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REVIEW
H Riediger, F Köckerling
INTRODUCTION: Incisional hernias with a defect width of more than10 cm are considered complex. The European Hernia Society guidelines recommend that such hernias should only be repaired by surgeons with experience of component separation. The standard component separation technique now is posterior component separation with transversus abdominis release (PCSTAR). Questions are raised about the limits of this technique. METHODS: A literature search of publications on PCSTAR was performed for any references to the limits of this technique in open incisional hernia repair...
March 28, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#2
REVIEW
T Correia de Sá, F Jácome, T Basto, M Costa, Á Gonçalves, N Teixeira, L Castro Neves, J Barros da Silva
PURPOSE: Laparoscopic groin hernia repair has evolved and gained popularity and laparoscopic transabdominal preperitoneal (TAPP) procedure provides an opportunity to evaluate the peritoneal cavity and both inguinal areas without the need for additional dissection. There is still a paucity of evidence to support TAPP repair in the emergency setting. In this systematic review, we aim to evaluate the feasibility and safety of TAPP repair for incarcerated and strangulated groin hernias. METHODS: PRISMA guidelines were followed for literature search and established inclusion and exclusion criteria were applied...
March 24, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#3
JOURNAL ARTICLE
T B S Pacheco, K Cordero, L Arias-Espinosa, J C Hurwitz, F Malcher, D Halpern
PURPOSE: International guidelines exist for surgical treatment of either ventral or inguinal hernias repair (VHR; IHR). However, approach for managing both of them remains unestablished and is further complicated by newly developed surgical techniques and modalities (namely, robotic). This highlights the need for a tailored, algorithmic strategy to streamline surgical management. METHODS: An algorithm was developed by the directors of the NYU Langone Abdominal Core Health program of which four treatment groups were described: Group 1: open VHR and either laparoscopic or robotic IHR; Group 2: robotic transabdominal pre-peritoneal (TAPP) approach for both VHR and IHR; Group 3: robotic retro-muscular VHR and IHR; and Group 4: open repair for both...
March 21, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#4
JOURNAL ARTICLE
V B Moseholm, J J Baker, J Rosenberg
BACKGROUND: Chronic pain remains prevalent after open inguinal hernia repair and nerve-handling strategies are debated. Some guidelines suggest sparing nerves that are encountered; however, the nerve identification rates are unclear. This study aimed to investigate the nerve identification rates in a register-based nationwide cohort. METHODS: This study was reported according to the RECORD guideline and used prospective, routinely collected data from the Danish Hernia Database, which was linked with the National Patient Registry...
March 19, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#5
JOURNAL ARTICLE
Alison A Smith, Jennifer T Cone, Allison G McNickle, Delbrynth P Mitchao, Ryan Kostka, Benjamin Martinez, Thomas Schroeppel, Alexander Cavalea, Charles Patrick Shahan, Benjamin Axtman, Maxwell A Braverman
INTRODUCTION: One of the significant complications of operative liver trauma is intra-abdominal abscesses (IAA). The objective of this study was to determine risk factors associated with postoperative IAA in surgical patients with major operative liver trauma. METHODS: A retrospective multi-institutional study was performed at 13 Level 1 and Level 2 trauma centers from 2012 to 2021. Adult patients with major liver trauma (grade 3 and higher) requiring operative management were enrolled...
December 25, 2023: Journal of Surgical Research
#6
JOURNAL ARTICLE
Tina Bharani, Divyansh Agarwal, Nora Fullington, Lauren Ott, Molly Olson, Daelyn McClain, Lulu Lima, Benjamin Poulose, Jeremy Warren, Michael Reinhorn
INTRODUCTION: The Shouldice method for inguinal hernia repair remains the gold standard for prosthesis-free repairs. Nonetheless, international guidelines have favored posterior mesh reinforcement as the standard of care for inguinal hernia repair due to lower risk of recurrence and chronic pain, avoidance of general anesthesia, and favorable biomechanical properties. Recent publications have shown the benefits of an open approach to posterior repairs. Herein, we use the Abdominal Core Health Quality Collaborative (ACHQC) registry to compare patient-reported outcomes after a Shouldice no-mesh repair versus open preperitoneal (OPP) mesh repair...
