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mesh incisional hernia

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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
#1
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/29756100/randomized-prospective-comparison-of-long-term-results-of-onlay-and-sublay-mesh-repair-techniques-for-incisional-hernia
#2
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/29754621/incisional-hernia-repair-minimally-invasive-approaches
#3
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
https://www.readbyqxmd.com/read/29754620/incisional-hernia-repair-open-retromuscular-approaches
#4
REVIEW
Luciano Tastaldi, Hemasat Alkhatib
In this article, we discuss concepts, surgical techniques and published literature about the most common abdominal wall reconstructive techniques performed with retromuscular mesh placement through an open approach.
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754617/role-of-prophylactic-mesh-placement-for-laparotomy-and-stoma-creation
#5
REVIEW
Irfan A Rhemtulla, Charles A Messa, Fabiola A Enriquez, William W Hope, John P Fischer
Incisional and parastomal hernias are a cause of significant morbidity and have a substantial effect on quality of life and economic costs for patients and hospital systems. Although many aspects of abdominal hernias are understood, prevention is a feature that is still being realized. This article reviews the current literature and determines the utility of prophylactic mesh placement in prevention of incisional and parastomal hernias.
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29748724/decreased-re-operation-rate-for-recurrence-after-defect-closure-in-laparoscopic-ventral-hernia-repair-with-a-permanent-tack-fixated-mesh-a-nationwide-cohort-study
#6
J J Baker, S Öberg, K Andresen, J Rosenberg
PURPOSE: To investigate whether defect closure in laparoscopic ventral hernia repair reduces the re-operation rate for recurrence compared with no defect closure. METHODS: Data were extracted from the Danish Ventral Hernia Database. Adults with an elective laparoscopic ventral hernia repair with tacks used as mesh fixation were included, if their first repair was between the 1st of January 2007 and the 1st of January 2017. Patients with defect closure were compared with no defect closure...
May 10, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29712604/a-new-approach-to-an-old-technique-the-s-u-t-r-first-technique
#7
Frank Jones, Catherine Lewis, Darryl Knight, Louise Bacon, Vijay Patel, Carolyn Moore
Ventral and incisional hernias of the abdominal wall are common problems treated by surgeons around the globe. Incisional hernias are common postoperative complications of abdominal laparotomies with a reported incidence of up to 20 per cent. The increasing use of prosthetic mesh in open ventral hernia repairs necessitated the development of different operative techniques used in the repairs. It also required that surgeons become facile with placement of the mesh in different anatomical positions on the abdominal wall...
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29709271/prophylactic-mesh-augmentation-patient-selection-techniques-and-early-outcomes
#8
Irfan A Rhemtulla, Jaclyn T Mauch, Robyn B Broach, Charles A Messa, John P Fischer
BACKGROUND: Incisional hernias (IH) following abdominal surgery are frequent and morbid. Prophylactic mesh augmentation (PMA) has emerged as a technique to reduce IH formation. We aim to report patient selection, techniques and early outcomes after PMA. METHODS: Retrospective chart review identified descriptive characteristics, risk factors, operative technique, and early post-operative outcomes for PMA patients and matched non-PMA patients between January 1, 2016 and October 31, 2017...
April 22, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29704737/laparoscopic-and-percutaneous-repair-of-a-large-midline-incisional-hernia-extending-to-the-bilateral-subcostal-region-a-case-report
#9
Shingo Tsujinaka, Yukio Nakabayashi, Nao Kakizawa, Rina Kikugawa, Nobuyuki Toyama, Toshiki Rikiyama
INTRODUCTION: Optimal surgery for a midline incisional hernia extending to the subcostal region remains unclear. We report successful hybrid laparoscopic and percutaneous repair for such a complex incisional hernia. PRESENTATION OF CASE: An 85-year-old woman developed a symptomatic incisional hernia after open cholecystectomy. Computed tomography revealed a 14 × 10 cm fascial defect. Four trocars were placed under general anesthesia. Percutaneous defect closure was performed using multiple non-absorbable monofilament threads, i...
