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https://www.readbyqxmd.com/read/29031705/laparoscopic-repair-of-large-hiatal-hernia-without-the-need-for-esophageal-lengthening-with-low-morbidity-and-rare-symptomatic-recurrence
#1
Farzaneh Banki, Chandni Kaushik, David Roife, Kyle G Mitchell, Charles C Miller
The aim of this study was to assess symptomatic recurrence in patients who underwent a laparoscopic repair of large hiatal hernia without an esophageal lengthening procedure. Patients who underwent a laparoscopic repair of a large hiatal hernia from September 2009 to September 2015 by a single surgeon were identified in the retrospective review. The patients were followed up prospectively by the operating surgeon using a structured questionnaire, administered by telephone, to assess the symptoms. Symptomatic recurrence was defined as the requirement for a reoperative procedure for symptomatic recurrent hiatal hernia...
May 29, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29030837/totally-robotic-combined-roux-en-y-gastric-bypass-and-hiatal-hernia-repair-with-biological-mesh-technical-points
#2
Fabian Reche, Adrian Mancini, Anne-Laure Borel, Jean-Luc Faucheron, Catherine Arvieux
No abstract text is available yet for this article.
October 13, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29030835/a-new-technique-for-tension-free-reconstruction-in-large-incisional-hernia
#3
Gabriele Munegato, Landino Fei, Michele Schiano di Visconte, Danilo Da Ros, Luana Moras, Gabriele Bellio
In the surgical management of large incisional hernias, the main target is the closure of the abdominal wall defect on the midline without a dangerous increase in the intraabdominal pressure. In this setting, new intraperitoneal prosthesis and components separation techniques were proposed to solve this problem. Both solutions present some critical issues. A new surgical approach with a free lateral double layer prosthesis totally in polypropylene both sides (FLaPp(®)) is proposed to overcome this problem...
October 13, 2017: Updates in Surgery
https://www.readbyqxmd.com/read/29029881/comparison-of-self-gripping-mesh-and-sutured-mesh-in-open-inguinal-hernia-repair-a-meta-analysis-of-long-term-results
#4
REVIEW
Marijke Molegraaf, Ruth Kaufmann, Johan Lange
BACKGROUND: Complications after inguinal hernioplasty pose a significant burden on individual patients and society because of high numbers of repair procedures. Recently, the long-term results of a self-gripping ProGrip mesh for open inguinal hernia repair have become available. The aim of this meta-analyses was to compare these long-term results with the results of a Lichtenstein hernioplasty with a sutured mesh focusing on chronic pain, recurrence rate, foreign body sensation, and operation duration...
October 10, 2017: Surgery
https://www.readbyqxmd.com/read/29027327/laparoscopic-ventral-hernia-repair-using-only-5-mm-ports
#5
Nicholas Bell-Allen, Harriet O'Rourke, Lisa Hong, Nicholas O'Rourke
BACKGROUND: The technique of laparoscopic ventral hernia repair has been evolving since it was first described over 20 years ago. We report a new technique where polyester mesh was back loaded through a 5-mm port site, coming into contact with the skin. This avoids the need for any 10-12-mm ports. METHODS: A prospective database of laparoscopic ventral hernia repairs was examined. A single surgeon performed 344 laparoscopic ventral hernia repairs using this technique over 60 months...
October 12, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29027023/how-we-do-it-repair-of-large-perineal-hernia-after-abdominoperineal-resection
#6
J Li, W Zhang
BACKGROUND: Symptomatic perineal hernia is a rare complication after abdominoperineal resection (APR). Management of these hernias is challenging. The recurrence rate after surgical repair is high because of the difficulty of prosthetic material fixation; there is no consensus regarding the best method of repair. METHODS: We introduced a novel combined laparoscopic-perineal dual fixation technique in the repair of perineal hernias after APR. This technique begins with a perineal approach under laparoscopic vision...
October 12, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29026977/mesh-versus-patch-repair-for-epigastric-and-umbilical-hernia-morpheus-trial-one-year-results-of-a-randomized-controlled-trial
#7
J E H Ponten, B J M Leenders, W K G Leclercq, T Lettinga, J Heemskerk, J L M Konsten, P S S Castelijns, S W Nienhuijs
DESIGN: This trial is a randomized controlled, patient-blinded, multicentre, superiority trial. METHODS: All patients ≥18 years with a single, symptomatic and primary umbilical or epigastric hernia (<2 fingers) qualified for participation in the study. Flat polypropylene mesh repair was compared to patch repair (PROCEED(®) Ventral Patch) (PVP). The objective of this trial was to identify a superior method for umbilical and epigastric hernia repair in terms of complication rates...
