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https://www.readbyqxmd.com/read/28829367/past-present-and-future-of-surgical-meshes-a-review
#1
REVIEW
Karen Baylón, Perla Rodríguez-Camarillo, Alex Elías-Zúñiga, Jose Antonio Díaz-Elizondo, Robert Gilkerson, Karen Lozano
Surgical meshes, in particular those used to repair hernias, have been in use since 1891. Since then, research in the area has expanded, given the vast number of post-surgery complications such as infection, fibrosis, adhesions, mesh rejection, and hernia recurrence. Researchers have focused on the analysis and implementation of a wide range of materials: meshes with different fiber size and porosity, a variety of manufacturing methods, and certainly a variety of surgical and implantation procedures. Currently, surface modification methods and development of nanofiber based systems are actively being explored as areas of opportunity to retain material strength and increase biocompatibility of available meshes...
August 22, 2017: Membranes
https://www.readbyqxmd.com/read/28828685/modern-diagnosis-and-treatment-of-hiatal-hernias
#2
REVIEW
Steve R Siegal, James P Dolan, John G Hunter
PURPOSE: Hiatal hernias are a common finding on radiographic or endoscopic studies. Hiatal hernias may become symptomatic or, less frequently, can incarcerate or become a volvulus leading to organ ischemia. This review examines latest evidence on the diagnostic workup and management of hiatal hernias. METHODS: A literature review of contemporary and latest studies with highest quality of evidence was completed. This information was examined and compiled in review format...
August 21, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28826953/mesh-cruroplasty-in-laparoscopic-repair-of-paraesophageal-hernias%C3%A2-is%C3%A2-not-associated-with-better-long-term-outcomes-compared%C3%A2-to%C3%A2-primary-repair
#3
Vernissia Tam, James D Luketich, Ryan M Levy, Neil A Christie, Omar Awais, Manisha Shende, Katie S Nason
BACKGROUND: Equipoise still exists regarding routine mesh cruroplasty during laparoscopic paraesophageal hernia (PEH). We aimed to determine whether selective mesh cruroplasty is associated with differences in recurrence and patient-reported outcomes. METHODS: We compared symptom outcomes (n = 688) and radiographic recurrences (n = 101; at least 10% [or 2 cm] of stomach above hiatus) for 795 non-emergent PEH repair with fundoplication (n = 106 with mesh)...
June 24, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28826804/early-wound-morbidity-after-open-ventral-hernia-repair-with-biosynthetic-or-polypropylene-mesh
#4
Sambit Sahoo, Ivy N Haskins, Li-Ching Huang, David M Krpata, Kathleen A Derwin, Benjamin K Poulose, Michael J Rosen
BACKGROUND: Recently introduced slow-resorbing biosynthetic and non-resorbing macroporous polypropylene meshes are being used in hernias with clean-contaminated and contaminated wounds. However, information about the usage of biosynthetic meshes and their outcomes compared to polypropylene meshes in clean-contaminated and contaminated cases is lacking. Herein we evaluate the usage of biosynthetic mesh and polypropylene mesh in elective, open ventral hernia repair (OVHR) and investigate differences in early wound morbidity following OVHR within clean-contaminated and contaminated cases...
August 4, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28822400/open-retromuscular-repair-of-parastomal-hernias-with-synthetic-mesh
#5
Lucas R Beffa, Jeremy A Warren, William S Cobb, Bryan Knoedler, Joseph A Ewing, Alfredo M Carbonell
Parastomal hernias (PHs) cause significant morbidity in patients with permanent ostomies, and several laparoscopic and open repair techniques have been described. We report our experience with open retromuscular repair of PHs using permanent synthetic mesh. A prospectively maintained database was retrospectively reviewed to identify patients undergoing PH repair. Primary outcomes are surgical site occurrence, surgical site infection (SSI), and hernia recurrence. Variables were analyzed using Pearson's χ2 test or Fisher's exact test...
August 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28822396/an-evaluation-of-parastomal-hernia-repair-using-the-americas-hernia-society-quality-collaborative
#6
Sarah S Fox, Randy Janczyk, Jeremy A Warren, Alfredo M Carbonell, Benjamin K Poulose, Michael J Rosen, William W Hope
The purpose of this review was to evaluate outcomes relating to parastomal hernia repair. Data from the Americas Hernia Society Quality Collaborative were used to identify patients undergoing parastomal hernia repair from 2013 to 2016. Parastomal hernia repairs were compared with other repairs using Pearson's test and Wilcoxon test with a P value <0.05 considered significant. Parastomal hernia repairs were performed in 311 patients. Techniques of repair include open in 85 per cent and laparoscopic in 15 per cent...
