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Hernia

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276 papers 100 to 500 followers Abdominal Ventral Hernia
https://www.readbyqxmd.com/read/29342018/mini-or-less-open-sublay-operation-milos-a-new-minimally-invasive-technique-for-the-extraperitoneal-mesh-repair-of-incisional-hernias
#1
Wolfgang Reinpold, Michael Schröder, Cigdem Berger, Jennifer Nehls, Alexander Schröder, Martin Hukauf, Ferdinand Köckerling, Reinhard Bittner
OBJECTIVE: Improvement of ventral hernia repair. BACKGROUND: Despite the use of mesh and other recent improvements, the currently popular techniques of ventral hernia repair have specific disadvantages and risks. METHODS: We developed the endoscopically assisted mini- or less-open sublay (MILOS) concept. The operation is performed transhernially via a small incision with light-holding laparoscopic instruments either under direct, or endoscopic visualization...
January 16, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#2
(no author information available yet)
INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery...
January 12, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27769544/a-risk-model-and-cost-analysis-of-post-operative-incisional-hernia-following-2-145-open-hysterectomies-defining-indications-and-opportunities-for-risk-reduction
#3
Michael G Tecce, Marten N Basta, Valeriy Shubinets, Michael A Lanni, Michael N Mirzabeigi, Laura Cooney, Suneeta Senapati, Ashley F Haggerty, Jason M Weissler, J Andres Hernandez, John P Fischer
BACKGROUND: Incisional hernia (IH) is a complication following open abdominal hysterectomy. This study addresses the incidence and health care cost of IH repair after open hysterectomy, and identify perioperative risk factors to create predictive risk models. METHODS: We conduct a retrospective review of patients who underwent open hysterectomy between 2005 and 2013 at the University of Pennsylvania. The primary outcome was post-hysterectomy IH. Univariate/multivariate cox proportional hazard analyses identified perioperative risk factors...
June 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28124308/preoperative-progressive-pneumoperitoneum-and-botulinum-toxin-type-a-in-patients-with-large-incisional-hernia
#4
J Bueno-Lledó, A Torregrosa, N Ballester, O Carreño, F Carbonell, P G Pastor, J Pamies, V Cortés, S Bonafé, J Iserte
PURPOSE: Combination of preoperative progressive pneumoperitoneum (PPP) and botulinum toxin type A (BT) has not been previously reported in the management of large incisional hernia (LIH). METHODS: Observational study of 45 consecutive patients with LIH between June 2010 and July 2014. The diameters of the hernia sac, the volumes of the incisional hernia (VIH) and the abdominal cavity (VAC), and the VIH/VAC ratio were measured before and after PPP and BT using abdominal CT scan data...
April 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/26245344/preoperative-abdominal-muscle-elongation-with-botulinum-toxin-a-for-complex-incisional-ventral-hernia-repair
#5
Faisal Farooque, Anita S W Jacombs, Emmanouel Roussos, John W Read, Anthony N Dardano, Michael Edye, Nabeel Ibrahim
BACKGROUND: Surgical repair of recurrent abdominal incisional hernia(s) can be challenging due to complex operative conditions, intense post-operative pain, potential respiratory compromise and lateral muscle traction predisposing to early recurrence. We report our preliminary results with botulinum toxin A (BTA) injection causing flaccid paralysis (relaxation) of the lateral abdominal wall muscles prior to surgery. METHODS: A prospective pilot study measured the effect of preoperative BTA prior to elective repair of recurrent abdominal hernias...
January 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/17544349/absorbable-mesh-and-topical-negative-pressure-therapy-for-closure-of-abdominal-dehiscence-with-exposed-bowel
#6
C B Chuo, S S Thomas
Permacol mesh is a porcine dermis-derived biomaterial used for the repair of abdominal incisional and inguinal hernia. It has been found to be a safe and effective alternative to non-absorbable mesh for application over exposed bowel. This mesh has also been successfully applied over contaminated abdominal wound beds and around stomas. Topical negative pressure therapy has been used for the management of wound complications after surgical implantation of Permacol mesh. We describe our experience with the combined use of Permacol mesh and simultaneous application of topical negative pressure therapy to aid wound contraction and granulation in a patient with abdominal dehiscence and exposed bowel...
November 2008: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/23456149/incisional-hernia-rate-after-open-abdomen-treatment-with-negative-pressure-and-delayed-primary-fascia-closure
#7
A Brandl, E Laimer, A Perathoner, M Zitt, J Pratschke, R Kafka-Ritsch
PURPOSE: Various techniques for delayed primary fascia closure have been published in patients treated with open abdomen (OA) and application of negative pressure, but to date, no data are available on incisional hernia (IH) rate. The aim of this retrospective analysis was to investigate the long-term outcome of this patient population with special interest in IH development. METHODS: Two hundred and nine consecutive patients, 90(43 %) female, were treated at our institution for various abdominal emergencies involving OA from June 2006 to June 2011...
