Asymptomatic pancreatic body herniation complicated with periauricular squamous cell carcinoma
Publication date: 2018Source: European Journal of Radiology Open, Volume 5Author(s): Isil YildizAbstractHiatus hernia is defined as herniation of the abdominal elements through the esophageal hiatus into the madiastinum. Type IV hiatal herniation is the rarest of all paraoesaphagial hernias. Herniation of pancreas is extremely rare. A 63-year-old male was admitted to the department of oncology with a periauricular squamous cell carcinoma (SCC). Abdominal CT was performed for organ metastasis. No metastasis was found, but hiatal herniation of the stomach along with the body of the pancreas into the thorax was observed. To o...
Source: European Journal of Radiology Open - July 11, 2018 Category: Radiology Source Type: research

A rare presentation of Spigelian hernia involving the appendix
We present an emergent case of a Spigelian hernia involving the appendix. (Source: European Journal of Radiology Open)
Source: European Journal of Radiology Open - July 11, 2018 Category: Radiology Source Type: research

Posterior component separation by transversus abdominis release-current paradigm in management of large complex hernias: Our initial experience
ConclusionTAR is a novel but effective technique in dealing with large complex hernias with loss of abdominal domain and gives good postoperative outcomes. (Source: Current Medicine Research and Practice)
Source: Current Medicine Research and Practice - July 10, 2018 Category: General Medicine Source Type: research

Incidence and Treatment of Symptomatic Diaphragmatic Hernia After Esophagectomy for Cancer
ConclusionsThe incidence of symptomatic diaphragmatic hernia after esophagectomy was 2.5%, with the highest incidence after minimally invasive Ivor Lewis esophagectomy (9.4%) as compared with other procedures. Although prophylactic cruroplasty is now the standard of care in patients undergoing minimally invasive esophagectomy, a significant lower hernia rate was not found in this study. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reconstruction of Traumatic Lumbar Hernias: A Case Report
ConclusionUnderstanding the anatomy and mechanism of injury is the key to reconstructing traumatic lumber hernias. Although not required, mesh reinforcement has significantly reduced the recurrence of all hernias. This is the simplest and most effective way, in our opinion, to return the flank muscles to their native position while providing mesh reinforcement. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 8, 2018 Category: Surgery Source Type: research

Surgical technique of laparoscopic hybrid approach for recurrent inguinal hernia: report a case
CONCLUSIONOur method is effective for difficult recurrent inguinal hernias. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 8, 2018 Category: Surgery Source Type: research

A post operative complication of foramen of Winslow hernia with left to right herniation of the small intestine: An extremely rare case report
CONCLUSIONTo our knowledge, here we report the first FWH of which the contents of the hernia are herniated from left to right, in literature. Whether the Foramen should be closed or not requires discussion, however, we conclude that the foramen should be closed when possible, acknowledging previous reports and the present case. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 8, 2018 Category: Surgery Source Type: research

Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults
ConclusionHigh BMI, the use of self-retaining retractor, not identifying or preserving the NVB, postoperative abdominal distention, en masse wound closure, surgical wound infection, and constipation are significant risk factors associated with postoperative flank hernia and bulge. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 6, 2018 Category: Urology & Nephrology Source Type: research

A systematic review of the association between a single strenuous event and the development of an inguinal hernia: A medicolegal grey area
ConclusionMany patients associate hernias to a single episode, however upon application of more stringent criteria such as Smith's, a much smaller proportion are deemed to be actually attributable to a single strenuous event. (Source: The Surgeon)
Source: The Surgeon - July 6, 2018 Category: Surgery Source Type: research

Abdominal wall defects: pathogenesis, prevention and repair
This article provides an update regarding the most recent insights on the pathogenesis of these common abdominal wall defects. In the ‘How to’ sections, the best methods of opening and closing the abdomen are presented, with a focus on prevention of short- and long-term complications. Also, the various options and indications for mesh and autologous abdominal wall reconstructions are discussed. Finally, a treatment algorithm based on our extensive experience and the best available evidence in the literature is presented for the various forms of incisional hernias discussed. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - July 6, 2018 Category: Surgery Source Type: research

