Comparison between mesh fixation and non-fixation in patients undergoing total extraperitoneal inguinal hernia repair
Conclusion: TEP seems to be a safe and effective surgical approach in inguinal hernia treatment with acceptable operation times and postoperative results. It was determined that not performing mesh fixation in the TEP application did not cause a statistical increase in morbidity and recurrence rates. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - July 3, 2020 Category: Rural Health Authors: A Acar I Kabak HK Tolan T Canbak Source Type: research

Retroileal anastomosis in hand-assisted laparoscopic left colectomy: experience at a single institution
ConclusionsHand-assisted laparoscopic retroileal routing is a feasible and safe technique in accomplishing a tension-free colorectal anastomosis when proximal colon length makes standard routing of the colon to the rectum an issue. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - July 1, 2020 Category: Surgery Source Type: research

Perioperative outcomes and cost of robotic-assisted versus laparoscopic inguinal hernia repair
AbstractBackgroundUtilization of robotic-assisted inguinal hernia repair (IHR) has increased in recent years, but randomized or prospective studies comparing outcomes and cost of laparoscopic and Robotic-IHR are still lacking. With conflicting results from only five retrospective series available in the literature comparing the two approaches, the question remains whether current robotic technology provides any added benefits to treat inguinal hernias. We aimed to compare perioperative outcomes and costs of Robotic-IHR versus laparoscopic totally extraperitoneal IHR (Laparoscopic –IHR).MethodsRetrospective analysis o...
Source: Surgical Endoscopy - July 1, 2020 Category: Surgery Source Type: research

A rare case of herniated duplex collecting system causing obstructive uropathy
An inguinal hernia is the protrusion of intraabdominal organs through an opening in the abdominal wall. Structures such as small and large intestines are commonly contained within inguinal hernias. However, ur... (Source: BMC Urology)
Source: BMC Urology - July 1, 2020 Category: Urology & Nephrology Authors: Christopher El Mouhayyar, Haoyang Wang, Laith Hattar, Fang-Yu Liu, Karen Feghali and Vaidyanathapuram Balakrishnan Tags: Case report Source Type: research

Stoma closure and reinforcement (SCAR): A study protocol for a pilot trial.
Abstract A quality metric for centers performing rectal cancer surgery is a high percentage of sphincter sparing procedures. These procedures often involve temporary bowel diversion to minimize the complications of an anastomotic leak. The most common strategy is a diverting loop ileostomy which is then closed after completion of adjuvant therapy or the patient recovers from surgery. Loop ileostomy is not without complications and the closure is complicated by a one in three chance of incisional hernia development. Strategies to prevent this problem have been designed using a variety of techniques with and without...
Source: Clinical Colorectal Cancer - June 26, 2020 Category: Cancer & Oncology Authors: Goldwag JL, Wilson LR, Ivatury SJ, Pauli EM, Tsapakos MJ, Wilson MZ Tags: Contemp Clin Trials Commun Source Type: research

Return to outdoor walking, car driving, and sexual activity following elective inguinal hernia repair: surgeons ’ perspective versus patients’ reality
ConclusionsPatients reported that times for resumption of outdoor walking, driving, and sexual activity were significantly longer than those recommended by surgeons. Age, BMI, bilateral repair, and recurrent hernias were found to be factors affecting return time to different activities. (Source: Hernia)
Source: Hernia - June 26, 2020 Category: Sports Medicine Source Type: research

Laparoscopic treatment of De Garengeot hernia with Progrip.
CONCLUSIONS: We describe a rare case of De Garengeot hernia treated laparoscopically. The treatment of such a condition is not standardized because of the few cases described. The laparoscopic approach should always be considered to perform at least an exploration of the abdominal cavity and evaluate the contents of the hernia sac. Laparoscopic hernia treatment should be carried out by experienced surgeons who are familiar with the technique and apply it routinely. KEY WORDS: Appendicitis, De Garengeot, Hernia, Laparoscopy. PMID: 32573487 [PubMed - in process] (Source: Annali Italiani di Chirurgia)
Source: Annali Italiani di Chirurgia - June 25, 2020 Category: Surgery Tags: Ann Ital Chir Source Type: research

Massive bladder inguinal hernia leading to acute urinary retention
We present a case of a patient with almost complete herniation of bladder into left inguinal canal into the left hemiscrotum. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - June 25, 2020 Category: Emergency Medicine Authors: Noah D. Bernhardson, Margaret H. Shepherd, Chester D. Shermer Source Type: research

