Comment to: Ventral hernia repair in high-risk patients and contaminated fields using a single mesh: proportional meta-analysis
(Source: Hernia)
Source: Hernia - April 21, 2024 Category: Sports Medicine Source Type: research
Challenges With Robot-Assisted Surgery Setup for Complex Minimally Invasive Upper Gastrointestinal Surgery
This study aimed to analyze challenges in the surgical setup for complex upper gastrointestinal robot-assisted surgery (UGI-RAS) and identify opportunities for solutions.METHODS: Direct observations of surgical setup processes for UGI-RAS were performed by a trained Human Factors researcher at a non-profit academic medical center in Southern California. Setup tasks were subdivided into five phases: (1) before wheels-in; (2) patient transfer and anesthesia induction; (3) patient preparation; (4) surgery preparation; and (5) robot docking. Start/end times for each phase/task were documented along with workflow disruption (FD...
Source: The American Surgeon - April 20, 2024 Category: Surgery Authors: Falisha F Kanji Aleeque Marselian Miguel Burch Monica Jain Tara N Cohen Source Type: research
Open inguinal hernia repair under ultrasound-guided ilioinguinal block is the procedure of choice in elderly patients
(Source: Hernia)
Source: Hernia - April 20, 2024 Category: Sports Medicine Source Type: research
Open intraperitoneal onlay mesh repair with anterior component separation as a bail-out procedure in the management of complex hernias
ConclusionsDespite a high SSO rate, application of the open IPOM technique with ACS could serve as a valuable rescue option for managing large and complex hernias, with acceptable hernia recurrence rates at long-term follow-up. (Source: Hernia)
Source: Hernia - April 20, 2024 Category: Sports Medicine Source Type: research
Open inguinal hernia repair under ultrasound-guided ilioinguinal block is the procedure of choice in elderly patients
(Source: Hernia)
Source: Hernia - April 20, 2024 Category: Sports Medicine Source Type: research
Single-incision laparoscopic total extraperitoneal inguinal hernia repair using the new articulating instruments: A video vignette
Asian J Surg. 2024 Apr 18:S1015-9584(24)00642-0. doi: 10.1016/j.asjsur.2024.04.010. Online ahead of print.NO ABSTRACTPMID:38641531 | DOI:10.1016/j.asjsur.2024.04.010 (Source: Asian Journal of Surgery)
Source: Asian Journal of Surgery - April 19, 2024 Category: Surgery Authors: Chul Seung Lee Gwan Chul Lee Choon Sik Chung Dong Keun Lee Source Type: research
Diagnosis and management of congenital diaphragmatic hernia: a 2023 update from the Canadian Congenital Diaphragmatic Hernia Collaborative
Conclusions
The 2023 Canadian CDH Collaborative’s clinical practice guideline update provides a management framework for infants and children with CDH based on the best available evidence and expert consensus. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition)
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - April 18, 2024 Category: Perinatology & Neonatology Authors: Puligandla, P., Skarsgard, E., Baird, R., Guadagno, E., Dimmer, A., Ganescu, O., Abbasi, N., Altit, G., Brindle, M., Fernandes, S., Dakshinamurti, S., Flageole, H., Hebert, A., Keijzer, R., Offringa, M., Patel, D., Ryan, G., Traynor, M., Zani, A., Chiu, P Tags: Editor's choice Original research Source Type: research
Fantoms
Diagnosis and management of congenital diaphragmatic hernia Editor’s choice for this issue is the updated guideline from the Canadian Congenital Diaphragmatic Hernia Collaborative. This is a very comprehensive document with a rigorous methodology that updates the previous version published in 2018. The revision incorporates new evidence to inform 20 changes to existing recommendations including aspects related to prenatal diagnosis, echocardiographic evaluation, pulmonary hypertension management, surgical readiness criteria, the type of surgical repair and long-term health surveillance. 15 new care recommendations we...
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - April 18, 2024 Category: Perinatology & Neonatology Authors: Stenson, B. J. Tags: Highlights from this issue Source Type: research
Early results of eTEP access surgery with preperitoneal repair of primary midline ventral hernias and diastasis recti. A 33 patient case series of “PeTEP”
ConclusionsWe believe the preperitoneal eTEP approach for small to medium primary midline hernias is an effective and solid repair that combines excellent features of proven surgical techniques and eliminates the need for posterior rectus sheath division while saving the retrorectus space, among other benefits that will be discussed. The reproducibility of the technique remains to be proven. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 18, 2024 Category: Surgery Source Type: research
Extreme —Super obesity and panniculectomy: bipolar radiofrequency scalpel assisted surgery as a valuable option for the most challenging cases
ConclusionsBRS assisted panniculectomy with minimal undermining is a valuable option for patients with extreme or super obesity. At the time of dissection, minimizing undermining and using BRS could make the operation safer and therefore extendable to a larger cohort of patients.Level of evidence: Level IV, Therapeutic; Risk/Prognostic. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 17, 2024 Category: Cosmetic Surgery Source Type: research
Response Regarding: Data, Statistics, and Humanity: The Fallacy of Numbers Without People
In response to our manuscript, “Mesh Type With Ventral Hernia Repair: A Systematic Review and Meta-Analysis of Randomized Controlled Trials,” Dr Hung and colleagues analyze the data using a trial sequential analysis and state that “the current evidence is inadequate to conclusively determine whether biologic mesh leads to h igher major complications rates than synthetic mesh.”1 They suggest that we randomize 3239 patients. We believe the blunt use of mathematics and statistics ignores real-world practicalities and the safety of patients undergoing randomized controlled trials. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - April 17, 2024 Category: Surgery Authors: Ali Siddiqui, Nicole B. Lyons, Zuhair Ali, Mike K. Liang Tags: Letter to the editor Source Type: research
Trends in minimally invasive and open inguinal hernia repair: an analysis of ACGME general surgery case logs
ConclusionsACGME case log data indicates a trend of general surgery residents logging overall fewer numbers of open inguinal and femoral hernia repairs, and a larger proportion of open repairs by chief residents. This trend warrants attention and further study as it may represent a skill or knowledge gap with significant impact of surgical training. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
Management of symptomatic, asymptomatic, and recurrent hiatal hernia: a systematic review and meta-analysis
ConclusionsThe evidence for optimal management of symptomatic and recurrent hiatal hernia remains controversial, underpinned by studies with a high risk of bias. Shared decision making between surgeon and patient is essential for optimal outcomes. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
