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https://www.readbyqxmd.com/read/27757337/abdominal-closure-after-tram-flap-breast-reconstruction-with-transversus-abdominis-muscle-release-and-mesh
#1
Antonio Espinosa-de-Los-Monteros, Héctor Avendano-Peza, Yuri W Novitsky
Breast reconstruction with a pedicled transverse rectus abdominis muscle (TRAM) flap can result in significant abdominal wall donor-site morbidity. Although the pedicled TRAM flap donor area reinforced with mesh results in decreased rates of postoperative abdominal bulging and hernias, the best technique to accomplish that is yet to be elucidated. We present our novel technique of posterior components separation with transversus abdominis muscle release and retromuscular mesh reinforcement for donor-area closure during pedicled TRAM flap breast reconstruction...
September 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27728955/laparoscopic-stapled-sublay-repair-with-self-gripping-mesh-a-simplified-technique-for-minimally-invasive-extraperitoneal-ventral-hernia-repair
#2
Alexandra M Moore, Lisa N Anderson, David C Chen
INTRODUCTION: Minimally invasive laparoscopic and robotic techniques for ventral hernia repair have evolved to achieve the benefits and minimize the limitations of both the open Rives-Stoppa sublay mesh repair and laparoscopic intraperitoneal onlay mesh (IPOM) repair. By combining the principles of a retromuscular repair with the benefits of a minimally invasive approach, these techniques attempt to decrease recurrence, increase functionality, exclude mesh from the viscera, limit infection and wound complications, and minimize pain...
October 6, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27541386/upper-limb-and-trunk-muscle-activation-during-an-unexpected-descent-on-the-outstretched-hands-in-young-and-older-women
#3
Lauren J Lattimer, Joel L Lanovaz, Jonathan P Farthing, Stéphanie Madill, Soo Kim, Cathy Arnold
Falling on the outstretched hands (FOOSH), a protective mechanism to arrest the body and avoid injury, requires upper limb and trunk motor control for effective body descent. The purpose of this study was to investigate muscle activity during three phases of an unexpected FOOSH in healthy older and younger women. Twenty young (mean age 22.9yrs, SD±3.7) and 20 older females (mean age 68.1yrs, SD±5.0) performed five trials of unexpected FOOSHs. Surface electromyography (EMG) determined muscle activations for left shoulder girdle, elbow and abdominal muscles during an unexpected FOOSH...
October 2016: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/27513800/initial-uk-experience-with-transversus-abdominis-muscle-release-for-posterior-components-separation-in-abdominal-wall-reconstruction-of-large-or-complex-ventral-hernias-a-combined-approach-by-general-and-plastic-surgeons
#4
N D Appleton, K D Anderson, K Hancock, M H Scott, C J Walsh
INTRODUCTION Large, complicated ventral hernias are an increasingly common problem. The transversus abdominis muscle release (TAMR) is a recently described modification of posterior components separation for repair of such hernias. We describe our initial experience with TAMR and sublay mesh to facilitate abdominal wall reconstruction. METHODS The study is a retrospective review of patients undergoing TAMR performed synchronously by gastrointestinal and plastic surgeons. RESULTS Twelve consecutive patients had their ventral hernias repaired using the TAMR technique from June 2013 to June 2014...
August 11, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27349683/outcomes-of-retromuscular-porcine-biologic-mesh-repairs-using-transversus-abdominis-release-reconstruction
#5
Mojtaba Fayezizadeh, Arnab Majumder, Igor Belyansky, Yuri W Novitsky
BACKGROUND: Optimal mesh reinforcement and operative technique for major abdominal wall reconstructions (AWR) remain debatable. Posterior component separation via transversus abdominis release (TAR) allows for wide sublay mesh reinforcement with durable reconstruction, and has been gaining popularity in recent years. Although biologic mesh has been associated with mixed results, outcomes of AWR with bioprosthetics have not been well elucidated to date. We evaluated our outcomes of TAR reconstructions with retromuscular porcine biologic mesh reinforcement...
September 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27152591/reply-posterior-component-separation-with-transversus-abdominis-release-technique-utility-and-outcomes-in-complex-abdominal-wall-reconstruction
#6
Christine M Jones, Joshua S Winder, John D Potochny, Eric M Pauli
No abstract text is available yet for this article.
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27152590/posterior-component-separation-with-transversus-abdominis-release-technique-utility-and-outcomes-in-complex-abdominal-wall-reconstruction
#7
Riccardo Gazzola, Michele Lombardo, Riccardo Rosati, Franz Wilhelm Baruffaldi Preis
No abstract text is available yet for this article.
