Laparoscopic repair of large hiatal hernias: clinical outcomes of 10 years
BackgroundWhilst laparoscopic repair is the most common surgical procedure for the treatment of large hiatal hernias, knowledge of long‐term outcomes (>10 years) is scarce. The aim of this study was to evaluate the long‐term results following this approach, in particular the hernia recurrence rate and the impact of repair on quality of life (QoL). MethodsPatients were identified from a prospective database. A standardized questionnaire was used to assess symptoms and a barium swallow radiograph was performed to determine anatomy. A validated QoL measure, Gastrointestinal Quality of Life Index (GIQLI) was also applie...
Source: ANZ Journal of Surgery - March 6, 2018 Category: Surgery Authors: Zhen Chen, Hongzhi Zhao, Xiangyu Sun, Zhenyu Wang Tags: Original Article Source Type: research

Laparoscopic repair of large hiatal hernias: clinical outcomes of 10 years
ANZ Journal of Surgery, EarlyView. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - March 6, 2018 Category: Surgery Source Type: research

Clinical assessment, radiographic imaging, and patient self-report for abdominal wall hernias
The objective of this study is to determine the prevalence of occult hernias and to assess the abdominal wall quality of life (AW-QOL) among patients with occult hernias. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - March 6, 2018 Category: Surgery Authors: Deepa V. Cherla, Cristina P. Viso, Maya L. Moses, Julie L. Holihan, Tien C. Ko, Lillian S. Kao, Richard J. Andrassy, Mike K. Liang Tags: Gastrointestinal Source Type: research

Laparoscopic repair of large hiatal hernias: clinical outcomes of 10 years
ANZ Journal of Surgery, EarlyView. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - March 6, 2018 Category: Surgery Authors: Zhen Chen , Hongzhi Zhao , Xiangyu Sun , Zhenyu Wang Source Type: research

Use of the AHP Methodology in System Dynamics: Modelling and Simulation for Health Technology Assessments to Determine the Correct Prosthesis Choice for Hernia Diseases.
Abstract Health technology assessments (HTAs) are often difficult to conduct because of the decisive procedures of the HTA algorithm, which are often complex and not easy to apply. Thus, their use is not always convenient or possible for the assessment of technical requests requiring a multidisciplinary approach. This paper aims to address this issue through a multi-criteria analysis focusing on the analytic hierarchy process (AHP). This methodology allows the decision maker to analyse and evaluate different alternatives and monitor their impact on different actors during the decision-making process. However, the ...
Source: Mathematical Biosciences - March 5, 2018 Category: Statistics Authors: Improta G, Russo MA, Triassi M, Converso G, Murino T, Santillo LC Tags: Math Biosci Source Type: research

Incisional Hernia Prevention and Use of Mesh. A Narrative Review
Publication date: Available online 3 March 2018 Source:Cirugía Española (English Edition) Author(s): Pilar Hernández-Granados, Manuel López-Cano, Salvador Morales-Conde, Filip Muysoms, Josep García-Alamino, José Antonio Pereira-Rodríguez Incisional hernias are a very common problem, with an estimated incidence around 15%–20% of all laparotomies. Evisceration is another important problem, with a lower rate (2.5%–3%) but severe consequences for patients. Prevention of both complications is an essential objective of correct patient treatment due to the improved qua...
Source: Cirugia Espanola - March 4, 2018 Category: Surgery Source Type: research

Chronic pain after mesh versus nonmesh repair of inguinal hernias: A systematic review and a network meta-analysis of randomized controlled trials
Chronic pain affects 10% –12% of patients after inguinal hernia repairs. Some have suggested that less foreign material may theoretically prevent pain. If the prevalence of chronic pain is less after nonmesh repairs, selected hernias might be repaired without mesh. Our aim was to clarify if nonmesh repairs are superior to mesh repairs regarding chronic pain. (Source: Surgery)
Source: Surgery - March 2, 2018 Category: Surgery Authors: Stina Öberg, Kristoffer Andresen, Tobias W. Klausen, Jacob Rosenberg Source Type: research

