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https://www.readbyqxmd.com/read/29670394/management-of-chronic-pain-after-hernia-repair
#1
REVIEW
Kristoffer Andresen, Jacob Rosenberg
Chronic pain following inguinal hernia repair is a common problem and feared complication. Up to 16% of people experience chronic pain following the repair of a groin hernia. The aim of this review was to provide an overview of treatment strategies for patients with chronic pain following inguinal hernia repair based on best practice guidelines and current clinical routines. The optimal management of chronic pain following inguinal hernia surgery should begin with a thorough clinical examination to rule out other causes of chronic pain and to rule out a recurrence...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29668603/different-types-of-mesh-fixation-for-laparoscopic-repair-of-inguinal-hernia-a-protocol-for-systematic-review-and-network-meta-analysis-with-randomized-controlled-trials
#2
Kongyuan Wei, Cuncun Lu, Long Ge, Bei Pan, Huan Yang, Jinhui Tian, Nong Cao
BACKGROUND: Laparoscopic inguinal hernia repair has become a valid option for repair of an inguinal hernia. Due to there are several types of mesh fixation for laparoscopic repair of inguinal hernia. The study aims to assess and compare the efficacy of different types of mesh fixation for laparoscopic repair of inguinal hernia using network meta-analysis. METHODS: We will systematically search PubMed, EMBASE the Cochrane library, and Chinese Biomedical Literature Database from their inception to March 2018...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29653441/the-impact-of-groin-surgery-during-childhood-on-the-incidence-of-inguinal-hernia-repair-and-its-postoperative-complications-in-adult-life
#3
Arestis Sokratous, Johanna Österberg, Gabriel Sandblom
BACKGROUND:  Pediatric inguinal hernia, hydrocele, and cryptorchidism are common congenital anomalies affecting children, and require surgical intervention in some cases. The association between surgical treatment of these conditions and acquired inguinal hernia later in life is poorly understood. The aim of this cohort study was to examine the effect of groin surgery during childhood on the incidence and surgical outcome of inguinal hernia repair in adult life. MATERIALS AND METHODS:  Data from the Swedish Inpatient Register and the Swedish Hernia Register were cross-linked using the patient personal identity numbers...
April 13, 2018: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29643962/ethnicity-related-differences-in-inguinal-canal-dimensions-between-african-and-caucasian-populations-and-their-potential-impact-on-the-mesh-size-for-open-and-laparoscopic-groin-hernia-repair-in-low-resource-countries-in-africa
#4
Kryspin Mitura, Sławomir Kozieł, Michał Pasierbek
Introduction: Access to surgery in Africa is significantly limited. Treatment outcomes in Africa differ significantly compared to those achieved in Europe or the US. Therefore, to popularise tension-free repair, it is essential to determine the economically justified mesh size for the African population. Aim: To conduct anthropometric evaluation of the inguinal canal in African and European patients to determine its potential consequences for the mesh size for open and laparoscopic hernia repair...
March 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29620633/a-meta-analysis-of-randomized-control-trials-assessing-mesh-fixation-with-glue-versus-suture-in-lichtenstein-inguinal-hernia-repair
#5
Hongwei Lin, Zhuonan Zhuang, Tianyi Ma, Xiaowen Sun, Xin Huang, Yuanxin Li
BACKGROUND: The use of glue to fix mesh instead of sutures in Lichtenstein inguinal hernia repair has been accepted worldwide, with the increasing worries about postoperative chronic groin pain and recurrence. The aim of this meta-analysis was to clarify which mesh fixation method was more suitable in Lichtenstein inguinal hernia repair. METHODS: Articles published up to July 2017 were searched using MEDLINE, the Cochrane Library, Embase, and the Web of Science...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29616224/the-relevance-of-sexual-dysfunction-related-to-groin-pain-after-inguinal-hernia-repair-the-sexihq-short-form-questionnaire-assessment
#6
Nihad Gutlic, Ulf Petersson, Peder Rogmark, Agneta Montgomery
Background: Chronic postoperative pain after inguinal hernia surgery can affect sexual function. A new short form questionnaire for inguinal hernia pain related sexual dysfunction (SexIHQ) was introduced and applied to a register based cohort of total extra-peritoneal hernioplasty (TEP) operated patients. Methods: Sexually active men, 30-60 years old, recorded in the Swedish Hernia Register for a primary inguinal hernia TEP operation were included. Two initial questions of the SexIHQ identify patients with pain at sexual activity...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29603008/the-change-in-groin-pain-perception-after-transabdominal-preperitoneal-inguinal-hernia-repair-with-glue-fixation-a-prospective-trial-of-a-single-surgeon-s-experience
#7
Kryspin Mitura, Karolina Garnysz, Dorota Wyrzykowska, Irmina Michałek
BACKGROUND: Although inguinal hernia is one of the most common conditions requiring surgical treatment, no reliable information is available on the quality of life of patients with inguinal hernias before surgery. Additionally, patients with intense inguinal pain prior to surgery are more susceptible to postoperative chronic pain. In such cases, less invasive laparoscopic techniques can be used, allowing atraumatic mesh fixation to reduce postoperative pain. The aim of the study was to determine, whether these treatments for patients with preoperative pain would minimize upsetting experiences after surgery...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29592991/de-garengeot-s-hernia-a-rare-presentation-of-the-wandering-appendix
#8
Saad Ikram, Ahmed Kaleem, Deepak Satyapal, Syed Muzaffar Ahmad
A hernia is defined as a protrusion of an organ or its fascia through a sac of its containing cavity. The presentation of an inflamed appendix inside an incarcerated femoral hernia is termed de Garengeot's hernia. Almost exclusively seen in the female patient, this type of hernia like all others can undergo strangulation leading to complications including appendicitis with or without perforation. Management as described in literature usually comprises open or laparoscopic approach, followed by appendectomy and repair of the femoral hernia with or without mesh...