August 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28817703/quality-of-life-of-inguinal-hernia-patients-in-taiwan-the-application-of-the-hernia-specific-quality-of-life-assessment-instrument
#7
Chi-Cheng Huang, Feng-Chuan Tai, Tzung-Hsin Chou, Heng-Hui Lien, Jaan-Yeh Jeng, Thien-Fiew Ho, Ching-Shui Huang
BACKGROUND: With the development of prosthetic mesh and tension free techniques, the recurrence rate following inguinal hernia repair has been reduced, and hernia outcomes research should focus on post-operative quality of life and potential complications. STUDY DESIGN: A novel hernia quality of life assessment instrument, HERQL, was developed. The HERQL questionnaire comprises a 4-item summative pain score measuring pain and discomfort resulting from various strenuous activities...
2017: PloS One
https://www.readbyqxmd.com/read/28811798/an-experience-with-mesh-versus-darn-repair-in-inguinal-hernias
#8
Gulshan Ali Memon, Syed Kashif Ali Shah, Habib-Ur-Rehman
BACKGROUND & OBJECTIVE: The inguinal hernia accounts for 50 percent in old age males. A Lichtenstein type of operation has now become the method of choice in most developed countries but in the developing world traditional simple suture repair is still in common practice in resource limited hospitals due to the scarcity and expensive nature of the commercial prosthetic mesh. Our objective was to compare the rates of complications in Lichtenstein repair to tension free Darn repair. METHODS: Ninety two male patients from 20-60 years of age reported for direct or indirect inguinal hernia with open Mesh/Lichtenstein or darn repair in emergency or electively from January 2014 to December 2015 were enrolled in this prospective randomized control trial (RCT)...
May 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/28810210/biomechanical-and-histologic-evaluation-of-two-application-forms-of-surgical-glue-for-mesh-fixation-to-the-abdominal-wall
#9
Á Ortillés, G Pascual, E Peña, M Rodríguez, B Pérez-Köhler, C Mesa-Ciller, B Calvo, J M Bellón
The use of an adhesive for mesh fixation in hernia repair reduces chronic pain and minimizes tissue damage in the patient. This study was designed to assess the adhesive properties of a medium-chain (n-butyl) cyanoacrylate glue applied as drops or as a spray in a biomechanical and histologic study. Both forms of glue application were compared to the use of simple-loose or continuous-running polypropylene sutures for mesh fixation. Eighteen adult New Zealand White rabbits were used. For mechanical tests in an ex vivo and in vivo study, patches of polypropylene mesh were fixed to an excised fragment of healthy abdominal tissue or used to repair a partial abdominal wall defect in the rabbit respectively...
August 8, 2017: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/28808884/outcomes-of-laparoscopic-hiatal-hernia-repair-in-nine-bariatric-patients-with-prior-sleeve-gastrectomy
#10
Francisco Igor B Macedo, Mia Mowzoon, Vijay K Mittal, Mubashir Sabir
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) may exacerbate gastroesophageal reflux disease (GERD) in patients with a hiatal hernia (HH). Surgical repair may be needed, however prior LSG precludes standard HH repair with fundoplication. METHODS: We retrospectively reviewed our experience with bariatric patients with prior LSG undergoing laparoscopic HH repair from August 2010 to July 2016. Patient demographics and outcomes including mortality, length of stay (LOS), readmission rates, reoperation, and complications were described...
August 14, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28808824/gasless-single-incision-laparoscopic-inguinal-hernia-repair-initial-experience
#11
M W V Ng, K C Ng
PURPOSE: Laparoscopic hernioplasty has been gaining its popularity in the past decade for its rapid recovery. Single-incision surgery, as its possible advancement, has also received more attention. Traditional laparoscopic surgery with carbon dioxide insufflation precluded patients with underlying cardiovascular or pulmonary disease from minimal invasive surgery. We report our early experience with gasless single-incision laparoscopic inguinal hernia repair via totally extraperitoneal (TEP) approach...
