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https://www.readbyqxmd.com/read/29925065/impact-of-laparoscopic-repair-of-large-hiatus-hernia-on-quality-of-life-observational-cohort-study
#1
Stefano Siboni, Emanuele Asti, Pamela Milito, Gianluca Bonitta, Andrea Sironi, Alberto Aiolfi, Luigi Bonavina
BACKGROUND: Laparoscopic surgery has proven safe and effective in the treatment of large hiatus hernia. Differences may exist between objectively assessed surgical outcomes, symptomatic scores, and patient-reported outcomes. METHODS: An observational, single-arm cohort study was conducted in patients undergoing primary laparoscopic repair with crura mesh augmentation and Toupet fundoplication for large (> 50% of intrathoracic stomach) type III-IV hiatus hernia...
June 20, 2018: Digestive Surgery
https://www.readbyqxmd.com/read/29923488/combined-littre-and-richter-s-femoral-hernia-an-extremely-rare-intra-operative-finding
#2
A Ioannidis, I Karanikas, C Koutserimpas, G Velimezis
Littre hernia is defined as the herniation of a Meckel's diverticulum, while Richter's hernia is the herniation of a portion of the bowel wall. An extremely rare case of a combined Littre and Richter's femoral hernia is reported. An 82-year-old male presented at the emergency department with a painful golf ball-like mass at the right inguinofemoral region. With the diagnosis of incarcerated femoral hernia, he was urgently taken to the operating room. Intraoperatively, an incarcerated Littre, as well as a Richter's hernia were revealed...
May 2018: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29923274/inseparable-interaction-of-the-prostate-and-inguinal-hernia
#3
REVIEW
Akira Miyajima
With an increase in their prevalence, it has become apparent that both benign prostatic hyperplasia and radical prostatectomy for cancer can induce inguinal hernia development. An inguinal hernia is a common late complication following radical prostatectomy, with an occurrence rate of 12-25%. Following radical prostatectomy, the space of Retzius can develop adhesions to surrounding tissue, often causing difficulty during inguinal hernia repair. Conversely, inguinal hernia repair before radical prostatectomy also induces severe adhesions around the space of Retzius and causes difficulty during radical prostatectomy...
June 19, 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29915485/strangulated-interstitial-hernia-with-strangulated-cryptorchid-testis-first-case-report-in-the-medical-literature
#4
Khalid Muqueem, Somasekhar Kasa, Nagareddy Patil, Mohammed Minhajuddin Harsoori
Interstitial hernias are a rare subtype of abdominal hernias, where sac is present in between the abdominal wall layers. Although, difficult to diagnose clinically, they are usually detected on imaging studies. Interstitial hernias presenting with undescended testis are common. Even after a meticulous online search of the medical literature, we could not find a case report of 'Strangulation of Interstitial hernia, with a strangulated undescended testis in an elderly man. We hereby present this extremely rare case, and possibly, this could be the first of its kind, case report in the medical literature...
April 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29914545/effectiveness-of-endoscopic-totally-extraperitoneal-tep-hernia-correction-for-clinically-occult-inguinal-hernia-effect-study-protocol-for-a-randomized-controlled-trial
#5
Marleen M Roos, Egbert-Jan M M Verleisdonk, Floris B M Sanders, Arno W Hoes, Rebecca K Stellato, Geert W J Frederix, Rogier K J Simmermacher, Josephina P J Burgmans
BACKGROUND: Groin pain is a frequent complaint in surgical practice with an inguinal hernia being at the top of the differential diagnosis. The majority of inguinal hernias can be diagnosed clinically. However, patients with groin pain without signs of an inguinal hernia on anamnesis or physical examination provide a diagnostic challenge. If ultrasonography shows a hernia that could not be detected clinically, this entity is called a clinically occult hernia. It is debatable if this radiological hernia is the cause of complaints in all patients with inguinal pain...
