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Hernia

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57 papers 0 to 25 followers
https://www.readbyqxmd.com/read/28009730/ventral-hernia-management-expert-consensus-guided-by-systematic-review
#1
Mike K Liang, Julie L Holihan, Kamal Itani, Zeinab M Alawadi, Juan R Flores Gonzalez, Erik P Askenasy, Conrad Ballecer, Hui Sen Chong, Matthew I Goldblatt, Jacob A Greenberg, John A Harvin, Jerrod N Keith, Robert G Martindale, Sean Orenstein, Bryan Richmond, John Scott Roth, Paul Szotek, Shirin Towfigh, Shawn Tsuda, Khashayar Vaziri, David H Berger
OBJECTIVE: To achieve consensus on the best practices in the management of ventral hernias (VH). BACKGROUND: Management patterns for VH are heterogeneous, often with little supporting evidence or correlation with existing evidence. METHODS: A systematic review identified the highest level of evidence available for each topic. A panel of expert hernia-surgeons was assembled. Email questionnaires, evidence review, panel discussion, and iterative voting was performed...
January 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28554782/external-validation-of-the-herniascore-an%C3%A2-observational-study
#2
Deepa V Cherla, Maya L Moses, Krislynn M Mueck, Craig Hannon, Tien C Ko, Lillian S Kao, Mike K Liang
BACKGROUND: The HERNIAscore is a ventral incisional hernia (VIH) risk assessment tool that uses only preoperative variables and predictable intraoperative variables. The aim of this study was to validate and modify, if needed, the HERNIAscore in an external dataset. STUDY DESIGN: This was a retrospective observational study of all patients undergoing resection for gastrointestinal malignancy from 2011 through 2015 at a safety-net hospital. The primary end point was clinical postoperative VIH...
September 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28904521/mesh-displacement-after-bilateral-inguinal-hernia-repair-with-no-fixation
#3
Christiano Marlo Paggi Claus, Gabriela Moreira Rocha, Antonio Carlos Ligocki Campos, João Augusto Nocera Paulin, Julio Cesar Uili Coelho
BACKGROUND AND OBJECTIVES: About 20% of patients with inguinal hernia present bilateral hernias in the diagnosis. In these cases, laparoscopic procedure is considered gold standard approach. Mesh fixation is considered important step toward avoiding recurrence. However, because of cost and risk of pain, real need for mesh fixation has been debated. For bilateral inguinal hernias, there are few specific data about non fixation and mesh displacement. We assessed mesh movement in patients who had undergone laparoscopic bilateral inguinal hernia repair without mesh fixation and compared the results with those obtained in patients with unilateral hernia...
July 2017: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/28840830/mesh-materials-and-hernia-repair
#4
Santhini Elango, Sakthivel Perumalsamy, Krishnakumar Ramachandran, Ketankumar Vadodaria
Hernia incidence has been observed since ancient time. Advancement in the medical textile industry came up with the variety of mesh materials to repair hernia, but none of them are without complications including recurrence of hernia. Therefore individuals once developed with the hernia could not lead a healthy and comfortable life. This drawn attention of surgeons, patients, researchers and industry to know the exact mechanism behind its development, complications and recurrence. Recent investigations highlighted the role of genetic factors and connective tissue disorders being the reason for the development of hernia apart from the abnormal pressure that is known to develop during other disease conditions...
September 2017: BioMedicine
https://www.readbyqxmd.com/read/28804507/2017-update-of-the-wses-guidelines-for-emergency-repair-of-complicated-abdominal-wall-hernias
#5
REVIEW
Arianna Birindelli, Massimo Sartelli, Salomone Di Saverio, Federico Coccolini, Luca Ansaloni, Gabrielle H van Ramshorst, Giampiero Campanelli, Vladimir Khokha, Ernest E Moore, Andrew Peitzman, George Velmahos, Frederick Alan Moore, Ari Leppaniemi, Clay Cothren Burlew, Walter L Biffl, Kaoru Koike, Yoram Kluger, Gustavo P Fraga, Carlos A Ordonez, Matteo Novello, Ferdinando Agresta, Boris Sakakushev, Igor Gerych, Imtiaz Wani, Michael D Kelly, Carlos Augusto Gomes, Mario Paulo Faro, Antonio Tarasconi, Zaza Demetrashvili, Jae Gil Lee, Nereo Vettoretto, Gianluca Guercioni, Roberto Persiani, Cristian Tranà, Yunfeng Cui, Kenneth Y Y Kok, Wagih M Ghnnam, Ashraf El-Sayed Abbas, Norio Sato, Sanjay Marwah, Muthukumaran Rangarajan, Offir Ben-Ishay, Abdul Rashid K Adesunkanmi, Helmut Alfredo Segovia Lohse, Jakub Kenig, Stefano Mandalà, Raul Coimbra, Aneel Bhangu, Nigel Suggett, Antonio Biondi, Nazario Portolani, Gianluca Baiocchi, Andrew W Kirkpatrick, Rodolfo Scibé, Michael Sugrue, Osvaldo Chiara, Fausto Catena
Emergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. There is no consensus on management of complicated abdominal hernias. The main matter of debate is about the use of mesh in case of intestinal resection and the type of mesh to be used. Wound infection is the most common complication encountered and represents an immense burden especially in the presence of a mesh. The recurrence rate is an important topic that influences the final outcome...