Endolaparoscopic retromuscular repair of smaller midline ventral hernias —too much for too little?
(Source: Hernia)
Source: Hernia - June 24, 2020 Category: Sports Medicine Source Type: research

Staged complex abdominal wall hernia repair in morbidly obese patients
ConclusionsIn this study, staged mesh repair of complex abdominal wall hernias after bariatric surgery in morbidly obese patients was associated with acceptable morbidity and no hernia recurrences at approximately 1.5  year follow-up. (Source: Hernia)
Source: Hernia - June 24, 2020 Category: Sports Medicine Source Type: research

Complicated Umbilical Hernia in Children: An Experience in a Tertiary Hospital in Enugu, Nigeria
ConclusionComplications arising from umbilical hernias are rare events. However, there is need for early treatment when complications occur.This article is protected by copyright. All rights reserved. (Source: Surgical Practice)
Source: Surgical Practice - June 23, 2020 Category: Surgery Authors: Chukwubuike Kevin Emeka Tags: ORIGINAL ARTICLE Source Type: research

Surgical treatment of diastasis recti: the importance of an overall view of the problem
ConclusionOur experience shows the importance of an overall view of the functional and cosmetic impairment created by DR. The surgeon should obtain an optimal repair of the function, by open or minimally invasive surgery, also considering the morphological aspects, which are very important for the patients in terms of QoL. (Source: Hernia)
Source: Hernia - June 20, 2020 Category: Sports Medicine Source Type: research

Botulinum toxin to avoid component separation in midline large hernias
The goal of our study was to compare results in patients with large midline incisional hernia using modified anterior component separation versus preoperative botulinum toxin and following Rives repair, with a focus on surgical site occurrences, possibility of fascial closure, duration of hospital stay, and hernia recurrence rate. (Source: Surgery)
Source: Surgery - June 20, 2020 Category: Surgery Authors: Jos é Bueno-Lledó, Jesús Martinez-Hoed, Antonio Torregrosa-Gallud, Miriam Menendez-Gimenez, Salvador Pous-Serrano Source Type: research

Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps
The concept of single-port laparoscopic percutaneous extraperitoneal closure for the treatment of inguinal hernias repair in children has been practising recent years. The applicable instruments and skills are... (Source: BMC Surgery)
Source: BMC Surgery - June 19, 2020 Category: Surgery Authors: Yuanhong Xiao Tags: Research article Source Type: research

Using local hemostatic to prevent seromas in patients with large incisional hernias randomized controlled trial
ConclusionThe use of the local hemostatic agent Haemoblock can reduce the duration of the postoperative wound draining, shorten the period of inflammatory exudative processes in the postoperative wound, significantly reduce the number of puncture interventions for the postoperative wound, reduce the risk of the seromas formation and surgical site infections (SSI) associated with seroma, reduce the severity of pain and the need for analgesics. (Source: Hernia)
Source: Hernia - June 18, 2020 Category: Sports Medicine Source Type: research

[Bladder hernia: report of a case series and review of the literature].
We report a case series of five patients with the rare pathology of bladder hernia treated in our department in the past 20 years. PMID: 32557520 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)
Source: Aktuelle Urologie - June 18, 2020 Category: Urology & Nephrology Authors: Trenti E, Palermo S, Huqi D, Ladurner C, Krause P, Pycha A, Comploj E Tags: Aktuelle Urol Source Type: research

Where are the hernias? A paradoxical decrease in emergency hernia surgery during COVID-19 pandemic
(Source: Hernia)
Source: Hernia - June 16, 2020 Category: Sports Medicine Source Type: research

Minimally Invasive Surgery Is Feasible in Patients with Liver and Kidney Transplantation.
CONCLUSIONS Laparoscopic and non-laparoscopic MIS surgery are feasible and safe for abdominal organ transplant patients and are helpful for timely intervention in cases with acute abdomen. No adjustment of immunosuppressant is usually needed, as oral intake can be resumed very soon after surgery. PMID: 32541640 [PubMed - in process] (Source: Annals of Transplantation)
Source: Annals of Transplantation - June 16, 2020 Category: Transplant Surgery Authors: Hsu DW, Chang CM, Hsu CS, Yin WY Tags: Ann Transplant Source Type: research