June 18, 2018: Trials
https://www.readbyqxmd.com/read/29913947/sensory-disturbances-and-neuropathic-pain-after-inguinal-hernia-surgery
#6
Niklas Magnusson, Mats Hedberg, Johanna Österberg, Gabriel Sandblom
Objectives The aim of this study was to explore how the handling of nerves affects the risk for developing sensory disturbances (SDs) following groin hernia surgery. Patients and methods All patients 18 years or older undergoing surgery for inguinal hernia at Mora Hospital, Sweden, during an eight-month period in 2006, were eligible for inclusion. The surgical procedure was recorded prospectively according to a standardised protocol. One year postoperatively all patients were requested to answer the Inguinal Pain Questionnaire as well as a set of 18 sensory and affective pain descriptors...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913940/inguinal-hernia-surgery-a-minor-surgery-that-can-cause-major-pain
#7
Nanna Brix Finnerup, Troels Staehelin Jensen
No abstract text is available yet for this article.
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913927/natural-course-of-long-term-postherniorrhaphy-pain-in-a-population-based-cohort
#8
Gabriel Sandblom, Maija-Liisa Kalliomäki, Ulf Gunnarsson, Torsten Gordh
Background Persistent pain after hernia repair is widely recognised as a considerable problem, although the natural course of postoperative pain is not fully understood. The aim of the present study was to explore the natural course of persistent pain after hernia repair in a population-based cohort and identify risk factors for prolonged pain duration. Methods The study cohort was assembled from the Swedish Hernia Register (SHR), which has compiled detailed information on more than 140 000 groin hernia repairs since 1992...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913844/systematic-review-of-neuropathic-component-in-persistent-post-surgical-pain
#9
S Haroutiunian, L Nikolajsen, N B Finnerup, T S Jensen
Background/aim The aim of the current study was to assess the neuropathic component of persistent post-surgical pain (PPSP) following eleven types of surgery. Methods We performed a systematic PubMed, CENTRAL and EMBASE search to identify studies on PPSP following (i) thoracic surgery, (ii) breast surgery, (iii) groin hernia repair, (iv) prostatectomy, (v) major abdominal surgery, (vi) gynecologic surgery, (vii) iliac crest bone harvest, (viii) total hip arthroplasty (THA) or knee arthroplasty (TKA), (ix) varicose vein stripping or ablation, (x) mandibular sagittal split osteotomy and (xi) donor nephrectomy, and assessed the prevalence of Probable/Definite neuropathic pain using the recently published neuropathic pain probability grading criteria [1]...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913814/snp-in-tnf%C3%AE-t308g-is-predictive-for-persistent-postoperative-pain-following-inguinal-hernia-surgery
#10
Maija Kalliomäki, Anne-Li Lind, Alfhild Grönbladh, Ulf Gunnarsson, Gabriel Sandblom, Torsten Gordh, Fred Nyberg
Aim of investigation Persistent postoperative pain of some extent is seen in about 20% of patients after surgical operations, while 80% heal without chronic pain. The type of chronic pain that arises is mainly neuropathic, and is suggested to be in part regulated by genetic factors. In order to study the possible involvement of some candidate genes suggested to be involved in the processing of pain (BDNF, CACNA2D2, ORPM1, GRIK 3, GCH1 and TNF-α ), we performed a genetic association study in a well characterized clinical material of patients that had undergone surgery for inguinal hernia (n = 189)...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913621/the-dqb1-03-02-hla-haplotype-is-associated-with-increased-risk-of-chronic-pain-after-inguinal-hernia-surgery-and-lumbar-disc-herniation
#11
C A Dominguez, M Kalliomäki, U Gunnarsson, A Moen, G Sandblom, I Kockum, E Lavant, T Olsson, F Nyberg, L J Rygh, C Røe, J Gjerstad, T Gordh, F Piehl
