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Epigastric hernia

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https://www.readbyqxmd.com/read/27889485/safety-and-effectiveness-of-anterior-fundoplication-sleeve-gastrectomy-in-patients-with-severe-reflux
#1
Rena C Moon, Andre F Teixeira, Muhammad A Jawad
BACKGROUND: Laparoscopic sleeve gastrectomy has become a popular bariatric surgery in recent years. However, it has been linked to worsening or newly developed gastroesophageal reflux disease (GERD) in the postoperative period. OBJECTIVES: The purpose of this study is to determine the safety and effectiveness of anterior fundoplication sleeve gastrectomy in patients with reflux. SETTING: Academic hospital, United States. METHODS: We prospectively collected data on 31 sleeve gastrectomy patients who concurrently underwent anterior fundoplication between July 2014 and March 2016...
October 17, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27866258/fat-containing-soft-tissue-masses-in-children
#2
REVIEW
Elizabeth F Sheybani, Eric P Eutsler, Oscar M Navarro
The diagnosis of soft-tissue masses in children can be difficult because of the frequently nonspecific clinical and imaging characteristics of these lesions. However key findings on imaging can aid in diagnosis. The identification of macroscopic fat within a soft-tissue mass narrows the differential diagnosis considerably and suggests a high likelihood of a benign etiology in children. Fat can be difficult to detect with sonography because of the variable appearance of fat using this modality. Fat is easier to recognize using MRI, particularly with the aid of fat-suppression techniques...
December 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/27849511/hiatal-hernia-as-the-cause-of-g-induced-abdominal-pain
#3
Scott B Hughey, Lauren H Mattingly
Sliding hiatal hernias are common and affect approximately 10% to 80% of the general population. The condition typically presents with reflux-type symptoms and is diagnosed either with imaging or endoscopy. In this case, the hernia presented as G-induced abdominal pain. The patient was an F-18 pilot who experienced worsening epigastric abdominal pain proportionate to the amount of accelerative force experienced. The pain would occur at approximately 3 Gs and increase beyond that. The patient was asymptomatic at rest and denied any dysphagia or reflux symptoms...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27780502/a-new-concept-and-classification-of-corona-mortis-and-its-clinical-significance
#4
Waseem Al Talalwah
PURPOSE: The obturator artery and its accessory (aberrant) arising from different origins and crossing the pubic rami are vascular variations. The internal iliac artery usually provides the obturator artery which may communicates with the external iliac artery through either the accessory obturator or inferior epigastric artery. A collateral circulation between the external and internal iliac system is known as corona mortis. The aim of current study is to provide sufficient data of vascular variability crossing the pubic rami for clinical field...
October 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27770240/does-the-internal-inguinal-ring-need-closure-during-laparoscopic-orchiopexy-with-prentiss-manoeuvre
#5
Sarath Kumar Narayanan, Jagadeesh N Puthenvariath, Prathap Somnath, Arun Mohanan
BACKGROUND: Undescended testis is a common problem, which is prevalent in 3 % of male infants. This study aimed to determine the effect of leaving the deep inguinal ring (DIR) without closure during laparoscopic orchiopexy (LO), with regard to post-operative hernia formation and other outcomes. METHODS: From 2012 to 2014, 63 testicular units were managed with laparoscopy for non-palpable testis (NPT). Diagnostic laparoscopy was performed for all NPTs, and when they were intra-abdominal (42 testicular units), the DIR was left open after mobilization of the testis into the scrotum medial to the inferior epigastric vessels (Prentiss manoeuvre)...
October 21, 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27766419/endoscopic-mini-less-open-sublay-technique-emilos-a-new-technique-for-ventral-hernia-repair
#6
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/27684179/unusual-presentation-of-trocar-site-hernia-after-roux-en-y-gastric-bypass-case-report
#7
Nele Loret, Marieke De Visschere, Luc Berwouts
INTRODUCTION: The exponential increase of bariatric surgery has resulted in a new diagnostic field of postoperative complications. One of the possibly serious complications is trocar site hernia. CASE REPORT: We present a rare case of trocar site hernia, in particular herniation of the blind loop of the jejunojejunostomy in a patient previously operated for laparoscopic gastric bypass. CONCLUSION: In patients with intermittent epigastric pain and regurgitation or nausea after RYGB, the differential diagnosis should include internal herniation and cholecystitis...