2017: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/28811004/component-separation-technique-for-giant-incisional-hernia-a-systematic-review
#6
REVIEW
Bram Cornette, Dirk De Bacquer, Frederik Berrevoet
The component separation technique (CST) has gained popularity among general surgeons in the management of giant abdominal hernia. A systematic review of the MedLine and EMBASE databases was performed. 36 observational cohort studies were included for data-analysis and divided in 4 main groups: Open Anterior Approach (OAA), Transversus Abdominis Release (TAR), Laparoscopic Anterior Approach (LAA) and Perforator Preserving Approach (PPA). Surgical Site Occurrences (SSO) occurred in 21.4%, 23.7%, 20.3% and 16...
August 10, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28791600/laparoscopic-repair-of-ventral-incisional-hernias-with-the-slim-mesh-technique-without-transabdominal-fixation-sutures-preliminary-report-on-short-midterm-results
#7
Silvio Alen Canton, Claudio Pasquali
This study details our experience with a new laparoscopic technique called "Slim-Mesh" without using transabdominal full-thickness stitches, to treat ventral and incisional hernias (V/IH). Since 2009-May 2015, 28 consecutive patients with V/IH were treated in our center, with this new SM technique. Fifty percent males were included in this retrospective study, averaging 59 years (range 31-81 years). Mean body mass index was 26 and VH size was <10 cm in 24 cases and in 4 cases was larger, up to 22 cm...
August 8, 2017: Updates in Surgery
https://www.readbyqxmd.com/read/21871072/a-multicenter-randomized-controlled-trial-evaluating-the-effect-of-small-stitches-on-the-incidence-of-incisional-hernia-in-midline-incisions
#8
RANDOMIZED CONTROLLED TRIAL
Joris J Harlaar, Eva B Deerenberg, Gabrielle H van Ramshorst, Harold E Lont, Ed C M H van der Borst, Willem R Schouten, Joos Heisterkamp, Helena C van Doorn, Huib A Cense, Frits Berends, Hein B A C Stockmann, Wietske W Vrijland, Esther C J Consten, Reyer T Ottow, Peter M N Y H Go, John J Hermans, Ewout W Steyerberg, Johan F Lange
BACKGROUND: The median laparotomy is frequently used by abdominal surgeons to gain rapid and wide access to the abdominal cavity with minimal damage to nerves, vascular structures and muscles of the abdominal wall. However, incisional hernia remains the most common complication after median laparotomy, with reported incidences varying between 2-20%. Recent clinical and experimental data showed a continuous suture technique with many small tissue bites in the aponeurosis only, is possibly more effective in the prevention of incisional hernia when compared to the common used large bite technique or mass closure...
August 26, 2011: BMC Surgery
https://www.readbyqxmd.com/read/28689863/long-term-results-of-open-complex-abdominal-wall-hernia-repair-with-self-gripping-mesh-a-retrospective-cohort-study
#9
Leonard F Kroese, Lien H A van Eeghem, Joost Verhelst, Johannes Jeekel, Gert-Jan Kleinrensink, Johan F Lange
BACKGROUND: In case of complex ventral hernias, Rives-Stoppa and component separation technique are considered as favourable treatment techniques. However, mesh-related complications like recurrence, infection and chronic pain are still a common problem after mesh repair. Previous studies have reported promising results of the use of a self-gripping mesh (ProGrip™) in incisional hernia repair. This study aimed to evaluate the long term results of this mesh for complex ventral hernia treatment...
