e-TEP repair for midline primary and incisional hernia: technical considerations and initial experience

ConclusionThe e-TEP-RS technique for large, complex, midline, ventral abdominal hernias can be used with excellent results and acceptable morbidity. This technique is technically challenging and should be mastered in relatively smaller ventral hernias to achieve good results before attempting it in larger, complex ones.
Source: Hernia - Category: Sports Medicine Source Type: research

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ConclusionsA selective approach to the inguinal hernia in adolescent patients based on the size of the defect appears justified.
Source: Hernia - Category: Sports Medicine Source Type: research
Conclusions: Almost one-fifth of women suffered of chronic pain affecting daily activity after groin hernia repair. Chronic pain was more common for women than men. In view of the high-rate chronic postoperative pain, further research on management strategies in female groin hernia is warranted.
Source: Annals of Surgery - Category: Surgery Tags: FEATURES Source Type: research
ConclusionsThe best available evidence suggests that TREPP may be a promising technique for elective repair of inguinal hernias as indicated by low risks of recurrence, chronic pain, haematoma, and wound infection. The available evidence is limited to studies from a same country conducted by almost the same research group which may affect generalisability of the findings. Moreover, there is a lack of comparative evidence on outcomes of TREPP versus other techniques highlighting a need for high-quality randomised controlled trials for definite conclusions. Although the available evidence is not adequate for definite conclus...
Source: Hernia - Category: Sports Medicine Source Type: research
This article presents the outcomes of 150 consecutive r-TAPP inguinal hernia repairs performed on 111 patients using Progrip mesh without fixation, with up to 24 months of follow-up. The initial 150 consecutive r-TAPP inguinal hernia repairs were performed from February 2017 to April 20 18 using Progrip without fixation. All patients were seen at 2 weeks, followed by phone follow-up at 6 months, 1 year, and 2 years. Of the 111 patients, 39 had bilateral hernias (35%) and 72 had unilateral hernias (65%). The age range was 18–93 years. The BMI range was 20.7–50.2, with a mean of 26.4...
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research
Ann R Coll Surg Engl. 2022 Jan 4. doi: 10.1308/rcsann.2021.0249. Online ahead of print.ABSTRACTA 59-year-old man presented to our surgical clinic with a long-standing history of heart burn, and upper abdominal pain. Gastroscopy showed a large sliding hiatus hernia associated with severe reflux oesophagitis. Oesophageal pH manometry revealed a high DeMeester score of 36.03. A computed tomography (CT) scan was performed for preoperative hiatal hernia repair planning. This showed the incidental finding of an accessory left hepatic artery (ALHA) and an aneurysm of this accessory artery. The aneurysm occurred at the point where...
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Source Type: research
CONCLUSION: Paraduodenal hernias are frequently diagnosed late or incidentally because of vague symptoms. They are rarer and carry higher lifetime risk of strangulation and bowel obstruction. Surgical management is necessary after diagnosis.PMID:34934484 | PMC:PMC8654635 | DOI:10.1016/j.amsu.2021.103135
Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
Conclusions: According to our experience, the e-TEP technique can be safely performed in scrotal hernias as it offers a larger dissection plane. It also allows patients with large scrotal hernias to benefit from all the advantages of the TEP technique.PMID:34935480 | DOI:10.1089/lap.2021.0601
Source: Adv Data - Category: Epidemiology Authors: Source Type: research
CONCLUSION: Paraduodenal hernias are frequently diagnosed late or incidentally because of vague symptoms. They are rarer and carry higher lifetime risk of strangulation and bowel obstruction. Surgical management is necessary after diagnosis.PMID:34934484 | PMC:PMC8654635 | DOI:10.1016/j.amsu.2021.103135
Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
Conclusions: According to our experience, the e-TEP technique can be safely performed in scrotal hernias as it offers a larger dissection plane. It also allows patients with large scrotal hernias to benefit from all the advantages of the TEP technique.PMID:34935480 | DOI:10.1089/lap.2021.0601
Source: Adv Data - Category: Epidemiology Authors: Source Type: research
CONCLUSION: An abdominal binder may reduce pain after incisional hernia repair with the IPOM technique. The postoperative use of analgesic medication was not measured.PMID:34857076 | DOI:10.3238/arztebl.m2021.0250
Source: Deutsches Arzteblatt International - Category: General Medicine Authors: Source Type: research
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