Prophylactic Mesh Placement Colostomy Reduces Hernia Prophylactic Mesh Placement Colostomy Reduces Hernia
The use of a polypropylene mesh may significantly reduce the incidence of parastomal hernias after end-colostomy formation.Annals of Surgery
To demonstrate a surgical video where-in a robotic-assisted colostomy take-down was performed with anastomosis of the descending colon to the rectum after reduction of ventral hernias and extensive lysis of adhesions.
Endometriosis is a condition in which tissue similar to but not the same as the lining of the uterus is found throughout the pelvic cavity. Pelvic Physical Therapy is a sub specialty of physical therapy focused on the hip, lower abdomen, and pelvis from the bones, to the muscles, including the pelvic floor, to the nerves and fascia. Ongoing pelvic pain post excision of endometriosis by a gynecology specialist may be treated by a pelvic physical therapist. In one year, a pelvic physical therapy practice specializing in endometriosis issues, multiple patients were suspected to have occult, or no bulge, hernias as sources of pelvic pain.
Perineal hernias are exceptionally uncommon gynecologic pathologies that may have a drastic impact on women's health. Hernias that contain pelvic visceral structures present an especially unique challenge that requires immediate attention. Evidence is lacking as to the optimal surgical approach. Our objective is to describe our minimally-invasive technique for the repair of primary posterior perineal hernias with symptomatic bladder prolapse.
DISCUSSION: despite of poor results, surgical treatment in these cases must be urgent. PMID: 31595761 [PubMed - as supplied by publisher]
ConclusionAs PDH can lead to major and life threatening complications, it must remain in our minds as a possible cause of intestinal obstruction.
ConclusionRecent high-level literature recommends the use of mesh repair (flat mesh) in all patients with hernia width ≥ 1 cm. This evidence is limited to the use of flat mesh through an open approach. While AHSQC surgeons do offer mesh repair in the majority of cases, this is most commonly using a mesh patch, and is selective towards larger hernias and obese patients. Further research is required to evaluat e the safety of mesh patches, and a mesh repair should be offered to a young non-obese healthy patient, as they benefit similarly from the use of mesh.
Publication date: Available online 7 October 2019Source: Urology Case ReportsAuthor(s): Joshua Winston, James Salinas, Fadi NuwayhidAbstract:Inguinal hernias involving the ureter or inguino-scrotal ureters are a rare and infrequently described finding with both clinical and surgical consequence. While the majority are asymptomatic and rarely cause obstructive uropathy our case aptly highlights the risk to a general surgeon prior to an elective hernia repair. A review of the literature outlines a systematic approach of investigation if clinical suspicion of an inguino-scrotal ureter is raised, with careful operative plannin...
Hernia patients had a higher incidence rate and hazard ratio of dementia than those in non ‐hernia group. Advanced age, hypertension, head injury, and stroke were found to be risk factors for dementia. Patients with high socioeconomic status and history of coronary artery disease were unlikely to develop dementia in our cohort study. AbstractObjectiveMatrix metalloproteinases (MMPs) may play a role in the pathophysiology of neurodegenerative disease and hernia formation. This retrospective cohort study was designed to assess whether there is an association between hernia and the risk of dementia.Materials and MethodsPati...