Claudia E Varela, Eimear B Dolan, William Whyte, David S Monahan, Christopher J Payne, Isaac A Wamala, Nikolay V Vasilyev, Frank A Pigula, David J Mooney, Conor J Walsh, Garry P Duffy, Ellen T Roche
Efficient coupling of soft robotic cardiac assist devices to the external surface of the heart is crucial to augment cardiac function and represents a hurdle to translation of this technology. In this work, we compare various fixation strategies for local and global coupling of a direct cardiac compression sleeve to the heart. For basal fixation, we find that a sutured Velcro band adheres the strongest to the epicardium. Next, we demonstrate that a mesh-based sleeve coupled to the myocardium improves function in an acute porcine heart failure model...
May 15, 2018: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/29754627/minimally-invasive-approaches-to-inguinal-hernias
#5
REVIEW
Charlotte M Horne, Ajita S Prabhu
Both the transabdominal preperitoneal approach and the total extraperitoneal approach to inguinal hernias provide an effective means of repairing inguinal hernias. The robotic platform can be used and may help to decrease immediate postoperative pain; however, as this is a fairly new technique, more research will help further determine long-term outcomes. In all methods of fixation, we ensure adequate fixation medially with tacks placed on the Cooper ligament. Awareness of the nerves and vessels helps to guide dissection as well as prevent inadvertent injury during mesh fixation...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29748724/decreased-re-operation-rate-for-recurrence-after-defect-closure-in-laparoscopic-ventral-hernia-repair-with-a-permanent-tack-fixated-mesh-a-nationwide-cohort-study
#6
J J Baker, S Öberg, K Andresen, J Rosenberg
PURPOSE: To investigate whether defect closure in laparoscopic ventral hernia repair reduces the re-operation rate for recurrence compared with no defect closure. METHODS: Data were extracted from the Danish Ventral Hernia Database. Adults with an elective laparoscopic ventral hernia repair with tacks used as mesh fixation were included, if their first repair was between the 1st of January 2007 and the 1st of January 2017. Patients with defect closure were compared with no defect closure...
May 10, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29737310/is-laparoscopic-approach-for-wandering-spleen-in-children-an-option
#7
REVIEW
Gratiana Oana Alqadi, Amulya K Saxena
Aim: Wandering spleen present generally as an acute abdomen after twisting of the splenic vascular pedicle. This study aimed to review the literature with regard to the management and outcomes of the laparoscopy in children with wandering spleen. Methods: The literature was reviewed for articles on PubMed with regard to the following search terms 'laparoscopy', 'wandering', 'spleen' and 'children'. The inclusion criteria included article only in the paediatric age group of 0-16...
May 4, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29728882/factors-predicting-chronic-pain-after-open-inguinal-hernia-repair-a-regression-analysis-of-randomized-trial-comparing-three-different-meshes-with-three-fixation-methods-finnmesh-study
#8
M Matikainen, E Aro, J Vironen, J Kössi, T Hulmi, S Silvasti, I Ilves, M Hertsi, K Mustonen, H Paajanen
BACKGROUND: Chronic pain after inguinal hernioplasty is the foremost side-effect up to 10-30% of patients. Mesh fixation may influence on the incidence of chronic pain after open anterior mesh repairs. METHODS: Some 625 patients who underwent open anterior mesh repairs were randomized to receive one of the three meshes and fixations: cyanoacrylate glue with low-weight polypropylene mesh (n = 216), non-absorbable sutures with partially absorbable mesh (n = 207) or self-gripping polyesther mesh (n = 202)...
May 4, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29712604/a-new-approach-to-an-old-technique-the-s-u-t-r-first-technique
#9
Frank Jones, Catherine Lewis, Darryl Knight, Louise Bacon, Vijay Patel, Carolyn Moore
Ventral and incisional hernias of the abdominal wall are common problems treated by surgeons around the globe. Incisional hernias are common postoperative complications of abdominal laparotomies with a reported incidence of up to 20 per cent. The increasing use of prosthetic mesh in open ventral hernia repairs necessitated the development of different operative techniques used in the repairs. It also required that surgeons become facile with placement of the mesh in different anatomical positions on the abdominal wall...