February 2014: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28424908/delayed-closure-of-open-abdomen-in-septic-patients-treated-with-negative-pressure-wound-therapy-and-dynamic-fascial-suture-the-long-term-follow-up-study
#8
Anna Theresa Hofmann, Simone Gruber-Blum, Michael Lechner, Alexander Petter-Puchner, Karl Glaser, René Fortelny
INTRODUCTION: Negative pressure wound therapy (NPWT) is widely used in the treatment of open abdomen (OA). The use of dynamic fascial sutures (DFS) increases the rate of successful delayed closure by reducing fascial lateralization. We recently published a prospective controlled trial including 87 patients undergoing abdominal surgery for secondary peritonitis between 2007 and 2012. Patients were treated with NPWT and DFS for approximation of fascial edges. The present study represents a follow-up assessment of these patients 5-9 years after OA treatment with NPWT and DFS...
November 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29299648/has-shouldice-repair-in-a-selected-group-of-patients-with-inguinal-hernia-comparable-results-to-lichtenstein-tep-and-tapp-techniques
#9
F Köckerling, A Koch, D Adolf, T Keller, R Lorenz, R H Fortelny, C Schug-Pass
BACKGROUND: In the new international guidelines only the mesh-based Lichtenstein, TEP and TAPP techniques are recommended. This present analysis of data from the Herniamed Registry compares the outcome for Shouldice versus Lichtenstein, TEP and TAPP. METHODS: Propensity score matching analyses were performed to obtain homogeneous comparison groups for Shouldice versus Lichtenstein (n = 2115/2608; 81.1%), Shouldice versus TEP (n = 2225/2608; 85.3%) and Shouldice versus TAPP (2400/2608; 92...
January 3, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29280882/the-best-of-abdominal-wall-reconstruction
#10
REVIEW
Nakul Gamanlal Patel, Imran Ratanshi, Edward W Buchel
LEARNING OBJECTIVES: After reviewing this article, the participant should be able to: 1. List major risk factors for hernia formation and for failure of primary repair. 2. Outline an algorithmic approach to anterior abdominal wall reconstruction based on the degree of contamination, components involved in the deficit, and width of the hernia defect. 3. Describe appropriate indications for synthetic and biological mesh products. 4. List common flaps used in anterior abdominal wall reconstruction, including functional restoration strategies...
January 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29290370/using-crowdsourcing-as-a-platform-to-evaluate-lay-perception-of-prophylactic-mesh-placement
#11
Jason M Weissler, Martin J Carney, Fabiola A Enriquez, Charles A Messa, Robyn Broach, Marilyn M Shapira, Frances K Barg, John P Fischer
BACKGROUND: Prophylactic mesh placement (PMP) at the time of open abdominal surgery has gained momentum over the last decade. However, there remains an identifiable gap in the literature regarding patient-reported outcomes and qualitative metrics. In effort to gauge the population's understanding or familiarity with PMP, this study provides an educational framework and uses crowdsourcing as a novel means to assess perception among the general population. METHODS: A cross-sectional survey study was conducted among the general public to elicit perspectives on PMP...
December 29, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29264755/single-port-component-separation-endoscopic-external-oblique-release-for-complex-ventral-hernia-repair
#12
Kristen E Elstner, John W Read, Anita S W Jacombs, Rodrigo Tomazini Martins, Fernando Arduini, Peter H Cosman, Omar Rodriguez-Acevedo, Anthony N Dardano, Alex Karatassas, Nabeel Ibrahim
BACKGROUND: Component separation (CS) is a technique which mobilizes flaps of innervated, vascularized tissue, enabling closure of large ventral hernia defects using autologous tissue. Disadvantages include extensive tissue dissection when creating these myofascial advancement flaps, with potential consequences of significant post-operative skin and wound complications. This study examines the benefit of a novel, ultra-minimally invasive single port anterior CS technique. METHODS: This was a prospective study of 16 external oblique (EO) releases performed in 9 patients and 4 releases performed in 3 fresh frozen cadavers...
December 20, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29274839/investigation-of-financial-conflict-of-interest-among-published-ventral-hernia-researchers
#13
Deepa V Cherla, Oscar A Olavarria, Karla Bernardi, Cristina P Viso, Maya L Moses, Julie L Holihan, Tien C Ko, Lillian S Kao, Mike K Liang
BACKGROUND: Discordance exists between author self-disclosure and the Open Payments Database in various surgical fields but the effects of this discordance on study design and presentation are unknown. We hypothesized that among ventral hernia publications, 1) discordance exists between industry and physician self-reported conflicts of interest (COI), 2) authors disclose relevant COI, and 3) disclosure and relevant COI affect study favorability. STUDY DESIGN: Double-blinded, prospective, observational study of published manuscripts...
