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https://www.readbyqxmd.com/read/29786826/rare-case-of-bilateral-incarcerated-obturator-hernia-a-case-report
#1
Engin Hatipoğlu, Fatih Dal, Veysel Umman, Süleyman Demiryas, Oktay Demirkıran, Metin Ertem, Sabri Ergüney, Salih Pekmezci
Here, we report the case of an 84-year-old woman with acute mechanical intestinal obstruction (AMIO) who was admitted to our Emergency Department. Computed tomography (CT) scan revealed an incarcerated bilateral obturator hernia, and the defect was resolved using transabdominal preperitoneal (TAPP) technique with polypropylene mesh. The patient was administered an oral regimen two days after the operation. The patient stayed in the intensive care unit for 4 days and was uneventfully discharged on the 9th postoperative day...
May 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29785453/adding-sutures-to-tack-fixation-of-mesh-does-not-lower-the-re-operation-rate-after-laparoscopic-ventral-hernia-repair-a-nationwide-cohort-study
#2
Jason Joe Baker, Stina Öberg, Kristoffer Andresen, Frederik Helgstrand, Jacob Rosenberg
BACKGROUND: There are various ways of fixating an intraperitoneal onlay mesh during a laparoscopic ventral hernia repair. The risk of complications is high, and around 22% of the hernias will recur within 3.5 years. The aim of this study was to assess if sutures in addition to tack fixation would reduce the re-operation rate for recurrence compared with permanent tacks without sutures. METHODS: This study was based on the data from the nationwide Danish Ventral Hernia Database, which contains information of ventral hernia repairs from all hospitals in Denmark...
May 21, 2018: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29784582/influence-of-inguinal-hernia-repair-on-male-fertility
#3
O Bouchot, J Branchereau, M A Perrouin-Verbe
Male infertility is a rare but certainly underestimated iatrogenic complication of inguinal hernia repair. The use of polypropylene mesh, recommended by the European Hernia Society, either via the traditional, open or laparoscopic approach, is responsible for surrounding inflammation followed by fibrosis, but there is no proven increase in vas deferens obstruction found in the literature. Prevention is essential to reduce the incidence of this complication including screening for patients at risk and mastery of surgical techniques...
May 18, 2018: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/29782983/an-in-vivo-biocompatibility-study-of-surgical-meshes-made-from-bacterial-cellulose-modified-with-chitosan
#4
Joanna Piasecka-Zelga, Piotr Zelga, Joanna Szulc, Justyna Wietecha, Danuta Ciechańska
Bacterial cellulose modified with chitosan (MBC) is an innovative biomaterial used in regenerative medicine which may potentially improve treatment outcomes mesh for hernia repair surgery by facilitating better absorption in native tissue with less risk of mesh-related infections. The aim of the present study was to evaluate the biocompatibility of mesh based on MBC, and determine whether immunological reactions occur due to hypersensitivity to the implants. Forty five Imp:WIST rats were randomly assigned to be implanted with one of three mesh types: simple polypropylene mesh (n = 15), mesh modified by bacterial cellulose only (n = 15) and MBC mesh (n = 15) and evaluated after one and three months following intramuscular implantation...
May 18, 2018: International Journal of Biological Macromolecules
https://www.readbyqxmd.com/read/29777354/randomized-study-of-the-influence-of-two-dimensional-versus-three-dimensional-imaging-using-a-novel-3d-head-mounted-display-hms-3000mt-on-performance-of-laparoscopic-inguinal-hernia-repair
#5
M Patrzyk, M Klee, T Stefaniak, C D Heidecke, K Beyer
BACKGROUND: 3D laparoscopy has proven to be superior to the 2D approach in experimental settings. The aim of the present study was to investigate the influence of 3D laparoscopy using a novel head-mounted display on the performance of defined steps within a laparoscopic inguinal hernia repair. This effect was investigated both in laparoscopically advanced surgeons and in beginners. METHODS: Patients suffering from symptomatic inguinal hernia were randomly assigned to laparoscopic hernia repair using either a head-mounted 3D display or a conventional 2D laparoscopic approach...
May 17, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29777326/sirolimus-coated-poly-l-lactic-acid-modified-polypropylene-mesh-with-minimal-intra-peritoneal-adhesion-formation-in-a-rat-model
#6
S Lu, W Hu, Z Zhang, Z Ji, T Zhang
PURPOSE: This study evaluated the manufacturing method and anti-adhesion properties of a new composite mesh in the rat model, which was made from sirolimus (SRL) grafts on a poly(L-lactic acid) (PLLA)-modified polypropylene (PP) hernia mesh. METHODS: PLLA was first grafted onto argon-plasma-treated native PP mesh through catalysis of stannous chloride. SRL was grafted onto the surface of PP-PLLA meshes using catalysis of 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (EDC) and 4-dimethylaminopyridine (DMAP) in a CH2 Cl2 solvent...