Concurrent Ventral Hernia Repair Is Effective in Patients Undergoing Abdominally Based Microsurgical Breast Reconstruction
Conclusion Concurrent ventral hernia repair at the time of abdominally based microsurgical breast reconstruction appears to be safe and effective. Larger studies are needed to further define this relationship. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - June 15, 2020 Category: Surgery Authors: Kraft, Casey T. Chao, Albert H. Tags: Original Article Source Type: research

Watchful waiting is an appropriate option for peritoneal dialysis candidates with an asymptomatic ventral hernia
ConclusionWatchful waiting may be an acceptable option for select patients with asymptomatic ventral hernias at the time of initial PD catheter placement. These findings highlight the need to better identify factors associated with asymptomatic ventral hernias that do not warrant concomitant repair to aid surgeons in the decision-making process. (Source: Hernia)
Source: Hernia - June 15, 2020 Category: Sports Medicine Source Type: research

[CME Sonography 91: Differential Diagnosis of Lower Abdominal Pain].
Abstract CME Sonography 91: Differential Diagnosis of Lower Abdominal Pain Abstract. Pain in the lower abdomen is a frequent reason for further imaging clarification by sonography. The most frequent causes are appendicitis and diverticulitis, in addition to ureteral stones, ovarian and tubal pathology as well as various hernias. Appendicitis has a characteristic clinical presentation and can be diagnosed by CT or ultrasound. In children, the differential diagnosis is that of mesenteric lymphadenitis. Diverticulitis, often right-sided, can also be reliably diagnosed with CT or ultrasound. Not to be forgotten is the...
Source: Praxis - June 12, 2020 Category: General Medicine Authors: Tuma J, Serra A Tags: Praxis (Bern 1994) Source Type: research

Treatment outcomes of Kugel repair for obturator hernias: a retrospective study
We examined the validity and applicability of the Kugel repair approach for obturator hernias, whereby we placed a Kugel patch through the preperitoneal space after placing a short 5-cm skin incision just medi... (Source: BMC Surgery)
Source: BMC Surgery - June 12, 2020 Category: Surgery Authors: Yoshie Hosoi, Hiroshi Asano, Hiroyuki Fukano and Nozomi Shinozuka Tags: Research article Source Type: research

A neglected etiology of bronchiectasis: External compression due to hiatal hernia
Conclusions: Thus, hiatal hernia may cause bronchiectasis due to external compression rather than lymphadenopathy or the tumor as an etiology of bronchiectasis and should be considered in the differential diagnosis. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2020 Category: Rural Health Authors: EG Balbay EN Unlu AN Annakkaya O Balbay M Kos AA Safak Source Type: research

Does the Presence of a Hernia Sac Improve Survival in Newborns with Congenital Diaphragmatic Hernia? A United Kingdom Single-Center Experience
Conclusion In contrast to studies showing a survival advantage, albeit with smaller patient numbers, we report a statistical nonsignificant benefit of hernia sac. Better survival outcomes at this specialist center with CDH patients without a hernia sac than reported in other published studies are likely responsible for the lack of statistical significance observed, despite a larger cohort. National and international CDH registries yielding “big data” may provide further answers on the utility of a CDH hernia sac as a new prognostic scoring tool. [...] Georg Thieme Verlag KG Stuttgart · New YorkArtic...
Source: European Journal of Pediatric Surgery - June 11, 2020 Category: Surgery Authors: Jawaid, Wajid Sampat, Kit Losty, Paul D. Tags: Original Article Source Type: research

Surgical Treatment of Parostomal Hernias by Means of a 3D Mesh.
n-Cartes JA PMID: 32525449 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 11, 2020 Category: Surgery Authors: Bustos-Jiménez M, Martín-Cartes JA Tags: Surg Innov Source Type: research

Magnetic sphincter augmentation versus fundoplication for gastroesophageal reflux disease: pros and cons
This study demonstrated equivalency over many different operative outcomes, with MSA patients having less bloating while also retaining the ability to belch and vomit. Furthermore, independent research teams found a modest cost savings for MSA over laparoscopic fundoplication with budget analysis. Summary MSA is a safe and efficacious procedure originally approved for patients with medically refractory, uncomplicated gastroesophageal reflux disease. The accumulating body of evidence suggests patients with intestinal metaplasia or hiatal hernias can safely and effectively undergo MSA, whereas further research will be req...
Source: Current Opinion in Gastroenterology - June 9, 2020 Category: Gastroenterology Tags: ESOPHAGUS: Edited by Stuart J. Spechler Source Type: research