April 21, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29685678/prophylactic-mesh-reinforcement-versus-sutured-closure-to-prevent-incisional-hernias-after-open-abdominal-aortic-aneurysm-repair-via-midline-laparotomy-a-systematic-review-and-meta-analysis
#10
REVIEW
Reza Indrakusuma, Hamid Jalalzadeh, Jessica E van der Meij, Ron Balm, Mark J W Koelemay
OBJECTIVE/BACKGROUND: Incisional hernia is a frequent late complication after open abdominal aortic aneurysm (AAA) repair. We aimed to determine whether prophylactic mesh reinforcement of the abdominal wall at open AAA repair via midline laparotomy reduces the rate of incisional hernia compared to standard sutured closure. METHODS: A systematic review and meta-analysis was carried out in accordance with the PRISMA statement (PROSPERO registration CRD42017072508)...
April 20, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29682468/laparoscopic-repair-of-multiple-incisional-hernias-in-a-single-midline-incision-by-double-composite-mesh
#11
Xuefei Yang, Li Jiang, Yue Li, Jingsi Liu, Joe King-Man Fan
Laparoscopic repair of ventral incisional hernia with intraperitoneal onlay mesh (IPOM) technique by anti-adhesion mesh has been widely adopted. Due to clinical heterogenicity in location, quantity and size of abdominal incisional hernia, strategy of such repair can be challenging. We hereby present the video of a patient with multiple swiss-cheese hernias in a single long midline incision repaired with double anti-adhesion mesh by IPOM technique. Patient demographics, technical details and clinical tips & tricks are discussed...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29670883/video-assisted-mini-open-sublay-vamos-a-simple-hybrid-approach-for-lateral-incisional-hernias
#12
Robert Schwab, Joachim Sahm, Arnulf Gregor Willms
Purpose: The purpose is to present a new hybrid approach of lateral incisional hernia repair associated with reduced operative trauma and anatomically optimal mesh placement. Methods: Video-Assisted Mini-Open Sublay (VAMOS) consists of a laparoscopic atraumatic dissection of the hernia sac, diaphanoscopy, laparoscopically-assisted closure of the fascial gap and mesh placement in sublay position through a minimized skin incision. Feasibility of this concept was assessed in a cohort of 7 consecutive patients...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29670882/stomal-closure-strategies-to-prevent-incisional-hernia
#13
Rhiannon L Harries, Jared Torkington
Incisional hernias following ostomy reversal occur frequently. Incisional hernias at the site of a previous stoma closure can cause significant morbidity, impaired quality of life, lead to life-threatening hernia incarceration or strangulation and result in a significant financial burden on health care systems Despite this, the evidence base on the subject is limited. Many recognised risk factors for the development of incisional hernia following ostomy reversal are related to patient factors such as age, malignancy, diabetes, COPD, hypertension and obesity, and are not easily correctable...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29666083/intraluminal-mesh-migration-causing-enteroenteric-and-enterocutaneous-fistula-a-case-and-discussion-of-the-mesh-problem
#14
Reeya Patel, Thomas H Reid, Sam G Parker, Alistair Windsor
The use of synthetic mesh in the abdominal compartment has recently become a topic of debate as high profile public cases have called into question their safety. Several case reports have demonstrated significant complications due to intra-abdominal mesh. Furthermore, some studies have suggested that the rates of these severe complications are underestimated. We present the case of a patient who developed an enteroenteric and enterocutaenous fistulae, an abdominal wall collection and an intraperitoneal inflammatory mass from intraluminal migration of a synthetic mesh inserted during laparoscopic incisional hernia repair...
April 17, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29663944/repair-of-a-large-ventral-hernia-in-a-rhesus-macaque-macaca-mulatta-by-using-an-abdominal-component-separation-technique
#15
Steve J Kempton, Jacqueline S Israel, Saverio Capuano Iii, Samuel O Poore
Here we present a 32-y-old rhesus macaque (Macaca mulatta) with a large recurrent ventral incisional hernia. The initial surgery included midline celiotomy for treatment of endometriosis, in which the animal developed a hernia that was repaired with interposition of mesh. Hernia recurrence at 1 y resulted in a defect measuring 7 × 13 cm, with loss of abdominal domain. Skin breakdown was noted with areas of exposed mesh through the skin with associated acute on chronic infection. Clinically, the animal was lethargic, not eating, and failing to thrive...
