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Hernia

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324 papers 100 to 500 followers Abdominal Ventral Hernia
https://www.readbyqxmd.com/read/29779245/laparoscopic-technique-of-modified-extraperitoneal-retrotransversalis-end-colostomy-for-abdomino-perineal-resection
#1
I A Tulina, Y E Kitsenko, M N Ubushiev, S K Efetov, S Wexner, P V Tsarkov
AIM: To describe the technique of a modified extraperitoneal retrotransversalis end colostomy as part of a laparoscopic abdomino-perineal resection (APR). METHOD: The colostomy site is preoperatively chosen and intraoperatively used for a trocar. After the rectum has been mobilized the descending colon is freed. The peritoneal margin is gently grasped and the parietal peritoneum, extraperitoneal together with the transversalis fascia are separated from the transverse abdominal muscle fibres upwards for 3-4 cm aiming at the trocar site to form the extraperitoneal retrotransversalis canal...
May 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29721629/direct-visualization-transversus-abdominis-plane-blocks-offer-superior-pain-control-compared-to-ultrasound-guided-blocks-following-open-posterior-component-separation-hernia-repairs
#2
J A Doble, J S Winder, S R Witte, E M Pauli
PURPOSE: Transversus abdominis plane (TAP) blockade with long-acting anesthetic can be used during open ventral hernia repair (VHR) with posterior component separation (PCS). TAP block can be performed under ultrasound guidance (US-TAP) or under direct visualization (DV-TAP). We hypothesized that US-TAP and DV-TAP provide equivalent postoperative analgesia following open VHR. METHODS: A retrospective review of patients undergoing open VHR with PCS who received TAP blocks with 266 mg of liposomal bupivacaine was performed...
May 2, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29754613/epidemiology-and-disparities-in-care-the-impact-of-socioeconomic-status-gender-and-race-on-the-presentation-management-and-outcomes-of-patients-undergoing-ventral-hernia-repair
#3
REVIEW
Deepa V Cherla, Benjamin Poulose, Ajita S Prabhu
More research is needed with regards to gender, race, and socioeconomic status on ventral hernia presentation, management, and outcomes. The role of culture and geography in hernia-related health care remains unknown. Currently existing nationwide registries have thus far yielded at best a modest overview of disparities in hernia care. The significant variation in care relative to gender, race, and socioeconomic status suggests that there is room for improvement in providing consistent care for patients with hernias...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754614/quality-measures-in-hernia-surgery
#4
REVIEW
Michael J Rosen
With growing pressures to formulate easily interpreted quality metrics, potential pitfalls exist that deleteriously affect the ultimate outcome of patients. This article defines what quality means in hernia surgery, how it is measured, who measures it, and how it is reported. Key governmental organizations responsible are highlighted. Although striving for high quality seems relatively straightforward, it is a challenge to account for all variables. Most definitions of quality are based on products and derived from minimum standards...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754615/establishing-a-hernia-program
#5
REVIEW
David M Krpata
Hernia repair is one of the most common operations performed by surgeons; however, there is neither consistency in practice nor broadly accepted guidelines to advise best practices. Hernia Programs can help shape guidelines through voluntary participation, inclusion, continuous quality improvement, education, and research by all stakeholders involved in hernia surgery at the institution. Once established, a Hernia Program can improve the delivery of care and outcomes of hernia patients, leading to added value for the institution and health care system...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754616/updates-in-mesh-and-biomaterials
#6
REVIEW
Brent D Matthews, Lauren Paton
Prior publications of the Surgical Clinics of North America have highlighted the technical challenges of abdominal wall reconstruction. This article provides an update on synthetic, biologic, and biosynthetic mesh research since the 2013 Surgical Clinics of North America hernia publication and highlights the future of mesh research. This update features research that has been conducted since the prior publication to guide surgeons to choose the best and most appropriate mesh for their patients.