Adult groin hernias: acute and elective
Publication date: May 2018Source: Surgery (Oxford), Volume 36, Issue 5Author(s): Declan McDonnell, Christian WakefieldAbstractGroin hernias are a common general surgical condition and inguinal hernias will affect over a quarter of the male population in their lifetime. As a consequence, inguinal hernia repair remains one of the most frequently performed general surgical procedures carried out in the UK, at a cost of £100 million to the National Health Service per annum. Although hernia-related complications are relatively rare, they may be catastrophic and repair is recommended because of the potential functional con...
Source: Surgery (Oxford) - July 6, 2018 Category: Surgery Source Type: research

A prospective randomized study comparing laparoscopic transabdominal preperitoneal (TAPP) versus Lichtenstein repair for bilateral inguinal hernias
ConclusionsTAPP procedure for bilateral inguinal hernia effectively reduces early postoperative pain, hospital stay and postoperative complications. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 6, 2018 Category: Surgery Source Type: research

A propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery Pathway
Publication date: Available online 19 June 2018Source: The American Journal of SurgeryAuthor(s): Warqaa M. Akram, Riad H. Al-Natour, Jeremy Albright, Juan Wu, Jane Ferraro, Beth-Ann Shanker, Amanda M. McClure, Robert K. ClearyAbstractIntroductionThere may be short-term outcomes advantages for the intracorporeal approach to minimally invasive right colectomy.MethodsThis is a retrospective propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery colorectal surgery service.Results55 intracorporeal and 55 extracorporeal cases were compared....
Source: The American Journal of Surgery - July 6, 2018 Category: Surgery Source Type: research

A rare encounter of obstructed direct inguinal hernia of sliding variety
ConclusionDirect inguinal hernia of sliding variety getting obstructed is rare. Direct Sliding hernia on right side with ileum as content and bladder forming the wall is extremely rare. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Handlebar hernia - A rare complication from blunt trauma
ConclusionDespite being a rare entity, handlebar hernias should be suspected when significant blunt force is applied to the abdominal wall from a handle bar injury. They may not be obvious on physical examination and therefore further imaging is often important. Management involves prompt surgical repair to prevent complications. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Characteristics and outcomes of laparoscopic surgery in patients with large hiatal hernia. A single center study
ConclusionResults from multiple studies are similar, with shorter hospital stay and less morbidity resulting from the minimally invasive approach. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Laparoscopic herniorrhaphy of bilateral inguinal herniae and an incidental Spigelian hernia with intra corporeal suturing of the Spigelian hernia neck: A case report
ConclusionSpigelian herniae are rare with non specific symptoms. We present the first case report of a laparoscopic repair of bilateral inguinal herniae and a left sided Spigelian hernia with intra-corporeal suturing of the Spigelian hernia neck. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Computed Tomography of Internal Hernias Following Laparoscopic Roux-en-Y Gastric Bypass Surgery
Publication date: April 2018Source: Seminars in Ultrasound, CT and MRI, Volume 39, Issue 2Author(s): Yoan K. Kagoma, Gabriela GayerInternal hernia in the postoperative laparoscopic Roux-en-Y patient is a diagnosis associated with significant morbidity and risk of death. The radiologist plays an instrumental role in workup of this patient group; however, the imaging assessment of these patients is not straightforward given their complex postsurgical anatomy. Multiple radiologic signs of internal hernia have been studied in the literature. This review article presents these signs with representative cases as well as a summar...
Source: Seminars in Ultrasound, CT and MRI - July 5, 2018 Category: Radiology Source Type: research

Asymptomatic pancreatic body herniation complicated with periauricular squamous cell carcinoma
Publication date: 2018Source: European Journal of Radiology Open, Volume 5Author(s): Isil YildizAbstractHiatus hernia is defined as herniation of the abdominal elements through the esophageal hiatus into the madiastinum. Type IV hiatal herniation is the rarest of all paraoesaphagial hernias. Herniation of pancreas is extremely rare. A 63-year-old male was admitted to the department of oncology with a periauricular squamous cell carcinoma (SCC). Abdominal CT was performed for organ metastasis. No metastasis was found, but hiatal herniation of the stomach along with the body of the pancreas into the thorax was observed. To o...
Source: European Journal of Radiology Open - July 5, 2018 Category: Radiology Source Type: research

