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https://www.readbyqxmd.com/read/28944339/lumbar-petit-s-hernia-a-rare-entity
#1
Fatih Başak, Mustafa Hasbahçeci, Tolga Canbak, Aylin Acar, Abdullah Şişik, Gürhan Baş, Orhan Alimoğlu
Lumbar hernias are rare and diagnostically challenging for surgeons. We present the case of a middle-aged patient who presented with swelling in the left back. Subcutaneous lipoma was included in the differential diagnosis. Following diagnostic studies, computed tomography confirmed left lumbar hernia. Elective surgery was performed, and the results revealed Petit's hernia. The hernia was repaired with mesh.
2017: Turk J Surg
https://www.readbyqxmd.com/read/28943213/evaluating-the-feasibility-of-phrenoesophagopexy-during-hiatal-hernia-repair-in-sleeve-gastrectomy-patients
#2
Nathaniel R Ellens, Joshua E Simon, Kimberly D Kemmeter, Tyler W Barreto, Paul R Kemmeter
BACKGROUND: Both hiatal hernias (HH) and morbid obesity significantly contribute to gastroesophageal reflux disease, which increases the risk for esophagitis and esophageal cancer. Therefore, concomitant HH repair is recommended during bariatric surgery procedures. Unfortunately, recurrence of HH after repair is not uncommon and the optimal surgical technique has yet to be established. OBJECTIVE: To evaluate the feasibility of recreating the phrenoesophageal ligaments by adding phrenoesophagopexy to HH repair during sleeve gastrectomy...
August 26, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28942568/endoscopic-anterior-component-separation-a-novel-technical-approach
#3
B Dauser, S Ghaffari, C Ng, T Schmid, G Köhler, F Herbst
PURPOSE: Open anterior release of the external oblique fascia to enable midline closure of large abdominal wall defects is associated with relevant morbidity due to extensive subcutaneous dissection. Using endoscopic techniques, wound complications can be minimized. However, identification of the correct entry point (e.g. for balloon trocar insertion) can be challenging especially in adipose patients. We therefore present a technical modification facilitating the entire procedure. METHODS: A novel technique for endoscopic anterior component separation using a trocar system allowing blunt and sharp dissection under direct vision is described...
September 23, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28942543/suture-to-wound-length-ratio-in-abdominal-wall-closure-how-well-are-we-doing
#4
Z F Williams, P Tenzel, W B Hooks, W W Hope
PURPOSE: Research has established that a ≥4:1 suture to wound (S:W) length ratio decreases incisional hernias. We evaluated our ability to obtain a 4:1 S:W length ratio in a surgery residency program. METHODS: Consecutive abdominal wall closures from 12/1/2013 through 4/9/2015 were reviewed. The length of the incisions and amount of suture used were measured. Patient demographics and operative variables were documented and compared related to inability to obtain a 4:1 ratio...
September 23, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28942229/surgical-experience-of-laparoscopic-retroperitoneal-triple-neurectomy-for-a-patient-with-chronic-neuropathic-inguinodynia
#5
Masato Narita, Shunpei Jikihara, Hiroaki Hata, Ryo Matsusue, Takashi Yamaguchi, Tetsushi Otani, Iwao Ikai
BACKGROUND: Neuropathic inguinodynia following inguinal hernia repair sometimes becomes a disabling disease. We report a case of successful surgical treatment of chronic refractory neuropathic pain after inguinal hernia by laparoscopic retroperitoneal triple neurectomy. CASE PRESENTATION: A seventy-year-old male who underwent right-side inguinal hernia repair using the Lichtenstein method revisited our hospital with inguinodynia 16 months after surgery. After a thorough assessment, the patient was diagnosed with neuropathic pain based on the following: 1) dermatomal mapping suggested ilioinguinal and iliohypogastric nerve problems, 2) pain was evoked by specific movement, 3) the site of maximum pain was slightly changed at every physical examination, and 4) no evidence of recurrence or meshoma was observed on MRI...
September 15, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28942026/posterolateral-fusion-versus-dynesys-%C3%A2-dynamic-stabilization-retrospective-study-at-a-minimum-5-5-years-follow-up
#6
Simon Bredin, Olivier Demay, Christophe Mensa, Karim Madi, Xavier Ohl
INTRODUCTION: Lumbar fusion is one of the most widespread techniques to treat degenerative lumbar pathology. To prevent complications such as non-union or adjacent segment degeneration, dynamic stabilization techniques were developed, but with controversial results. The aim of the present study was to compare long-term radiologic and clinical results between fusion and dynamic stabilization. MATERIAL AND METHODS: A single-center retrospective study included patients with recurrent lumbar discal hernia or lumbar canal stenosis managed by posterolateral fusion or by dynamic stabilization associated to neurologic release...