August 14, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28804507/2017-update-of-the-wses-guidelines-for-emergency-repair-of-complicated-abdominal-wall-hernias
#12
REVIEW
Arianna Birindelli, Massimo Sartelli, Salomone Di Saverio, Federico Coccolini, Luca Ansaloni, Gabrielle H van Ramshorst, Giampiero Campanelli, Vladimir Khokha, Ernest E Moore, Andrew Peitzman, George Velmahos, Frederick Alan Moore, Ari Leppaniemi, Clay Cothren Burlew, Walter L Biffl, Kaoru Koike, Yoram Kluger, Gustavo P Fraga, Carlos A Ordonez, Matteo Novello, Ferdinando Agresta, Boris Sakakushev, Igor Gerych, Imtiaz Wani, Michael D Kelly, Carlos Augusto Gomes, Mario Paulo Faro, Antonio Tarasconi, Zaza Demetrashvili, Jae Gil Lee, Nereo Vettoretto, Gianluca Guercioni, Roberto Persiani, Cristian Tranà, Yunfeng Cui, Kenneth Y Y Kok, Wagih M Ghnnam, Ashraf El-Sayed Abbas, Norio Sato, Sanjay Marwah, Muthukumaran Rangarajan, Offir Ben-Ishay, Abdul Rashid K Adesunkanmi, Helmut Alfredo Segovia Lohse, Jakub Kenig, Stefano Mandalà, Raul Coimbra, Aneel Bhangu, Nigel Suggett, Antonio Biondi, Nazario Portolani, Gianluca Baiocchi, Andrew W Kirkpatrick, Rodolfo Scibé, Michael Sugrue, Osvaldo Chiara, Fausto Catena
Emergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. There is no consensus on management of complicated abdominal hernias. The main matter of debate is about the use of mesh in case of intestinal resection and the type of mesh to be used. Wound infection is the most common complication encountered and represents an immense burden especially in the presence of a mesh. The recurrence rate is an important topic that influences the final outcome...
2017: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/28799117/concurrent-hydrocelectomy-during-inguinal-herniorrhaphy-is-a-risk-factor-for-complications-and-reoperation-data-from-rural-haiti
#13
D P Kuwayama, J Augustin
PURPOSE: Series of conventional inguinal herniorrhaphy from low and middle income countries (LMICs) suggest elevated rates of morbidity, mortality, and recurrence, although the reasons remain incompletely understood. We sought to identify risk factors for adverse outcomes from inguinal herniorrhaphy performed in a resource-limited LMIC setting. METHODS: We performed mesh-free modified Bassini inguinal herniorrhaphies on 141 consecutive patients with 156 inguinal hernias over 10 months in rural Haiti...
August 10, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28792430/component-separation-technique-for-repair-of-massive-abdominal-wall-defects-at-a-pediatric-hospital
#14
James D Vargo, Michael T Larsen, Gregory D Pearson
BACKGROUND: Massive defects of the abdominal wall are commonly repaired with the component separation technique (CST) when insufficient tissue exists to close the defect primarily. Although the utility of CST has been documented in cases of large ventral hernias in adults, its application to congenital and acquired defects in pediatric patients has been largely unreported. This study is a retrospective case series discussing the success of CST at a large pediatric hospital. METHODS: Seven patients with massive abdominal wall defects, including ventral hernia and omphalocele, repaired with CST at a pediatric hospital were identified as candidates...
November 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28791610/pain-and-quality-of-life-after-inguinal-hernia-surgery-a-multicenter-randomized-controlled-trial-comparing-lightweight-vs-heavyweight-mesh-supermesh-study
#15
Stefano Bona, Riccardo Rosati, Enrico Opocher, Barbara Fiore, Marco Montorsi
Mesh repair has significantly reduced recurrence rate after groin hernia surgery. Recently, attention has shifted to issues such as chronic pain and discomfort, leading to development of lightweight and partially re-absorbable meshes. The aim of the study was to evaluate the effect of lightweight mesh vs heavyweight mesh on post-operative pain, discomfort and quality of life in short and medium term after inguinal hernia surgery. Eight hundred and eight patients with primary inguinal hernia were allocated to anterior repair (Lichtenstein technique) using a lightweight mesh (Ultrapro(®)) or a heavyweight mesh (Prolene(®))...
