Mesh fixation in open IPOM procedure with tackers or sutures? A randomized clinical trial with preliminary results
ConclusionsThe present study failed to show an advantage of tacks over suture fixation and even there are more severe adverse events. Using tacks significantly increases the costs of hernia repair. (Source: Hernia)
Source: Hernia - June 24, 2019 Category: Sports Medicine Source Type: research

Robot-assisted Toupet fundoplication and associated cholecystectomy in symptomatic giant hiatal hernia with situs viscerum inversus—A case report and literature review
ConclusionIn challenging cases as the giant hernias ad rare anomaly as situs viscerum inversus, the surgical treatment can be facilitated by the use of robotic technology. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - June 22, 2019 Category: Surgery Source Type: research

Individual mesh size for open anterior inguinal hernia repair: an anthropometric study in Turkish male patients
ConclusionsThe intraoperative measurements for ideal mesh size in Lichtenstein repair of inguinal hernias may present somewhat different mesh dimensions in many patients. Individualization of mesh size may be of importance in surgical outcomes. (Source: Hernia)
Source: Hernia - June 20, 2019 Category: Sports Medicine Source Type: research

New, simple and reliable volumetric calculation technique in incisional hernias with loss of domain
AbstractIntroductionThe management of hernias with loss of domain is a challenging problem. It has been shown that the volume of the incisional hernia/peritoneal volume ratio
Source: Hernia - June 19, 2019 Category: Sports Medicine Source Type: research

Internal Hernias in Pregnant Females with Roux-en-Y Gastric Bypass: A Systematic Review
Bariatric surgery has become of the most effective solutions for sustained weight loss in the world [1]. Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most common procedures for treatment of morbid obesity. Females are more likely to undergo a bariatric procedure for weight loss. While significant and sustained weight loss is the primary advantage to bariatric surgery, other positive outcomes include improved fertility in women [2]. This improved fertility can increase the chances of pregnancy. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 19, 2019 Category: Surgery Authors: Devangi M. Dave, Kevin O. Clarke, John A. Manicone, Adam M. Kopelan, Alan A. Saber Tags: Review articles Source Type: research

Do pediatricians routinely perform genitourinary examinations during well-child visits? A review from a large tertiary pediatric hospital
The male genital examination is a common source of discomfort for the patient and medical provider. Performance of male genital examination is imperative; however, as many treatable diagnoses can be made. Undescended testicles (UDTs), hernias, testicular tumors, and urethral abnormalities are all potentially concerning findings which can be discovered on routine examination. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - June 19, 2019 Category: Urology & Nephrology Authors: J.A. Gerber, A. Balasubramanian, C.J. Jorgez, M.A. Shukla, J.S. Jacob, H. Zhu, K.R. Sheth, A. Mittal, D.D. Tu, C.J. Koh, N. Janzen, M.-H. Wang, P.F. Austin, E.T. Gonzales, D.R. Roth, A. Seth Source Type: research

Stomal stenosis during gradual closure of a traumatic abdominal wall hernia
ConclusionGradual postoperative closure of a traumatic abdominal wall hernia with an ostomy in place may result in stomal stenosis. Stomal patency must be carefully evaluated during this process. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - June 18, 2019 Category: Surgery Source Type: research

Patient reported outcome following incisional hernia repair: A survey on 163 patients at two maximum care hospitals
ConclusionsDue to our findings we assume that the AB may induce immobility and reduce postoperative pain. A prolonged period of physical rest and wearing an AB does not seem to have an impact on the postoperative outcome following IHR. Therefore, a shortened duration of physical rest and wearing an AB following IHR should be taken under consideration. To reveal more evidence on this topic further clinical trials are essential. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 16, 2019 Category: General Medicine Source Type: research

Pre-operative characteristics and their role in prolonged intubation following abdominal wall reconstruction
ConclusionsPost-operative prolonged intubation is a known complication of AWR. We have demonstrated that pre-operative factors, such as a history of COPD, ASA 3 or 4, current smoker, and a BMI  >  40 kg/m2 are factors associated with a prolonged intubation. Optimization of each may allow for a reduction in the risk of prolonged intubation in patients undergoing AWR. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - June 14, 2019 Category: Surgery Source Type: research

The use of self-gripping mesh with anterior component separation technique in incisional hernia repair: A case series
ConclusionThe use of self-gripping mesh with ACS can be performed without increasing the operative time or causing short-term surgical complications. This technique may be recommended for large IH because of its simplicity and secure abdominal reinforcement provided. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - June 13, 2019 Category: Surgery Source Type: research