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754617/role-of-prophylactic-mesh-placement-for-laparotomy-and-stoma-creation
#7
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/29754618/preoperative-planning-and-patient-optimization
#8
REVIEW
Clayton C Petro, Ajita S Prabhu
This article reviews the literature that supports routine expectations for smoking cessation; weight loss; diabetic, nutritional, or metabolic optimization; and decolonization techniques before ventral hernia repair. These methods diminish postoperative complications. In an era of value-centric care, an upfront investment in patient optimization can improve the quality of the repair by reducing wound morbidity and hernia recurrence, naturally translating to a reduction in cost. The adoption of these practices and further study aimed at identifying other effective optimization techniques are encouraged...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754620/incisional-hernia-repair-open-retromuscular-approaches
#9
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/29754621/incisional-hernia-repair-minimally-invasive-approaches
#10
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/29754622/umbilical-hernia-repair-overview-of-approaches-and-review-of-literature
#11
REVIEW
Paul W Appleby, Tasha A Martin, William W Hope
Umbilical hernias are ubiquitous, and surgery is indicated in symptomatic patients. Umbilical hernia defects can range from small (<1 cm) to very large/complex hernias, and treatment options should be tailored to the clinical situation. Open, laparoscopic, and robotic options exist for repair, with each having its advantages and disadvantages. In general, mesh should be used for repair, because it has been shown to decrease recurrence rates, even in small hernias. Although outcomes are generally favorable after umbilical hernia repairs, some patients have chronic complaints that are mostly related to recurrences...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754623/surgical-management-of-parastomal-hernias
#12
REVIEW
Jennifer Colvin, Steven Rosenblatt
Parastomal hernias are a common complication after ostomy formation that can require surgical repair when they become symptomatic. Operative planning and a thorough understanding of the anatomy of the abdominal wall are important. Simple fascial repair is associated with an unacceptably high recurrence rate and should be used as a temporary measure only. Stoma relocation has a high recurrence rate. Prophylactic mesh can and should be used. At this time, the use of mesh is considered the standard of care in the repair of parastomal hernias...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754624/flank-and-lumbar-hernia-repair
#13
REVIEW
Lucas R Beffa, Alyssa L Margiotta, Alfredo M Carbonell
Flank and lumbar hernias are challenging because of their rarity and anatomic location. Several challenges exist when approaching these specific abdominal wall defects, including location, innervation of the lateral abdominal wall musculature, and their proximity to bony landmarks. These hernias are confined by the costal margin, spine, and pelvic brim, which makes closure of the defect, including mesh placement, difficult. This article discusses the anatomy of lumbar and flank hernias, the various etiologies for these hernias, and the procedural steps for open and robotic preperitoneal approaches...
June 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/29754694/risk-factors-for-bad-outcomes-in-incisional-hernia-repair-lessons-learned-from-the-national-registry-of-incisional-hernia-evereg
#14
José Antonio Pereira, Blanca Montcusí, Manuel López-Cano, Pilar Hernández-Granados, Laura Fresno de Prado
INTRODUCTION: Registries are powerful tools for identifying factors predicting bad results. Our objective was to analyse data from the Spanish Registry of Incisional Hernia (EVEREG) to detect risk situations for the development of complications and recurrences. METHODS: We have analysed data of the cohort of hernias registered during the period from July 2012 to June 2014. We have compared the data between complicated and non-complicated patients in the short and long term follow-up...
May 10, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29705098/contemporary-concepts-in-hernia-prevention-selected-proceedings-from-the-2017-international-symposium-on-prevention-of-incisional-hernias
#15
Hobart W Harris, William H Hope, Gina Adrales, Dana K Andersen, Eva B Deerenberg, Holger Diener, Gregory Dumanian, Barbora East, John P Fischer, Miguel A Garcia Ureña, George J Gibeily, Birgitta M Hansson, Pilar Hernández-Granados, Michael C Hiles, Johannes Jeekel, Howard Levinson, Manuel Lopez-Cano, Filip Muysoms, José Antonio Pereira, Michel Prudhomme, Archana Ramaswamy, Cesare Stabilini, Jared Torkington, Silvia Valverde, David M Young
Incisional hernia is a frequent complication of midline laparotomy and enterostomal creation and is associated with high morbidity, decreased quality of life, and high costs. The International Symposium on Incisional Hernia Prevention was held October 19-20, 2017, at the InterContinental Hotel in San Francisco, CA, hosted by the Department of Surgery, University of California, San Francisco. One hundred and three attendees included general and plastic surgeons from 9 countries, including principal participants for several of the seminal studies in the field...