August 10, 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27664224/erratum-prevascular-femoral-hernia-and-its-relation-with-inferior-epigastric-vessels-a-rare-presentation-of-the-femoral-hernia-sac
#8
(no author information available yet)
No abstract text is available yet for this article.
September 23, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27637187/predicting-30-day-postoperative-mortality-for-emergent-anterior-abdominal-wall-hernia-repairs-using-the-american-college-of-surgeons-national-surgical-quality-improvement-program-database
#9
P J Chung, J S Lee, S Tam, A Schwartzman, M O Bernstein, L Dresner, A Alfonso, G Sugiyama
PURPOSE: Anterior abdominal wall hernias are among the most commonly encountered surgical disease. We sought to identify risk factors that are associated with 30-day postoperative mortality following emergent abdominal wall hernia repair using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. METHODS: A retrospective analysis of data from the ACS NSQIP from 2005 to 2010 was performed. Patients were selected using Current Procedural Terminology (CPT) and International Classification of Disease 9 Clinical Modification (ICD9) codes for the repair of inguinal, femoral, umbilical, epigastric, ventral, or incisional hernias that were incarcerated, obstructed, strangulated, or gangrenous...
September 16, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27542946/gastropericardial-fistula-getting-to-the-heart-of-the-matter
#10
Vian Azzu
BACKGROUND: Gastropericardial fistula is a rare life-threatening condition, being reported only 65 times in modern literature. CASE PRESENTATION: A 67 year-old man who presented with weight loss, chest pain and epigastric pain was found to have pericardial effusion and pneumopericardium on computed imaging. Endoscopy and histology confirmed a gastric adenocarcinoma within a hiatus hernia, which had fistulated to the pericardium. His condition was complicated by pulmonary emboli and lobar infarction, all contributing to rapid deterioration and death...
August 19, 2016: BMC Gastroenterology
https://www.readbyqxmd.com/read/27490465/mini-breast-reconstruction-with-an-omental-flap-a-retrospective-clinical-study
#11
Hoon Kim, Chi Sun Yoon, Hoon Bum Lee, Byung Kyun Ko, Gyu Yeol Kim, Kyu Nam Kim
INTRODUCTION: Potential challenges associated with immediate small breast reconstruction include an inadequate size of the donor site, a thinner skin envelope and limited selection of implants. We present immediate postmastectomy reconstruction of small breasts with a laparoscopically harvested pedicled omental flap (LHPOF) in five Korean women. METHODS: From December 2014 to July 2015, we performed immediate postmastectomy reconstruction with an LHPOF in five breast cancer patients...
August 3, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27468960/chylous-ascites-associated-with-intestinal-obstruction-from-volvulus-due-to-petersen-s-hernia-report-of-a-case
#12
Yuichi Akama, Tetsuya Shimizu, Itsuo Fujita, Yoshikazu Kanazawa, Daisuke Kakinuma, Hitoshi Kanno, Aya Yamagishi, Hiroki Arai, Eiji Uchida
BACKGROUND: Chylous ascites is an uncommon finding which is usually associated with recent abdominal/oncologic or retroperitoneal surgery. It is not usually seen in cases of acute obstruction. CASE PRESENTATION: A patient who had previously undergone a laparoscopy-assisted distal gastrectomy with Roux-en-Y reconstruction for early gastric cancer presented with acute abdominal pain and epigastric fullness. Computed tomography suggested small bowel obstruction due to volvulus...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27450207/outcomes-of-robot-assisted-versus-laparoscopic-repair-of-small-sized-ventral-hernias
#13
Y Julia Chen, Desmond Huynh, Scott Nguyen, Edward Chin, Celia Divino, Linda Zhang
INTRODUCTION: The aim of the study is to investigate the outcomes of the da Vinci robot-assisted laparoscopic hernia repair of small-sized ventral hernias with circumferential suturing of the mesh compared to the traditional laparoscopic repair with trans-fascial suturing. METHODS: A retrospective review was conducted of all robot-assisted umbilical, epigastric and incisional hernia repairs performed at our institution between 2013 and 2015 compared to laparoscopic umbilical or epigastric hernia repairs...
July 22, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27446834/cloxacillin-a-new-cause-of-pill-induced-esophagitis
#14
Petros Zezos, Ziv Harel, Fred Saibil
A large variety of medications can cause pill-induced esophagitis. Herein we present a case of cloxacillin-induced esophagitis. A 66-year-old male presented with an acute onset of epigastric and retrosternal pain on the 5th day of a course of oral cloxacillin prescribed for erysipelas. Initial clinical and imaging assessment was negative and he was sent home. A few days later, he returned with persistent severe retrosternal pain; endoscopy at the same day revealed a normal upper esophagus, several small stellate erosions in the midesophagus, and a normal squamocolumnar junction with a small hiatus hernia...