September 20, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28941930/cannulating-the-contraindicated-effect-of-low-birth-weight-on-mortality-in-neonates-with-congenital-diaphragmatic-hernia-on-extracorporeal-membrane-oxygenation
#7
Patrick T Delaplain, Lishi Zhang, Yanjun Chen, Danh V Nguyen, Matteo Di Nardo, John Patrick Cleary, Peter T Yu, Yigit S Guner
BACKGROUND/PURPOSE: Restrictions for ECMO in neonates include birth weight less than 2kg (BW <2kg) and/or gestational age less than 34weeks (GA <34weeks). We sought to describe their relationship on mortality. METHODS: Neonates with a primary diagnosis code of CDH were identified in the Extracorporeal Life Support Organization (ELSO) registry, and logistic regression models were used to examine the effect of BW <2kg and GA <34weeks on mortality. RESULTS: We identified 7564 neonates with CDH...
September 2, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28939400/hiatal-hernia-containing-the-alimentary-limb-and-the-gastric-pouch-a-rare-cause-of-small-bowel-obstruction-after-roux-en-y-gastric-bypass
#8
Miguel Bouzas Cardaci, Robert De Keuleneer, Fadi Massaarani
No abstract text is available yet for this article.
August 24, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28938360/implant-porosity-and-the-foreign-body-response
#9
Sumanas W Jordan, Jennifer E Fligor, Lindsay E Janes, Gregory A Dumanian
The biocompatibility of prosthetic mesh is dependent on a number of physicochemical properties that ultimately incite an optimal foreign body response (FBR). The magnitude and character of the FBR directly affect the clinical success of the hernia repair, with too little scar resulting in bulge or hernia recurrence and too much scar causing mesh wrinkling and pain. Moreover, it is important to consider the effect of a sustained FBR and scar remodeling on the combined strength of the mesh-tissue construct over time...
September 15, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28937419/sports-hernia-definition-evaluation-and-treatment
#10
Justin Neal Hopkins, William Brown, Cassandra Alda Lee
No abstract text is available yet for this article.
September 21, 2017: JBJS Reviews
https://www.readbyqxmd.com/read/28937381/intrapulmonary-ectopic-liver-associated-with-scimitar-syndrome
#11
Sajna V M Kutty, M Lilly, Shalini Kuruvila, Sajan Koshy
We report a case of intrapulmonary ectopic liver associated with Scimitar syndrome. A two month old male child who presented with features of congestive cardiac failure underwent extensive cardiac and radiological investigations and was diagnosed with Scimitar syndrome. He was also found to have a mass in the lower lobe of the right lung, the possibilities being either a pulmonary sequestration or a diaphragmatic hernia. As his dyspnea progressively worsened, a right lower lobectomy was performed at the age of two years...
July 2017: Indian Journal of Pathology & Microbiology
https://www.readbyqxmd.com/read/28937085/galloway-mowat-syndrome-unusual-form-of-nephrotic-syndrome-in-adolescent
#12
G Diwakar Naidu, Pathapati Deepthi, K RajaKarthik, S Sriram, G Swarnalatha, T Gangadhar
Galloway-Mowat syndrome (GMS), also acknowledged as Microcephaly-Hiatal hernia nephrotic syndrome, is an uncommon genetic disorder inherited as an autosomal recessive trait usually seen before two years of life. It is an exceptional multisystem genetic disorder with a collection of skeletal, neurological, facial, gastrointestinal, growth, and renal abnormalities. This case report describes GMS in a girl, suffering from developmental delay, stunted growth, and various dysmorphic features, in whom nephrotic syndrome became apparent at adolescent age...
September 2017: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/28936790/favorable-results-from-a-prospective-evaluation-of-200-patients-with-large-hiatal-hernias-undergoing-linx-magnetic-sphincter-augmentation
#13
F P Buckley, Reginald C W Bell, Kate Freeman, Stephanie Doggett, Rachel Heidrick
INTRODUCTION: Magnetic sphincter augmentation (MSA) of the lower esophageal sphincter restores the antireflux barrier in patients with hiatal hernias ≤3 cm. We performed a prospective study in patients undergoing MSA with the LINX device during repair of paraesophageal and hernias over 3 cm axial component. METHODS AND PROCEDURES: Multicenter, prospective study of consecutive patients treated with MSA at the time of repair of hiatal hernias >3 cm. RESULTS: 200 patients (110 female) were treated between March 2014 and February 2017 via laparoscopic hernia repair and MSA...
