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https://www.readbyqxmd.com/read/29340814/comparison-of-mesh-fixation-devices-for-laparoscopic-ventral-hernia-repair-an-experimental-study-on-human-anatomic-specimens
#1
Yi-Wei Chan, Zacaria Sow, Dobrica Lukic, Matthias Monschein, Elisabeth Calek, Michael Pretterklieber, Christian Hollinsky
BACKGROUND: As there is a lack of clarity in terms of the tensile strength of mesh fixation for laparoscopic ventral hernia repair (LVHR), our aim was to investigate the immediate tensile strength of currently available mesh fixation devices on human anatomic specimens. METHODS: Sixteen recently deceased body donators (mean body mass index of 24.4 kg/m2) were used to test the immediate tensile strength (Newton) of 11 different LVHR mesh fixation devices. RESULTS: Each of the 11 different laparoscopic fixation devices was tested 44 times...
January 16, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29340811/a-word-of-caution-never-use-tacks-for-mesh-fixation-to-the-diaphragm
#2
F Köckerling, C Schug-Pass, R Bittner
BACKGROUND: The mesh fixation technique used in repair of hiatal hernias and subxiphoid ventral and incisional hernias must meet strenuous requirements. In the literature, there are reports of life-threatening complications with cardiac tamponade and a high mortality rate on using tacks. The continuing practice of tack deployment for mesh fixation to the diaphragm and esophageal hiatus should be critically reviewed. METHODS: In a systematic search of the available literature in May 2017, 23 cases of severe penetrating cardiac complications were identified...
January 16, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29339140/-could-we-perform-vaginal-mesh-surgery-for-treatment-of-pelvic-organ-prolapse-in-elderly-women
#3
L Allègre, S Abdirahman, A Hedde, B Fatton, R de Tayrac
INTRODUCTION: Prevalence of pelvic organ prolapse will increase with the aging of the population. Concerning the treatment of pelvic organ prolapse, transvaginal route is often preferred for elderly women. However few data are available concerning transvaginal mesh surgery in this population. The aim of this study was to compare efficiency and complications of transvaginal mesh surgery between women aged over 75 and younger women. MATERIALS AND METHODS: A monocentric, retrospective study included all women who underwent anterior sacrospinous suspension with mesh for treatment of pelvic organ prolapse...
January 12, 2018: Progrès en Urologie
https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#4
(no author information available yet)
INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery...
January 12, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29324569/does-the-vaginal-flora-modify-when-a-synthetic-mesh-is-used-for-genital-prolapse-repair-in-postmenopausal-women-a-pilot-randomized-controlled-study
#5
Edilson Benedito de Castro, Luiz Gustavo Oliveria Brito, Paulo César Giraldo, Cássia Raquel Teatin Juliato
OBJECTIVE: The vaginal flora from postmenopausal women with pelvic organ prolapse (POP) is different from younger women. We hypothesized that the decision of a surgical route using a mesh would modify the vaginal flora. The purpose of this study was to analyze the vaginal flora from postmenopausal women that were submitted to abdominal sacrocervicopexy or vaginal sacrospinous fixation. METHODS: A pilot, randomized controlled study with 50 women aged 55 to 75 years (n = 25; abdominal sacrocervicopexy + subtotal hysterectomy; n = 25 vaginal sacrospinous fixation + vaginal hysterectomy) was performed...
January 10, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29318008/novel-technique-using-a-bioabsorbable-prosthesis-with-fibrin-glue-fixation-to-prevent-a-petersen-s-space-hernia
#6
Mark Magdy, Hyerim Suh, Vytauras Kuzinkovas
Laparoscopic Roux-en-Y gastric bypass is a bariatric operation that is effective for long-term weight loss. Although rare, one serious complication is an internal hernia through Petersen's space, which may result in bowel strangulation. Although the incidence of internal hernia can be reduced through closing the Petersen's defect, it does not eliminate the risk. This case describes a novel and reliable method to close Petersen's defect. We report the case of a 30-year-old female who underwent a laparoscopic Roux-en-Y gastric bypass for the management of morbid obesity...
December 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29315451/clinical-and-patient-reported-outcomes-after-absorbable-strap-fixation-for-ventral-hernia-repair
#7
Heather Bougard, Sven Bringman, William W Hope, Jay A Redan, Carl Doerhoff, Michal Chudy, Christine Romanowski, Peter Charles Jones
INTRODUCTION: Various mesh fixation methods are employed by surgeons during ventral hernia repair. These may include tacks, straps, sutures, glue, or a combination of methods. One of these choices is an absorbable fixation device, Securestrap® (Ethicon Inc., Somerville, New Jersey), consisting of an absorbable copolymer barbed U-shaped strap with a spring-loaded deployment system. MATERIALS AND METHODS: The International Hernia Mesh Registry is a prospective multi-center registry, designed to collect longitudinal data on hernia repair methods, products, and outcomes...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29305252/the-anatomy-of-the-sacral-promontory-how-to-avoid-complications-of-the-sacrocolpopexy-procedure
#8
Géraldine Giraudet, Aurore Protat, Michel Cosson
Because of problems with vaginal meshes and high rate recurrences of native tissue repair, more and more surgeons treat pelvic organ prolapse performing laparoscopic sacrocolpopexy. This surgery requires skilled surgeons. The first step of sacrocolpopexy is the dissection of tissues in front of the sacral promontory to reach the anterior longitudinal ligament. Some complications can occur during this dissection and the attachment of the mesh. This place is dangerous for surgeons because of the proximity of vessels, nerves and ureters...