2016: Canadian Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27399983/national-results-after-ventral-hernia-repair
#15
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/27376774/herniation-through-gastrostomy-site-case-report
#16
Fernando Navarro, Catherine Loflin, Paul Diegidio, Abdelaziz Atwez, Jeremy Reeves
INTRODUCTION: Herniation through gastrostomy site is an extremely rare complication of percutaneous endoscopic gastrostomy (PEG). We present two unusual cases of gastrostomy site herniation, the surgical management thereof, and a corresponding review of the literature. CASE PRESENTATION: The first patient is a 65year old Caucasian male who complained of epigastric pain and a bulge at his previous gastrostomy tube incision site three weeks after its removal. Initial exam revealed a hernia measuring approximately 10cm which was later repaired by laparoscopic surgery with a composite mesh...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27358522/congenital-right-morgagni-hernia-presenting-in-an-adult-a-case-report
#17
Sastha Ahanatha Pillai, Santhanakrishnan Chinnappan
Patients with congenital diaphragmatic hernias (CDH) usually present in the neonatal period with respiratory distress. Delayed presentation of CDH in adults is rare and difficult to diagnose. We present a 42-year-old female patient who came with complaints of epigastric pain and breathlessness on exertion. X-ray and CT scan of the chest revealed a right-sided Morgagni hernia. The contents of the hernia were reduced and a primary tension free repair of the hernia defect was done through laparotomy. The postoperative course was uneventful...
June 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27353846/laparoscopic-management-of-non-midline-incisional-hernia-a-multicentric-study
#18
Alessia Ferrarese, Stefano Enrico, Mario Solej, Alessandra Surace, Mario Junior Nardi, Paolo Millo, Rosaldo Allieta, Cosimo Feleppa, Luigi D'Ambra, Stefano Berti, Enrico Gelarda, Felice Borghi, Gabriele Pozzo, Bartolomeo Marino, Emma Marchigiano, Pietro Cumbo, Maria Paola Bellomo, Claudio Filippa, Paolo Depaolis, Mario Nano, Valter Martino
BACKGROUND: The laparoscopic repair of non-midline ventral hernia (LNM) has been debated. The aim of this study is to analyze our experience performing the laparoscopic approach to non-midline ventral hernias (NMVHs) in Northwest Italy for 6 years. METHODS: A total of 78 patients who underwent LNM between March 2008 and March 2014 in the selected institutions were analyzed. We retrospectively analyzed the peri- and postoperative data and the recurrence rate of four subgroups of NMVHs: subcostal, suprapubic, lumbar, and epigastric...
September 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27330337/internal-herniation-through-foramen-of-winslow-a-diagnosis-not-to-be-missed
#19
Edmund Leung, Simon Bramhall, Prajeesh Kumar, Moustafa Mourad, Amdad Ahmed
INTRODUCTION: Hernias through the foramen of Winslow are extremely rare, accounting for 0.1% of all abdominal hernias. Delayed diagnosis is often observed, resulting in bowel strangulation and high mortality. METHOD: We present a case of a patient with strangulated ileum herniated through the foramen of Winslow. Recent literature review was undertaken on "PubMed" as a search platform using the keywords "foramen of Winslow" and "hernia". CASE SUMMARY: A 66-year-old man presented acutely with severe epigastric pain and vomiting...
2016: Clinical Medicine Insights. Gastroenterology
https://www.readbyqxmd.com/read/27293395/hiatal-hernia-as-a-total-gastrectomy-complication
#20
Bruna do Nascimento Santos, Marcos Belotto de Oliveira, Renata D'Alpino Peixoto
INTRODUCTION: According to the Brazilian National Institute of Cancer, gastric cancer is the third leading cause of death among men and the fifth among women in Brazil. Surgical resection is the only potentially curative treatment. The most serious complications associated with surgery are fistulas and dehiscence of the jejunal-esophageal anastomosis. Hiatal hernia refers to herniation of elements of the abdominal cavity through the esophageal hiatus of the diaphragm, though this occurrence is rarely reported as a complication in gastrectomy...
January 2016: Case Reports in Oncology
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