A systematic review of the use of progressive preoperative pneumoperitoneum since its inception
ConclusionPreoperative progressive pneumoperitoneum (PPP) is a beneficial and safe technique to use in preparing patients with large hernias, but the procedure is not free of complications. The technique has evolved through the years and, although many variations exist, it is possible to establish an algorithm for its application. (Source: Hernia)
Source: Hernia - June 9, 2020 Category: Sports Medicine Source Type: research

A low incidence of perineal hernia when using a biological mesh after extralevator abdominoperineal excision with or without pelvic exenteration or distal sacral resection in locally advanced rectal cancer patients
ConclusionsClosure of the perineal wound after (EL)APE with a biological mesh is associated with a low incidence of perineal hernia. Wound healing complications in this high-risk group of patients are comparable to those reported in the literature. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 8, 2020 Category: Surgery Source Type: research

Biological mesh used to repair perineal hernias following abdominoperineal resection for anorectal cancer.
CONCLUSION: Perineal hernia repair using a biological mesh resulted in a high recurrence rate in patients who had undergone APE for anorectal cancer. PMID: 32517871 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)
Source: Annales de Chirurgie Plastique et Esthetique - June 6, 2020 Category: Cosmetic Surgery Authors: Jafari M, Schneider-Bordat L, Hersant B Tags: Ann Chir Plast Esthet Source Type: research

Sonographic “speech bubble/speech box sign” in clinically occult femoral hernias: ultrasound findings and anatomical basis
AbstractFemoral hernia is the protrusion of a peritoneal sac through the femoral ring into the femoral canal lying deep and inferior to the inguinal ligament. The hernia sac usually contains preperitoneal fat, omentum, bowel, or fluid. Ultrasound is recommended as the first-line investigation for diagnosing clinically occult femoral hernias in nonemergency settings, whereas CT is the imaging of choice in emergency settings. High accuracy of the ultrasound in clinically occult femoral hernia is further validated with further CT and MRI. In this article, we propose sonographic detection of the physiological peritoneal fluid ...
Source: Journal of Ultrasound - June 5, 2020 Category: Radiology Source Type: research

Hybrid: Evolving techniques in laparoscopic ventral hernia mesh repair
Conclusion: LVHHMR is safe and feasible approach for complicated/difficult ventral hernias. However, further larger studies are required to establish these methods as gold standard. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 5, 2020 Category: Surgery Authors: MD Wasim Uday M Muddebihal U Vasudeva Rao Source Type: research

Clinical factors associated with success in applying laparoscopy in the management of small bowel obstruction at a tertiary care center
ConclusionsLaparoscopy is effective in treating SBOs due to various etiologies including single band or multiple adhesions, hernias, or masses. Other than BMI, there was no single predictor of success or failure with laparoscopy. Therefore, we conclude that perhaps all patients requiring operative treatment for SBO deserve consideration for a diagnostic laparoscopy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - June 4, 2020 Category: Surgery Source Type: research

Re-do surgery after prosthetic abdominal wall repair: intraoperative findings of mesh-related complications
ConclusionsLong-term implant results in abdominal wall repair and are not completely known, and literature is still lacking on this topic. Re-do surgery for subsequent pathological events may represent a way to increase our knowledge. (Source: Hernia)
Source: Hernia - June 3, 2020 Category: Sports Medicine Source Type: research

Health care disparity exists among those undergoing emergent hernia repairs in New York State
ConclusionRace is a contributing factor in who undergoes an emergent hernia repair in New York State. A significantly larger proportion of the African American population is undergoing hernia repair in the emergent setting. Socioeconomic status, as indicated by the significant number of Medicaid patients undergoing emergent hernia repairs, also plays a role. (Source: Hernia)
Source: Hernia - June 3, 2020 Category: Sports Medicine Source Type: research

Learning curve in robotic transabdominal preperitoneal (rTAPP) ventral hernia repair: a cumulative sum (CUSUM) analysis
ConclusionsForty-six cases were needed to achieve steadily decreasing operative times. We can assume that ensuring good-quality repairs, through maintenance of peritoneal flap integrity, was gradually improved after sixty-one cases. Moreover, familiarization with port placements and robotic docking was accomplished after forty-three cases. (Source: Hernia)
Source: Hernia - June 3, 2020 Category: Sports Medicine Source Type: research