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29712599/biomechanical-and-histologic-evaluation-of-lifemesh%C3%A2-a-novel-self-fixating-mesh-adhesive
#10
Charles P Shahan, Nathaniel N Stoikes, Esra Roan, James Tatum, David L Webb, Guy R Voeller
Mesh fixation with the use of adhesives results in an immediate and total surface area adhesion of the mesh, removing the need for penetrating fixation points. The purpose of this study was to evaluate LifeMesh™, a prototype mesh adhesive technology which coats polypropylene mesh. The strength of the interface between mesh and tissue, inflammatory responses, and histology were measured at varying time points in a swine model, and these results were compared with sutures. Twenty Mongrel swine underwent implantation of LifeMesh™ and one piece of bare polypropylene mesh secured with suture (control)...
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29704737/laparoscopic-and-percutaneous-repair-of-a-large-midline-incisional-hernia-extending-to-the-bilateral-subcostal-region-a-case-report
#11
Shingo Tsujinaka, Yukio Nakabayashi, Nao Kakizawa, Rina Kikugawa, Nobuyuki Toyama, Toshiki Rikiyama
INTRODUCTION: Optimal surgery for a midline incisional hernia extending to the subcostal region remains unclear. We report successful hybrid laparoscopic and percutaneous repair for such a complex incisional hernia. PRESENTATION OF CASE: An 85-year-old woman developed a symptomatic incisional hernia after open cholecystectomy. Computed tomography revealed a 14 × 10 cm fascial defect. Four trocars were placed under general anesthesia. Percutaneous defect closure was performed using multiple non-absorbable monofilament threads, i...
April 21, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29701099/management-of-extra-articular-segmental-defects-in-long-bone-using-a-titanium-mesh-cage-as-an-adjunct-to-other-methods-of-fixation
#12
N Attias, A M Thabet, G Prabhakar, J A Dollahite, R J Gehlert, T A DeCoster
Aims This study reviews the use of a titanium mesh cage (TMC) as an adjunct to intramedullary nail or plate reconstruction of an extra-articular segmental long bone defect. Patients and Methods A total of 17 patients (aged 17 to 61 years) treated for a segmental long bone defect by nail or plate fixation and an adjunctive TMC were included. The bone defects treated were in the tibia (nine), femur (six), radius (one), and humerus (one). The mean length of the segmental bone defect was 8.4 cm (2.2 to 13); the mean length of the titanium mesh cage was 8...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29698788/fixation-free-femoral-hernia-repair-with-a-3d-dynamic-responsive-implant-a-case-series-report
#13
G Amato, G Romano, A Agrusa, L Gordini, Gulotta E, E Erdas, P G Calò
BACKGROUND: To date, no gold standard for the surgical treatment of femoral hernia exists. Pure tissue repair as well as mesh/plug implantation, open or laparoscopic, are the most performed methods. Nevertheless, all these techniques need sutures or mesh fixation. This implies the risk of damaging sensitive structures of the femoral area, along with complications related to tissue tear and postoperative discomfort consequent to poor quality mesh incorporation. The present retrospective multicenter case series highlights the results of femoral hernia repair procedures performed with a 3D dynamic responsive implant in a cohort of 32 patients during a mean follow up of 27 months...
April 23, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29685769/effects-of-suture-tecnique-on-mesh-shrinkage
#14
Okan Demiray, Dogan Gonullu, Mehmet Lari Gedik, Aysenur Akyildiz Igdem, Ferda Nihat Koksoy
OBJECTIVE: Polypropylene meshes are one of the most frequently used patches in inguinal hernia repairs. This material was proved to be not completely inert, and may cause inflammatory responses like foreign body reactions. One of the physical results of these inflammatory reactions against the mesh is mesh shrinkage which is responsible for recurrence and pain. In this study, we aimed to investigate the effects of the suture technique on mesh shrinkage. METHODS: 36 animals were used for the study...