Parastomal hernias causing symptoms or requiring surgical repair after colorectal cancer surgery —a national population-based cohort study
AbstractPurposeParastomal hernia is a complication with high morbidity that affects the patient ’s quality of life. The aim of this study was to assess the cumulative incidence of parastomal hernia in patients who have undergone colorectal cancer surgery and to identify potential risk factors that could predispose to the development of this type of hernia in a large population-based cohort o ver a long follow-up period.MethodsThe Swedish Colorectal Cancer Registry and the National Patient Register were used to collect study cohort data between January 2007 and September 2013. All patients undergoing colorectal cancer...
Source: International Journal of Colorectal Disease - June 13, 2019 Category: Gastroenterology Source Type: research

Mesh OR Patch for Hernia on Epigastric and Umbilical Sites (MORPHEUS-Trial): The Complete Two-year Follow-up
Conclusions: In small epigastric and small umbilical hernia repair a flat polypropylene mesh repair was associated with a lower complication rate than PVP repair. No differences in recurrence rates were seen. Combining all complications, the preperitoneal positioned flat polypropylene mesh performed better. (Source: Annals of Surgery)
Source: Annals of Surgery - June 12, 2019 Category: Surgery Tags: RANDOMIZED CONTROLLED TRIALS Source Type: research

How to choose among fundoplication, magnetic sphincter augmentation or transoral incisionless fundoplication
Purpose of review To examine current trends and research in nonmedical approaches to the treatment of gastroesophageal reflux disease (GERD). Recent findings Long-term studies of GERD patients treated with transoral incisionless fundoplication (TIF) have found that a large portion of patients resume proton pump inhibitor therapy. In patients with uncomplicated GERD, magnetic sphincter augmentation (MSA) shows excellent short-term results in both patient satisfaction and physiologic measures of GERD, with fewer postoperative side-effects than fundoplication, although dysphagia can be problematic. Summary Fundoplicat...
Source: Current Opinion in Gastroenterology - June 11, 2019 Category: Gastroenterology Tags: ESOPHAGUS: Edited by Stuart J. Spechler Source Type: research

Long-term outcomes of enzyme replacement therapy for Taiwanese patients with Mucopolysaccharidosis I
Mucopolysaccharidosis (MPS) I is an autosomal recessive lysosomal storage disorder resulting from a deficiency in the lysosomal enzyme α-l-iduronidase, leading to the accumulation of the glycosaminoglycans (GAGs) dermatan sulfate (DS) and heparan sulfate (HS) in cells throughout the body. The clinical characteristics of MPS I include cognitive impairment (severe form), coarse facial features, corneal clouding, respiratory disorder s, cardiac diseases, hepatomegaly, umbilical and inguinal hernias, skeletal abnormalities, and joint contractures. (Source: Pediatrics and Neonatology)
Source: Pediatrics and Neonatology - June 10, 2019 Category: Perinatology & Neonatology Authors: Hsiang-Yu Lin, Chung-Lin Lee, Chih-Kuang Chuang, Shuan-Pei Lin Tags: Short Communication Source Type: research

Enhanced recovery after surgical repair of incisional hernias
ConclusionsLike in other surgeries, ERPs were feasible and probably efficient to improve the post-operative course of incisional hernia patients. But the level of evidence remains low. (Source: Hernia)
Source: Hernia - June 8, 2019 Category: Sports Medicine Source Type: research

Contribution of heparin to recovery of incarcerated intestine in a rat incarcerated hernia model
ConclusionsThe results of this study are significant for planning the treatment of incarcerated inguinal hernia. Further, heparin is superior to procaine in terms of expedite recovery from intestinal incarceration. (Source: Hernia)
Source: Hernia - June 6, 2019 Category: Sports Medicine Source Type: research

Umbilicoplasty in neonates with a new technique: Results of 20-year follow-up
Conclusions: All patients had successful abdominal wall closure. Most of the patients had minimal scar of the large hernia repair and the umbilicus was normal looking and well accepted cosmetically. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - June 6, 2019 Category: Surgery Authors: Sanjay Suryaji Prabhu Khope Neena Vishwajeet Phaldesai Source Type: research