A rare presentation of Spigelian hernia involving the appendix
We present an emergent case of a Spigelian hernia involving the appendix. (Source: European Journal of Radiology Open)
Source: European Journal of Radiology Open - July 5, 2018 Category: Radiology Source Type: research

Posterior component separation by transversus abdominis release-current paradigm in management of large complex hernias: Our initial experience
ConclusionTAR is a novel but effective technique in dealing with large complex hernias with loss of abdominal domain and gives good postoperative outcomes. (Source: Current Medicine Research and Practice)
Source: Current Medicine Research and Practice - July 5, 2018 Category: General Medicine Source Type: research

Incidence and Treatment of Symptomatic Diaphragmatic Hernia After Esophagectomy for Cancer
ConclusionsThe incidence of symptomatic diaphragmatic hernia after esophagectomy was 2.5%, with the highest incidence after minimally invasive Ivor Lewis esophagectomy (9.4%) as compared with other procedures. Although prophylactic cruroplasty is now the standard of care in patients undergoing minimally invasive esophagectomy, a significant lower hernia rate was not found in this study. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early operative outcomes of endoscopic (eTEP access) robotic-assisted retromuscular abdominal wall hernia repair
ConclusionThe enhanced-view totally extraperitoneal approach is both safe and feasible in robotic-assisted repair of ventral and incisional hernias. Although long-term outcomes and patient selection criteria require further study, we believe this technique will become an important tool in the armamentarium of minimally invasive hernia surgeons. (Source: Hernia)
Source: Hernia - July 4, 2018 Category: Sports Medicine Source Type: research

Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults
Conclusion High BMI, the use of self-retaining retractor, not identifying or preserving the NVB, postoperative abdominal distention, en masse wound closure, surgical wound infection, and constipation are significant risk factors associated with postoperative flank hernia and bulge. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 4, 2018 Category: Urology & Nephrology Source Type: research

Patient ’s satisfaction at 2 years after groin hernia repair: any difference according to the technique?
ConclusionIn this large series, no statistical differences were found between the four studied techniques regarding the 2Y-Fu results and patients ’ satisfaction. Provided the technique has been done properly (expert surgeon) the results and the patients’ satisfaction are fair and equivalent among the four studied techniques. In a multivariate analysis, the only factor predictive of bad late results was severe pain at D1. (Source: Hernia)
Source: Hernia - July 3, 2018 Category: Sports Medicine Source Type: research

Imaging complex ventral hernias, their surgical repair, and their complications
AbstractComplex ventral hernia (CVH) describes large, anterior, ventral hernias. The incidence of CVH is rising rapidly due to increasing laparotomy rates in ever older, obese and co-morbid patients. Surgeons with a specific interest in CVH repair are now frequently referring these patients for imaging, normally computed tomography scanning. This review describes what information is required from preoperative imaging and the surgical options and techniques used for CVH repair, so that radiologists understand the postoperative appearances specific to CVH and are aware of the common complications following surgery.Key Points...
Source: European Radiology - July 3, 2018 Category: Radiology Source Type: research

Minimally invasive approach to incarcerated or strangulated groin hernias: A 2018 EAST Master Class Video Presentation
We present a description of our recommended approach with technical details and accompanying video clips to highlight these techniques. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2018 Category: Orthopaedics Tags: 2018 EAST Surgical Video Source Type: research

Pericecal herniation of sigmoid colon diagnosed by computed tomography: Two case reports
Conclusion: This case study indicates that radiologic examination can be helpful in detecting pericecal herniation of the sigmoid colon. (Source: Medicine)
Source: Medicine - July 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Epibulbar Mass With Upper Eyelid Cleft and Focal Scalp Alopecia in a Neonate: A New Case of Oculoectodermal Syndrome
A female neonate presented with a pedunculated left lateral epibulbar mass protruding through the eyelids that originated from the temporal cornea and superolateral bulbar and palpebral conjunctiva. She had a cleft in the ipsilateral central upper eyelid with horizontal kink of the tarsus lateral to the cleft and focal patches of alopecia on the scalp. Histopathology of the epibulbar mass revealed conjunctival epithelium with underlying connective tissue, cartilage, bone, adipose, and lacrimal gland consistent with epibulbar dermoid. Genetic testing of the surgical specimen was positive for a KRAS mutation at position 146....
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2018 Category: Opthalmology Tags: Case Reports Source Type: research