May 18, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29775979/-the-open-retromuscular-preperitoneal-mesh-repair-of-the-incisional-lateral-hernia-technique-and-results-of-a-prospective-cohort-study
#7
Friedrich-Eckart Isemer, Ulrich Dietz, Maximilian Ackermann
INTRODUCTION: Surgical approaches to flank hernias have been poorly standardised. The most demanding issues in intermuscular net insertion are the limited area in the dorsal direction and the difficulties in fixing the net to the costal arch or the iliac crest. This is why many different surgical procedures have been published. PATIENTS/MATERIAL AND METHODS: From August 2015 to October 2016, nine patients with a primary incisional lateral hernia received open retromuscular preperitoneal mesh repair...
May 18, 2018: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29768079/the-spectrum-of-surgical-remediation-of-transoral-incisionless-fundoplication-related-failures
#8
Ruchir Puri, C Daniel Smith, Steven P Bowers
AIM: To evaluate outcomes of surgical remediation for symptomatic or anatomic failure after a transoral incisionless fundoplication (TIF). METHODS: This retrospective study was performed on 11 patients who underwent a remedial operation following TIF failure between June 2011 and September 2016 at the Mayo Clinic in Florida for persistent foregut symptoms. Upper gastrointestinal workup characterized 1 patient as having normal post-TIF anatomy and 10 as having anatomic failure...
May 16, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29766301/randomized-clinical-trial-comparing-laparoscopic-hiatal-hernia-repair-using-sutures-versus-sutures-reinforced-with-non-absorbable-mesh
#9
Jelmer E Oor, David J Roks, Jan H Koetje, Joris A Broeders, Henderik L van Westreenen, Vincent B Nieuwenhuijs, Eric J Hazebroek
BACKGROUND: Current literature is characterized by a discrepancy between reported symptomatic and radiological recurrent hiatal hernia's following primary repair. Crural augmentation using mesh is suggested to reduce recurrence rates. The aim of this trial is to analyze 1-year outcome of laparoscopic hiatal hernia repair using sutures versus sutures reinforced with non-absorbable mesh. METHODS: Between 2013 and 2016, 72 patients with an objectified hiatal hernia were randomized for primary repair using non-absorbable sutures and sutures reinforced with non-absorbable mesh...
May 15, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29761272/primary-paraesophageal-hernia-repair-with-gore%C3%A2-bio-a%C3%A2-tissue-reinforcement-long-term-outcomes-and-association-of-bmi-and-recurrence
#10
Michael T Olson, Saurabh Singhal, Roshan Panchanathan, Sreeja Biswas Roy, Paul Kang, Taylor Ipsen, Sumeet K Mittal, Jasmine L Huang, Michael A Smith, Ross M Bremner
BACKGROUND: Laparoscopic repair remains the gold-standard treatment for paraesophageal hernia (PEH). We analyzed long-term symptomatic outcomes and surgical reintervention rates after primary PEH repair with onlay synthetic bioabsorbable mesh (W. L. Gore & Associates, Inc., Flagstaff, AZ) and examined body mass index (BMI) as a possible risk factor for poor outcomes and for recurrence. METHODS: We queried a prospectively maintained database to identify patients who underwent laparoscopic primary PEH repair with onlay patch of a bioprosthetic absorbable mesh (Bio-A® Gore®) between 05/28/2009 and 12/31/2013...
May 14, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29756281/lightweight-highly-permeable-biocompatible-and-antiadhesive-composite-meshes-for-intraperitoneal-repairs
#11
Minhui Hu, Xidong Lin, Rongkang Huang, Keli Yang, Yeru Liang, Xingcai Zhang, Hui Wang, Dingcai Wu
Ventral hernia is a public health issue and millions of meshes are used to repair abdominal wall defects every year. Polypropylene-based composite meshes represent an important class of materials for intraperitoneal repair, but the meshes generally give rise to infection, seroma, migration, and adhesion, leading to severe consequence or even reoperation. Here, a facile and versatile one-way fabrication of lightweight, highly permeable, and biocompatible composite meshes with superior antiadhesion properties is proposed by modifying polypropylene meshes with well-defined polydopamine nanocoating...
