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Elizabeth J Goodall, Rufus Cartwright, Emily C Stratta, Simon R Jackson, Natalia Price
INTRODUCTION AND HYPOTHESIS: Midurethral slings (MUS) are an established treatment for stress urinary incontinence (SUI), with good objective outcomes and low rates of complications. However, large population-based registry studies highlighted long-term complications from polypropylene slings including erosion, dyspareunia and chronic pain. With recent highly negative media coverage, many women are presenting with chronic pain attributed to the mesh to request complete removal. The available literature provides limited evidence on safety, symptom resolution and incontinence following MUS removal...
September 18, 2018: International Urogynecology Journal
Dorit Paz-Levy, Adi Y Weintraub, Yonatan Reuven, Zehava Yohay, Inbal Idan, Debi Elharar, David Yohay
OBJECTIVE: To compare prevalence and risk factors for urinary tract infection (UTI) following midurethral sling surgery with either the GYNECARE ABBREVO Continence System (Ethicon, Somerville, NJ, USA) or a standard transobturator. METHODS: A retrospective cohort study was conducted among women who underwent midurethral sling surgery to treat stress urinary incontinence at a single tertiary hospital in Israel between January 1, 2014, and August 11, 2015. Data were retrieved from medical records...
September 19, 2018: International Journal of Gynaecology and Obstetrics
S Cashman, S Biers, T Greenwell, C Harding, R Morley, S Fowler, N Thiruchelvam
OBJECTIVES: To analyse the results of the British Association of Urological Surgeons' stress urinary incontinence audit, and present the contemporary management of stress urinary incontinence by UK urologists. PATIENTS AND METHODS: The BAUS audit tool is an online resource, to which all UK urologists performing procedures for stress urinary incontinence (SUI) are invited to submit data. The data entries for procedures performed 2014-2016 were collated and analysed...
September 17, 2018: BJU International
Kathleen Lockhart, Douglas Dunn, Shawn Teo, Jessica Y Ng, Manvinder Dhillon, Edward Teo, Mieke L van Driel
BACKGROUND: This is an update of a Cochrane Review first published in 2001.Hernias are protrusions of all or part of an organ through the body wall that normally contains it. Groin hernias include inguinal (96%) and femoral (4%) hernias, and are often symptomatic with discomfort. They are extremely common, with an estimated lifetime risk in men of 27%. Occasionally they may present as emergencies with complications such as bowel incarceration, obstruction and strangulation. The definitive treatment of all hernias is surgical repair, inguinal hernia repair being one of the most common surgical procedures performed...
September 13, 2018: Cochrane Database of Systematic Reviews
D Moszkowicz, J-L Bouillot
No abstract text is available yet for this article.
September 1, 2018: Journal of Visceral Surgery
(no author information available yet)
AIM: The Association of Coloproctology of Great Britain and Ireland (ACPGBI) Delphi process identified prevention and treatment of parastomal hernia (PSH) as the second highest priority non-cancer related colorectal pathology. This position statement aims to summarize the current evidence base. METHODS: Four broad themes were identified (prevention, diagnosis/classification, management and operative repair). Guidelines are based on evidence from an extensive literature review using organized searches on the PubMed, MEDLINE, Embase and Cochrane databases...
July 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
M Melkemichel, S Bringman, B Widhe
PURPOSE: Lightweight meshes (LWM) have shown benefits compared to heavyweight meshes (HWM) in terms of less postoperative pain and stiffness in open inguinal hernia repair. It appears to have similar advantages also in TEP, but concerns exist if it may be associated with higher recurrence rates. The aim of the study was to compare reoperation rate for recurrence of LWM to HWM in laparoscopic totally extra-peritoneal (TEP) repair. METHODS: All groin hernias operated on with TEP between 1 January 2005 and 31 December 2013 at surgical units participating in The Swedish Hernia Register were eligible...
August 24, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Emily Wales, Samantha Holloway
Following abdominal wall surgery, incisions are commonly sutured, stapled, or glued together by primary intention. Developments within the field of tissue engineering have led to the use of prosthetic meshes, with over 20 million meshes implanted each year worldwide. The function of the mesh is to hold together abdominal wall incisions and repair abdominal hernias. This has been demonstrated to be highly effective in some individuals; however, some patients have experienced postoperative complications, including dehiscence with further abdominal herniation (viscera protruding through the abdominal wall)...
August 29, 2018: International Wound Journal
Ye Zhang, Xiaochen Song, Meng Mao, Jia Kang, Fangfang Ai, Lan Zhu
OBJECTIVE: To evaluate the long-term safety and efficacy of tension-free vaginal tape (TVT). DESIGN: Prospective observational study (Canadian Task Force Classification II-2). SETTING: Tertiary referral center in China. PATIENTS: Between January 2004 and December 2005, 85 consecutive patients who underwent TVT procedure were included. Patients with mixed incontinence or pelvic organ prolapse requiring surgery were excluded...
August 27, 2018: Journal of Minimally Invasive Gynecology
H Pandey, D S Thakur, U Somashekar, R Kothari, P Agarwal, D Sharma
PURPOSE: Synthetic non-absorbable meshes are routinely used in hernia surgery for clean cases but are avoided in the case of clean-contaminated or contaminated hernia or dirty cases to minimize the risk of infection. The present study was conducted to evaluate the outcome of polypropylene mesh in the settings of bowel resection performed for strangulated hernias of the abdominal wall. METHODS: This prospective observational study was conducted in the Department of Surgery of a teaching hospital in central India between 1st March 2015 and 31st Aug 2017...