April 25, 2018: Surgery
https://www.readbyqxmd.com/read/29628013/type-v-collagen-is-persistently-altered-after-inguinal-hernia-repair
#16
L Lorentzen, N A Henriksen, P Juhl, J H Mortensen, M S Ågren, M A Karsdal, L N Jorgensen
BACKGROUND AND AIMS: Hernia formation is associated with alterations of collagen metabolism. Collagen synthesis and degradation cause a systemic release of products, which are measurable in serum. Recently, we reported changes in type V and IV collagen metabolisms in patients with inguinal and incisional hernia. The aim of this study was to determine if the altered collagen metabolism was persistent after hernia repair. MATERIAL AND METHODS: Patients who had undergone repairs for inguinal hernia (n = 11) or for incisional hernia (n = 17) were included in this study...
April 1, 2018: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/29589135/safety-and-effectiveness-of-umbilical-hernia-repair-in-patients-with-cirrhosis
#17
S Hew, W Yu, S Robson, G Starkey, A Testro, M Fink, P Angus, P Gow
PURPOSE: Umbilical hernia is a common complication in patients with cirrhosis. Early studies have reported a high morbidity and mortality associated with hernia repair. The traditional approach has been to non-operatively manage umbilical hernias in patients with cirrhosis. There are emerging data suggesting that an elective repair is a preferable approach. This study examined the outcomes of umbilical hernia repair in patients with advanced liver disease and compared this with a control group of non-cirrhotic patients...
March 27, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29601081/outcome-of-open-abdominal-management-following-military-trauma
#18
S Pengelly, J E A Berry, S E Herrick, D M Bowley, G L Carlson
BACKGROUND: Temporary abdominal closure (TAC) is increasingly common after military and civilian major trauma. Primary fascial closure cannot be achieved after TAC in 30 per cent of civilian patients; subsequent abdominal wall reconstruction carries significant morbidity. This retrospective review aimed to determine this morbidity in a UK military cohort. METHODS: A prospectively maintained database of all injured personnel from the Iraq and Afghanistan conflicts was searched from 1 January 2003 to 31 December 2014 for all patients who had undergone laparotomy in a deployed military medical treatment facility...
March 30, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29620963/minimal-invasive-linea-alba-reconstruction-for-the-treatment-of-umbilical-and-epigastric-hernias-with-coexisting-rectus-abdominis-diastasis
#19
Gernot Köhler, Ines Fischer, Richard Kaltenböck, Rudolf Schrittwieser
INTRODUCTION: Patients with umbilical or epigastric hernias benefit from mesh- based repairs, and even more so if a concomitant rectus diastasis (RD) is present. The ideal technique is, however, still under debate. In this study we introduce the minimal invasive linea alba reconstruction (MILAR) with the supraaponeurotic placement of a fully absorbable synthetic mesh. MATERIALS AND METHODS: Midline reconstruction with anterior rectus sheath repair and mesh augmentation by an open approach is a well-known surgical technique for ventral hernia repair...
April 5, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29626245/a-new-method-for-surgical-abdominal-mass-closure-after-abdominal-fascial-dehiscence-using-nasogastric-tube-and-hemovac-perforator-a-case-series-study
#20
Jalal Vahedian, Sepideh Jahanian, Behrouz Banivaheb, Nima Hemmati, Mehrnaz Ghavamipour, Majid Chegini, Mahdi Alemrajabi
BACKGROUND: As the challenge for finding the best abdominal incision closure technique continues, surgeons are aiming to minimize postoperative wound complications such as wound dehiscence and hernia as an acute or late manifestation. In order to achieve this goal, several abdominal opening and closure techniques have been tried. In this article, we describe a method in which we used a nasogastric tube (NGT) in mass closure for patients with fascial dehiscence. METHODS: In this case-series study, a total number of 25 patients participated...
April 6, 2018: World Journal of Surgery
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