Patterns of surgical causes of inguinoscrotal lesions in neonates in Sohag, Upper Egypt: a single-center experience
Conclusion ISL in neonates carries a wide range of varieties. Although congenital inguinal hernia is the commonest, other causes should be kept in mind for differential diagnosis. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research

Strangulated Morgagni hernia in an adult: Synchronous prolapse of the liver and transverse colon.
Abstract Morgagni hernia (MH) is a very rare congenital defect found in the anterior aspect of the diaphragm between the costal and sternal portions of the muscle. The most common defect is congenital diaphragmatic hernia, 90% of which are Bochdalek type. MHs account for approximately 3% of all diaphragmatic hernias. Most MHs are found and repaired in children, but 5% are found in adults. Here, we present the case of an incarcerated and strangulated MH with synchronous prolapse of the liver and transverse colon in a 77-year-old man who was admitted to our hospital for abdominal pain and symptoms of intestinal obst...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - July 1, 2018 Category: Emergency Medicine Authors: Lee SY, Kwon JN, Kim YS, Kim KY Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Iatrogenic Incarcerated Diaphragmatic Hernia after Nissen Fundoplication.
Abstract Postoperative iatrogenic diaphragmatic hernias have been reported sparingly after several thoracic and abdominal surgeries. Although rare, a delay in diagnosis can lead to life-threatening cases of strangulation or perforation, as well as cardiovascular and respiratory insufficiency. This is a case of a 78-year-old female who developed acute obstructive symptoms secondary to herniation of the distal stomach through a defect in the central tendon of the diaphragm. The diaphragmatic defect was presumed to be iatrogenically acquired after Nissen fundoplication one year prior. Other etiologies were not as lik...
Source: The American Surgeon - July 1, 2018 Category: Surgery Authors: Sommese K, Kelley K, Tan B, Fontana M, Brooks J Tags: Am Surg Source Type: research

Reliance of ultrasound imaging in the management groin hernias: Are we imaging too often?
This study aims to evaluate the reliance on ultrasound imaging to diagnose groin hernias. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: H. Ubhi, A. Leyte-Golpe, R. Newton, D. Nehra Source Type: research

Hernias across Ghana - The impact on quality of life
This study aimed to investigate the quality of life in patients with hernias across Ghana. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: J. Allen, M. Adedibe, M. Bonomaully, J. Nyuz, C. Oppong Source Type: research

Pedicled, innervated vastus lateralis (PIVL) flap for abdominal wall incisional hernia following kidney transplant and its proposed use in large lateralised incisional hernia - A new application for an established technique
Aim: Lateral incisional hernias, including parastomal-hernia, remain an important surgical challenge with the potential for significant morbidity. Current repairs generally rely on the use of mesh with attendant problems of infection (synthetics) and cost(biologics). (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: J. Burke, A. Houtouras, C. Knowles, P. Sadigh Source Type: research

Imaging of inguinal-related groin pain in athletes.
Abstract Inguinal canal-related groin pain is common in athletes and may involve numerous structures such as the conjoint tendon and the transversalis fascia. Ultrasound is the only dynamic tool that shows the passage of preperitoneal fat at the level of the Hesselbach triangle and allows excluding true inguinal hernias. Fascia transversalis bulging and inguinal ring dilatation may also be described. MRI assesses injuries of rectus abdominis and adductor longus enthesis and osteitis symphysis but its accuracy for the diagnosis of inguinal-related groin pain remains debated. PMID: 29947268 [PubMed - as supplie...
Source: The British Journal of Radiology - June 27, 2018 Category: Radiology Authors: Bou Antoun M, Reboul G, Ronot M, Crombe A, Poussange N, Pesquer L Tags: Br J Radiol Source Type: research