August 25, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Manjunath Siddaiah-Subramanya, Darius Ashrafi, Breda Memon, Muhammed Ashraf Memon
PURPOSE: Recurrence after laparoscopic inguinal herniorrhaphy is poorly understood. Reports suggest that up to 13% of all inguinal herniorrhaphies worldwide, irrespective of the approach, are repaired for recurrence. We aim to review the risk factors responsible for these recurrences in laparoscopic mesh techniques. METHODS: A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified English language, peer reviewed articles on the causes of recurrence following laparoscopic mesh inguinal herniorrhaphy published between 1990 and 2018...
August 25, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
William S Cobb
The use of mesh materials for reinforcement of the abdominal wall has revolutionized the approaches to hernia repair. Whether it's a permanent, synthetic mesh, a biologically derived collagen graft, or a synthetic, bioresorbable construct, data demonstrate improved outcomes with respect to recurrence with their use. Numerous advances and development of component separation techniques of the abdominal wall musculature have provided surgeons the ability to close large fascial defects and reestablish the linea alba for midline hernias...
September 2018: Plastic and Reconstructive Surgery
Maurice Y Nahabedian, Michael Sosin, Parag Bhanot
It is well accepted that the use of mesh has facilitated and improved outcomes following repair of the complex abdominal hernias. Current mesh options include biologic, synthetic, and resorbable materials. The use of biologic materials for the repair and reinforcement of abdominal wall hernia has generated significant discussion. There are a variety of biologic mesh materials that are currently available that are derived from various sources including human, porcine, or bovine. All are processed for heterogeneous use, include variable amounts of collagen and elastin, and may or may not be crosslinked...
September 2018: Plastic and Reconstructive Surgery
Clayton C Petro, Michael J Rosen
Concern for chronic infection of a permanent synthetic material in contaminated and "high risk" ventral hernia repairs has led to the development and dissemination of slowly resorbable biosynthetic materials at a lower cost compared with biologic mesh counterparts. Here, we review the preclinical and clinical data available for each long-acting resorbable mesh, with a candid comparison to biologic and synthetic equivalents.
September 2018: Plastic and Reconstructive Surgery
Chris M Reid, Garth R Jacobsen
Complex abdominal wall defects remain a common problem, though there has been significant advancement in technique and biomaterials over the last decade. The newly developed hybrid meshes are targeted to address several shortcomings of other meshes. Specifically, the marriage of biosynthetic or biologic materials with permanent prosthetic material is designed so that each will counteract the other's negative attributes. There are reports of permanent meshes having been associated with chronic pain, stiffness, and inflammation...
September 2018: Plastic and Reconstructive Surgery
Kathleen L Lak, Matthew I Goldblatt
Selection of mesh for ventral hernia repair and abdominal wall reconstruction can be challenging. Since the adoption of a tension-free mesh repair, the recurrence rates and outcomes after ventral hernia repair have substantially improved. The market for medical prostheses is constantly changing, with new technology in development attempting to create the ideal mesh for each clinical scenario. Permanent mesh is typically used for clean wounds. The various mesh materials, density, and pore sizes are discussed...
September 2018: Plastic and Reconstructive Surgery
Michael Sosin, Maurice Y Nahabedian, Parag Bhanot
BACKGROUND: The principal approach to abdominal wall reconstruction requires implantation of mesh to decrease ventral hernia recurrence. This study compared current surgical outcomes and complications by location of anatomic mesh placement following ventral hernia repair with onlay, interposition, retromuscular, or underlay mesh reconstruction. METHODS: A systematic search of the PubMed database published from 2013 to 2018 was performed to identify patients who underwent abdominal wall reconstruction using either biologic or prosthetic mesh for ventral hernia repair...
September 2018: Plastic and Reconstructive Surgery
Angela M Kao, Michael R Arnold, Vedra A Augenstein, B Todd Heniford
BACKGROUND: Mesh infection remains the most feared complication after abdominal wall reconstruction, requiring prolonged hospitalizations and often, mesh removal. Understanding of current prevention and treatment strategies is necessary in the management of a common surgical problem. METHODS: A comprehensive review of the current surgical literature was performed to determine risk factors of mesh infection after abdominal wall reconstruction and best practices in their prevention and surgical management...
September 2018: Plastic and Reconstructive Surgery
Devinder Singh
BACKGROUND: Complex ventral hernia repairs (VHRs) are often complicated by surgical-site occurrences such as infection, seroma, hematoma, dehiscence, necrosis, as well as hernia recurrence and mesh contamination. A review of current literature was conducted to determine whether the application of negative pressure therapy to closed incisions post abdominal wall reconstruction (AWR)/VHR reduces the risk of postoperative wound complications and hernia recurrence. METHODS: The PubMed/MEDLINE databases were searched for studies published through January 2018...
September 2018: Plastic and Reconstructive Surgery
Sarah S Fox, Robert Johnson, John P Fischer, Frederick Eckhauser, William W Hope
Incisional and parastomal hernias continue to be vexing problems for patients and surgeons. Risk factors are generally patient-related and/or technical in nature, and in some cases, can be altered, resulting in improved outcomes. Improved fascial closure techniques can only partly reduce the risk of incisional hernia formation. Even under optimal circumstances, using time tested closure techniques and materials, the rate remains high, due primarily to factors that are not modifiable or are unidentifiable. In such cases, there may be a beneficial role for prophylactic mesh augmentation (PMA), wherein mesh is implanted at the time of initial surgery or stoma formation...
September 2018: Plastic and Reconstructive Surgery
2018-08-27 23:26:20
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