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https://www.readbyqxmd.com/read/28224207/-differentiated-application-of-recommended-guideline-techniques-for-treatment-of-inguinal-hernia
#1
H Niebuhr, M Pawlak, F Köckerling
The new worldwide guidelines of all international hernia societies only recommend the mesh-based methods TEP, TAPP and Lichtenstein. The best mesh-free technique, the Shouldice operation, should only be used if the patient has declined the use of a mesh or no mesh is available. The systematic use of the Shouldice technique for smaller inguinal hernias and younger men should be confined to study settings. A tailored approach should be taken for mesh-based procedures to minimize the risk to patients. Due to lower pain rates the laparoendoscopic techniques TEP and TAPP are the methods of choice for primary male unilateral inguinal hernia...
February 21, 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28221112/variegated-squirrel-bornavirus-1-in-squirrels-germany-and-the-netherlands
#2
Kore Schlottau, Maria Jenckel, Judith van den Brand, Christine Fast, Christiane Herden, Dirk Höper, Timo Homeier-Bachmann, Jens Thielebein, Niels Mensing, Bert Diender, Donata Hoffmann, Rainer G Ulrich, Thomas C Mettenleiter, Marion Koopmans, Dennis Tappe, Jonas Schmidt-Chanasit, Chantal B E M Reusken, Martin Beer, Bernd Hoffmann
We screened squirrels in Germany and the Netherlands for the novel zoonotic variegated squirrel bornavirus 1 (VSBV-1). The detection of VSBV-1 in 11 squirrels indicates a considerable risk for transmission to humans handling those animals. Therefore, squirrels in contact with humans should routinely be tested for VSBV-1.
March 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/28219816/the-trepp-as-alternative-technique-for-recurrent-inguinal-hernia-after-lichtenstein-s-repair
#3
W J V Willem Bökkerink, A M Alexandra Persoon, W L Willem Akkersdijk, C J H M Kees van Laarhoven, G G Giel Koning
BACKGROUND: Recurrent inguinal hernias after initial repair with mesh are preferably treated via an alternative route (e.g. posterior after anterior). For recurrent inguinal hernias after an anterior repair such as Lichtenstein's, an endoscopic approach such as the total extraperitoneal or transabdominal preperitoneal technique (TEP or TAPP) is recommended if expertise is present. The TransREctus sheath PrePeritoneal (TREPP) technique is a promising open posterior technique and could be an alternative to endoscopic methods...
February 17, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28194529/a-randomized-clinical-study-on-postoperative-pain-comparing-between-the-supraglottic-airway-device-and-endotracheal-tubing-in-transabdominal-preperitoneal-repair-tapp
#4
Y Nagahisa, K Hashida, R Matsumoto, R Kawashima, M Okabe, K Kawamoto
BACKGROUND: Transabdominal preperitoneal (TAPP) repair is the most widely used laparoscopic technique for the treatment of inguinal hernia in Japan. Many studies have shown that in comparison with open hernia repair, laparoscopic repair results in less pain and a shorter convalescence. However, postoperative pain remains a concern. One possible cause of postoperative pain in the early postoperative phase is strain or cough on removal of the endotracheal tube. Use of a supraglottic airway (SGA) device helps to avoid such complaints...
February 13, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28173938/spinal-versus-general-anesthesia-for-transabdominal-preperitoneal-tapp-repair-of-inguinal-hernia-interim-analysis-of-a-controlled-randomized-trial
#5
Chamaidi Sarakatsianou, Stavroula Georgopoulou, Ioannis Baloyiannis, Maria Chatzimichail, George Vretzakis, Dimitris Zacharoulis, George Tzovaras
BACKGROUND: General anesthesia has been used as standard for laparoscopic hernia repair by the transabdominal preperitoneal (TAPP) approach. Regional anesthesia has been occasionally applied in high risk patients where general anesthesia is contraindicated. This randomized clinical trial compares spinal anesthesia with general anesthesia for TAPP inguinal hernia repair in non-high risk patients. METHODS: Seventy adult American Society of Anesthesiologists I, II and III patients undergoing elective TAPP inguinal hernia repair were randomized to either general or spinal anesthesia...
February 2, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28160069/tep-or-tapp-for-recurrent-inguinal-hernia-repair-register-based-comparison-of-the-outcome
#6
F Köckerling, R Bittner, A Kuthe, M Hukauf, F Mayer, R Fortelny, C Schug-Pass
INTRODUCTION: The guidelines of the international hernia societies recommend laparo-endoscopic inguinal hernia repair for recurrent hernias after open primary repair. To date, no randomized trials have been conducted to compare the TEP vs TAPP outcome for recurrent inguinal hernia repair. A Swiss registry study identified only minor differences between the two techniques, thus suggesting the equivalence of the two procedures. MATERIALS AND METHODS: Between September 1, 2009 and August 31, 2013 data were entered into the Herniamed Registry on a total of 2246 patients with recurrent inguinal hernia repair following previous open primary operation in either TAPP (n = 1,464) or TEP technique (n = 782)...
