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Umbilical hernia

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https://www.readbyqxmd.com/read/28647766/impact-of-patient-questionnaires-on-completeness-of-clinical-information-and-identification-of-causes-of-pain-during-outpatient-abdominopelvic-ct-interpretation
#1
Ankur M Doshi, Chenchan Huang, Luke Ginocchio, Krishna Shanbhogue, Andrew B Rosenkrantz
PURPOSE: To evaluate the impact of questionnaires completed by patients at the time of abdominopelvic CT performed for abdominal pain on the completeness of clinical information and the identification of potential causes of pain, compared with order requisitions alone. METHODS: 100 outpatient CT examinations performed for the evaluation of abdominal pain were retrospectively reviewed. The specificity of the location of pain was compared between the order requisition and patient questionnaire...
June 24, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28629819/umbilical-appearance-and-patient-parent-satisfaction-over-5years-of-follow-up-after-umbilical-hernia-repair-in-children
#2
Masahiro Zenitani, Takashi Sasaki, Natsumi Tanaka, Takaharu Oue
BACKGROUND/PURPOSE: We evaluated the long-term umbilical appearance and patient/parent satisfaction at follow-up after umbilical hernia repair (UHR). METHODS: In a retrospective review of 128 children who underwent UHR and were followed up for more than 5years, satisfaction was assessed using e-mailed questionnaires and attached photographs of the umbilicus. RESULTS: The survey response rate was 80.3% by parents, 79.5% by patients, and 72...
June 11, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28623596/impact-of-residency-training-level-on-the-surgical-quality-following-general-surgery-procedures
#3
Dominik Loiero, Maja Slankamenac, Pierre-Alain Clavien, Ksenija Slankamenac
OBJECTIVE: To investigate the safety of surgical performance by residents of different training level performing common general surgical procedures. METHODS: Data were consecutively collected from all patients undergoing general surgical procedures such as laparoscopic cholecystectomy, laparoscopic appendectomy, inguinal, femoral and umbilical hernia repair from 2005 to 2011 at the Department of Surgery of the University Hospital of Zurich, Switzerland. The operating surgeons were grouped into junior residents, senior residents and consultants...
June 16, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28611552/a-novel-mutation-in-pitx2-in-a-patient-with-axenfeld-rieger-syndrome
#4
Susan J Hassed, Shibo Li, Weihong Xu, Ashley C Taylor
Axenfeld-Rieger syndrome is a rare autosomal dominant condition. Anomalies include anterior segment dysgenesis of the eye, dental anomalies, maxillary hypoplasia, periumbilical anomalies, and congenital heart defects. We report a patient with Peters anomaly, dysmorphic features, congenital heart defect, umbilical hernia, short stature, and developmental delay. Diagnostic sequencing of 23 genes known to be causally related to the condition was performed on the patient, parents, and maternal grandparents. A variant of uncertain significance in PITX2 was identified...
March 2017: Molecular Syndromology
https://www.readbyqxmd.com/read/28610706/ultrasound-guided-bilateral-rectus-sheath-block-vs-conventional-local-analgesia-in-single-port-laparoscopic-appendectomy-for-children-with-nonperforated-appendicitis
#5
Caroline Maloney, Michelle Kallis, Ibrahim Abd El-Shafy, Aaron M Lipskar, John Hagen, Michelle Kars
INTRODUCTION: Despite its minimally invasive approach, laparoscopic surgery can cause considerable pain. Regional analgesic techniques such as the rectus sheath block (RSB) offer improved pain management following elective umbilical hernia repair in the pediatric population. This effect has not been examined in laparoscopic single-incision surgery in children. We sought to compare the efficacy of bilateral ultrasound-guided RSB versus local anesthetic infiltration (LAI) in providing postoperative pain relief in pediatric single-incision transumbilical laparoscopic assisted appendectomy (TULA) with same-day discharge...
June 2, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28590360/laparoscopic-total-extraperitoneal-tep-inguinal-hernia-repair-using-3-dimensional-mesh-without-mesh-fixation
#6
Tolga Aliyazicioglu, Tunc Yalti, Burcak Kabaoglu
BACKGROUND: Approximately one fifth of patients suffer from inguinal pain after laparoscopic total extraperitoneal (TEP) inguinal hernia repair. There is existing literature suggesting that the staples used to fix the mesh can cause postoperative inguinal pain. In this study, we describe our experience with laparoscopic TEP inguinal hernia surgery using 3-dimensional mesh without mesh fixation, in our institution. MATERIALS AND METHODS: A total of 300 patients who had undergone laparoscopic TEP inguinal hernia repair with 3-dimensional mesh in VKV American Hospital, Istanbul from November 2006 to November 2015 were studied retrospectively...