Large sliding inguino-scrotal hernia of the urinary bladder: A case report and literature review
We describe and discuss the clinical findings and management of a 59-year-old man who complained of a decrease in scrotal size after voiding and 2-stage voiding requiring pressure to the scrotum. Diagnoses: The patient was diagnosed preoperatively as massive, bilateral, inguinoscrotal hernias, and a large, left-sided, sliding bladder hernia. Interventions: The patient underwent a timely open re-peritoneal inguinal herniorrhaphy using a mesh. Outcomes: The surgical outcomes were good, and no surgical site infection, chronic postoperative inguinal pain or recurrence were recorded during the follow-up. Lessons: Be...
Source: Medicine - March 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Outcomes after Ventral Hernia Repair Using the Rives-Stoppa, Endoscopic, and Open Component Separation Techniques.
This study compares outcomes following Rives-Stoppa (RS) repair, components separation technique with mesh (CST-M) or without mesh (CST), and endoscopic components separation technique (ECST). A retrospective review of patients undergoing open ventral hernia repair between 2006 and 2011 was performed. Analysis included patient demographics, surgical site occurrences, hernia recurrence, hospital readmission, and mortality. The search was limited to open repairs, specifically the RS, CST-M, CST, and ECST with mesh techniques. A total of 362 patients underwent repair with RS (66), CST-M (126), CST (117), or ECST (53). The gro...
Source: The American Surgeon - March 1, 2018 Category: Surgery Authors: Muse TO, Zwischenberger BA, Miller MT, Borman DA, Davenport DL, Roth JS Tags: Am Surg Source Type: research

Videoesophagography versus Endoscopy for Prediction of Intraoperative Hiatal Hernia Size.
The objective of the study is to determine which preoperative modality more accurately predicts operative hiatal hernia size. Videoesophagography underestimated operative measurement by 0.37 ± 1.41 cm (P = 0.003) and was less accurate in predicting intraoperative hiatal hernia size than EGD on linear regression analysis (β -0.729, SE 0.057, P
Source: The American Surgeon - March 1, 2018 Category: Surgery Authors: Tatum JM, Samakar K, Bowdish ME, Mack WJ, Bildzukewicz N, Lipham JC Tags: Am Surg Source Type: research

Laparoscopic Experience for Recurrent Inguinal Hernia Repair in a Single Center for 14 Years.
This study aims to investigate the laparoscopic strategy for recurrent inguinal hernia repair. Laparoscopic technique was retrospectively applied to 330 patients with 352 recurrent inguinal hernias in the past 14 years. The surgical strategies were further evaluated. There were 22 cases with bilateral recurrent hernias, whereas the rest 308 cases with unilateral disorders. Patients were further categorized by previous repair approaches as high ligation, sclerotherapy, conventional suture repair, Lichtenstein repair, plug and patch repair, and preperitoneal repair. All cases were successfully repaired by laparoscopic approa...
Source: The American Surgeon - March 1, 2018 Category: Surgery Authors: Sun J, Wang W, Li J, Yue F, Feng B, Wang J, Wang M Tags: Am Surg Source Type: research

Prevalence and variability in reporting of clinically actionable incidental findings on attenuation-correction CT scans in a veteran population
AbstractBackgroundMyocardial perfusion imaging (MPI) often employs attenuation-correction computed tomography (CTAC) to reduce attenuation artifacts and improve specificity. While there is no specific guideline on how they should be reported, incidental noncardiac findings identified on these scans may be clinically significant. The prevalence of these findings in veterans is not currently known. In addition, variability in reporting these findings may depend on the interpreting physician ’s specialty.MethodsTo guide future decision-making, CTACs in veterans referred for MPI were prospectively evaluated in a quality-...
Source: Journal of Nuclear Cardiology - February 28, 2018 Category: Nuclear Medicine Source Type: research

Abstract No. 578 Percutaneous, image-guided intramuscular botulism toxin type A (BTA) injection to facilitate abdominal wall reconstruction (AWR) in patients with recurrent, large-defect hernias
Incisional ventral hernias occur in about 20% of patients after laparotomy. Despite advances in surgical technique, hernia recurrence occurs in up to 73% of patients with large, ventral hernias and “loss of domain” in which more viscera reside outside the abdominal cavity than inside. Hernia recurrence and complication rate can be significantly reduced if the midline is closed over mesh without having to bridge a fascial gap. Preoperative percutaneous BTA injection into the oblique muscles can facilitate AWR by allowing stretching of the abdominal wall to facilitate fascial reapproximation. (Source: Journal of ...
Source: Journal of Vascular and Interventional Radiology : JVIR - February 27, 2018 Category: Radiology Authors: M. Lessne, R. Lopez, V. Augenstein, P. Colavita, K. Kercher, R. Raible, B. Heniford Tags: Scientific e-Posters Source Type: research