January 2, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29296101/preclinical-evaluation-of-the-effect-of-the-combined-use-of-the-ethicon-securestrap%C3%A2-open-absorbable-strap-fixation-device-and-ethicon-physiomesh%C3%A2-open-flexible-composite-mesh-device-on-surgeon-stress-during-ventral-hernia-repair
#9
Nadia Sutton, Melinda H MacDonald, John Lombard, Bodgan Ilie, Piet Hinoul, Douglas A Granger
Aim: To evaluate whether performing ventral hernia repairs using the Ethicon Physiomesh™ Open Flexible Composite Mesh Device in conjunction with the Ethicon Securestrap® Open Absorbable Strap Fixation Device reduces surgical time and surgeon stress levels, compared with traditional surgical repair methods. Methods: To repair a simulated ventral incisional hernia, two surgeries were performed by eight experienced surgeons using a live porcine model. One procedure involved traditional suture methods and a flat mesh, and the other procedure involved a mechanical fixation device and a skirted flexible composite mesh...
2018: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/29250525/early-surgical-intervention-following-inguinal-hernia-repair-with-severe-postoperative-pain
#10
Ferdinand Köckerling, Christine Schug-Pass
Introduction: Severe postoperative pain is an important risk factor for onset of chronic inguinal pain following inguinal hernia repair. All measures must be taken to eliminate postoperative pain. Materials and methods: This case report highlights the problems of severe postoperative pain following transabdominal preperitoneal patch plasty (TAPP) inguinal hernia repair and describes a systematic treatment path that may include surgical intervention. Results: Following TAPP operation for lateral inguinal hernia, this patient who had been operated on in an external hospital still experienced intense, stabbing inguinal pain on postoperative day 7 during movement, despite optimal pain treatment...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29250511/efficacy-and-safety-of-a-novel-partially-absorbable-mesh-in-totally-extraperitoneal-hernia-repair
#11
Hsien Wen Yang, Sang Hee Kang, Sung Yeop Jung, Byung Wook Min, Sun Il Lee
Purpose: Partially absorbable mesh has been introduced and used for inguinal hernia repair for the purpose of minimizing pain and improving abdominal wall compliance. In this study, we evaluate the efficacy and safety of ProFlex mesh, a partially absorbed mesh with new structural architecture. Methods: We retrospectively reviewed 64 cases of totally extraperitoneal herniorrhapy (TEP) from January 2013 to December 2014 for their clinical features, including operation time, pain, postoperative complications, and recurrence...
December 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29249278/incisional-hernia-prevention-using-a-cyanoacrilate-fixed-retrofascial-mesh
#12
Carlos Hoyuela, Montserrat Juvany, Miquel Trias, Jordi Ardid, Antoni Martrat
INTRODUCTION: The rate of incisional hernia in high-risk patients (obesity, cancer, etc.) is high, even in laparoscopic surgery. The aim of this study is to evaluate the safety of the use of cyanoacrylate fixed prophylactic meshes in the assistance incision in overweight or obese patients undergoing laparoscopic colorectal surgery. METHODS: A prospective, non-randomized cohort study of patients undergoing elective laparoscopic resection for colorectal cancer between January 2013 and March 2016 was performed...
December 14, 2017: Cirugía Española
https://www.readbyqxmd.com/read/29249195/surface-nanotopography-induced-favorable-modulation-of-bioactivity-and-osteoconductive-potential-of-anodized-3d-printed-ti-6al-4v-alloy-mesh-structure
#13
K C Nune, Rdk Misra, X Gai, S J Li, Y L Hao
The objective of the study described here is to fundamentally elucidate the biological response of 3D printed Ti-6Al-4V alloy mesh structures that were surface modified to introduce titania nanotubes with an average pore size of ∼80 nm via an electrochemical anodization process from the perspective of enhancing bioactivity. The bioactivity of the mesh structures were analyzed through immersion test in simulated body fluid, which confirmed the nucleation and growth of fine globular nanoscale apatite on the nanoporous titania-modified (anodized) mesh structure surface, and agglomerated apatite with fine flakes of apatite crystals on as-fabricated mesh structure surface, that were rich in calcium and phosphorous...
January 1, 2017: Journal of Biomaterials Applications
https://www.readbyqxmd.com/read/29247364/laparoscopic-repair-of-traumatic-flank-hernias
#14
Y W Novitsky
INTRODUCTION: Traumatic flank hernias (TFH) are caused by a blunt abdominal trauma with resultant detachment of the oblique musculofascial complex at the iliac crest and/or costal margin. Given such proximity to the bony structures and essential absence of healthy fascia to anchor the mesh, TFH represent a challenging surgical problem. Although laparoscopic repair of ventral hernias has become very common, no series of laparoscopic repairs of TFH has been reported to date. We present a series of patients undergoing laparoscopic repair of TFH...