Laparoscopic Surgeons' Perspectives on Risk Factors for and Prophylaxis of Trocar Site Hernias: A Multispecialty National Survey.
Authors: Wells A, Germanos GJ, Salemi JL, Mikhail E Abstract Background and Objectives: Although trocar site hernias (TSHs) occur in only 1.5% to 1.8% of all laparoscopic procedures, TSHs can present serious postoperative complications. The purpose of this study was to survey surgeons who are active members of the Society of Laparoendoscopic Surgeons (SLS) to elicit their experiences with TSHs, including fascial closure preferences. Methods: After reviewing the clinical and epidemiological literature to compile relevant questions, an anonymous survey was designed using Qualtrics web-based software. The survey l...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 4, 2019 Category: Surgery Tags: JSLS Source Type: research

Broad Band Ligament Hernia Revisited (85 Cases of Allen-Master ’s Syndrome; History and Perspectives)
AbstractPurpose of ReviewThe purpose of this review is to update readers on the characteristics and pathogenesis of internal hernia secondary to a defect of broad ligament of the uterus.Recent FindingsThe etiopathogenesis of the disease is controversial. There are two main hypotheses to explain the generation of the defect in the ligament. The first of them would explain this entity as a result of obstetric trauma, an inflammatory pelvic disease, or gynecological surgery. However, in the absence of them, the second hypothesis would speak of congenital defects due to rupture of cysts of the ligament itself. In either case, ...
Source: Current Obstetrics and Gynecology Reports - June 4, 2019 Category: OBGYN Source Type: research

State of the art: open mesh-based inguinal hernia repair
AbstractOpen inguinal hernia repair remains the most universal, ubiquitous, reliable, and cost-effective method of addressing the global burden of groin hernias. Advances in anatomic understanding and technique have refined a few well-established techniques that can address the majority of the burden of disease with low rates of morbidity, recurrence, and chronic pain. Prosthetic reinforcement has become routine because of the clear reduction in recurrence rates in general practice conferred by mesh and the less-appreciated consideration of simplification of the repair whereby operator variability, hernia type, anatomic va...
Source: Hernia - June 4, 2019 Category: Sports Medicine Source Type: research

Extended totally extraperitoneal repair (eTEP) for ventral hernias: Short-term results from a single centre
Conclusion: Judging from our short-term results, we suggest that the eTEP technique can be adapted in centres with advanced laparoscopic skills with the careful patient selection. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 4, 2019 Category: Surgery Authors: Sarfaraz Jalil Baig Pallawi Priya Source Type: research

Laparoscopic parastomal hernia repair: A modified technique of mesh placement in Sugarbaker procedure
Conclusion: Modified placement of composite mesh is safe and helps in minimising mesh-related complications of the Sugarbaker technique for parastomal hernias. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 4, 2019 Category: Surgery Authors: Sameer Rege Amiteshwar Singh Ajinkya Rewatkar Janesh Murugan Richard Menezes Shrinivas Surpam Roshan Chiranjeev Source Type: research

Open versus laparoscopic mesh repair of primary unilateral uncomplicated inguinal hernia: a systematic review with meta-analysis and trial sequential analysis
ConclusionThis meta-analysis and trial sequential analysis report no difference in recurrence rates between laparoscopic and open primary unilateral inguinal hernia repairs. Rates of acute and chronic pain are significantly less in the laparoscopic group. (Source: Hernia)
Source: Hernia - June 3, 2019 Category: Sports Medicine Source Type: research

Femoral hernia containing the right fallopian tube: chronic pain with menstruation.
Abstract Femoral hernias represent less than 10% of groin hernias and appear mainly in adult women; incarceration is more usual than in other hernias. Content found within the sac is commonly small bowel or omentum. Other anatomical structures, such as appendix, bladder, Meckel's diverticulum, ectopic testis, stomach and gynaecological organs are extremely unusual. A 48-year-old woman presented with intense right groin pain over 48 hours. Her past medical history revealed periodical moderate right groin pain coincident with her menstrual cycles, usually self-limited. No abdominal symptoms or fever were present. On...
Source: Annals of the Royal College of Surgeons of England - June 3, 2019 Category: Surgery Authors: Marcos-Santos P, Bailon-Cuadrado M, Choolani-Bhojwani E, Pacheco-Sanchez D Tags: Ann R Coll Surg Engl Source Type: research

