Mesh cruroplasty in laparoscopic repair of paraesophageal hernias is not associated with better long-term outcomes compared to primary repair

Conclusions Selective mesh cruroplasty was not associated with differences in symptom outcomes or radiographic recurrence rates during laparoscopic PEH repair. Radiographic recurrence was associated with dissatisfaction, emphasizing the need for continued focus on reducing recurrences. Summary for Table of Contents There is equipoise regarding the routine use of mesh for crural reinforcement during laparoscopic paraesophageal hernia repair. Selective use of mesh in nearly 800 patients was associated with similar rates of symptom resolution and hernia recurrence. Hernia recurrence was associated with patient dissatisfaction, emphasizing the need to continue efforts to reduce postoperative hernia recurrence.
Source: The American Journal of Surgery - Category: Surgery Source Type: research

Related Links:

This study aims to examine the effectiveness of the postural treatment of the Mézières method on elite rhythmic gymnastics athletes with low back pain. DESIGN: Double-blind, randomized, controlled trial. SETTING: The sports hall of "Puente Tocinos," Murcia, Spain. PARTICIPANTS: Ninety gymnastics athletes were randomized into 2 parallel groups (intervention: n = 39; control: n = 51), of whom 98.9% were women (women = 89; man = 1). INTERVENTION: The Mézières method postural therapy was implemented. It lasted about 60 minutes in repeated sessions of 2 to 3 meetings per wee...
Source: Journal of Sport Rehabilitation - Category: Sports Medicine Tags: J Sport Rehabil Source Type: research
Authors: Fyock M, Cortes N, Hulse A, Martin J Abstract Clinical Scenario: Patellofemoral pain (PFP) is a common knee injury in recreational adult runners, possibly caused by faulty mechanics. One possible approach to reduce this pain is to retrain the runner's gait. Current research suggests that no definitive gold standard treatment for PFP exists. Gait retraining utilizing visual feedback may reduce PFP in both the short and long term. Clinical Question: In adult runners diagnosed with PFP, does gait retraining with real-time visual feedback lead to a decrease in pain? Summary of Key Findings: A literature search...
Source: Journal of Sport Rehabilitation - Category: Sports Medicine Tags: J Sport Rehabil Source Type: research
Authors: Elfiky TA, Patil ND, Allam Y, Ragab R Abstract Study Design: A retrospective radiographic analysis. Purpose: The aim of the current study is to assess endplate changes after the use of polyetheretherketone (PEEK) cages in posterior lumbar interbody fusion (PLIF). Overview of Literature: A few recent reports had revealed endplate abnormalities due to PEEK cages, which may lead to nonunions. Methods: A retrospective computed tomography (CT)-based analysis of the endplate cavities and fusion status following PLIFs with PEEK cages was conducted by two independent observers. The term "cavity&qu...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Abstract Tagging proteins with fluorescent reporters such as green fluorescent protein (GFP) is a powerful method to determine protein localization, especially when proteins are tagged in the endogenous context to preserve native genomic regulation. However, insertion of fluorescent reporters into the genomes of mammalian cells has required the construction of plasmids containing selection markers and/or extended sequences homologous to the site of insertion (homology arms). Here we describe a streamlined protocol that eliminates all cloning steps by taking advantage of the high propensity of linear DNAs to engage...
Source: Current Protocols in Molecular Biology - Category: Molecular Biology Authors: Tags: Curr Protoc Mol Biol Source Type: research
CONCLUSION: Because 25-40% of cases of facial nerve palsy are not idiopathic, differential diagnosis is very important; key diagnostic methods include a clinical neurological examin- ation, otoscopy, and a lumbar puncture for cerebrospinal fluid examination. High-level evidence supports corticosteroid treatment for the idiopathic form of the disorder. PMID: 31709978 [PubMed - in process]
Source: Deutsches Arzteblatt International - Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
DISCUSSION: Delayed postvasectomy scrotal pain associated with hematospermia may be a sign of vasal recanalization. We propose that this symptom complex should prompt an investigation for vasal recanalization, during which the patient should be instructed to refrain from intercourse without the use of an additional method of contraception. PMID: 31710838 [PubMed - in process]
Source: The Permanente journal - Category: General Medicine Tags: Perm J Source Type: research
Publication date: Available online 11 November 2019Source: The American Journal of SurgeryAuthor(s): Jennie Meier, Sergio Huerta
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Publication date: Available online 11 November 2019Source: The American Journal of SurgeryAuthor(s): Peter A. Ebeling, Katherine G. Beale, Kent Van Sickle, Mohammed J. Al-Fayyadh, Ross E. Willis, Juan Marcano, Dylan Erwin, Jason W. KempenichAbstractBackgroundGeneral surgery is the fastest growing field in the adoption of robotic assisted laparoscopic surgery. Here, we present the results of one institution's experience in training surgical residents in robotic assisted transabdominal preperitoneal inguinal hernia repairs.MethodsData were prospectively collected on patients undergoing robotic assisted laparoscopic inguinal ...
Source: The American Journal of Surgery - Category: Surgery Source Type: research
ConclusionsOpioid prescribing has decreased for geriatric patients with minor injuries. However, surgeons have not reduced dosage based on age or fall risk.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Hey all, Now that I am a couple years out of fellowship and in private practice I feel like my idealized view of pain medicine is not more realistic and somewhat more cynical. I was having a discussion with a colleague of mine who recently just graduated fellowship and is excited to start a new job and I was going over some of the realities and biggest points of pain for the pain provider. I was hoping to gain some insight into some other points of frustration or inefficiency other... Biggest Pains of Pain Practice
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
More News: Gastroschisis Repair | Heartburn | Hernia | Hernia Repair | Laparoscopy | Pain | Radiography | Surgery