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27107825/transversus-abdominis-release-for-abdominal-wall-reconstruction-early-experience-with-a-novel-technique
#8
Joshua S Winder, Brittany J Behar, Ryan M Juza, John Potochny, Eric M Pauli
BACKGROUND: Ventral hernias are common sequelae of abdominal surgery. Recently, transversus abdominis release has emerged as a viable option for large or recurrent ventral hernias. Our objective was to determine the outcomes of posterior component separation via transversus abdominis release for the treatment of abdominal wall hernias in the first series of patients at one institution. METHODS: We performed a retrospective review of a prospectively maintained database of open ventral hernia repair patients to identify patients who underwent posterior component separation via transversus abdominis release at one institution from 2012 to 2015...
August 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27023876/how-i-do-it-novel-parastomal-herniorrhaphy-utilizing-transversus-abdominis-release
#9
Eric M Pauli, Ryan M Juza, Joshua S Winder
INTRODUCTION: Parastomal hernias are a complex surgical problem affecting a large number of patients. Recurrences continue to occur despite various methods of repair. We present a novel method of open parastomal hernia repair with retromuscular mesh reinforcement in a modified Sugarbaker configuration. METHODS: A full mildline laparotomy is performed and all adhesions are taken down. We then perform an open parastomal hernia repair by utilizing retromuscular dissection, posterior component separation via transversus abdominis release, and lateralization of the bowel utilizing a modified Sugarbaker mesh configuration within the retromuscular space...
August 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/26910200/outcomes-of-posterior-component-separation-with-transversus-abdominis-muscle-release-and-synthetic-mesh-sublay-reinforcement
#10
Yuri W Novitsky, Mojtaba Fayezizadeh, Arnab Majumder, Ruel Neupane, Heidi L Elliott, Sean B Orenstein
OBJECTIVE: To evaluate the safety and efficacy of transversus abdominis muscle release (TAR) with retrorectus synthetic mesh reinforcement in a large series of complex hernia patients. BACKGROUND: Posterior component separation via TAR during abdominal wall reconstruction (AWR) continues to gain popularity. Although our early experience with TAR has been promising, long-term outcomes have not been reported. METHODS: From December 2006 to December 2014, consecutive patients undergoing open AWR utilizing TAR were identified in our prospectively maintained database and reviewed retrospectively...
August 2016: Annals of Surgery
https://www.readbyqxmd.com/read/26818302/posterior-component-separation-with-transversus-abdominis-release-technique-utility-and-outcomes-in-complex-abdominal-wall-reconstruction
#11
REVIEW
Christine M Jones, Joshua S Winder, John D Potochny, Eric M Pauli
BACKGROUND: Ventral hernia formation is a frequent and increasingly difficult problem. Nonmidline hernias, parastomal hernias, hernias near bony landmarks, and recurrent ventral hernias (especially after anterior component separation) present particular challenges. Typical reconstructive techniques may struggle to reestablish abdominal domain and to create a lasting repair. Posterior component separation with transversus abdominis release is a novel technique that offers a durable solution to a variety of complex ventral hernias...
February 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26603694/laparoscopic-transversus-abdominis-release-a-novel-minimally-invasive-approach-to-complex-abdominal-wall-reconstruction
#12
Igor Belyansky, H Reza Zahiri, Adrian Park
BACKGROUND: Open abdominal wall reconstruction is used to repair complex abdominal wall hernias with contour abnormalities. We present a novel minimally invasive approach to address these types of defects, completed entirely laparoscopically. METHODS: Three patients underwent laparoscopic abdominal wall reconstruction for complex hernias in August and September of 2015. Operative approach consisted of laparoscopic transversus abdominis components separation, defect closure, and wide mesh implantation in the retromuscular space...
April 2016: Surgical Innovation
https://www.readbyqxmd.com/read/26055001/value-based-clinical-quality-improvement-cqi-for-patients-undergoing-abdominal-wall-reconstruction
#13
Bradley Stephan, Bruce Ramshaw, Brandie Forman
Patients with complex ventral/incisional hernias often undergo an abdominal wall reconstruction (AWR). These operations have a high cost of care and often result in a long hospital stay and high complication rates. Using the principles of clinical quality improvement (CQI), several attempts at process improvement were implemented in one hernia program over a 3-year period. For consecutive cases of patients undergoing abdominal wall reconstruction, process improvement attempts included the use of a long-term resorbable synthetic mesh (TIGR® Resorbable Matrix, Novus Scientific, Uppsala, Sweden) in place of a biologic mesh, the use of the transversus abdominis release approach in place of an open or endoscopic component separation (external oblique release) technique, and the use of a preoperative transversus abdominis plane (TAP) block using a long-acting local anesthetic (Exparel®, Pacira Pharmaceutical, Parsippany, NJ) as a part of perioperative multi-modal pain management and an enhanced recovery program...
May 2015: Surgical Technology International
https://www.readbyqxmd.com/read/25854510/repair-of-massive-ventral-hernias-with-quilted-mesh
#14
N M Posielski, S T Yee, A Majumder, S B Orenstein, A S Prabhu, Y W Novitsky
INTRODUCTION: Prosthetic reinforcement is a critical component of hernia repair. For massive defects, mesh overlap is often limited by the dimensions of commercially available implants. In scenarios where larger mesh prosthetics are required for adequate reinforcement, it may be necessary to join several pieces of mesh together using non-absorbable suture. Here, we report our outcomes for abdominal wall reconstructions in which "quilted" mesh was utilized for fascial reinforcement. METHODS: Patients undergoing open incisional hernia repair utilizing posterior component separation and transversus abdominis muscle release, with use of quilted synthetic mesh placed in the retromuscular position, were reviewed...