March 28, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29580348/prosthetic-mesh-repair-in-the-emergency-management-of-acutely-strangulated-groin-hernias-with-grade-i-bowel-necrosis-a-rational-choice
#9
Sheng-Jun Duan, Shao-Bo Qiu, Nai-Yong Ding, Hua-Shui Liu, Nai-Shun Zhang, Ying-Tian Wei
The aim of this study was to determine the feasibility of prosthetic mesh repair according to the degree of bowel necrosis in the emergency management of acutely strangulated groin hernias. Emergency prosthetic mesh repair versus primary suture repair was randomly performed in 208 consecutive strangulated groin hernia patients with bowel necrosis between January 2005 and August 2016. The degree of bowel necrosis of each patient was determined according to a modified three-grade classification system. Patient characteristics sorted by repair method were analyzed by using Pearson's chi-squared tests...
February 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29573102/day-case-hernia-repair-weak-evidence-or-practice-gap
#10
REVIEW
Anje Scarfe, Joanna Duncan, Ning Ma, Alun Cameron, David Rankin, Alex Karatassas, David Fletcher, David Watters, Guy Maddern
BACKGROUND: Analysis of a private insurer's administrative data set revealed significant variation in the length of hospital stay following hernia surgery. OBJECTIVES: This review examined factors influencing the performance of day surgery for inguinal, femoral and umbilical hernia repair in adults. DATA SOURCES: A systematic literature search was conducted in the PubMed, Embase and Cochrane Library databases to identify studies and clinical practice guidelines (CPGs) comparing same day hernia surgery to surgery followed by an overnight stay...
March 23, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29554043/minimally-invasive-approach-to-incarcerated-or-strangulated-groin-hernias-a-2018-east-master-class-video-presentation
#11
Andrea M Pakula, Matthew J Martin
Groin hernia repair is one of the most common general surgical procedures performed worldwide. Though only a small percentage will become incarcerated or strangulated this is an indication for repair. Minimally invasive surgery is becoming standard of care for most procedures and we believe this to be a safe and feasible approach for incarcerated or strangulated groin hernias. We present a description of our recommend approach with technical details and accompanying video clips to highlight these techniques...
March 16, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29550948/incidence-of-chronic-groin-pain-following-open-mesh-inguinal-hernia-repair-and-effect-of-elective-division-of-the-ilioinguinal-nerve-meta-analysis-of-randomized-controlled-trials
#12
REVIEW
M P Charalambous, C P Charalambous
PURPOSE: Chronic post-operative groin pain is a substantial complication following open mesh inguinal hernia repair. The exact cause of this pain is still unclear, but entrapment or trauma of the ilioinguinal nerve may have a role to play. Elective division of this nerve during hernia repair has been proposed in an attempt to reduce the incidence of chronic groin pain. METHODS: We performed a meta-analysis of nine randomized controlled trials comparing preservation versus elective division of the ilioinguinal nerve during this operation...
March 17, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29536110/easy-endoscopic-approach-to-the-symphysis-a-new-minimally-invasive-approach-for-the-plate-osteosynthesis-of-the-symphysis-and-the-anterior-pelvic-ring-a-cadaver-study-and-first-clinical-results
#13
Markus Alexander Küper, Alexander Trulson, Inga Maria Trulson, Christian Minarski, Leonard Grünwald, Christoph Gonser, Christian Bahrs, Bernhard Hirt, Ulrich Stöckle, Fabian Maria Stuby
BACKGROUND: Minimally invasive surgical approaches to reduce approach-associated morbidity are an interdisciplinary goal in surgery. In principle, the endoscopic approach for the extraperitoneal repair of groin hernias is the minimally invasive variant of the modified Stoppa-approach, which is used for the treatment of pelvic ring injuries in traumatology. METHOD: Anatomical feasibility study regarding the plate osteosynthesis of the anterior pelvic ring via a minimally invasive variant of the modified Stoppa-approach...