Patients with Barrett ’s esophagus (BE) are more likely to have hiatal hernias (HH) than the general population. Studies have proven that the hiatal hernias are typically longer and wider in patients with BE. It is believed that HH contribute to the development of BE given the increased exposure to hydrochloric acid. T herefore, the aim of our study is to determine whether patients with HH have an odds of developing BE by examining inpatient prevalence, as well as odds of undergoing ablation in the inpatient setting. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 1, 2019 Category: Gastroenterology Authors: Paul T. Kroner, Alex M. Kesler, Peter Abader, Mohammad Afsh, Victor Ciofoaia, Kenneth R. DeVault Tags: Saturday abstract Source Type: research

Richter's hernia in a 3-month-old colt - A rare event.
This report describes a case of Richter's hernia in a 3-month-old colt that was presented with signs of acute colic. The foal underwent a herniorrhaphy with intestinal resection and anastomosis. PMID: 31156267 [PubMed - in process] (Source: The Canadian Veterinary Journal)
Source: The Canadian Veterinary Journal - June 1, 2019 Category: Veterinary Research Authors: Avison A Tags: Can Vet J Source Type: research

A systematic methodological review of non-randomised interventional studies of elective ventral hernia repair: clear definitions and a standardised minimum dataset are needed
ConclusionCurrently, non-randomised interventional studies of VH repair are methodologically poor. Clear outcome definitions and a standardised minimum dataset are needed. (Source: Hernia)
Source: Hernia - May 31, 2019 Category: Sports Medicine Source Type: research

Needlescopic assisted internal ring suturing; a novel application of low-cost home-made instruments for pediatric inguinal hernia repair
ConclusionThis preliminary study showed that NAIRS after cauterization of the neck of the hernia sac in infants and children is safe, feasible, reproducible with excellent cosmetic results. (Source: Hernia)
Source: Hernia - May 25, 2019 Category: Sports Medicine Source Type: research

Use of commercial mesh for hernia repair in a low resource setting: experience after 500 cases
ConclusionIn spite of resource limitations, the use of mesh for hernia repairs continues to rise and has overtaken tissue-based repairs in a sub-Saharan African setting. Results show good outcomes justifying continued use. (Source: Hernia)
Source: Hernia - May 25, 2019 Category: Sports Medicine Source Type: research

Parastomal hernia repair with 3-D mesh implants after radical cystectomy and ileal conduit urinary diversion - A single-center experience using a purpose made alloplastic mesh implant
To report and evaluate our open surgical technique for the treatment of parastomal hernias after ileal conduit urinary diversion and results using a specifically designed, three-dimensional intraperitoneal onlay mesh aiming to minimize parastomal hernia recurrence and perioperative complications. (Source: Urology)
Source: Urology - May 23, 2019 Category: Urology & Nephrology Authors: Karl Tully, Florian Roghmann, Jobst Pastor, Joachim Noldus, Christian von Bodman Source Type: research

Abdominal pain and internal hernias after Roux-en-Y Gastric Bypass: are we dealing with the tip of an iceberg?
CONCLUSIONS: Based on abdominal pain characteristics, we can reasonably postulate the presence of remittent bowel torsions (remittent internal hernia) in many patients after antecolic RYGB, only occasionally complicating. Therapeutic management of these cases remains controversial, being laparoscopic exploration a reasonable option when symptomatology is suggestive. PMID: 31125004 [PubMed - in process] (Source: Acta Bio-Medica : Atenei Parmensis)
Source: Acta Bio-Medica : Atenei Parmensis - May 23, 2019 Category: General Medicine Authors: Tartamella F, Ziccarelli A, Cecchini S, Ferro M, Riccò M, Baldini E, Mancini R, Anselmino M, Marchesi F Tags: Acta Biomed Source Type: research

Primary unilateral not complicated inguinal hernia with an effective, cheap, less invasive, and easy operation: the Trabucco repair
ConclusionIn our experience of almost 30 years we have been able to experiment and refine more and more the sutureless technique proposed by Trabucco for the treatment of primitive inguinal hernia, peer to peer, improving the local anaesthesia and the ability to detect hidden defects during the repair (Spigelian included), reducing the width of the incisions and tractions on the tissues, introducing the concept of a gentle and bloodless “finger surgery” according to a minimally invasive, extremely anatomic, safe, inexpensive, very effective anterior open approach. (Source: Hernia)
Source: Hernia - May 22, 2019 Category: Sports Medicine Source Type: research

