Study of Absorbable Biosynthetic Meshes in Contaminated Ventral Hernia Repair
Condition: Ventral Hernia Repair Intervention: Sponsor: University Hospital, Strasbourg, France Recruiting
CONCLUSION: The etiology of chronic groin pain post hernia repair is related in part to nerve injury. This is supported by the high frequency of sensory symptoms and numbness in these patients. However other factors including the role of tissue injury and inflammatory postoperative changes need to be considered. KEY WORDS: Chronic postoperative pain, Inguinal hernia repair, Open surgery, Laparoscopic surgery. PMID: 31719216 [PubMed - as supplied by publisher]
BACKGROUND: Reconstruction of the pelvic floor defect caused by extralevator abdominoperineal excision poses a challenge for the surgeon. OBJECTIVE: The aim of this study was to analyze the long-term perineal wound complications in patients undergoing conventional primary closure versus biological mesh–assisted repair after extralevator abdominoperineal excision. DESIGN: This was a single-institution retrospective observational study. SETTINGS: The study was conducted at a tertiary academic medical center. PATIENTS: Patients with low advanced rectal cancer undergoing extralevator abdominoperineal excisi...
Groin hernia repair is the most common elective operation performed worldwide with over 20 million operations per year. The rate of hernia surgery varies from 10 per 10000 people in the United Kingdom to 28 per 10000 people in the United States. Around 5% –15% of hernia patients have incarceration, of which approximately 15% of cases may evolve into bowel necrosis requiring bowel resection. Patients with bowel necrosis have a significantly longer hospitalization and a higher postoperative complications, which varied from 6% to 43%[4–7], with a mortality rate of 1%–7%[4,6].
Publication date: Available online 14 November 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Cecilie B Paulsen, Dennis Zetner, Jacob RosenbergAbstractIncisional hernia is a well-known complication following abdominal surgery. A frequently performed abdominal operative procedure is cesarean section. In 2015 the median cesarean section rate in Europe was 27% with rates up to 57% when looking at individual countries, and the rates of cesarean sections increased with 4% in Europe from 2010 to 2015. Nonetheless, the occurrence of incisional hernia subsequent to cesarean sections i...
Mortality is higher in frail patients than previously thought, researchers at Vanderbilt University Medical Center said, and therefore no procedure should be deemed 'low-risk'.
CONCLUSION: SIL is a laparoscopic technique that can safely be offered to patients presenting abdominal diseases. The main advantages include enhanced cosmetic results and reduced abdominal trauma. The main disadvantages are patient selection, a longer operative time for some procedures, and a need to expose the operative field for some other procedures. PMID: 31710087 [PubMed - in process]
Publication date: Available online 11 November 2019Source: The American Journal of SurgeryAuthor(s): Jennie Meier, Sergio Huerta
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 ...
Sexual dysfunction (SD) and pain with sexual activity (PSA) are common after inguinal hernia repair, but reported rates vary. Sources of variation are explored in this meta-analysis, but influence of procedure type remains unresolved. Preoperative discussion and prospective study designs should consider outcomes of SD and PSA.
No abstract available