February 3, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28102313/cultivation-and-energy-efficient-harvesting-of-microalgae-using-thermoreversible-sol-gel-transition
#7
Bendy Estime, Dacheng Ren, Radhakrishna Sureshkumar
Microalgae represent a promising source of renewable biomass for the production of biofuels and valuable chemicals. However, energy efficient cultivation and harvesting technologies are necessary to improve economic viability. A Tris-Acetate-Phosphate-Pluronic (TAPP) medium that undergoes a thermoreversible sol-gel transition is developed to efficiently culture and harvest microalgae without affecting the productivity as compared to that in traditional culture in a well-mixed suspension. After seeding microalgae in the TAPP medium in a solution phase at 15 °C, the temperature is increased by 7 °C to induce gelation...
January 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28100181/gestational-diabetes-mellitus-and-retinal-microvasculature
#8
Ling-Jun Li, Michael Kramer, Robyn J Tapp, Ryan E K Man, Ngee Lek, Shirong Cai, Fabian Yap, Peter Gluckman, Kok Hian Tan, Yap Seng Chong, Jia Yu Koh, Seang Mei Saw, Yin Bun Cheung, Tien Yin Wong
BACKGROUND: Small-vessel dysfunction may be an important consequence of chronic hyperglycemia. We examined the association between gestational diabetes mellitus (GDM), a state of transient hyperglycemia during pregnancy, and retinal microvascular changes in pregnant women at 26-28 weeks of pregnancy. METHODS: A total of 1136 pregnant women with singleton pregnancies were recruited during their first trimester at two major Singapore maternity hospitals in an on-going birth cohort study...
January 18, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28091694/-evidence-based-tep-technique
#9
F Köckerling
The guidelines of all international hernia societies recommend as procedures of choice the laparoendoscopic techniques total extraperitoneal patch plasty (TEP) and transabdominal preperitoneal patch plasty (TAPP) as well as the open Lichtenstein operation for elective inguinal hernia repair. The learning curve associated with the laparoendoscopic techniques, in particular TEP, is longer than that for the open Lichtenstein technique due to the complexity of the procedures. Accordingly, for laparoendoscopic techniques it is particularly important that the operations are conducted in a standardized manner in compliance with the evidence-based recommendations given for the technical details...
January 13, 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28073949/the-effects-of-feedback-and-incentive-based-insurance-on-driving-behaviours-study-approach-and-protocols
#10
Mark Stevenson, Anthony Harris, Duncan Mortimer, Jasper S Wijnands, Alan Tapp, Frank Peppard, Samantha Buckis
BACKGROUND: Road injury is the leading cause of death for young people, with human error a contributing factor in many crash events. This research is the first experimental study to examine the extent to which direct feedback and incentive-based insurance modifies a driver's behaviour. The study applies in-vehicle telematics and will link the information obtained from the technology directly to personalised safety messaging and personal injury and property damage insurance premiums. METHODS: The study has two stages...
January 10, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28034918/patient-perspectives-on-engagement-in-shared-decision-making-for-asthma-care
#11
Hazel Tapp, Diane Derkowski, Melissa Calvert, Madelyn Welch, Sara Spencer
INTRODUCTION: Engagement of patient and advocacy group stakeholders is increasingly considered essential to meaningful outcomes research. Patient-centred research benefits from partnership formation between patients, clinicians and research team members. Here, we describe the rationale for engaging patients on a research team and a case study of patient engagement on an asthma shared decision-making study. METHODS: Here, we describe a case study of patient engagement in outcomes research and examine the variety of roles patients are engaged in and the associated impact on the study...
December 29, 2016: Family Practice
https://www.readbyqxmd.com/read/28033260/transabdominal-preperitoneal-laparoscopic-approach-for-incarcerated-inguinal-hernia-repair-a-report-of-73-cases
#12
Shuo Yang, Guangyong Zhang, Cuihong Jin, Jinxin Cao, Yilin Zhu, Yingmo Shen, Minggang Wang
To investigate the efficacy, key technical points, and complication management of the transabdominal preperitoneal (TAPP) approach for incarcerated inguinal hernia repair. Seventy-three patients with incarcerated inguinal hernias underwent TAPP surgery in our department between Jan 2010 and Dec 2015. A retrospective review was performed by analyzing the perioperative data from these patients. The operation was successfully completed in all 73 patients. Operation time was 54.0 ± 18.8 minutes (range, 35-100 minutes)...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28012148/ultrasonic-energy-device-versus-monopolar-energy-device-in-laparoscopic-transabdominal-preperitoneal-tapp-inguinal-hernia-repair
#13
Shimpei Otsuka, Yuji Kaneoka, Atsuyuki Maeda, Yuichi Takayama, Yasuyuki Fukami, Shunsuke Onoe
Laparoscopic transabdominal preperitoneal (TAPP) is gaining popularity as an approach to repairing of inguinal hernia. In many institutions, a disposable ultrasonic energy device is used in the TAPP repair procedure. However, the benefit and necessity of an ultrasonic device are unclear. We have switched to use of a reusable monopolar energy device, and we conducted a retrospective study comparing the surgical results obtained with each of the energy devices. Our study group comprised 241 adults who underwent TAPP repair for inguinal hernia between November 2012 and December 2014...