Neuropathic pain conditions are common after nerve injuries and are suggested to be regulated in part by genetic factors. We have previously demonstrated a strong genetic influence of the rat major histocompatibility complex on development of neuropathic pain behavior after peripheral nerve injury. In order to study if the corresponding human leukocyte antigen complex (HLA) also influences susceptibility to pain, we performed an association study in patients that had undergone surgery for inguinal hernia (n = 189)...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913430/characteristics-and-outcomes-of-laparoscopic-surgery-in-patients-with-large-hiatal-hernia-a-single-center-study
#12
Angela Romano, Davide D'Amore, Giuseppe Esposito, Marianna Petrillo, Modestino Pezzella, Francesco Maria Romano, Giuseppe Izzo, Angelo Cosenza, Francesco Torelli, Antonio Volpicelli, Natale Di Martino
INTRODUCTION: Giant hiatal hernia is characterized by the presence of more than 1/3 of the stomach in the chest, through the diaphragmatic hiatus, with or without other intra-abdominal organs. It is a rare pathology, representing the 5-10% of all hiatal hernias. The advent of laparoscopic surgery led to new surgical techniques, which include the simple reduction with the excision of the hernial sac and the execution of a posterior hiatoplasty, with or without mesh, and the execution of a Collis-Nissen gatroplasty in case of short esophagus...
May 7, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29913175/implementation-of-an-urogynecology-specific-enhanced-recovery-after-surgery-eras-pathway
#13
Charelle M Carter-Brooks, Angela L Du, Kristine M Ruppert, Anna L Romanova, Halina M Zyczynski
OBJECTIVES: ERAS protocols were developed for colorectal surgery to hasten post-op recovery. Variations of the protocol are being adopted for gynecologic procedures despite limited population and procedure-specific outcome data. Our objective was to evaluate if implementation of an ERAS pathway would facilitate reduced length of admission in an urogynecology population. MATERIALS AND METHODS: In this retrospective analysis of patients undergoing pelvic floor reconstructive surgery by 7 female pelvic medicine and reconstructive surgeons we compared same day discharge, length of admission and post-op complications before and after implementation of an ERAS pathway at a tertiary-care hospital...
June 15, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29910493/a-study-to-compare-caudal-levobupivacaine-tramadol-and-a-combination-of-both-in-paediatric-inguinal-hernia-surgeries
#14
Neelam Dogra, Rajat Dadheech, Mahipal Dhaka, Anupama Gupta
Background and Aims: Caudal block is a safe and simple method of pain relief in young children with the drawback of a short duration of analgesia which can be overcome by adding various adjuvants to the injected local anaesthetic. We compared the effects of caudal levobupivacaine, tramadol and a combination of both in paediatric patients undergoing inguinal herniotomy. Methods: A total of 78 children aged 1-7 years, planned for inguinal herniotomy were randomly allocated into three groups...
May 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29909660/-effectivity-of-the-nissen-fundoplication-and-the-influencing-factors-of-the-success-results-at-the-medical-centre-of-p%C3%A3-cs-depending-on-the-indications-and-symptoms
#15
Péter Varjú, Örs Péter Horváth, András Papp, Noémi Gede, József Czimmer
INTRODUCTION: Gastroesophageal reflux disease is one of the most common gastrointestinal diseases in developed countries. Besides the conservative modalities, surgery plays an increasing role in the treatment of the disease. AIM: Our aim was to investigate and compare the surgical and 6-month follow-up data of patients to the literature (quality control), who underwent Nissen fundoplication in the Medical Centre of Pécs between 2007 and 2014, and to assess the factors (especially psychiatric comorbidity and antidepressants) influencing the success...
