Heterotopic Ossification During a Ventral Hernia Repair Heterotopic Ossification During a Ventral Hernia Repair
In this report, a case of heterotopic ossification is observed in a patient who presented for ventral hernia repair.ePlasty, Open Access Journal of Plastic Surgery
Authors: Kendall MC, Alves LJC, Suh EI, McCormick ZL, De Oliveira GS Abstract Regional anesthesia is becoming increasingly popular among anesthesiologists in the management of postoperative analgesia following pediatric surgery. The main objective of this review was to systematically evaluate the last 5 years of randomized controlled trials on the role of regional anesthesia techniques in alleviating postoperative pain associated with various pediatric surgical procedures. Forty studies on 2,408 pediatric patients were evaluated. The majority of the articles published from 2013 to 2017 reported that the use of regi...
Conclusions A combined open surgical procedure, to identify the lateral femoral cutaneous nerve, and a laparoscopic procedure in the retroperitoneum have demonstrated the feasibility of this approach to identify correctly the nerve to be resected to relieve disabling groin pain.
We present a rare case of herniation below the linea arcuate (LAH) following repair via TAR-PCS. Given its novelty compared with more widely utilized techniques, literature review revealed less discussion regarding potential pitfalls associated with this type of reconstruction, in particular the potential for LAH. To date, only 9 cases of symptomatic LAH have been described, although 2 previously described “suprapubic” herniations following TAR-PCS may represent previously mischaracterized cases of this type of complication. Nonetheless, none of these reports were in the setting of ventral hernia repair.
ConclusionThis review demonstrates that the transversus abdominis release is a good alternative for anterior CST in terms of SSO and recurrence, especially in very large midline ventral hernias.
ConclusionsDespite a higher risk of general complications, PEH repair in octogenarians is not in itself associated with increased rates of intraoperative and postoperative complications or associated reoperations. Therefore, PEH repair can be safely offered to elderly patients with symptomatic PEH, if general medical risk factors are controlled.
The optimal timing of repair for inguinal hernia in premature infants remains a controversial topic. Our objective was to assess the clinical effects of inguinal hernia repair done before or after neonatal intensive care unit (NICU) discharge.
Publication date: Available online 8 December 2018Source: The American Journal of SurgeryAuthor(s): Tamar B. Nobel, Shruti Zaveri, Prerna Khetan, Celia M. DivinoABSTRACTBackgroundRecent data has demonstrated that postoperative patients are at risk of chronic opioid abuse. It is unknown whether surgeon postoperative opioid prescribing changed as the opioid crisis entered its peak.MethodsThe Institutional Data Warehouse was queried to identify patients who underwent three common elective ambulatory procedures between 2014-2018 (n=3495), including: laparoscopic cholecystectomy, laparoscopic inguinal hernia repair (IHR), and o...
ConclusionsIf possible, elective ventral repair should be postponed until after last pregnancy. A non-mesh repair seems appropriate for smaller primary ventral hernia in women who plan future pregnancies. Umbilical hernia during pregnancy seems very rare and seldom requires repair pre- and post-partum. Routine practice of umbilical hernia repair in combination with cesarean section cannot be recommended. PROSPERO: CRD42017073736.
This study aims to analyze early outcomes of one humanitarian surgical organization to show that safe essential general surgery can be provided in the context of STSMs.Records from 6 STSMs to Sierra Leone and Ghana were reviewed for early complications and analysis performed to identify associated factors. Missions performed elective, general surgery on low risk patients, with adherence to patient safety protocols.No perioperative mortality occurred from 372 procedures, most frequently inguinal hernia repair (54%). Seventeen surgical (5%), 3 infectious (1.2%), and 6 anesthesia (2%) complications were reported. Only younger...
CONCLUSION: The high prevalence of chronic post-hernioplasty pain raises the urgent need for raising awareness regarding this issue among health care professionals. The main areas for improvement are diagnosis, follow-up and treatment of pain. PMID: 30521455 [PubMed - in process]