Implementing preoperative Botulinum toxin A and progressive pneumoperitoneum through the use of an algorithm in giant ventral hernia repair
ConclusionOur algorithm using both anterior or posterior component separation, together with  preoperative BTA injections and PPP, achieved an acceptable fascial closure rate. Further studies are needed to explore the individual potential of BTA injections and PPP, and to research whether these methods can prevent the need for component separation, as postoperative wound morbidity remains high in our study. (Source: Hernia)
Source: Hernia - June 3, 2020 Category: Sports Medicine Source Type: research

Robotic assisted eTEP ventral hernia repair: Brazilian early experience
ConclusionWe present the first brazilian series to-date of the robotic assisted eTEP approach for ventral hernia repairs. Although long term outcomes require further analysis, its feasibility and reproducibility in experienced surgeons hands are evident, with safe and acceptable early postoperative outcomes. (Source: Hernia)
Source: Hernia - June 3, 2020 Category: Sports Medicine Source Type: research

Comparative study of collagen and elastin content of abdominal wall fascia in inguinal hernia and non-hernia patients in an African population
AbstractPurposeAltered composition of collagen and elastin in abdominal fascia has been linked with the pathogenesis of hernias. This has not been studied amongst Africans who have hernia presentations which vary significantly from Caucasian cohorts. The aim of this study was to determine, and compare, the collagen and elastin contents of the transversalis fascia and rectus sheath of inguinal hernia patients with non-hernia controls.MethodsTwenty-five patients with solitary, primary, uncomplicated inguinal hernia and twenty-five non-hernia controls were evaluated. Biopsies of the transversalis fascia and anterior rectus sh...
Source: Hernia - June 2, 2020 Category: Sports Medicine Source Type: research

Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer
ConclusionAge and the SFA were independent risk factors for extraction site incisional hernia in patients undergoing gastrectomy for gastric cancer. (Source: Surgery Today)
Source: Surgery Today - June 2, 2020 Category: Surgery Source Type: research

Comment on “Sleeve gastrectomy with concomitant hiatal hernia repair in obese patients: long-term results on gastroesophageal reflux disease”
In the paper by Angrisani et al, the authors tackle an important question, namely; what are the long term outcomes regarding gastroesophageal reflux disease (GERD) in patients undergoing sleeve gastrectomy (SG) [1]? Many surgeons consider GERD to be the Achilles heel of the SG, and it is one of the main reasons for conversion of the SG to other procedures such as the gastric bypass [2]. The last International Consensus Conference on SG demonstrated that over 50% of surgeons considered GERD to be a relative contrindication to the SG, and also that hiatal hernias (HH) should be repaired when encountered [3]. (Source: Surgery...
Source: Surgery for Obesity and Related Diseases - June 2, 2020 Category: Surgery Authors: Benjamin Clapp Source Type: research

Comment on: Sleeve gastrectomy with concomitant hiatal hernia repair in obese patients: long-term results on gastroesophageal reflux disease
In the paper by Angrisani et  al. [1], the authors tackle an important question, namely, what are the long-term outcomes regarding gastroesophageal reflux disease (GERD) in patients undergoing sleeve gastrectomy (SG)? Many surgeons consider GERD to be the Achilles’ heel of the SG, and it is one of the main reasons for conver sion of the SG to other procedures, such as the gastric bypass [2]. The last International Consensus Conference on SG demonstrated>50% of surgeons considered GERD to be a relative contraindication to the SG, and also hiatal hernias (HH) should be repaired when encountered [3]. (Source: Su...
Source: Surgery for Obesity and Related Diseases - June 2, 2020 Category: Surgery Authors: Benjamin Clapp Tags: Editorial comment Source Type: research

A Randomized Controlled Trial Comparing Short-term Outcomes of Self-Gripping (Progrip) Mesh Versus Fibrin Sealant in Laparoscopic Total Extraperitoneal Hernioplasty
Conclusions: There was no significant difference in terms of chronic pain between PG and FS group. The use of PG is effective in TEP. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - June 1, 2020 Category: Surgery Tags: Original Articles Source Type: research

Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review
Giant hiatal hernia (GHH) is a condition where one-third of the stomach migrates into the thorax. Nowadays, laparoscopic treatment gives excellent postoperative outcomes. Strangulated GHH is rare, and its emer... (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - June 1, 2020 Category: Emergency Medicine Authors: Graziano Ceccarelli, Alessandro Pasculli, Walter Bugiantella, Michele De Rosa, Fausto Catena, Fabio Rondelli, Gianluca Costa, Aldo Rocca, Mattia Longaroni and Mario Testini Tags: Review Source Type: research