December 23, 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#7
JOURNAL ARTICLE
Sari M Rabah, Razan A Albrahim, Ebtesam H Almajed, Alya K AlZabin, Reema A Aldawish, Lara S Alyahiwi, Rand A Alshabnan
BACKGROUND: The obesity pandemic in Saudi Arabia has led to a high demand for bariatric surgery (BS). Post-BS patients experience rapid and massive weight loss, with most patients experiencing redundant skin, leading to a desire for body contouring surgery (BCS). METHODS: A cross-sectional study was conducted from September 2022 to May 2023 among patients who underwent BS in Saudi Arabia, using an online self-administered questionnaire. The questionnaire comprised sociodemographic data, weight, and BS-related questions, and the post-BS appearance questionnaire assessed the desire for BCS, excess skin satisfaction, and overall appearance...
December 2023: Plastic and Reconstructive Surgery. Global Open
#8
REVIEW
Prashant Nasa, Gunjan Chanchalani, Deven Juneja, Manu Lng Malbrain
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) play a pivotal role in the pathophysiology of severe acute pancreatitis (SAP) and contribute to new-onset and persistent organ failure. The optimal management of ACS involves a multi-disciplinary approach, from its early recognition to measures aiming at an urgent reduction of intra-abdominal pressure (IAP). A targeted literature search from January 1, 2000, to November 30, 2022, revealed 20 studies and data was analyzed on the type and country of the study, patient demographics, IAP, type and timing of surgical procedure performed, post-operative wound management, and outcomes of patients with ACS...
September 27, 2023: World Journal of Gastrointestinal Surgery
#9
JOURNAL ARTICLE
W J Li, D C Diao, J X Lin, J H Wang, W L Liao, X Tang, J X Xie, L Ao, X Y Zhang, X J Yi, X C Feng, H M Li, X Q Lu
Objective: To explore the feasibility and value of performing a three-sided encapsulation procedure based on fascia anatomy in laparoscopic lateral lymph node dissection (LLND) for middle and low rectal cancer. Methods: This was a retrospective review. The study cohort comprised patients who met the diagnostic criteria for rectal cancer according to the Chinese Guidelines for the Diagnosis and Treatment of Colorectal Cancer, had a short lymph node diameter of >5 mm on the lateral side within the 15 days before surgery, were evaluated as feasible candidates for laparoscopic total mesorectal excision+LLND surgery, had been diagnosed with low or intermediate level rectal cancer, and whose tumor was less than 8 cm away from the anal verge according to pathological examination of the operative specimen...
October 25, 2023: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
#10
JOURNAL ARTICLE
C Lesch, R Nessel, D Adolf, M Hukauf, F Köckerling, F Kallinowski, A Willms, R Schwab, K Zarras
PURPOSE: Every year around 70,000 people in Germany suffer from an abdominal incisional hernia that requires surgical treatment. Five years after reconstruction about 25% reoccur. Incisional hernias are usually closed with mesh using various reconstruction techniques, summarized here as standard reconstruction (SR). To improve hernia repair, we established a concept for biomechanically calculated reconstructions (BCR). In the BCR, two formulas enable customized patient care through standardized biomechanical measures...
October 10, 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#11
JOURNAL ARTICLE
Samantha Negus, Omar Bouamra, Damian Roland
OBJECTIVES: To observe variation in imaging requests after publication of the Royal College of Radiologists UK Paediatric Trauma Protocols in 2014, recommending limited use of thoracic computed tomography (CT) to appropriately clinically risk stratified children. METHOD: A retrospective observational study using data from the Trauma Audit & Research Network in the United Kingdom, for children (0-16 years of age) for the years 2012-2021. Percentages were calculated to facilitate comparison between year groups (under 1 year of age, 1-10 years of age, 11-15 years of age), and CT imaging categories reviewed: (1) whole-body CT (WBCT); (2) abdominopelvic CT (CTAP) with chest radiograph (CXR); (3) chest, abdomen, and pelvic CT (CTCAP) with CXR; (4) CTCAP without CXR; and (5) other imaging...