October 12, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29024311/collagen-inducing-biologization-of-prosthetic-material-for-hernia-repair-polypropylene-meshes-coated-with-polyp-collagen
#8
Maximilian Ackermann, Xiaohong Wang, Shunfeng Wang, Meik Neufurth, Heinz C Schröder, Friedrich-Eckart Isemer, Werner E G Müller
Prostethic mesh material such as nonabsorbable polypropylene used in open and laparoscopic hernia repair are characterized by controllable mechanical properties but may elicit undesirable physiological reactions due to the nonphysiological inert polymer material. We succeeded in developing a biocompatible coating for these meshes, based on a physiological inorganic polymer, polyphosphate (polyP) that is morphogenetically active and used as a metabolic energy source, and a collagen matrix. The polyP/collagen hydrogel material was prepared by a freeze-extraction method, with amorphous Ca-polyP microparticles...
October 10, 2017: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://www.readbyqxmd.com/read/29019554/tensiometric-analysis-of-meshes-used-in-abdominal-ventral-wall-defects-in-rats
#9
Carlos Alberto Lima Utrabo, Nicolau Gregori Czeczko, Cesar Roberto Busato, Mário Rodrigues Montemór-Netto, Leandro Lipinski, Osvaldo Malafaia
BACKGROUND: Among the various strategies to avoid exaggerated foreign body reaction in the treatment of hernias is the limitation of the amount of polypropylene or the use of absorbable material. AIM: To evaluate the healing of defects in the abdominal wall of rats, comparing microporous polypropylene, macroporous polypropylene and polypropylene/polyglecaprone at the 30º, 60º and 120º postoperative day. METHODS: Wistar rats were submitted to defect production in the ventral abdominal wall, with integrity of the parietal peritoneum...
July 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29018922/long-term-follow-up-of-retromuscular-incisional-hernia-repairs-recurrence-and-quality-of-life
#10
Peder Rogmark, Sam Smedberg, Agneta Montgomery
PURPOSE: Incisional hernia repair (IHR) with a mesh is necessary to achieve low recurrence rates and pain relief. In the short term, quality of life (QoL) is restored by IHR. Two centers pioneered the IHR in Sweden with the highly standardized Rives-Stoppa technique using a retromuscular mesh. We assessed long-term follow-up of recurrence rate and QoL. METHODS: Medical records were searched for IHRs performed from 1998 to 2006 and included living patients with midline repairs...
October 10, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29016583/transabdominal-pre-peritoneal-mesh-repair-versus-lichtenstein-s-hernioplasty
#11
Rajan Koju, Ram Bhakta Koju, Balaram Malla, Yashad Dongol, Lok Bikram Thapa
BACKGROUND: In the era of minimal invasive surgery, hernia repair has seen a paradigm shift from open to laparoscopic technique. However, superiority of laparoscopic repair over open repair is still controversial. Available literatures have shown laparoscopic technique to be better in term of post-operative pain and early return to work. METHODS: In this prospective study, a total of 102 patients aged 21-78 years with inguinal hernia were recruited and enrolled into two comparative groups, namely Lichtenstein's and Transabdominal pre-peritoneal, and each group containing 51 participants...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/28983795/drain-placement-does-not-increase-infectious-complications-after-retromuscular-ventral-hernia-repair-with-synthetic-mesh-an-ahsqc-analysis
#12
David M Krpata, Ajita S Prabhu, Alfredo M Carbonell, Ivy N Haskins, Sharon Phillips, Benjamin K Poulose, Michael J Rosen
BACKGROUND: The use of surgical drains after ventral hernia repair (VHR) remains controversial. Some have concerns of increased infectious complications; others advocate that drains reduce fluid accumulation and surgical site occurrences (SSO). The aim of our study was to investigate the impact of retromuscular drains on SSO following retromuscular VHR with synthetic mesh. METHODS: Utilizing the Americas Hernia Society Quality Collaborative, patients between January 2013 and January 2016 undergoing retromuscular VHR with synthetic mesh were assessed for the presence of a drain...
October 5, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28981495/mesh-abdominal-wall-hernia-surgery-is-safe-and-effective-the-harm-new-zealand-media-has-done
#13
Steven Kelly
Patients in New Zealand have now developed a fear of mesh abdominal wall hernia repair due to inaccurate media reporting. This article outlines the extensive literature that confirms abdominal wall mesh hernia repair is safe and effective. The worsening confidence in the transvaginal mesh prolapse repair should not adversely affect the good results of mesh abdominal wall hernia repair. New Zealand general surgeons are well trained in providing modern hernia surgery.
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28979859/hernia-mesh-prevent-dislocation-after-wide-excision-and-reconstruction-of-giant-cell-tumor-distal-radius
#14
I Gede E Wiratnaya, I Gusti Bagus Arie M Budiartha, I Gusti Ngurah Y Setiawan, Dwijo A Sindhughosa, I Ketut S Kawiyana, Putu Astawa
Giant cell tumor (GCT) remains as major health problem. GCT which located at the lower end of the radius tends to be more aggressive. Wide excision and reconstruction of the wrist in stage 3 of distal radius GCT lesion is an optimal modality to prevent tumor recurrence. However, dislocation often occurs as its complication. We are reporting patient with GCT of distal radius treated with wide excision and reconstruction using nonvascularized fibular graft and the addition of hernia mesh. Circumferential non-absorbable polypropylene hernia mesh was applied, covered radioulnar joint and volar aspect of radius, and served as additional support to prevent dislocation...