July 6, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28692907/mechanical-properties-of-the-abdominal-wall-and-biomaterials-utilized-for-hernia-repair
#10
REVIEW
Corey R Deeken, Spencer P Lake
Abdominal wall hernias are one of the most common and long-standing surgical applications for biomaterials engineering. Yet, despite over 50 years of standard use of hernia repair materials, revision surgery is still required in nearly one third of patients due to hernia recurrence. To date, hernia mesh designs have focused on maximizing tensile strength to prevent structural failure of the implant. However, most recurrences occur at the biomaterial-tissue interface. There is a fundamental gap in understanding the degree to which a mechanical mismatch between hernia repair materials and host tissue contributes to failure at this interface...
October 2017: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/28693050/long-term-results-of-fixation-free-incisional-hernia-repair-using-a-tentacle-shaped-implant
#11
Giuseppe Amato, Giorgio Romano, Thorsten Goetze, Luca Gordini, Enrico Erdas, Fabio Medas, Piergiorgio Calò
INTRODUCTION: The fixation and the overlap of the mesh represent an open issue in incisional hernia repair. An exclusively designed prosthesis has been developed to assure a suture-free repair and a broader coverage of the abdominal wall. This study describes the long-term results of incisional hernia procedures carried out positioning a tentacle-shaped implant through a specifically developed surgical technique. MATERIALS AND METHODS: A proprietary symmetrically-shaped flat mesh constituted by a large central body with integrated radiating arms was used to repair incisional hernias in 68 patients...
July 25, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/28631265/evolution-of-ventral-hernia-repair
#12
REVIEW
Jose Macario Faylona
PURPOSE: The aim of this review was to look at relevant data and research on the evolution of ventral hernia repair. METHODS: Resources including books, research, guidelines, and online articles were reviewed to provide a concise history of and data on the evolution of ventral hernia repair. RESULTS: The evolution of ventral hernia repair has a very long history, from the recognition of ventral hernias to its current management, with significant contributions from different authors...
June 19, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/8639725/incisional-hernia-after-midline-laparotomy-a-prospective-study
#13
L A Israelsson, T Jonsson
OBJECTIVE: To study the healing of midline laparotomy wounds. DESIGN: Prospective clinical study. SETTING: County hospitals, Sweden and Iceland. SUBJECTS: 861 patients who underwent midline laparotomy between August 1989 and November 1992. 453 of whom were operated on during the first 20 months, and 408 of whom were operated on during the second 20 months after surgeons had been asked to adjust their technique to achieve a suture length: wound length ratio of more than 4...
February 1996: European Journal of Surgery, Acta Chirurgica
https://www.readbyqxmd.com/read/28032555/mesh-reinforcement-for-the-prevention-of-incisional-hernia-formation-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#14
REVIEW
Xi-Chen Wang, Dan Zhang, Zeng-Xi Yang, Jian-Xin Gan, Lan-Ning Yin
BACKGROUND: European Hernia Society guidelines suggested that the evidence of mesh augmentation for the prevention of incisional hernia (IH) was weak. In addition, previous systematic reviews seldom focused on quality of life and cost-effectiveness related to mesh placement. Therefore, an updated meta-analysis was performed to clarify quality of life, cost-effectiveness, the safety, and effectiveness of mesh reinforcement in preventing the incidence of IH. METHODS: Embase, Pubmed, and the Cochrane library were searched from the inception to May 2016 without language limitation for randomized controlled trials (RCTs) which explored mesh reinforcement for the prevention of IH in patients undergoing abdominal surgeries...
March 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28040255/does-prophylactic-mesh-placement-in-elective-midline-laparotomy-reduce-the-incidence-of-incisional-hernia-a-systematic-review-and-meta-analysis
#15
REVIEW
Zachary M Borab, Sameer Shakir, Michael A Lanni, Michael G Tecce, John MacDonald, William W Hope, John P Fischer
BACKGROUND: Operative intervention to correct incisional hernia affects 150,000 patients annually, with 1 in 3 repairs recurring within 9 years. The aim of this study was to compare the incidence of incisional hernia and postoperative complications in elective midline laparotomy patients after the use of prophylactic mesh placement and primary suture closure. METHODS: A systematic review was performed to identify studies comparing prophylactic mesh placement to primary suture closure in elective, midline laparotomy at index abdominal aponeurosis closure...