October 2023: Journal of the American College of Emergency Physicians open
#12
JOURNAL ARTICLE
Eric J Mahoney, Nikolay Bugaev, Rachel Appelbaum, Anna Goldenberg-Sandau, Gerard A Baltazar, Joseph Posluszny, Linda Dultz, Susan Kartiko, George Kasotakis, John Como, Eric Klein
No abstract text is available yet for this article.
September 8, 2023: Journal of Trauma and Acute Care Surgery
#13
JOURNAL ARTICLE
(no author information available yet)
An erratum was issued for: Rat Model of Normothermic Ex-Situ Perfused Heterotopic Heart Transplantation. The Protocol section was updated. Section 4 of the Protocol was updated from: 4. Implantation Preparation of recipient Begin the recipient preparation 30 min before the cessation of ex situ perfusion. Anesthetize the recipient animal using the same method as mentioned in step 2.2. Place the rat in a supine position on the heating pad and insert the temperature probe into the rectum to maintain the body temperature at 37 °C...
August 28, 2023: Journal of Visualized Experiments: JoVE
#14
JOURNAL ARTICLE
J M Hiekkaranta, M Ahonen, E Mäkäräinen, J Saarnio, T Pinta, J Vironen, S Niemeläinen, P Vento, M Nikki, P Ohtonen, T Rautio
PURPOSE: In this long-term follow-up of a prospective, randomized, and multicenter study, we compare the results of a group receiving laparoscopic incisional ventral hernia repair using intraperitoneal onlay mesh (LG) to a group receiving a hybrid hernia repair where open closure of fascial defect was added to intraperitoneal mesh placement (HG). METHODS: Originally, 193 patients with 2-7 cm incisional hernias were randomly assigned to either the LG or HG during the 30-month recruitment period in 2012 to 2015...
August 18, 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#15
JOURNAL ARTICLE
Divyansh Agarwal, Tina Bharani, Nora Fullington, Lauren Ott, Molly Olson, Benjamin Poulose, Jeremy Warren, Michael Reinhorn
INTRODUCTION: The Lichtenstein repair has been synonymous with "open" inguinal hernia repair (IHR) for 40 years. However, international guidelines have suggested that posterior mesh placement results in advantageous biomechanics and reduced risk of nerve-related chronic pain. Additionally, the use of local anesthetics has been shown to reduce postoperative pain and complication risks. An open transrectus preperitoneal/open preperitoneal (TREPP/OPP) repair combines posterior mesh placement with the use of local anesthetic and as such could be the ideal repair for primary inguinal hernia...
October 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#16
REVIEW
Mario Giuffrida, Gennaro Perrone, Fikri Abu-Zidan, Vanni Agnoletti, Luca Ansaloni, Gian Luca Baiocchi, Cino Bendinelli, Walter L Biffl, Luigi Bonavina, Francesca Bravi, Paolo Carcoforo, Marco Ceresoli, Alain Chichom-Mefire, Federico Coccolini, Raul Coimbra, Nicola de'Angelis, Marc de Moya, Belinda De Simone, Salomone Di Saverio, Gustavo Pereira Fraga, Joseph Galante, Rao Ivatury, Jeffry Kashuk, Michael Denis Kelly, Andrew W Kirkpatrick, Yoram Kluger, Kaoru Koike, Ari Leppaniemi, Ronald V Maier, Ernest Eugene Moore, Andrew Peitzmann, Boris Sakakushev, Massimo Sartelli, Michael Sugrue, Brian W C A Tian, Richard Ten Broek, Carlo Vallicelli, Imtaz Wani, Dieter G Weber, Giovanni Docimo, Fausto Catena
BACKGROUND: Diaphragmatic hernia (DH) presenting acutely can be a potentially life-threatening condition. Its management continues to be debatable. METHODS: A bibliographic search using major databases was performed using the terms "emergency surgery" "diaphragmatic hernia," "traumatic diaphragmatic rupture" and "congenital diaphragmatic hernia." GRADE methodology was used to evaluate the evidence and give recommendations. RESULTS: CT scan of the chest and abdomen is the diagnostic gold standard to evaluate complicated DH...