December 21, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29227530/systematic-review-and-network-meta-analysis-of-methods-of-mesh-fixation-during-laparoscopic-ventral-hernia-repair
#14
REVIEW
J J Baker, S Öberg, K Andresen, T W Klausen, J Rosenberg
BACKGROUND: Ventral hernia repairs are common and have high recurrence rates. They are usually repaired laparoscopically with an intraperitoneal mesh, which can be fixed in various ways. The aim was to evaluate the recurrence rates for the different fixation techniques. METHODS: This systematic review included studies with human adults with a ventral hernia repaired with an intraperitoneal onlay mesh. The outcome was recurrence at least 6 months after operation...
December 11, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28826804/early-wound-morbidity-after-open-ventral-hernia-repair-with-biosynthetic-or-polypropylene-mesh
#15
Sambit Sahoo, Ivy N Haskins, Li-Ching Huang, David M Krpata, Kathleen A Derwin, Benjamin K Poulose, Michael J Rosen
BACKGROUND: Recently introduced slow-resorbing biosynthetic and non-resorbing macroporous polypropylene meshes are being used in hernias with clean-contaminated and contaminated wounds. However, information about the use of biosynthetic meshes and their outcomes compared with polypropylene meshes in clean-contaminated and contaminated cases is lacking. Here we evaluate the use of biosynthetic mesh and polypropylene mesh in elective open ventral hernia repair (OVHR) and investigate differences in early wound morbidity after OVHR within clean-contaminated and contaminated cases...
October 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29204515/parastomal-hernia-repair-with-intraperitoneal-mesh
#16
Pia Näsvall, Jörgen Rutegård, Michael Dahlberg, Ulf Gunnarsson, Karin Strigård
Purpose: Parastomal hernia is a common complication following a stoma and may cause leakage or incarceration. No optimal treatment has been established, and existing methods using mesh repair are associated with high recurrence rates and a considerable risk for short- and long-term complications including death. A double-layer intraperitoneal on-lay mesh (IPOM), the Parastomal Hernia Patch (BARD™), consisting of ePTFE and polypropylene, has been developed and tailored to avoid recurrence...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/29194083/management-of-reducible-ventral-hernias-clinical-outcomes-and-cost-effectiveness-of-repair-at-diagnosis-versus-watchful-waiting
#17
Lindsey L Wolf, Julius I Ejiofor, Ye Wang, Myriam G Hunink, Elena Losina, Adil H Haider, Douglas S Smink
OBJECTIVE: To compare long-term clinical and economic outcomes associated with 3 management strategies for reducible ventral hernia: repair at diagnosis (open or laparoscopic) and watchful waiting. BACKGROUND: There is variability in ventral hernia management. Recent data suggest watchful waiting is safe; however, long-term clinical and economic outcomes for different management strategies remain unknown. METHODS: We built a state-transition microsimulation model to forecast outcomes for individuals with reducible ventral hernia, simulating a cohort of 1 million individuals for each strategy...
November 29, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/29159603/prophylactic-intraperitoneal-onlay-mesh-reinforcement-reduces-the-risk-of-incisional-hernia-two-year-results-of-a-randomized-clinical-trial
#18
Philippe Brosi, Philippe M Glauser, Benjamin Speich, Samuel A Käser, Christoph A Maurer
BACKGROUND: Incisional hernias still are a major concern after laparotomy and are causing substantial morbidity. This study examines the feasibility, safety and incisional hernia rate of the use of a prophylactic intraperitoneal onlay mesh stripe (IPOM) to prevent incisional hernia following midline laparotomy. METHODS: This prospective, randomized controlled trial randomly allocated patients undergoing median laparotomy either to mass closure of the abdominal wall with a PDS-loop running suture reinforced by an intraperitoneal composite mesh stripe (Group A) or to the same procedure without the additional mesh stripe (Group B)...
November 20, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28594679/initial-experience-with-biologic-polymer-scaffold-poly-4-hydroxybuturate-in-complex-abdominal-wall-reconstruction
#19
Joseph F Buell, David Sigmon, Christopher Ducoin, Max Shapiro, Nikhil Teja, Emmett Wynter, Mary K Hanisee, Geoffrey Parker, Emad Kandil, Michael Darden
OBJECTIVE: To evaluate the use of the new absorbable polymer scaffold poly-4-hydroxybutyrate (P4HB) in complex abdominal wall reconstruction. BACKGROUND: Complex abdominal wall reconstruction has witnessed tremendous success in the last decade after the introduction of cadaveric biologic scaffolds. However, the use of cadaveric biologic mesh has been expensive and plagued by complications such as seroma, infection, and recurrent hernia. Despite widespread application of cadaveric biologic mesh, little data exist on the superiority of these materials in the setting of high-risk wounds in patients...
July 2017: Annals of Surgery
https://www.readbyqxmd.com/read/29176418/discussion-concomitant-panniculectomy-affects-wound-morbidity-but-not-hernia-recurrence-rates-in-abdominal-wall-reconstruction-a-propensity-score-analysis
#20
Gregory A Dumanian
No abstract text is available yet for this article.
December 2017: Plastic and Reconstructive Surgery
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