April 20, 2018: Asian Journal of Surgery
https://www.readbyqxmd.com/read/29668603/different-types-of-mesh-fixation-for-laparoscopic-repair-of-inguinal-hernia-a-protocol-for-systematic-review-and-network-meta-analysis-with-randomized-controlled-trials
#15
REVIEW
Kongyuan Wei, Cuncun Lu, Long Ge, Bei Pan, Huan Yang, Jinhui Tian, Nong Cao
BACKGROUND: Laparoscopic inguinal hernia repair has become a valid option for repair of an inguinal hernia. Due to there are several types of mesh fixation for laparoscopic repair of inguinal hernia. The study aims to assess and compare the efficacy of different types of mesh fixation for laparoscopic repair of inguinal hernia using network meta-analysis. METHODS: We will systematically search PubMed, EMBASE the Cochrane library, and Chinese Biomedical Literature Database from their inception to March 2018...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29643902/is-there-difference-in-chronic-pain-after-suture-and-stapler-fixation-method-of-mesh-in-ventral-hernia-is-stapler-fixation-method-quicker-a-randomized-controlled-trial
#16
Noureen Shaukat, Farhat Jaleel, Masood Jawaid, Imrana Zulfiqar
Background & Objective: Chronic pain occurs in 20-30% of patients after hernia surgery. As a consequence of this chronic pain, almost one third of patients have limitations in daily activities. Frequency and severity of this pain varies with different techniques of hernia repair. The objective of this study was to compare polypropylene suture and skin staples for securing mesh in uncomplicated ventral hernioplasty in terms of acute and chronic postoperative pain and to compare the time taken for mesh fixation between polypropylene sutures and skin stapler in ventral hernioplasty...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29620633/a-meta-analysis-of-randomized-control-trials-assessing-mesh-fixation-with-glue-versus-suture-in-lichtenstein-inguinal-hernia-repair
#17
Hongwei Lin, Zhuonan Zhuang, Tianyi Ma, Xiaowen Sun, Xin Huang, Yuanxin Li
BACKGROUND: The use of glue to fix mesh instead of sutures in Lichtenstein inguinal hernia repair has been accepted worldwide, with the increasing worries about postoperative chronic groin pain and recurrence. The aim of this meta-analysis was to clarify which mesh fixation method was more suitable in Lichtenstein inguinal hernia repair. METHODS: Articles published up to July 2017 were searched using MEDLINE, the Cochrane Library, Embase, and the Web of Science...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29603008/the-change-in-groin-pain-perception-after-transabdominal-preperitoneal-inguinal-hernia-repair-with-glue-fixation-a-prospective-trial-of-a-single-surgeon-s-experience
#18
Kryspin Mitura, Karolina Garnysz, Dorota Wyrzykowska, Irmina Michałek
BACKGROUND: Although inguinal hernia is one of the most common conditions requiring surgical treatment, no reliable information is available on the quality of life of patients with inguinal hernias before surgery. Additionally, patients with intense inguinal pain prior to surgery are more susceptible to postoperative chronic pain. In such cases, less invasive laparoscopic techniques can be used, allowing atraumatic mesh fixation to reduce postoperative pain. The aim of the study was to determine, whether these treatments for patients with preoperative pain would minimize upsetting experiences after surgery...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29582024/microscale-mapping-of-extracellular-matrix-elasticity-of-mouse-joint-cartilage-an-approach-to-extracting-bulk-elasticity-of-soft-matter-with-surface-roughness
#19
Preethi L Chandran, Emilios K Dimitriadis, Edward L Mertz, Ferenc Horkay
Cartilage is composed of cells and an extracellular matrix, the latter being a composite of a collagen mesh interpenetrated by proteoglycans responsible for tissue osmotic swelling. The matrix composition and structure vary through the tissue depth. Mapping such variability requires tissue sectioning to gain access. The resulting surface roughness, and concomitant proteoglycan loss contribute to large uncertainties in elastic modulus estimates. To extract elasticity values for the bulk matrix which are not obfuscated by the indeterminate surface layer, we developed a novel experimental and data analysis methodology...
March 27, 2018: Soft Matter
https://www.readbyqxmd.com/read/29578094/absorbable-versus-non-absorbable-tacks-for-mesh-fixation-in-laparoscopic-ventral-hernia-repair-a-systematic-review-and-meta-analysis
#20
REVIEW
Rao Muhammad Asaf Khan, Mumtaz Bughio, Baqar Ali, Shahin Hajibandeh, Shahab Hajibandeh
OBJECTIVES: To investigate the outcomes of absorbable versus non-absorbable tacks in patients undergoing laparoscopic ventral hernia repair. METHODS: We performed a systematic review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement standards. We conducted a search of electronic information sources, including MEDLINE; EMBASE; CINAHL; the Cochrane Central Register of Controlled Trials (CENTRAL); the World Health Organization International Clinical Trials Registry; ClinicalTrials...
March 22, 2018: International Journal of Surgery
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