June 5, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28589449/surprising-twist-in-the-plot-sister-mary-joseph-s-nodule-of-pancreatic-cancer-mimicking-wound-infection-after-umbilical-hernia-repair
#7
Andreas M Luu, K Meurer, T Herzog, J Munding, W Uhl, C Braumann
No abstract text is available yet for this article.
June 6, 2017: Journal of Gastrointestinal Cancer
https://www.readbyqxmd.com/read/28586889/umbilical-hernia
#8
Eddie Blay, Jonah J Stulberg
No abstract text is available yet for this article.
June 6, 2017: JAMA: the Journal of the American Medical Association
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
#9
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/28539992/bi-directional-hepatic-hydrothorax
#10
Madhan Nellaiyappan, Anastasios Kapetanos
A 59-year-old male with alcoholic cirrhosis presented to our hospital with an acutely painful umbilical hernia, and 4 mo of exertional dyspnea. He was noted to be tachypneic and hypoxic. He had a massive right sided pleural effusion with leftward mediastinal shift and gross ascites, with a tense, fluid-filled, umbilical hernia. Emergent paracentesis with drain placement and a large volume thoracentesis were performed. Despite improvement in dyspnea and drainage of 15 L of ascitic fluid, the massive transudative pleural effusion remained largely unchanged...
May 8, 2017: World Journal of Hepatology
https://www.readbyqxmd.com/read/28534020/incarceration-of-a-pedunculated-uterine-fibroid-in-an-umbilical-hernia
#11
Mi Ju Kim, Hyun-Hwa Cha, Won Joon Seong
Uterine fibroids are common benign tumors that may cause an umbilical hernia in patients with increased intra-abdominal pressure due to pregnancy, obesity, ascites, and intra-abdominal tumors. However, the simultaneous occurrence of uterine fibroids and umbilical hernias, or fibroids and an associated umbilical hernia, during pregnancy has rarely been reported. Here, we present the case of a fibroid presenting as an incarcerated umbilical hernia in a menopausal patient.
May 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/28511445/neoumbilicoplasty-in-a-laparoscopic-port-site-description-of-a-new-technique-and-review-of-literature
#12
Aravind Menon, Alagesan Ganapathi
The umbilicus contributes significantly to the cosmetic appearance of the abdomen especially in women. Loss of umbilicus may result not only in cosmetic disfigurement but also in significant psychological effects. Omphalectomy may accompany certain surgical procedures like ventral hernia repairs and abdominoplasty. For such patients, many techniques have been described by various authors in literature for creation of a neoumbilicus for good cosmetic appearance. In this report, we describe how a laparoscopic port site was utilized to create a neoumbilicus in a patient who required omphalectomy as a part of large umbilical hernia repair...
March 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28507377/spontaneous-evisceration-of-umbilical-hernia-in-a-patient-with-congenital-nephrotic-syndrome
#13
Nilufer Goknar, Gokhan Gundogdu, Mehmet Kucukkoc, Aysegul Dogan Demir, Aysel Vehapoglu, Faruk Oktem
Congenital nephrotic syndrome is a term used to describe a condition in babies who develop severe proteinuria and hypoalbuminaemia within their first three months of life. They generally have oedema and ascites from birth which, because of increased intra-abdominal pressure, can result in an umbilical hernia. The report presents a five-month old infant with congenital nephrotic syndrome who had spontaneous umbilical hernia rupture with evisceration. The approach to umbilical hernias is usually conservative, but in selected cases elective surgery may be indicated...
May 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28487176/feasibility-of-reduced-port-robotic-surgery-for-myomectomy-with-the-da-vinci-%C3%A2-surgical-system
#14
Jeong Jin Kim, Chahien Choi, Su Hyun Nam, Woo Young Kim
STUDY OBJECTIVE: To present our initial experience with reduced port robotic surgery (RPRS) for myomectomy using Octo-Port. DESIGN: Prospective and noncomparative study. (Canadian Task Force classification II-3). SETTING: University hospital. PATIENTS: Nineteen consecutive patients with symptomatic uterine fibroids desiring conservative minimally invasive robotic surgery from October 2015 to December 2016 INTERVENTIONS: An 8...