December 15, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29243106/quantitative-validation-of-immunofluorescence-and-lectin-staining-using-reduced-clarity-acrylamide-formulations
#15
D M Krolewski, V Kumar, B Martin, R Tomer, K Deisseroth, R M Myers, A F Schatzberg, F S Lee, J D Barchas, W E Bunney, H Akil, S J Watson
The CLARITY technique enables three-dimensional visualization of fluorescent-labeled biomolecules in clarified intact brain samples, affording a unique view of molecular neuroanatomy and neurocircuitry. It is therefore, essential to find the ideal combination for clearing tissue and detecting the fluorescent-labeled signal. This method requires the formation of a formaldehyde-acrylamide fixative-generated hydrogel mesh through which cellular lipid is removed with sodium dodecyl sulfate. Several laboratories have used differential acrylamide and detergent concentrations to achieve better tissue clearing and antibody penetration, but the potential effects upon fluorescent signal retention is largely unknown...
December 14, 2017: Brain Structure & Function
https://www.readbyqxmd.com/read/29241922/single-incision-anterior-apical-mesh-and-sacrospinous-ligament-fixation-in-pelvic-prolapse-surgery-at-36-months-follow-up
#16
Tsia-Shu Lo, Ahlam Mahmoud Al-Kharabsheh, Yiap Loong Tan, Leng Boi Pue, Wu-Chiao Hsieh, Ma Clarissa Uy-Patrimonio
OBJECTIVE: To compare the clinical efficacy, recurrence, complications and quality of life changes 3 years after Elevate-A/single incision mesh surgery anterior apical (SIM A) and sacrospinous ligament fixation (SSF) in the management of pelvic organ prolapse (POP). MATERIALS AND METHODS: A prospective cohort study, 139 women, underwent transvaginal surgery for anterior and/or apical POP > stage 2, 69 patients had SIM A and 70 patients had SSF. The objective cure was defined as POP ≤ stage 1 anterior, apical according to POP-Q...
December 2017: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29227530/systematic-review-and-network-meta-analysis-of-methods-of-mesh-fixation-during-laparoscopic-ventral-hernia-repair
#17
REVIEW
J J Baker, S Öberg, K Andresen, T W Klausen, J Rosenberg
BACKGROUND: Ventral hernia repairs are common and have high recurrence rates. They are usually repaired laparoscopically with an intraperitoneal mesh, which can be fixed in various ways. The aim was to evaluate the recurrence rates for the different fixation techniques. METHODS: This systematic review included studies with human adults with a ventral hernia repaired with an intraperitoneal onlay mesh. The outcome was recurrence at least 6 months after operation...
December 11, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/29226880/sewing-machine-technique-for-laparoscopic-mesh-fixation-in-intra-peritoneal-on-lay-mesh
#18
Khojasteh Sam Dastoor, Kaiomarz P Balsara, Asif Y Gazi
INTRODUCTION: Mesh fixation in laparoscopic ventral hernia is accomplished using tacks or tacks with transfascial sutures. This is a painful operation and the pain is believed to be more due to transfascial sutures. We describe a method of transfascial suturing which fixes the mesh securely and probably causes less pain. METHOD: Up to six ports may be necessary, three on each side. A suitable-sized mesh is used and fixed with tacks all around. A 20G spinal needle is passed from the skin through one corner of the mesh...
December 11, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29198683/laparoscopic-fixation-for-torsion-of-transplanted-kidney-a-case-report
#19
R Pery, E Shaharabani, B Gazer, M Gutman, D Rosin
BACKGROUND: Kidney graft torsion and subsequent acute kidney injury is a rare yet potentially devastating complication of intraperitoneal kidney transplant. We report a case of this elusive diagnosis and describe kidney salvage by using laparoscopic fixation. CASE REPORT: A 49-year-old male patient presented with multiple episodes of anuric acute kidney injury 16 months after an uneventful combined orthotopic liver and kidney transplantation. After a thorough investigation, a diagnosis of kidney torsion was made, and the patient was urgently operated...
December 2017: Transplantation Proceedings
https://www.readbyqxmd.com/read/29184051/clinical-efficacy-of-anterior-partial-corpectomy-and-titanium-mesh-fusion-and-internal-fixation-for-treatment-of-old-fracture-dislocation-of-the-lower-cervical-spine
#20
De-Chao Miao, Bao-Yang Zhang, Tao Lei, Yong Shen
BACKGROUND The aim of this study was to analyze the clinical features and to evaluate the efficacy of anterior partial corpectomy and titanium mesh fusion and internal fixation of old fracture dislocation of the lower cervical spine. MATERIAL AND METHODS We retrospectively analyzed the clinical data of 52 patients with old lower cervical fracture and dislocation treated with anterior partial corpectomy and titanium mesh fusion fixation between January 2008 and December 2013, with a mean follow-up period of 4...
November 29, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
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