Wound protectors for improved exposure in open hernia repair
ConclusionOur results demonstrate that the use of disposable wound protectors provides superior surgical exposure for a given incision length compared to traditional techniques in the repair of ventral and open inguinal hernia repairs. (Source: Hernia)
Source: Hernia - May 21, 2019 Category: Sports Medicine Source Type: research

Pure tissue repairs: a timely and critical revival
Abstract“The majority of hernias can be satisfactorily repaired by using the tissues at hand. The use of mesh prosthesis should be restricted to those few hernias in which tension or lack of good fascial structures prevents a secure primary repair. This group includes large direct inguinal hernias and inc isional hernias in which the defect is too large to close primarily without undue tension. Most recurrent hernias, because of this factor are best repaired with mesh prosthesis”. These words, penned in 1960 by Francis Usher have reconfirmed what had been a mantra of the Shouldice Hospital (Usher i n 81:847&nda...
Source: Hernia - May 20, 2019 Category: Sports Medicine Source Type: research

Frequency of inguinal herniotomy in Australia (1998 –2017)
ConclusionThis study suggests that fewer 0 –4-year olds are undergoing inguinal herniotomy, compared with 20 years ago. This is likely due to a change in practice for the management of unilateral symptomatic hernias, from routine bilateral herniotomies, to unilateral surgery. As well as less aggressive surgical intervention for hydroceles in boys.Level of evidenceIII. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - May 20, 2019 Category: Surgery Source Type: research

Malpractice claims and abdominal wall hernia repair
ConclusionHernia surgery, although an everyday event for many practitioners, requires the same rigor as all other visceral surgery. (Source: Journal of Visceral Surgery)
Source: Journal of Visceral Surgery - May 17, 2019 Category: Surgery Source Type: research

Overgrowth Syndrome
Large offspring syndrome (LOS) is a fetal overgrowth condition in bovines most often observed in offspring conceived with the use of assisted reproductive technologies (ART). Phenotypes observed in LOS include, overgrowth, enlarged tongues, umbilical hernias, muscle and skeleton malformations, abnormal organ growth and placental development. Although LOS cases have only been reported to be associated with ART, fetal overgrowth can occur spontaneously in cattle (S-LOS). S-LOS refers to oversized calves that are born at normal gestation lengths. ART-induced LOS has been characterized as an epigenetic syndrome, more specifica...
Source: Veterinary Clinics of North America: Food Animal Practice - May 16, 2019 Category: Veterinary Research Authors: Yahan Li, Callum G. Donnelly, Roc ío Melissa Rivera Source Type: research

Preoperative Abdominal Computed Tomography at Rest and During Valsalva's Maneuver to Evaluate Incisional Hernias.
CONCLUSIONS: The preoperative CT scan both at rest and during Valsalva's maneuver seemed useful to estimate the risk of difficult IH repairs. Moreover, it could allow surgeons to decide if the patient should be addressed to more specialized centers. PMID: 31096865 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - May 16, 2019 Category: Surgery Authors: Bellio G, Cipolat Mis T, Del Giudice R, Munegato G Tags: Surg Innov Source Type: research

Robotic inguinal hernia repair: is technology taking over? Systematic review and meta-analysis
ConclusionsRobotic technology has been progressively entering surgical thinking and gradually changing surgical procedures. Based on the results of the present study, the rTAPP seems feasible, safe, and effective in the short term for patients with unilateral and bilateral inguinal hernias. Further prospective studies and randomized controlled trials are needed to validate these findings. (Source: Hernia)
Source: Hernia - May 15, 2019 Category: Sports Medicine Source Type: research

Assessment of the testicular vascularity after inguinal herniotomy in children: a prospective color Doppler study.
CONCLUSION: The affection of testicular vascularity postoperatively is transient and returns to be near to the preoperative values in the late postoperative period (six months postoperatively). Additionally, no significant change in testicular volume postoperatively. PMID: 31091967 [PubMed - as supplied by publisher] (Source: Acta Radiologica)
Source: Acta Radiologica - May 15, 2019 Category: Radiology Authors: Basha MAA, Saber S, El-Hamid M Abdalla AA, Aly SA, GObran T, Waly A, Arafa AS Tags: Acta Radiol Source Type: research