May 6, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28409440/repair-of-primary-and-incisional-hernias-using-composite-mesh-fixed-with-absorbable-tackers-preliminary-experience-of-a-laparoscopic-approach-with-a-newly-designed-mesh-in-29-cases
#15
Ferdinando Agresta, Alice Marzetti, Silvia Vigna, Daniela Prando, Raffaele Porfidia, Salomone Di Saverio
Outcome of primary and incisional hernia repair is still affected by clinical complications in terms of recurrences, pain and discomfort. Factors like surgical approach, prosthesis characteristics and method of fixation might influence the outcome. We evaluated in a prospective observational study a cohort population which underwent primary and incisional laparoscopic hernia repair, with the use of a composite mesh in polypropylene fixed with absorbable devices. We focused on assessing the feasibility and safety of these procedures; they were always performed by an experienced laparoscopic surgeon, analyzing data from our patients through the EuraHS registry...
April 13, 2017: Updates in Surgery
https://www.readbyqxmd.com/read/28408920/endoscopic-assisted-linea-alba-reconstruction-new-technique-for-treatment-of-symptomatic-umbilical-trocar-and-or-epigastric-hernias-with-concomitant-rectus-abdominis-diastasis
#16
Ferdinand Köckerling, Marinos Damianos Botsinis, Christine Rohde, Wolfgang Reinpold, Christine Schug-Pass
BACKGROUND: Patients with symptomatic umbilical, trocar, and/or epigastric hernias and concomitant rectus abdominis diastasis represent a growing clinical problem. The optimal management of this complex hernia situation is the subject of debate in the literature. This paper reports the early results of an innovative surgical technique aimed at managing this hernia situation. METHODS: Endoscopic-assisted linea alba reconstruction (ELAR) with mesh augmentation is a surgical technique long known in the literature for its good outcome for incisional hernia repair (myofascial release, overlapping herniorrhaphy, Gibson's operation, shoelace repair, anterior rectus sheath repair, dynamic patch plasty) via a small access route...
2017: European Surgery: ACA: Acta Chirurgica Austriaca
https://www.readbyqxmd.com/read/28401355/correlation-between-early-surgical-complications-and-readmission-rate-after-ventral-hernia-repair
#17
D Kokotovic, H Sjølander, I Gögenur, F Helgstrand
PURPOSE: Postoperative surgical complications arising from ventral hernia repair have been assessed by a variety of outcome measures. The objective of this study was to correlate the Clavien Dindo Classification (CDC) graded complications with the 30-day readmission rate as early outcome measures in ventral hernia repair. Secondarily, we wanted to investigate whether the risk factors for Clavien Dindo class ≥1 and 30-day readmission were comparable. METHODS: Single-centre retrospective study including all patients (≥18 years) who underwent ventral hernia repair between January 1, 2009 and September 1, 2014 at Zealand University Hospital...
April 11, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28386697/postoperative-changes-after-surgical-mesh-hernia-repair-a-pitfall-in-interpretation-of-18f-fdg-pet-ct
#18
T Davidson, E Klang, E Goshen, J Goldstein, M Khaikin, B Chikman, S Ben-Haim
OBJECTIVE: A number of case reports have demonstrated FDG uptake around mesh prostheses after hernia repair surgery. This study characterizes FDG PET-CT findings after hernia repair with synthetic mesh in a series of cancer patients. MATERIALS AND METHODS: FDG PET-CT studies were reviewed for increased FDG uptake consistent with CT appearances of post-surgical hernia repair in cancer patients. The findings were correlated with clinical data and follow-up studies...
April 6, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28383626/bilateral-hydrocele-uncommon-clinical-presentation-of-primary-testicular-lymphoma-in-the-elderly
#19
E Spaziani, A Di Filippo, P Francioni, F Fiorini, R Di Costanzo, V Ciaschi, M Spaziani, A De Cesare, M Picchio
Primary testicular lymphoma (PLT) represents 5% of testis tumors, the incidence increases in patients older than 60 years of age. Bilateral hydrocele is an unusual clinical presentation. Relapse in the central nervous system and in the contralateral testis is often observed. The US shows hypoechoic nodular lesions with a complete structural involvement of didymus and hypervascularization at Color Doppler. Orchiectomy should be performed in all cases as it is indispensable for the histopathological diagnosis and to characterize the immunophenotypic features...
March 2017: La Clinica Terapeutica
https://www.readbyqxmd.com/read/28381548/unusual-clinical-umbilical-hernia-pitfall
#20
Floryn Cherbanyk, Jean-Loup Gassend, Olivier Martinet
No abstract text is available yet for this article.
April 4, 2017: BMJ Case Reports
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