April 2, 2018: Comparative Medicine
https://www.readbyqxmd.com/read/29657707/abdominal-tattoo-can-be-useful-to-avoid-a-midline-abdominal-incision
#16
Jose' F Velasquez, Gisella Nele, Salvatore Giordano
We report a case in which abdominal tattoo margins were modified and used to hide the surgical incision for desmoid tumour removal. Our patient is a 37-year-old female with history remarkable for atrial septal defect closure at the age of ten, but not for previous abdominal surgeries or trauma. A desmoid tumour diagnosis was made upon needle biopsy of the 5 × 4 cm2 mass confined to the rectus abdominis. Subsequently, tumour was resected with an incision through the tattoo upper margin and abdominal wall was reconstructed with primary fascial closure mesh reinforced...
April 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29656131/postoperative-treatment-following-open-incisional-hernia-repair-a-survey-and-a-review-of-literature
#17
Christoph Paasch, Stefan Anders, Martin W Strik
INTRODUCTION: Incisional hernias of the abdominal wall are frequent complication after laparotomy (9-20%). Open incisional hernia repair with sublay mesh placement (SMP) on the posterior rectus sheath is described as being a sufficient method for repairing incisional hernia. In order to ensure wound healing and to therefore prevent recurrence, carrying an abdominal binder (AB) or a pressure dressing (PD) and physical rest for a certain time is the common postoperative recommendation, though the evidence for post-operative treatment is low...
April 12, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29582800/laparoscopic-retromuscular-incisional-hernia-repair
#18
Guido Luis Busnelli, Walter Sebastián Nardi, Carola Featherston, Daniel E Pirchi, Pablo José Medina
A 67-year-old male with a history of a conventional right colectomy and hypertension was referred to our department for an incisional hernia and abdominal discomfort. Physical examination also showed a supraumbilical defect that was confirmed with a computed tomography scan. Laparoscopic Rives technique repair was done to repair the defect avoiding direct contact of the mesh with the intra-abdominal viscera.
March 23, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29580363/prospective-analysis-of-epigastric-umbilical-and-small-incisional-hernia-repair-using-the-modified-kugel-oval-patch
#19
Dianchen Wang, Jianmin Chen, Yake Chen, Yuqian Han, Hongyue Zhang
The study was performed to determine the complication and recurrence rate using the modified Kugel oval patch for small ventral hernia repair. Another aim of the study was to find risk factors for recurrence in patients with this repair. Seventy-three patients underwent ventral hernia repair with the modified Kugel oval patch between April 2013 and February 2015. Prospective follow-up data (18 months postoperative) were collected and evaluated. A total of 58 primary (18 epigastric/40 umbilical) and 15 incisional ventral hernias were repaired with the modified Kugel oval patch (7...
February 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29573191/is-fascial-defect-closure-with-intraperitoneal-onlay-mesh-superior-to-standard-intraperitoneal-onlay-mesh-for-laparoscopic-repair-of-large-incisional-hernia
#20
Katsuhito Suwa, Tomoyoshi Okamoto, Katsuhiko Yanaga
INTRODUCTION: The ideal surgical technique for large incisional hernia repair has not yet been identified. The aim of this study was to evaluate surgical outcomes of standard intraperitoneal onlay mesh (sIPOM) versus fascial defect closure with intraperitoneal onlay mesh (IPOM-Plus) for large incisional hernia repair. METHODS: Of 49 patients who underwent laparoscopic incisional hernia repair between November 2005 and December 2016, 26 cases with large incisional hernia (transverse diameter ≥10 cm) were examined to compare surgical outcomes between sIPOM (n = 12) and IPOM-Plus (n = 14)...
March 23, 2018: Asian Journal of Endoscopic Surgery
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