Comparing Transversus Abdominus Release and Anterior Component Separation Techniques in Reconstructing Midline Hernias – A Cadaveric Study
Midline hernias result in abdominal wall defects that can be reconstructed with autologous tissue utilizing component separation of the abdominal wall. The first technique described was anterior component separation described by Ramirez et  al1 where the release of the external oblique aponeurosis allowed advancement of the rectus abdominus medially to the midline, thus allowing closure of ventral midline defects with autologous tissue. The technique, however, involved dissection of the subcutaneous tissues laterally which often crea ted devascularized skin flaps and increased the risk of poor wound healing with the r...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 25, 2018 Category: Cosmetic Surgery Authors: Charles Yuen Yung Loh, Metin Nizamoglu, R Raja Shanmugakrishnan, Alethea Tan, Cecilia Brassett, Bryony Lovett, Makarand Tare, Naguib El-Muttardi Tags: Correspondence and Communications Source Type: research

Population-Based Validation of a Clinical Prediction Model for Congenital Diaphragmatic Hernias
To examine the external validity of a well-known congenital diaphragmatic hernia (CDH) clinical prediction model using a population-based cohort. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - June 25, 2018 Category: Pediatrics Authors: Daniel P. Bent, Jason Nelson, David M. Kent, Howard C. Jen Tags: Original Articles Source Type: research

Complications and Outcomes in Breast Reconstruction using A Transverse Rectus Abdominis Myocutaneous Flap-Single Surgeon Experience.
Conclusion: TRAM flap reconstruction after mastectomy is an appropriate way to improve the patient’s postoperative physical appearance. The results of this study indicated that TRAM flap reconstruction after mastectomy is safe, with an acceptably low number of complications and can be performed by a single surgeon in conjunction with a mastectomy procedure; furthermore, the majority of patients were satisfied with their reconstructed breast. PMID: 29927563 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Incidence and Treatment of Symptomatic Diaphragmatic Hernia After Esophagectomy for Cancer
Conclusions The incidence of symptomatic diaphragmatic hernia after esophagectomy was 2.5%, with the highest incidence after minimally invasive Ivor Lewis esophagectomy (9.4%) as compared with other procedures. Although prophylactic cruroplasty is now the standard of care in patients undergoing minimally invasive esophagectomy, a significant lower hernia rate was not found in this study. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The modified laparoscopic keyhole parastomal hernia repair with in situ re-ostomy has low recurrence rate
ConclusionsModified laparoscopic keyhole parastomal hernia repair with in situ re-ostomy is a safe procedure with a low recurrence rate at the mid-term follow-up. (Source: Hernia)
Source: Hernia - June 22, 2018 Category: Sports Medicine Source Type: research

Posterior Component Separation by Transversus Abdominis Release-Current paradigm in management of large complex hernias: Our initial experience
Conclusion TAR is a novel but effective technique in dealing with large complex hernias with loss of abdominal domain and gives good postoperative outcomes. (Source: Current Medicine Research and Practice)
Source: Current Medicine Research and Practice - June 22, 2018 Category: General Medicine Source Type: research

[HerniaSurge: international guidelines on treatment of inguinal hernia in adults : Comments of the Surgical Working Group Hernia (CAH/DGAV) and the German Hernia Society (DHG) on the most important recommendations].
r R Abstract SURGICAL TECHNIQUES: The HerniaSurge guidelines have the highest evidence with respect to a strong recommendation for mesh-based surgical techniques. This evidence is equally valid for the Lichtenstein procedure as for the minimally invasive procedures TEP/TAPP. In the case of discrete symptomatic or asymptomatic inguinal hernias, watchful waiting can be an option, taking into account health status and social circumstances. Femoral hernias, on the other hand, should be treated promptly with mesh insertion. Also favored are laparoendoscopic techniques. The Shouldice repair achieves the least recur...
Source: Der Chirurg - June 21, 2018 Category: Surgery Authors: Weyhe D, Conze J, Kuthe A, Köckerling F, Lammers BJ, Lorenz R, Niebuhr H, Reinpold W, Zarras K, Bittner R Tags: Chirurg Source Type: research