Prevalence and risk factors for abdominal wall hernia in the general Russian population
AbstractPurposeTo find out the prevalence and risk factors for abdominal wall hernias in the general Russian population.Methods783 residents of Kryukovo rural community (Central Russia) of 10  >  years were enrolled. Medical history was taken and clinical examination was performed documenting hernia presence. Ultrasound examination was performed in inconclusive situations. We considered residents with hernias at the time of examination, as well as those who had previously undergone hernia repair, to be hernia positive.ResultsThere were 298 (38%) men and 485 (62%) women (mean age 49.3). Abdominal wall herni...
Source: Hernia - May 14, 2019 Category: Sports Medicine Source Type: research

Successful mesh plug repair using a hybrid method for recurrent inguinal hernia after laparoscopic transabdominal preperitoneal approach: A case report
ConclusionThis hybrid method facilitates the choice of an optimal approach for the treatment of recurrent hernia and may reduce surgical complications and re-recurrence rate. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - May 11, 2019 Category: Surgery Source Type: research

Long-term incisional hernia rate after single-incision laparoscopic cholecystectomy is significantly higher than that after standard three-port laparoscopy: a cohort study
ConclusionSILC is associated with a statistically significantly higher long-term incisional hernia rate at the umbilical port site than the standard multiport laparoscopic cholecystectomy. Our data show there was no relevant advantage regarding the postoperative course, hospital stay or cosmetic satisfaction. To date, widespread use of SILC cannot be recommended. Registration number: NCT03768661 ( registrationThis study has been registered The ID number is: NCT03768661. (Source: Hernia)
Source: Hernia - May 9, 2019 Category: Sports Medicine Source Type: research

Preaponeurotic endoscopic repair (REPA) of diastasis recti associated or not to midline hernias
ConclusionsDiastasis recti is a common pathology with aesthetic and symptomatic problems. Endoscopic surgery allowed us to resolve the parietal defect with plication of recti and placement of preaponeurotic reinforcement prosthesis, increasing the safety of the repair, without entering the abdominal cavity, with a short hospitalization and no complications or recurrence in 3  years. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 8, 2019 Category: Surgery Source Type: research

Error in Figure
This article was corrected o nline. (Source: JAMA Surgery)
Source: JAMA Surgery - May 8, 2019 Category: Sports Medicine Source Type: research

Risk factors and management of incisional hernia after cytoreduction and hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with peritoneal surface malignancies
ConclusionsThe incidence of incisional hernia after cytoreduction and HIPEC is within the ranges described in the literature for other abdominal surgery procedures. The use of systemic chemotherapy and treatment with HIPEC, in particular, were identified as factors related to their occurrence. (Source: Hernia)
Source: Hernia - May 8, 2019 Category: Sports Medicine Source Type: research

Worldwide hernia repair: variations in the treatment of primary unilateral inguinal hernias in adults in the United Kingdom and in low- and middle-income countries
ConclusionThere is widespread variation in the repair of ‘uncomplicated’ primary inguinal hernias worldwide and within developed healthcare systems. (Source: Hernia)
Source: Hernia - May 8, 2019 Category: Sports Medicine Source Type: research

Primary unilateral not complicated inguinal hernia: our choice of TAPP, why, results and review of literature
ConclusionAnalyzing the own abundant experiences and the reports in the literature, the TAPP technique has the potential to become the standard operative technique for repair of inguinal hernias in future. However, due to the low level of evidence of most of the studies definite conclusions are difficult to draw at this point of time. (Source: Hernia)
Source: Hernia - May 8, 2019 Category: Sports Medicine Source Type: research

TEP for elective primary unilateral inguinal hernia repair in men: what do we know?
ConclusionFor the subgroup of elective primary unilateral inguinal hernia in men, accounting for a proportion of less than 50% of the total collective, advantages were identified for TEP compared with open Lichtenstein repair but not versus TAPP. (Source: Hernia)
Source: Hernia - May 6, 2019 Category: Sports Medicine Source Type: research

The role of body mass index in determining clinical and quality of life outcomes after laparoscopic anti-reflux surgery
AbstractBackgroundCurrent literature is conflicted regarding the efficacy of laparoscopic anti-reflux surgery (LARS) among obese patients complaining of pathologic reflux or otherwise symptomatic hiatal hernias. Controlling for other factors, this study examined the influence of preoperative body mass index (BMI) on clinical and subjective quality of life (QOL) outcomes following LARS.MethodsPatients who underwent LARS between February 2012 and April 2018 were subdivided into four BMI stratified categories according to CDC definitions: normal (18.5 to  
Source: Surgical Endoscopy - May 6, 2019 Category: Surgery Source Type: research