In the eye of the beholder: surgeon variation in intra-operative perceptions of hiatal hernia and reflux outcomes after sleeve gastrectomy
AbstractBackgroundHiatal hernia repair performed at the time of laparoscopic sleeve gastrectomy (LSG) may reduce post-operative reflux symptoms. It is unclear whether intra-operative diagnosis of hiatal hernia varies among surgeons or if it affects outcomes.Study designSurgeons (n = 38) participating in a statewide bariatric surgery quality improvement collaborative reviewed 33 videos of LSG in which no hiatal hernia repair was performed. Reviewers were blinded to patient information and were asked whether they perceived a hiatal hernia. Surgeon characteristics and surge on-specific patient outcomes for LSG w...
Source: Surgical Endoscopy - June 1, 2020 Category: Surgery Source Type: research

973 endoscopic reduction of type iv paraesophageal hernia
Type IV paraesophageal hernias are characterized by upward dislocation of the intra-abdominal organs into the thoracic cavity and presence of a structure other than the stomach within the hernia sac. While surgical repair is traditionally indicated in symptomatic patients with a paraesophageal hernia, limited options are available for patients deemed to poor surgical candidates. In this video, we describe a successful case of endoscopic type IV paraesophageal hernia reduction. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 1, 2020 Category: Gastroenterology Authors: Thomas R. McCarty, Ahmad Najdat Bazarbashi, Ali M. Abbas, Kelly Hathorn, Christopher C. Thompson Tags: Oral abstracts Source Type: research

Fallopian tube herniation from trocar-site after laparoscopic appendectomy.
This report unveils a 5mm trocar site herniation of right fallopian tube following laparoscopic appendectomy. In this case study, a 19-year-old female patient applied to the emergency department because of a discharge in the right lower quadrant was reported. She explained that she had undergone laparoscopic appendectomy two days before and discharged the next day uneventfully. The surgical report described a suction drain in the right lower quadrant where the patient was suffering from the discharge. The physical examination revealed no tenderness, but an abdominal CT disclosed an edematous tubular structure herniating fr...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Ergin A, Işcan Y, Ağca B, Karip B, Memisoğlu K Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

A rarely encountered case: A neuroendocrine tumor in strangulated Littre's hernia.
In this study, we present a case of neuroendocrine tumor in strangulated Littre's hernia, on which we did not find a study when we reviewed the relevant literature. A 71-year-old male patient presented to our outpatient clinic with complaints of left groin pain and swelling in the groin. Acute abdomen findings were also present in the abdominal examination of the patient. The patient was operated on immediately and it was observed during the operation that the herniated Meckel's diverticulum was perforated. Segmental small intestine resection was performed. The pathology results of the patient revealed a well-differentiate...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Erdoğan A, Bostanoğlu A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The role of the lactate level in determining the risk rates of small bowel resection in incarcerated hernias.
This study aims to examine the markers that may be effective in determining the risk of small bowel resection due to incarcerated hernias. In particular, we aimed to investigate the effect s of blood lactate levels in determining this risk. METHODS: A cross-sectional retrospective study was designed. Patients, whose preoperative diagnosis were reported as incarcerated hernia and had essential information, were included in this study. They were divided into two groups according to whether they had resection or not. Age, gender, hernia type, hernia side, resection material, blood lactate level (BLL), white blood cell (W...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Şahin M, Buluş H, Yavuz A, Turhan VB, Öztürk B, Kılıç NA, Babayiğit M, Öztürk D Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Correction to: Trocar Site Hernias in Bariatric Surgery —an Underestimated Issue: a Qualitative Systematic Review and Meta-Analysis
The review was not registered for systematic reviews and meta-analyses, and should be disregarded. (Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

A new technique for the 3D reconstruction of the incisional hernia: A pilot study
This study aimed to accurately evaluate incisional hernias with a new three-dimensional (3D) reconstruction technology, proving surgeons more information for intuitive and accurate judgments about incisional hernia to minimize the perioperative complications and recurrence rate. (Source: Clinical Imaging)
Source: Clinical Imaging - May 29, 2020 Category: Radiology Authors: Qi Zhang, Xiaojian Fu, Kai He, Hao Chen, Yuze Zheng, Xiaoyuan Feng, Qiyuan Yao Tags: Body Imaging Source Type: research