Cyanoacrylate for safer mesh fixation during laparoscopic repair of morgagni hernia

Publication date: Available online 27 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Carlos Hoyuela, Montserrat Juvany, Salvador GuillaumesAbstractThe surgical repair of all Morgagni hernia is recommended to avoid the risk of strangulation of hernia contents. Mesh augmentation repair can reduce the risk of recurrence but severe injuries have been reported on using tacks for the mesh fixation to the diaphragm. Cyanoacrylate can provide reliable mesh fixation and in addition, its application is easy and quick either by transthoracic or laparoscopic approach.This manuscript describes the main steps of the laparoscopic mesh augmentation repair of a Morgagni hernia focusing on the atraumatic mesh fixation with cyanoacrylate (CA) that should prevent the potential complications associated with tacks or sutures.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

Related Links:

ConclusionsWe report a laparoscopic trans-peritoneal approach for the safe, reproducible and efficacious repair of incisional inguinal hernias that result from CLND. In our opinion prevention of hernia recurrence can be achieved by a intraperitoneal large mesh fixed at superior and lateral margin borders with permanent fasteners and using cyanoacrylate glue to overlap inferior margin borders in order to prevent vessels and/or nerve injury.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
CONCLUSION: Closure of the fascial defect in laparoscopic umbilical hernia IPOM repair significantly reduced early seroma formation and long-term recurrence without inducing side-effects such as pain, or other early or late PROMs. Registration number: NCT01962480 ( https://www.clinicaltrials.gov). PMID: 31971616 [PubMed - in process]
Source: The British Journal of Surgery - Category: Surgery Authors: Tags: Br J Surg Source Type: research
Publication date: Available online 21 January 2020Source: The American Journal of SurgeryAuthor(s): Kenneth H. Perrone, Su Yang, Hossein Mohamadipanah, Brett Wise, Anna Witt, Cassidi Goll, Carla PughAbstractBackgroundWe hypothesized that differences in motion data during a simulated laparoscopic ventral hernia repair (LVH) can be used to stratify top and lower tier performers and streamline video review.Materials and methodsSurgical residents (N = 94) performed a simulated partial LVH repair while wearing motion tracking sensors. We identified the top ten and lower ten performers based on a final product quality score ...
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Conditions:   Hernia, Ventral;   Seroma as Procedural Complication Interventions:   Procedure: Peritoneal bridging;   Procedure: No peritoneal bridging Sponsors:   Karolinska Institutet;   Region Örebro County Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionMorgagni hernia is a rare form of congenital diaphragmatic hernia. It is commonly found either in the first few hours of life or in the antenatal period. It is less common in adults and is usually diagnosed accidentally in asymptomatic patients. Symptomatic adult cases are extremely rare. Respiratory symptoms are the most common presenting symptoms. The primary management for both symptomatic and incidentally discovered asymptomatic cases of Morgagni hernia is surgical correction. Various thoracic and abdominal surgical approaches have been described without a clear consensus on preference for operative repair technique.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
Conditions:   Hernia, Ventral;   Seroma as Procedural Complication Interventions:   Procedure: Peritoneal bridging;   Procedure: No peritoneal bridging Sponsors:   Karolinska Institutet;   Region Örebro County Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSION: Morgagni hernias are amenable to minimally invasive repair with this simple technique. With large defects, synthetic patches should be used. Recurrences are rare, and morbidity is low. PMID: 31926567 [PubMed - in process]
Source: The Permanente journal - Category: General Medicine Tags: Perm J Source Type: research
This study compares the impact of open (OIHR) versus laparoscopic (LIHR) inguinal hernia repair on healthcare spending and postoperative outcomes.MethodsThe TRUVEN database was queried using ICD9 procedure codes for open, laparoscopic, and robotic-assisted IHR, from 2012 to 2013. Patients  >  18 years of age and continuously enrolled for 12 months postoperatively were included. Demographics, patient comorbidities, postoperative complications, pain medication use, length of hospital stay, missed work hours, postoperative visits, and overall expenditure were collected, and assessed at time of surge...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
Source: Journal of Laparoendoscopic - Category: Surgery Authors: Source Type: research
More News: Cardiovascular & Thoracic Surgery | Gastroschisis Repair | Hernia Repair | Laparoscopy