September 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28975719/prospective-randomized-controlled-trial-comparing-partially-absorbable-lightweight-mesh-and-multifilament-polyester-anatomical-mesh-in-laparoscopic-inguinal-hernia-repair
#15
John Cc Wong, George Pc Yang, Tony Pp Cheung, Michael Kw Li
INTRODUCTION: Tension-free mesh repair is currently the gold standard treatment for inguinal hernia. Recent evidence has shown that both open and laparoscopic approaches to inguinal hernia repair can achieve good results. Lots of meshes with different properties are available on the market, but direct comparisons between them are scare. We conducted a prospective randomized controlled trial comparing a partially absorbable lightweight mesh (ULTRAPRO™) and a multifilament polyester anatomical mesh (Parietex™) in laparoscopic total extraperitoneal inguinal hernia repair...
October 4, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28970180/cadaveric-dissection-vs-homemade-model-what-is-the-best-way-to-teach-endoscopic-totally-extraperitoneal-inguinal-hernia-repair
#16
Yazan AlJamal, EeeLN Buckarma, Raaj Ruparel, Samuel Allen, David Farley
BACKGROUND: Endoscopic totally extraperitoneal inguinal hernia repair (TEP-IHR) requires practice and training to perform well. We developed a simple, low-cost, inanimate model to teach surgical residents inguinal anatomy and the technique of mesh insertion for a safe, endoscopic TEP-IHR. The objective of this study was to compare our model vs cadaveric dissection for teaching anatomy and mesh insertion. METHODS: A total of 14 general surgery residents participated in an institutional review board approved, prospective, and randomized study...
September 29, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28969195/laparoscopic-versus-open-repair-of-para-umbilical-hernia-a-prospective-comparative-study-of-short-term-outcomes
#17
Sreeharsha Korukonda, Anandhi Amaranathan, Vishnu Prasad Nelamangala Ramakrishnaiah
INTRODUCTION: Para-Umbilical Hernia (PUH) is one of the most common surgical problems. Since the prosthetic repair has become the standard of practice for inguinal hernia management, the same has been adapted for para-umbilical hernia management with better outcome. There is still debate going on regarding the optimal surgical approach. There are very few prospective studies comparing the laparoscopic and open method of para-umbilical hernia mesh repair. This study compared the short term outcomes following laparoscopic versus open mesh repair of PUH...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28969193/comparing-early-outcomes-using-non-absorbable-polypropylene-mesh-and-partially-absorbable-composite-mesh-through-laparoscopic-transabdominal-preperitoneal-repair-of-inguinal-hernia
#18
Tarun Kalra, Rajesh Kumar Soni, Ajit Sinha
INTRODUCTION: Laparoscopic hernia repair is in vogue in the present era. Both the operating surgeon and the patient are concerned about the postoperative inguinodynia which has now replaced recurrence as the predominant factor affecting quality of life. AIM: Our study aimed to compare early postoperative outcomes with the standard non absorbablepolypropylene and the newer partially absorbable composite meshes. MATERIALS AND METHODS: A total of 60 patients with unilateral uncomplicated inguinal hernia were included in the study and randomly divided into two groups, one each for one kind of mesh...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28959431/the-early-laparoscopic-repair-of-a-traumatic-lumbar-hernia-safe-and-successful
#19
Stephen Kaminski, Shawn Diamond
Abdominal wall hernias are a rare but important consequence of blunt trauma. The optimal timing and the method of repair are not well described in the current surgical literature. Advances in laparoscopic techniques have offered new options for treatment of this problem. We describe the case of a 43-year-old man who suffered a blunt traumatic lumbar hernia. He was taken to the operating room during his initial hospitalization where a laparoscopic repair was performed with the additional implantation of prosthetic mesh...
September 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28959429/elective-laparoscopic-repair-after-reduction-might-be-useful-strategy-for-incarcerated-obturator-hernia-a-case-report
#20
Atsushi Kohga, Akihiro Kawabe, Yuchen Cao, Kiyoshige Yajima, Takuya Okumura, Kimihiro Yamashita, Jun Isogaki, Kenji Suzuki
Obturator hernia is a rare clinical condition that causes intestinal obstruction. Recent reports have suggested that laparoscopic repair may be useful for incarcerated obturator hernia in select patients. The patient was a 64-year-old female who presented to our emergency department with a chief complaint of abdominal pain. Computed tomography (CT) imaging revealed an incarcerated obturator hernia on her right side, without apparent findings of irreversible ischaemic change or perforation. She had a previous history of cardiovascular surgery and was taking an anticoagulant medication...
September 2017: Journal of Surgical Case Reports
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