August 8, 2017: Updates in Surgery
https://www.readbyqxmd.com/read/28791600/laparoscopic-repair-of-ventral-incisional-hernias-with-the-slim-mesh-technique-without-transabdominal-fixation-sutures-preliminary-report-on-short-midterm-results
#16
Silvio Alen Canton, Claudio Pasquali
This study details our experience with a new laparoscopic technique called "Slim-Mesh" without using transabdominal full-thickness stitches, to treat ventral and incisional hernias (V/IH). Since 2009-May 2015, 28 consecutive patients with V/IH were treated in our center, with this new SM technique. Fifty percent males were included in this retrospective study, averaging 59 years (range 31-81 years). Mean body mass index was 26 and VH size was <10 cm in 24 cases and in 4 cases was larger, up to 22 cm...
August 8, 2017: Updates in Surgery
https://www.readbyqxmd.com/read/28776154/sleeve-gastrectomy-after-liver-transplantation-feasibility-and-outcomes
#17
Michael Osseis, Andrea Lazzati, Chady Salloum, Concepcion Gomez Gavara, Philippe Compagnon, Cyrille Feray, Chetana Lim, Daniel Azoulay
BACKGROUND: Knowledge regarding the feasibility and safety of sleeve gastrectomy (SG) in obese liver transplant recipients is scarce. We report our experience of sleeve gastrectomy following liver transplantation (LT). METHODS: All patients who had undergone LT and subsequently underwent SG at our institution were retrospectively reviewed. Surgical outcomes, liver and kidney function tests, outcomes of obesity-related comorbidities, and excess weight loss were analyzed...
August 3, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28770120/laparoscopic-repair-of-a-large-paraesophageal-hernia-with-migration-of-the-stomach-into-the-mediastinum-creating-an-upside-down-stomach
#18
Nasser Sakran, Hadar Nevo, Ron Dar, Asnat Raziel, Dan Hershko
Upside-down stomach is a relatively rare type of a large paraesophageal hernia characterized by the migration of the stomach into the posterior mediastinum. Upside-down stomach is prone to severe complications and therefore surgery is recommended even in asymptomatic patients. A 62-year-old male presented with frequent abdominal pain with nausea and vomiting that persisted for one year. The patient was obese with fatty liver and was treated medically for gastroesophageal reflux disease (GERD) for 4 years. On upper gastrointestinal CT study a level-IV paraesophageal hernia was detected with upside-down stomach, and he was referred for elective surgery...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28767798/conventional-inguinal-hernia-repair-with-self-fixating-mesh-versus-totally-extraperitoneal-laparoscopic-repair-with-polypropylene-mesh-early-postoperative-results
#19
José Antonio Cunha-E-Silva, Flávio Malcher Martins de Oliveira, Antonio Felipe Santa Maria Coquillard Ayres, Antonio Carlos Ribeiro Garrido Iglesias
Objective: to evaluate the early postoperative results of inguinal hernia repair by the conventional technique with self-fixating mesh versus laparoscopic totally extraperitoneal repair with polypropylene mesh. We compared pain, surgical time and early complications. Methods: this is a prospective, case-series study of 80 consecutive patients treated in the surgical clinic of the Gaffrée e Guinle University Hospital (HUGG). We included patients with unilateral inguinal hernia, not relapsed and operated only on an elective basis...
May 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28763697/chronic-inguinal-pain-after-laparoscopic-intraperitoneal-onlay-mesh-ipom-repair-for-inguinal-hernia-treated-successfully-with-laparoscopic-selective-neurectomy-a-case-report
#20
Keita Hanada, Masato Narita, Kentaro Goto, Haruka Okada, Keisuke Okura, Shunpei Jikihara, Hiroki Nakanishi, Masashi Saji, Ryo Matsusue, Hiroaki Hata, Takashi Yamaguchi, Tetsushi Otani, Iwao Ikai
INTRODUCTION: Laparoscopic intraperitoneal onlay mesh (IPOM) repair is occasionally used for inguinal hernia repair. Here, we report a case of chronic neuropathic pain after laparoscopic IPOM repair for inguinal hernia, which was treated successfully with laparoscopic selective neurectomy. PRESENTATION OF CASE: A 59-year-old man with bilateral inguinal hernia underwent laparoscopic repair. Transabdominal preperitoneal repair was performed on the left side, whereas IPOM repair was performed on the right side due to a peritoneal defect...
2017: International Journal of Surgery Case Reports
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