May 14, 2018: Macromolecular Bioscience
https://www.readbyqxmd.com/read/29756101/a-short-term-analysis-of-surgical-management-of-umbilical-and-paraumbilical-hernia
#12
Varun Arunagiri, Ragumani Padmanabhan, Parimala Mayandi
Objective: Umbilical hernia and paraumbilical hernia are ventral herniae that occur in infants and adults. According to current evidence, mesh repair is the treatment of choice to avoid recurrence. The aim of this study is to analyze the surgical methods, the types of meshes used, and their benefits. Material and Methods: A retrospective analysis of patients diagnosed with umbilical hernia and paraumbilical hernia was performed. The patients' consent was obtained retrospectively...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756100/randomized-prospective-comparison-of-long-term-results-of-onlay-and-sublay-mesh-repair-techniques-for-incisional-hernia
#13
Barış Sevinç, Ahmet Okuş, Serden Ay, Nergis Aksoy, Ömer Karahan
Objective: Incisional hernia is a significant problem after laparotomy, and there is still no consensus on an ideal treatment method. The aim of this study was to compare the results of onlay and sublay mesh repair techniques. Material and Methods: In this randomized prospective trial, 100 patients were divided into two groups: onlay and sublay groups. Recurrences were evaluated by performing a physical examination. Results: The median follow-up was 37...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29754627/minimally-invasive-approaches-to-inguinal-hernias
#14
REVIEW
Charlotte M Horne, Ajita S Prabhu
Both the transabdominal preperitoneal approach and the total extraperitoneal approach to inguinal hernias provide an effective means of repairing inguinal hernias. The robotic platform can be used and may help to decrease immediate postoperative pain; however, as this is a fairly new technique, more research will help further determine long-term outcomes. In all methods of fixation, we ensure adequate fixation medially with tacks placed on the Cooper ligament. Awareness of the nerves and vessels helps to guide dissection as well as prevent inadvertent injury during mesh fixation...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754626/inguinal-hernia-four-open-approaches
#15
REVIEW
Shirin Towfigh
Open inguinal hernia approaches are varied. The best studied approaches are reviewed herein. The common factor among them is the imperative anatomy knowledge of the surgeon. This knowledge is key to improved outcomes. A tailored approach is best to determine which open technique, if any, is most appropriate for the patient. Although the anterior mesh approach is the most commonly applied, there is support in using the posterior approach or a tissue repair for subsets of patients, such as women.
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754625/inguinal-hernia-mastering-the-anatomy
#16
REVIEW
Heidi J Miller
The success of an inguinal hernia repair is defined by the permanence of the operation while creating the fewest complications at minimal cost and allowing patients an early return to activity. This success relies and depends on the surgeon's knowledge and understanding of groin anatomy and physiology. This article reviews relevant anatomy to inguinal hernia repair and technical steps to open tissue and mesh repairs as well as minimally invasive approaches.
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754624/flank-and-lumbar-hernia-repair
#17
REVIEW
Lucas R Beffa, Alyssa L Margiotta, Alfredo M Carbonell
Flank and lumbar hernias are challenging because of their rarity and anatomic location. Several challenges exist when approaching these specific abdominal wall defects, including location, innervation of the lateral abdominal wall musculature, and their proximity to bony landmarks. These hernias are confined by the costal margin, spine, and pelvic brim, which makes closure of the defect, including mesh placement, difficult. This article discusses the anatomy of lumbar and flank hernias, the various etiologies for these hernias, and the procedural steps for open and robotic preperitoneal approaches...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754623/surgical-management-of-parastomal-hernias
#18
REVIEW
Jennifer Colvin, Steven Rosenblatt
Parastomal hernias are a common complication after ostomy formation that can require surgical repair when they become symptomatic. Operative planning and a thorough understanding of the anatomy of the abdominal wall are important. Simple fascial repair is associated with an unacceptably high recurrence rate and should be used as a temporary measure only. Stoma relocation has a high recurrence rate. Prophylactic mesh can and should be used. At this time, the use of mesh is considered the standard of care in the repair of parastomal hernias...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754622/umbilical-hernia-repair-overview-of-approaches-and-review-of-literature
#19
REVIEW
Paul W Appleby, Tasha A Martin, William W Hope
Umbilical hernias are ubiquitous, and surgery is indicated in symptomatic patients. Umbilical hernia defects can range from small (<1 cm) to very large/complex hernias, and treatment options should be tailored to the clinical situation. Open, laparoscopic, and robotic options exist for repair, with each having its advantages and disadvantages. In general, mesh should be used for repair, because it has been shown to decrease recurrence rates, even in small hernias. Although outcomes are generally favorable after umbilical hernia repairs, some patients have chronic complaints that are mostly related to recurrences...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754621/incisional-hernia-repair-minimally-invasive-approaches
#20
REVIEW
Jeremy A Warren, Michael Love
A common surgical procedure, ventral hernia repair has long been a vexing problem, with no clear standard for repair and significant postoperative morbidity. Laparoscopic repair has the clear advantage of lower postoperative morbidity. However, application of laparoscopic ventral hernia repair is often limited by patient factors and hernia morphology. Long-term complications of intraperitoneal mesh and recurrence are concerning. Robotic-assisted surgery is the latest advance in minimally invasive hernia repair, combining the advantages of open repair with complete abdominal wall reconstruction and restoration of functional anatomy with the wound morbidity and decreased recovery time of laparoscopy...
June 2018: Surgical Clinics of North America
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