March 13, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29510815/onstep-repair-of-inguinal-hernias
#14
Kristoffer Andresen
Inguinal hernias are a protrusion of the peritoneum through a weakening in the groin in which abdominal content (intestines or fat) can herniate and cause a bulge. Inguinal hernias can be painful and require surgery. Worldwide, approximately 20 million patients are operated each year, with 10,000 in Denmark. The repair of inguinal hernias causes pain and 16% of patients experience chronic pain six months after the standard, open, mesh-based Lichtenstein technique. Therefore, surgeons are trying to improve the techniques by finding new ways of operating...
March 2018: Danish Medical Journal
https://www.readbyqxmd.com/read/29470735/the-influence-of-different-sterilization-types-on-mosquito-net-mesh-characteristics-in-groin-hernia-repair
#15
K Mitura, S Kozieł
BACKGROUND: In low-resource countries, a suture repair is still in common use due to the limited access to commercial mesh implants. The search for less expensive alternatives to the synthetic meshes has led to using mosquito nets. Sterilized mosquito net appears to be a low-cost and commonly available product that closely resembles commercially available meshes. However, the extent to which sterilization alters the structure of mosquito nets is still unknown. The aim of this research was to assess the effects of different sterilization types on physico-mechanical properties of mosquito nets...
February 22, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29460057/what-happens-after-no-contralateral-exploration-in-total-extraperitoneal-tep-herniorrhaphy-of-clinical-unilateral-inguinal-hernias
#16
C-C Chiang, H-Y Yang, Y-C Hsu
BACKGROUND: While performing unilateral TEP herniorrhaphy, controversy still exists about whether to do contralateral exploration or not. Routine contralateral exploration has been proposed to prevent metachronous contralateral hernias by the repair of incidental contralateral occult hernias. Some surgeons have even proposed to do prophylactic bilateral TEP herniorrhaphy for unilateral hernia patients. To evaluate the appropriateness of not doing contralateral exploration in unilateral TEP herniorrhaphy, we reviewed our experiences under our practice of no contralateral exploration and we also reviewed other published literature...
February 19, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29455120/amyand-s-hernia-with-acute-gangrenous-appendicitis-and-cecal-perforation-a-case-report-and-review-of-the-literature
#17
William Kromka, Aline S Rau, Charles J Fox
INTRODUCTION: An Amyand's hernia is a heterogeneous clinical condition defined by the presence of the vermiform appendix within an inguinal hernia sac, which may or may not contain other abdominal contents or pathologic inflammatory changes. Herein we present an exceptionally rare case of an Amyand's hernia containing acute appendicitis and a perforated cecum. PRESENTATION OF CASE: A 46-year-old male with a right inguinal hernia of 2-3 year duration presented to our Emergency Department complaining of acute onset abdominal and groin pain...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29453731/patient-perceptions-of-acute-pain-and-activity-disruption-following-inguinal-hernia-repair-a-propensity-matched-comparison-of-robotic-assisted-laparoscopic-and-open-approaches
#18
James G Bittner Iv, Lawrence W Cesnik, Thomas Kirwan, Laurie Wolf, Dongjing Guo
Few publications describe the potential benefit of robotic-assisted inguinal hernia repair on acute postoperative groin pain (APGP). This study compared patients' perceptions of APGP, activity limitation, and overall satisfaction after robotic-assisted- (R), laparoscopic (L), or open (O) inguinal hernia repair (IHR). Random samples of patients from two web-based research panels and surgical practices were screened for patients who underwent IHR between October 28, 2015 and November 1, 2016. Qualified patients were surveyed to assess perceived APGP at 1 week postoperatively, activity disruption, and overall satisfaction...
February 16, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29440879/feasibility-and-safety-of-elective-laparoscopic-total-extraperitoneal-preperitoneal-groin-hernia-repair-in-the-elderly-a-propensity-score-matched-comparison
#19
Ying-Buh Liu, Chih-Chin Yu, Chao-Chuan Wu, Chia-Da Lin, Shih-Chieh Chueh, Yao-Chou Tsai
Background: Several studies of hernia registries have revealed that elderly patients have higher perioperative complication rates compared with younger patients. However, the incidence of hernia increases with the aging process. To evaluate the feasibility and safety of laparoscopic hernia repair in elderly patients (≥75 years), we conducted a prospective case-matched control study to compare perioperative outcomes between patients older and younger than 75 years. Methods: Between September 2008 and July 2015, 572 consecutive patients undergoing endoscopic hernia repair were included in this prospective study...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29421823/-what-do-we-know-about-osteitis-pubis-in-athletes
#20
Jens Kelm, Oliver Ludwig, Jan André, Stefan Maas, Sascha Hopp
BACKGROUND:  Osteitis pubis is a common cause of chronic groin pain. Due to high clinical uncertainty and varying etiopathology, the diagnosis is often delayed. Especially athletes suffer from this disease, but patients with orthopaedic, traumatological, neurological, urological, gynaecological, and rheumatic complaints can also be affected. Osteitis pubis can be treated by conservative as well as surgical techniques. MATERIAL AND METHODS:  Systematic literature research, descriptive presentation of the studies, and interpretation of evidence-based medicine results...
February 8, 2018: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
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