December 23, 2016: Updates in Surgery
https://www.readbyqxmd.com/read/27996378/fast-early-recovery-after-transabdominal-preperitoneal-repair-in-athletes-with-sportsman-s-groin-a-prospective-clinical-cohort-study
#14
Herwig Pokorny, Christoph Resinger, Ines Fischer, Veit Lorenz, Helge Noske, Stefan Podar, Friedrich Längle, Rudolf Schrittwieser
BACKGROUND: Current literature on chronic groin pain suggests that laparoscopic mesh repair on athletes enables a faster recovery and subsequent return to unrestricted athletic activities. The aim of this study was to evaluate the role of transabdominal preperitoneal (TAPP) mesh repair in athletes resistant to conservative therapy. METHODS: A multidisciplinary approach with tailored physiotherapy. Thirty-nine professional athletes with chronic groin pain were referred to surgery at a single clinic...
December 20, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27984700/beef-assessments-using-functional-magnetic-resonance-imaging-and-sensory-evaluation
#15
W N Tapp, T H Davis, D Paniukov, J C Brooks, M M Brashears, M F Miller
Functional magnetic resonance imaging (fMRI) has been used to unveil how some foods and basic rewards are processed in the human brain. This study evaluated how resting state functional connectivity in regions of the human brain changed after differing qualities of beef steaks were consumed. Functional images of participants (n=8) were collected after eating high or low quality beef steaks on separate days, after consumption a sensory ballot was administered to evaluate consumers' perceptions of tenderness, juiciness, flavor, and overall liking...
April 2017: Meat Science
https://www.readbyqxmd.com/read/27975361/-monastery-medicine-what-s-the-story-behind-it-what-s-reasonable-what-s-no-good
#16
Heike Will, Iris Eisenmann-Tappe
"Monastery medicine" refers to the traditional medieval European medicine, which was above all in the hands of monks and nuns. We warn against the uncritical application of the historical treatment recommendations, such as by Hildegard von Bingen, as herbal humoralpathological drugs are not always harmless. Modern phytotherapy, however, is well-founded in science. Combined with adapted monastic elements such as dietetics and regulative therapy, as the basis of a "new monastery medicine", it can be used as a supplement to academic medicine...
December 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27927671/what-it-feels-like-to-be-an-interesting-teaching-opportunity
#17
Ruth Tapp
No abstract text is available yet for this article.
December 7, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27924394/does-peritoneal-flap-closure-technique-following-transabdominal-preperitoneal-tapp-inguinal-hernia-repair-make-a-difference-in-postoperative-pain-a-long-term-quality-of-life-comparison
#18
Samuel W Ross, Steven A Groene, Tanu Prasad, Amy E Lincourt, Kent W Kercher, Vedra A Augenstein, B Todd Heniford
BACKGROUND: Transabdominal, preperitoneal (TAPP), laparoscopic inguinal hernia repair (IHR) requires the creation of a peritoneal flap (PF) that must be closed after mesh placement. Our previous study indicated that sutured PF closure resulted in less short-term postoperative pain at 2 and 4 weeks compared to tacks and staples. Therefore, the aim of this follow-up study was to compare short-term QOL with a greater sample size and long-term QOL at 2 years by method of PF closure. MATERIALS AND METHODS: A prospective institutional hernia-specific database was assessed for all adult TAPP IHRs from July 2012 to May 2015...
December 6, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27884334/assessment-of-the-incidence-of-chronic-pain-and-discomfort-after-primary-inguinal-hernia-repair
#19
Hideyuki Takata, Takeshi Matsutani, Nobutoshi Hagiwara, Junji Ueda, Hiroki Arai, Yasuyuki Yokoyama, Tsutomu Nomura, Eiji Uchida
BACKGROUND: Chronic pain and discomfort is a notable complication after inguinal hernia repair. This study assesses the incidence and degree of chronic pain and discomfort after primary inguinal hernia repair performed in our hospital and aims to clarify its relationship to the type of mesh placement. MATERIALS AND METHODS: A retrospective analysis was conducted of 334 patients (378 lesions) who underwent primary inguinal hernia using the Lichtenstein (onlay mesh), Ultrapro Plug (UPP; onlay plus plug mesh), modified Kugel Patch (onlay and underlay mesh), or laparoscopic transabdominal preperitoneal (TAPP; underlay mesh) procedure...
December 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27873766/incidental-finding-of-giant-pericardial-lipoma
#20
Handi Salim, Dhakshinamurthy Vijay Anand, Richard Watkin, Luke Tapp
We describe a patient with an incidental finding of a large mass adjacent to the heart detected on a screening CT scan. The differential diagnosis included primary and secondary tumours of the heart. Subsequent investigation with trans-thoracic echocardiogram and cardiac MRI confirmed a diagnosis of a giant pericardial lipoma, one of the common benign primary cardiac tumours.
November 21, 2016: BMJ Case Reports
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