June 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29909567/paravertebral-blocks-reduce-the-risk-of-postoperative-urinary-retention-in-inguinal-hernia-repair
#16
E Bojaxhi, J Lee, S Bowers, R D Frank, S H Pak, A Rosales, S Padron, R A Greengrass
PURPOSE: Inguinal hernia repair and general anesthesia (GA) are known risk factors for urinary retention. Paravertebral blocks (PVBs) have been utilized to facilitate enhanced recovery after surgery. We evaluate the benefit of incorporating PVBs into our anesthetic technique in a large cohort of ambulatory patients undergoing inguinal hernia repair. METHODS: Records of 619 adults scheduled for ambulatory inguinal hernia repair between 2010 and 2015 were reviewed and categorized based on anesthetic and surgical approach [GA and open (GAO), GA and laparoscopic (GAL), PVB and open (PVBO), and GA/PVB and open (GA/PVBO)]...
June 16, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29908467/a-french-hernia-in-dubai-a-case-report
#17
Yousif H Al Abboudi, Hajer A Busharar, Labib S Alozaibi, Asnin Shah, Rafya Ahmed
INTRODUCTION: De Garengeot hernia was first described in 1731. It is rare type of hernia and there is no established mode of treatment for it to date. This work has been reported in line with the SCARE criteria (Agha et al., 2016). PRESENTATION OF CASE: We present a case of a 72 years old male with a non-reducible right inguinal swelling diagnosed to be a femoral hernia with congested appendix within. There are less than 100 cases like this reported to date in the literature...
May 31, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29905893/s093-pneumatic-balloon-dilation-for-palliation-of-recurrent-symptoms-of-achalasia-after-esophagomyotomy
#18
Riley D Stewart, Jeffrey Hawel, Daniel French, Drew Bethune, James Ellsmere
BACKGROUND: Achalasia is a chronic disease affecting the myenteric plexus of the esophagus and lower esophageal sphincter. Treatment is aimed at palliating symptoms to improve quality of life. Treatment options for symptom relapse after esophagomyotomy include botox injection, repeat myotomy, per-oral endoscopic myotomy, or pneumatic balloon dilation (PBD). Data demonstrating the safety and efficacy of PBD for recurrence are scarce. With a lack of published data, guidelines have suggested avoiding PBD for recurrent achalasia because of concern for a high risk of perforation...
June 15, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29905538/comparative-evaluation-of-tapp-hernioplasty-with-use-of-various-methods-of-fixing-the-reticular-endoprosthesis-and-tep-in-the-treatment-of-inguinal-hernias
#19
D Krikunov, V Akimov, V Toidze, M Churgulia, L Dvаladze
The study was conducted with the aim to improve the results of treatment of patients with inguinal hernia by the mode of glue fixation of mesh implant in laparoscopic hernioplasty. Laparoscopic hernioplasty was performed on 96 patients at the N.D. Monastyrsky Department of Surgery of North-Western State Medical University named after I.I. Mechnikov, on the base of L.G. Sokolov Clinical Hospital № 122, in the period from 2014 to 2016. The patients were divided into three groups: I group - 36 patients, who underwent laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP) without supplying of mesh implant under spermatic cord and its fixation with cyanoacrylate glue "B-Braun" with elimination of peritoneum defect above the implant with a thread V-loc; II group consisted of 34 patients, treated with laparoscopic TAPP without cutting of mesh implant and its fixation along the periphery with titanium staples with the subsequent closing of peritoneum defect with titanium staples...
May 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29901585/abdominal-peripheral-nerve-block-as-the-only-anesthetic-technique-for-totally-extraperitoneal-endoscopic-inguinal-hernia-repair-two-case-reports
#20
Woojin Kwon, Seunguk Bang, Hyojung Soh, Won Jun Jeong, Sang Chul Lee, Byung Jo Choi
RATIONALE: Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair is a rapidly evolving, minimally invasive treatment modality for inguinal hernia. Compared with open hernia repair, this method requires a smaller incision, has cosmetic advantages, and facilitates rapid recovery and early return to daily activities because of less postoperative pain. Because general anesthesia is essential for TEP hernia repair, it cannot be performed on patients who have an increased risk of developing complications when placed under general anesthesia...
June 2018: Medicine (Baltimore)
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