A case report of a gastric perforation in a giant inguinoscrotal hernia: A two-step approach
CONCLUSIONIn a giant inguinal hernia with gastric perforation, delaying the hernia repair when possible can decrease the complexity of the procedure and most likely its morbidity and mortality.
ConclusionBowel perforation in the elderly, presenting with cachexia and treatment-induced pancytopenia for advanced ovarian cancer, is often a harbinger of early death. Selected patients may benefit from a minimally invasive approach by an experienced gynecologic oncologist instead of vertical laparotomy, abdominal washout, diversion and the potential sequelae of an open abdomen.
It is unclear whether a history of surgical site infection is associated with developing a new infection after subsequent operations. We aim to investigate the impact of an earlier abdominal wall surgical site infection on future 30-day infectious wound complications after open incisional hernia repair with mesh.
ConclusionsThe repair of the ventral hernia by Extraperitoneal route is an innovative approach of increasing popularity, which avoids the contact of the mesh with the intestines, thus avoiding the potential complications that this situation generates with good outcomes and at a lower cost.
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
Biodegradability and Safety Study of LifeMesh™, a Novel Self-adhesive Mesh, in Sprague-Dawley Rats. Toxicol Pathol. 2019 Mar 21;:192623319833906 Authors: Ramot Y, Kronfeld N, Steiner M, Klaiman G, Hadid A, Sudak M, Nyska A Abstract Self-adhesive meshes are being developed to avoid complications due to traumatic fixation methods. LifeMesh™ is a novel self-adhesive mesh with a biodegradable gelatin adhesive layer developed for hernia repair. The aim of this study was to assess the safety and biodegradability of LifeMesh in Sprague-Dawley (SD) rats for 6 weeks, in comparison to a bare polypro...
The objective of this report is to describe four cases of robotic repair of MH in adults performed by a single surgeon to better delineate an emerging approach to this rare condition. A retrospective review of patients who underwent robotic repair of MH by a single surgeon was performed. Four consecutive patients were identified and included. The median age of patients was 43 (range: 23 –70). All patients had symptoms prior to diagnosis, including substernal chest pain (n = 3), dyspnea (n = 4), dysphagia (n = 1), and regurgitation (n = 1). All patients underwent...
Conclusion: In this series of 32 cases, laparoscopic cruroplasty with UBM graft reinforcement has been effective and durable at 12 months of followup. This technique may offer one satisfactory solution for large hiatal hernia repair concomitant with laparoscopic sleeve gastrectomy that may achieve a durable repair with low GERD symptoms. PMID: 30880900 [PubMed - in process]
This study examined patient-related outcome measures (PROMs) after repair of ventral primary or incisional hernias using Symbotex ™ composite mesh (SCM), a novel three-dimensional collagen-coated monofilament polyester textile.MethodsPre-operative, peri-operative, and post-operative data were obtained from the French “Club Hernie” registry with 12- and 24-month follow-up.ResultsOne-hundred consecutive patients (mean age 62.0 ± 13.7; 51% female) underwent repair of 105 hernias: primary (39/105, 37.1%, defect area 5.2 ± 5.6 cm2) and incisional (66/105, 62.9%, 31.9 ...
CONCLUSIONOpen surgery of large ventral hernia in spinal anaesthesia can be performed because the spinal anaesthesia provides adequate conditions for ventral hernia repair. The patient has to be in good physical condition in order for the surgery to be successful. During the surgery the patient has to be watched over vigilantly by the anaesthesiologist.
DR J SCOTT ROTH (Lexington, KY): In this paper, Dr Cobb reviews their institution's ventral hernia repair outcomes using an enhanced recovery protocol during a time in which they transitioned from the use of epidural catheters to the use of a transversus abdominis plane block as a component of a multimodal pain management strategy. Enhanced recovery protocols have been increasingly implemented to reduce variability and improve outcomes in surgical patients. This paper builds on the previous experiences of the group in which they reported reduced postoperative opioid medications in ventral hernia repair using their protocol.