June 2015: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/25757132/posterior-component-separation-and-transversus-abdominis-muscle-release-for-complex-incisional-hernia-repair-in-patients-with-a-history-of-an-open-abdomen
#15
Clayton C Petro, John J Como, Sydney Yee, Ajita S Prabhu, Yuri W Novitsky, Michael J Rosen
BACKGROUND: The best reconstructive approach for large fascial defects precipitated from a previous open abdomen has not been elucidated to date. We use a posterior component separation with transversus abdominis muscle release (TAR) in this scenario. METHODS: Patients with a history of an open abdomen who ultimately underwent complex hernia repair with TAR from 2010 to 2013 at Case Medical Center were identified in our prospective database and analyzed. RESULTS: Of 34 patients (mean [SD] age, 54 [11...
February 2015: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/25605417/a-case-of-splenic-rupture-within-an-umbilical-hernia-with-loss-of-domain
#16
Emil J Fernando, Alfredo D Guerron, Michael J Rosen
INTRODUCTION: Massive ventral hernia with loss of abdominal domain is a particularly complex disease. We present a case of a massive umbilical hernia with loss of abdominal domain containing the small bowel, colon, and spleen that presented with spontaneous splenic rupture. CASE REPORT: The patient was an 82-year-old Caucasian female with multiple comorbidities, on anti-coagulation for cardiac dysrhythmia with a congenital umbilical hernia with loss of abdominal domain which had progressed over multiple years...
April 2015: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/25254838/posterior-component-separation-with-transversus-abdominis-release-technique-and-utility-in-challenging-abdominal-wall-reconstruction-cases
#17
Christine M Jones, John D Potochny, Eric M Pauli
No abstract text is available yet for this article.
October 2014: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/25170277/liposomal-bupivacaine-infiltration-into-the-transversus-abdominis-plane-for-postsurgical-analgesia-in-open-abdominal-umbilical-hernia-repair-results-from-a-cohort-of-13-patients
#18
Dennis E Feierman, Mark Kronenfeld, Piyush M Gupta, Natalie Younger, Eduard Logvinskiy
BACKGROUND: Achieving adequate control of postsurgical pain remains a challenge in patients undergoing abdominal surgery. Transversus abdominis plane (TAP) infiltration has been shown to provide postsurgical analgesia following lower abdominal surgery. We assessed the safety and efficacy of a prolonged-release liposomal formulation of the local anesthetic bupivacaine administered via infiltration into the TAP in a cohort of patients undergoing open abdominal umbilical hernia repair. METHODS: Patients included in the study were 18-75 years of age, had American Society of Anesthesiologists physical classification status 1-3, and underwent open abdominal umbilical hernia repair with ultrasound-guided TAP infiltration immediately after surgery using an equal-volume bilateral infusion of liposomal bupivacaine 266 mg (diluted to 30 mL in normal saline)...
2014: Journal of Pain Research
https://www.readbyqxmd.com/read/24929767/functional-abdominal-wall-reconstruction-improves-core-physiology-and-quality-of-life
#19
Cory N Criss, Clayton C Petro, David M Krpata, Christina M Seafler, Nicola Lai, Justin Fiutem, Yuri W Novitsky, Michael J Rosen
INTRODUCTION: One of the goals of modern ventral hernia repair (VHR) is restoring the linea alba by returning the rectus muscles to the midline. Although this practice presumably restores native abdominal wall function, improvement of abdominal wall function has never been measured in a scientific fashion. We hypothesized that a dynamometer could be used to demonstrate an improvement in rectus muscle function after open VHR with restoration of the midline, and that this improvement would be associated with a better quality-of-life...
July 2014: Surgery
https://www.readbyqxmd.com/read/24823998/-median-incisional-hernias-and-coexisting-parastomal-hernias-new-surgical-strategies-and-an-algorithm-for-simultaneous-repair
#20
REVIEW
G Köhler
The co-occurrence of incisional and parastomal hernias (PSH) remains a surgical challenge. Standardized treatment guidelines are missing, and the patients concerned require an individualized surgical approach. The laparoscopic techniques can be performed with incised and/or stoma-lateralizing flat meshes with intraperitoneal onlay placement. The purely laparoscopic and laparoscopic-assisted approaches with 3-D meshes offer advantages regarding the complete coverage of the edges of the stomal areas and the option of equilateral or contralateral stoma relocation in cases of PSH, which are difficult to handle due to scarring, adhesions, and large fascial defects > 5 cm with intestinal hernia sac contents...
August 2014: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
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