Identifying Effectors of Outcomes in Patients with Large Umbilical Hernias.
This study aims to identify factors which lead to ideal outcomes (asymptomatic and without recurrence) in large umbilical hernias (defect size ≥9 cm(2)). Review of the prospective International Hernia Mesh Registry was performed. The Carolinas Comfort Scale was used to measure QOL at 1-, 6-, and 12-month follow-up. Demographics, operative details, complications, and QOL data were evaluated using standard statistical methods. Forty-four large umbilical hernia repairs were analyzed. Demographics included: average age 53.6 ± 12.0 and body mass index 34.9 ± 7.2 kg/m(2). The mean defect size was 21.7 ± 16.9 cm(2), and 72.7...
Source: The American Surgeon - June 30, 2016 Category: Surgery Authors: Groene SA, Heniford DW, Prasad T, Lincourt AE, Augenstein VA Tags: Am Surg Source Type: research
Quality of life and outcomes for femoral hernia repair: does laparoscopy have an advantage?
Conclusion
In this prospective international multi-institution study of 80 femoral hernia repairs, no difference was found for operative times, long-term outcomes, or QOL in the treatment of femoral hernias when comparing laparoscopic vs. open techniques. After repair, QOL at all time-points postoperatively improved compared to QOL scores preoperatively for laparoscopic and open femoral hernia repair. While international data supports improved outcomes with laparoscopic approach for femoral hernia repair, no data had existed prior to this study on the difference of approach impacting QOL. In the setting...
Source: Hernia - May 20, 2016 Category: Sports Medicine Source Type: research
Predictive Modeling for Chronic Pain Following Ventral Hernia Repair
Conclusions Patients who have pre-operative pain and at 1-month postoperatively are significantly more likely to have chronic pain. Both short and long-term pain can be predicted from female gender, younger age, and repair of recurrent hernias. This predictive model may aid in preoperative counseling and when considering postoperative intervention for pain management in VHR patients. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - May 11, 2016 Category: Surgery Source Type: research
The Oblique Anterolateral Approach to the Lumbar Spine Provides Access to the Lumbar Spine With Few Early Complications.
CONCLUSIONS: The risk of vascular complications after oblique lumbar interbody fusion seems to be lower compared with reported risk for anterior midline approaches, and the risk of neurologic complications after oblique lumbar interbody fusion seems to be lower than what has been reported with the extreme lateral transpsoas approach; however, we caution readers that head-to-head studies will need to be performed to confirm our very preliminary comparisons and results with the oblique psoas-sparing approach. Similarly, future studies will need to evaluate this approach in terms of later-presenting complications, such as inf...
Source: Clinical Orthopaedics and Related Research - May 8, 2016 Category: Orthopaedics Authors: Mehren C, Mayer HM, Zandanell C, Siepe CJ, Korge A Tags: Clin Orthop Relat Res Source Type: research
Incarcerated Inguinal Hernia Mesh Repair: Effect on Testicular Blood Flow and Sperm Autoimmunity.
CONCLUSIONS Although statistically significant differences in values of testicular flow parameters and immunologic sensitization in observed time, final values remained within the reference ranges in all patients. Our results suggest that the polypropylene mesh probably does not cause any clinically significant effect on testicular flow and immunologic response in both groups of patients.
PMID: 27149257 [PubMed - in process] (Source: Medical Science Monitor)
Source: Medical Science Monitor - May 7, 2016 Category: Research Tags: Med Sci Monit Source Type: research