September 21, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28936556/erratum-to-first-human-use-of-hybrid-synthetic-biologic-mesh-in-ventral-hernia-repair-a-multicenter-trial
#14
James G Bittner, Kevin El-Hayek, Andrew T Strong, Melissa Phillips LaPinska, Jin S Yoo, Eric M Pauli, Matthew Kroh
Some values in the pages 1, 3, and 5 of the original article are corrected and also an updated Table 5 is displayed.
September 21, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28936440/amyand-s-hernia-presenting-as-an-unusual-inguinal-mass-a-case-report
#15
Jennifer To, Paul Hanna, Ricardo Mohammed, Shauna Trinh, Franklyn Vazquez, Jamshed Zuberi, Robert Madlinger
Accounting for approximately 0.4-0.6% of all inguinal hernias, Amyand's hernia is a rare condition in which a vermiform appendix is found in an inguinal hernia sac. It is most commonly found in males and in the pediatric population. Since Claudius Amyand's first reported case in 1736, there have only been a total of 228 documented cases of the Amyand's hernia. Due to its rarity, the pathophysiology and risk factors of the condition are still unclear. Some theorize that it is secondary to a patent processus vaginalis or perhaps the presence of a fibrous band between the hernia sac and testes...
September 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/28934886/occurrence-of-abdominal-bulging-and-hernia-after-open-partial-nephrectomy-a-retrospective-cohort-study
#16
Aapo Inkiläinen, Johan Styrke, Börje Ljungberg, Karin Strigård
OBJECTIVE: Abdominal bulging and incisional hernia are known sequelae after open partial nephrectomy (OPN) via a flank incision. Precise rates are not known. The aims of this study were to determine the rates of bulging and hernia after OPN, and to examine potential risk factors. MATERIALS AND METHODS: A retrospective review was undertaken of 197 consecutive patients operated on with OPN via a flank incision between 2004 and 2014. After exclusion, 184 patients remained...
September 22, 2017: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/28933239/diaphragmatic-hernia-associated-with-absent-ductus-venosus-and-anomalous-connection-of-an-obliterated-umbilical-vein-to-the-coronary-sinus
#17
Peter C Chen, Julia C Swanson, Prakash Masand, Jose R Rodriguez, Carlos M Mery
Umbilical vein anomalies are a rare congenital defect, which have been associated with absent ductus venosus, with few cases also involving a congenital diaphragmatic hernia. We describe a case of postnatal development of an anterior diaphragmatic hernia of Morgagni in a four-year-old patient diagnosed prenatally with mesocardia, absent ductus venosus with a large umbilical vein, a large secundum atrial septal defect, and patent ductus arteriosus.
January 1, 2017: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/28932941/single-center-ventral-hernia-repair-with-porcine-dermis-collagen-implant
#18
M Boules, A T Strong, R Corcelles, I N Haskins, R Ilie, C Wathen, D Froylich, G Sharma, J Rodriguez, S Rosenblatt, K El-Hayek, M Kroh
INTRODUCTION: This study aims to evaluate the outcomes and utilization of porcine acellular dermal collagen implant (PADCI) during VHR at a large tertiary referral center. METHODS: Records of 5485 patients who underwent VIHR from June 1995 to August 2014 were retrospectively reviewed to identify patients >18 years of age who had VIHR with PADCI reinforcement. Use of multiple mesh reinforcement products, inguinal hernias, and hiatal hernias were exclusion criteria...
September 20, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28932917/the-met-needs-for-pediatric-surgical-conditions-in-sierra-leone-estimating-the-gap
#19
Carmen Mesas Burgos, Håkon Angell Bolkan, Donald Bash-Taqi, Lars Hagander, Johan Von Screeb
BACKGROUND: In low- and middle-income countries, there is a gap between the need for surgery and its equitable provision, and a lack of proxy indicators to estimate this gap. Sierra Leone is a West African country with close to three million children. It is unknown to what extent the surgical needs of these children are met. AIM: To describe a nationwide provision of pediatric surgical procedures and to assess pediatric hernia repair as a proxy indicator for the shortage of surgical care in the pediatric population in Sierra Leone...
September 20, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28932585/an-unusually-large-paraesophageal-hernia-mimicking-a-bochdalek-hernia
#20
Daneish Selvakumar, Karan Sian, Ajay J Iyengar, Ross Mejia
Hiatal hernias are due to defects in the esophageal hiatus in the diaphragm and can be classified into sliding or paraesophageal hernias. A 31-year-old male raised a suspicion of a Bochdalek hernia but at surgery had a large paraesophageal hernia. Bochdalek hernia, a congenital diaphragmatic hernia presents in adulthood asymptomatically or with vague abdominal symptoms. It is paramount to confirm the diagnosis and rule out any fatal complications with imaging studies. Prompt surgical management with large complicated hernias, such as in our case presentation would ensure the most favorable outcome...
August 2017: Journal of Thoracic Disease
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