April 2017: Surgery
https://www.readbyqxmd.com/read/26389785/systematic-review-and-meta-regression-of-factors-affecting-midline-incisional-hernia-rates-analysis-of-14-618-patients
#16
REVIEW
David C Bosanquet, James Ansell, Tarig Abdelrahman, Julie Cornish, Rhiannon Harries, Amy Stimpson, Llion Davies, James C D Glasbey, Kathryn A Frewer, Natasha C Frewer, Daphne Russell, Ian Russell, Jared Torkington
BACKGROUND: The incidence of incisional hernias (IHs) following midline abdominal incisions is difficult to estimate. Furthermore recent analyses have reported inconsistent findings on the superiority of absorbable versus non-absorbable sutures. OBJECTIVE: To estimate the mean IH rate following midline laparotomy from the published literature, to identify variables that predict IH rates and to analyse whether the type of suture (absorbable versus non-absorbable) affects IH rates...
2015: PloS One
https://www.readbyqxmd.com/read/28462438/nomenclature-in-abdominal-wall-hernias-is-it-time-for-consensus
#17
Samuel G Parker, Christopher P J Wood, David L Sanders, Alastair C J Windsor
Abdominal wall reconstruction is a rapidly evolving area of surgical interest. Due to the increase in prevalence and size of ventral hernias and the high recurrence rates, the academic community has become motivated to find the best reconstruction techniques. Whilst interrogating the abdominal wall reconstruction literature, we discovered an inconsistency in hernia nomenclature that must be addressed. The terms used to describe the anatomical planes of mesh implantation 'inlay', 'sublay' and 'underlay' are misinterpreted throughout...
May 1, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28484818/rives-technique-for-the-primary-larger-inguinal-hernia-repair-a-prospective-study-of-1000-repairs
#18
Enrique J Grau-Talens, Carlos D Ibáñez, Jacob Motos-Micó, Francisco García-Olives, Martina Arribas-Jurado, Carlos Jordán-Chaves, José M Aparicio-Gallego, José F Salgado
OBJECTIVE: We report a prospective study of repairs using the Rives technique of the more difficult primary inguinal hernias, focusing on the immediate post-operative period, clinical recurrence, testicular atrophy, and chronic pain. A mesh placed in the preperitoneal space can reduce recurrences and chronic pain. METHODS: For the larger primary inguinal hernias (Types 3, 4, 6, and some 7), we favour preperitoneal placement of a mesh, covering the myopectineal orifice by means of a transinguinal (Rives technique) approach...
May 8, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28350567/watchful-waiting-versus-surgery-of-mildly-symptomatic-or-asymptomatic-inguinal-hernia-in-men-aged-50-years-and-older-a-randomized-controlled-trial
#19
Barry de Goede, Arthur R Wijsmuller, Gabrielle H van Ramshorst, Bob J van Kempen, Wim C J Hop, Pieter J Klitsie, Marc R Scheltinga, Jeroen de Haan, Walter J B Mastboom, Erwin van der Harst, Maarten P Simons, Gert-Jan Kleinrensink, Johannes Jeekel, Johan F Lange
OBJECTIVE: To compare if watchful waiting is noninferior to elective repair in men aged 50 years and older with mildly symptomatic or asymptomatic inguinal hernia. BACKGROUND: The role of watchful waiting in older male patients with mildly symptomatic or asymptomatic inguinal hernia is still not well-established. METHODS: In this noninferiority trial, we randomly assigned men aged 50 years and older with mildly symptomatic or asymptomatic inguinal hernia to either elective inguinal hernia repair or watchful waiting...
March 27, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28363183/progrip-self-gripping-mesh-in-rives-stoppa-repair-are-there-any-differences-in-outcomes-versus-a-retromuscular-polypropylene-mesh-fixed-with-sutures-a-case-series-study
#20
José Bueno-Lledó, Antonio Torregrosa, Brenda Arguelles, Omar Carreño, Providencia García, Santiago Bonafé, José Iserte
BACKGROUND: Rives-Stoppa repair is widely accepted technique in large midline IH, and appears to be advantageous compared to other surgical techniques concerning complications and recurrence rates. The aim of this case series study was to analyze 1-year outcomes in patients with IH treated with Progrip self-gripping mesh compared to polypropylene (PPL) mesh fixed with sutures during the Rives-Stoppa technique. METHODS: Between June 2014 and June 2015, we performed a prospective comparative non-randomized (case series) analysis between 25 patients with IH using retromuscular Progrip self-gripping mesh and 25 patients with retromuscular PPL mesh fixed with sutures, under Rives-Stoppa repair...
2017: International Journal of Surgery Case Reports
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