A rare cause of obstructive jaundice: Cecal herniation through the foramen of winslow
Ivan Welaratne, Afshin NasoodiJournal of Clinical Imaging Science 2018 8(1):24-24 Internal abdominal hernias are rarely reported in the literature and have a very low rate of preoperative diagnosis. It is even rarer that they present with jaundice. A 59-year-old Caucasian female presented with a short history of jaundice, dark urine, epigastric pain, vomiting, and obstipation. Her liver biochemistry profile revealed a mixed cholestatic/hepatocellular pattern with significantly elevated bilirubin. She urgently underwent abdominal imaging which provided a preoperative diagnosis of internal herniation of the cecum within the...
Source: Journal of Clinical Imaging Science - June 18, 2018 Category: Radiology Authors: Ivan Welaratne Afshin Nasoodi Source Type: research

Effectiveness of endoscopic totally extraperitoneal (TEP) hernia correction for clinically occult inguinal hernia (EFFECT): study protocol for a randomized controlled trial
Groin pain is a frequent complaint in surgical practice with an inguinal hernia being at the top of the differential diagnosis. The majority of inguinal hernias can be diagnosed clinically. However, patients w... (Source: Trials)
Source: Trials - June 18, 2018 Category: General Medicine Authors: Marleen M. Roos, Egbert-Jan M. M. Verleisdonk, Floris B. M. Sanders, Arno W. Hoes, Rebecca K. Stellato, Geert W. J. Frederix, Rogier K. J. Simmermacher and Josephina P. J. Burgmans Tags: Study protocol Source Type: research

Achieving the Learning Curve in Laparoscopic Inguinal Hernia Repair by Tapp: A Quality Improvement Study.
CONCLUSIONS: Our evaluation shows that both trainees fully completed their learning curves for the TAPP after 65 procedures, providing us with a parameter which can be taken into consideration when establishing the minimum volume necessary to guarantee correct training in laparoscopic inguinal hernia repair by a TAPP technique. PMID: 29902096 [PubMed - as supplied by publisher] (Source: Journal of Investigative Surgery)
Source: Journal of Investigative Surgery - June 16, 2018 Category: Surgery Tags: J Invest Surg Source Type: research

Undiagnosed maternal diaphragmatic hernia – a management dilemma
Maternal diaphragmatic hernias identified during pregnancy are rare and pose significant management challenges with regards to timing and mode of both delivery and hernia repair. (Source: BMC Pregnancy and Childbirth)
Source: BMC Pregnancy and Childbirth - June 15, 2018 Category: OBGYN Authors: Maya Reddy, Annie Kroushev and Kirsten Palmer Tags: Case report Source Type: research

Infection and recurrence rates of the C-QUR V-Patch ™ in ventral hernia repairs
ConclusionThis series finds that recurrence rates associated with the novel C-QUR V-Patch Mesh™ is acceptably low; however, infection rates appear to be higher when compared to comparable products for use in ventral hernia repairs. (Source: Hernia)
Source: Hernia - June 15, 2018 Category: Sports Medicine Source Type: research

Electric cauterization of the hernia sac in laparoscopic ventral hernia repair reduces the incidence of postoperative seroma: a propensity score-matched analysis
AbstractBackgroundLaparoscopic intraperitoneal mesh repair has become one of the most commonly performed minimally invasive procedures. Nevertheless, despite improved overall outcome, postoperative seroma formation remains the most frequent complication. Our objective was to investigate the effectiveness of cauterization of the hernia sac in terms of reducing the incidence of postoperative seroma formation.MethodsA retrospective analysis of 94 patients who underwent standard laparoscopic intraperitoneal mesh repair without closure of the central defect (sIPOM) between June 2011 and December 2014 was conducted. In 20 of tho...
Source: Hernia - June 14, 2018 Category: Sports Medicine Source Type: research

Collagen I and III in women with diastasis recti
OBJECTIVES: Interest in elucidating the etiology of hernias has encouraged countless studies of musculoaponeurotic structures in individuals with and without hernias. Studies of hernia patients have firmly demonstrated a correlation between hernias and collagen alterations in their fascia. Diastasis recti is an increased width of the abdominal midline that is exclusively composed of interlacing aponeurotic expansions of the anterolateral abdominal muscles. The condition is common among women undergoing abdominoplasty, and many factors, not only mechanical, play a role. The goal of this study is to evaluate and compare coll...
Source: Clinics - June 7, 2018 Category: General Medicine Source Type: research