July 26, 2023: World Journal of Emergency Surgery: WJES
#17
REVIEW
Federico Coccolini, Massimo Sartelli, Robert Sawyer, Kemal Rasa, Bruno Viaggi, Fikri Abu-Zidan, Kjetil Soreide, Timothy Hardcastle, Deepak Gupta, Cino Bendinelli, Marco Ceresoli, Vishal G Shelat, Richard Ten Broek, Gian Luca Baiocchi, Ernest E Moore, Ibrahima Sall, Mauro Podda, Luigi Bonavina, Igor A Kryvoruchko, Philip Stahel, Kenji Inaba, Philippe Montravers, Boris Sakakushev, Gabriele Sganga, Paolo Ballestracci, Manu L N G Malbrain, Jean-Louis Vincent, Manos Pikoulis, Solomon Gurmu Beka, Krstina Doklestic, Massimo Chiarugi, Marco Falcone, Elena Bignami, Viktor Reva, Zaza Demetrashvili, Salomone Di Saverio, Matti Tolonen, Pradeep Navsaria, Miklosh Bala, Zsolt Balogh, Andrey Litvin, Andreas Hecker, Imtiaz Wani, Andreas Fette, Belinda De Simone, Rao Ivatury, Edoardo Picetti, Vladimir Khokha, Edward Tan, Chad Ball, Carlo Tascini, Yunfeng Cui, Raul Coimbra, Michael Kelly, Costanza Martino, Vanni Agnoletti, Marja A Boermeester, Nicola De'Angelis, Mircea Chirica, Walt L Biffl, Luca Ansaloni, Yoram Kluger, Fausto Catena, Andrew W Kirkpatrick
Intra-abdominal infections (IAI) are among the most common global healthcare challenges and they are usually precipitated by disruption to the gastrointestinal (GI) tract. Their successful management typically requires intensive resource utilization, and despite the best therapies, morbidity and mortality remain high. One of the main issues required to appropriately treat IAI that differs from the other etiologies of sepsis is the frequent requirement to provide physical source control. Fortunately, dramatic advances have been made in this aspect of treatment...
July 21, 2023: World Journal of Emergency Surgery: WJES
#18
JOURNAL ARTICLE
Deepak Vijayan, Jonathan D Hodgkinson, Elizabeth Li, Thomas Pinkney, Dominic Slade
AIM: Use of open abdomen (OA) remains an important life-saving manoeuvre in the management of trauma and the abdominal catastrophe. The National Open Abdomen Audit (NOAA) is an audit project investigating the indications, management, and subsequent outcomes of OA treatment throughout the UK. The aim is to generate a snapshot of practice which will inform the management of future patients and potentially reduce the significant harm that can be associated with OA. METHODS AND ANALYSIS: NOAA is a collaborative, prospective observational audit recruiting patients from across Great Britain and Ireland...
July 2023: Colorectal Disease
#19
JOURNAL ARTICLE
Hussam Jassim, Hassan A Nedaei, Ghazale Geraily, Nooshin Banaee, Ali Kazemian
OBJECTIVES: To provide an overview and meta-analysis of different techniques adopted to accomplish kVCBCT for dose calculation and automated segmentation. METHODS: A systematic review and meta-analysis were performed on eligible studies demonstrating kVCBCT-based dose calculation and automated contouring of different tumor features. Meta-analysis of the performance was accomplished on the reported γ analysis and dice similarity coefficient (DSC) score of both collected results as three subgroups (head and neck, chest, and abdomen)...
2023: BJR open
#20
JOURNAL ARTICLE
Na Wang, Longyin Ma, Zhenguo Gao, Shunying Liu, Xiangzhi Qin, Mingyang Ren, Dan Bai, Yong Peng, Yunhong Tian
BACKGROUND Siewert type II adenocarcinoma of the esophagogastric junction is located at the boundary of the distal esophagus and gastric cardia, and surgical resection is currently performed using open or laparoscopic methods. This report presents 2 cases of laparoscopic resection of Siewert type II adenocarcinoma of the esophagogastric junction using a transhiatal approach, complicated by hemopericardium. CASE REPORT We present 2 patients diagnosed with Siewert type II esophagogastric junction cancer. A 67-year-old man had intermittent dull pain in the epigastrium without apparent cause for 10 months...
June 16, 2023: American Journal of Case Reports
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