Use of imaging for pre- and post-operative characterisation of ventral hernia: systematic review.
CONCLUSION: Despite the ability to characterise ventral hernia morphology and recurrence with precision, most indexed studies do not employ imaging. Where imaging is used, data are often reported incompletely. Advances in knowledge: (1) This systematic review is the first to focus on the use of imaging in surgical studies of ventral hernia repair. (2) Studies of ventral hernia repair rarely use imaging, either to characterise hernias preoperatively or to diagnose recurrence, despite the latter being the primary outcome of most studies. (3) Failure to use imaging will result in incomplete hernia characterisat...
Source: The British Journal of Radiology - February 27, 2018 Category: Radiology Authors: Halligan S, Parker SG, Plumb AA, Wood CP, Bolton RW, Mallett S, Windsor AC Tags: Br J Radiol Source Type: research

Amyand ’s hernia with acute gangrenous appendicitis and cecal perforation: A case report and review of the literature
Conclusion There is a paucity of reports describing simultaneous appendicitis and cecal perforation within an Amyand's hernia. In our case, ileocecectomy and Bassini hernia repair with close follow-up led to a favorable outcome. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - February 26, 2018 Category: Surgery Source Type: research

Paracecal hernia with intestinal ischemia treated with laparoscopic assisted surgery
We describe a case of an incarcerated paracecal hernia with resultant ischemic bowel that was successfully treated with laparoscopic-assisted surgery. A 54-year-old man who had not undergone any surgery previously presented to our hospital with abdominal pain and vomiting. An abdominal computed tomographic scan showed evidence of an intestinal obstruction at a paracecal site. An emergency laparoscopic surgery demonstrated incarceration of a loop of the small bowel in the paracecal fossa. We removed the incarcerated small bowel from the paracecal fossa, noted that the tissue was necrotic, and resected this segment of bowel ...
Source: International Journal of Surgery Case Reports - February 26, 2018 Category: Surgery Source Type: research

Circulating matrix metalloproteinases and procollagen propeptides in inguinal hernia
ConclusionThe ratio of serum PINP/PIIINP was lower in patients with recurrent inguinal hernia, demonstrating more serious damage of collagen metabolism in these patients. Serologic ratio of PINP/PIIINP may be used to identify the presence of recurrent inguinal hernia in patients. (Source: Hernia)
Source: Hernia - February 26, 2018 Category: Sports Medicine Source Type: research

A comparative study of the single-site laparoscopic herniorrhaphy using needle instruments and double-site laparoscopic herniorrhaphy in the minimally invasive treatment of inguinal hernias in children.
Authors: Wang F, Liu S, Shen Y, Chen J Abstract The clinical effect of the single-site laparoscopic herniorrhaphy (SSLH) using needle instruments and double-site laparoscopic herniorrhaphy (DSLH) in the treatment of inguinal hernias in children were compared. A total of 1,010 children with inguinal hernias who were treated in Chao-Yang Hospital from March 2011 to December 2014 were selected. According to the operation method, these children were divided into the single-site group using needle instruments (n=508) and the traditional double-site group (n=502). The clinical indexes of the two groups were compared. All...
Source: Experimental and Therapeutic Medicine - February 21, 2018 Category: General Medicine Tags: Exp Ther Med Source Type: research

The Utility of Ultrasound in the Diagnosis of Muscle Hernias in the Dermatology Clinic.
, Roustan-Gullón G PMID: 29475560 [PubMed - as supplied by publisher] (Source: Actas Dermo-Sifiliograficas)
Source: Actas Dermo-Sifiliograficas - February 20, 2018 Category: Dermatology Authors: Sigüenza-Sanz M, Alfageme-Roldán F, Salgüero-Fernández I, Roustan-Gullón G Tags: Actas Dermosifiliogr Source Type: research

What happens after no contralateral exploration in total extraperitoneal (TEP) herniorrhaphy of clinical unilateral inguinal hernias?
AbstractBackgroundWhile performing unilateral TEP herniorrhaphy, controversy still exists about whether to do contralateral exploration or not. Routine contralateral exploration has been proposed to prevent metachronous contralateral hernias by the repair of incidental contralateral occult hernias. Some surgeons have even proposed to do prophylactic bilateral TEP herniorrhaphy for unilateral hernia patients. To evaluate the appropriateness of not doing contralateral exploration in unilateral TEP herniorrhaphy, we reviewed our experiences under our practice of no contralateral exploration and we also reviewed other publishe...
Source: Hernia - February 19, 2018 Category: Sports Medicine Source Type: research

Operation versus watchful waiting in asymptomatic or minimally symptomatic inguinal hernias: The meta-analysis results of randomized controlled trials
The aim of this article was to compare and analyze the outcomes of surgical repair and watchful waiting (WW) in the treatment of asymptomatic or minimally symptomatic inguinal hernias. (Source: International Journal of Surgery)
Source: International Journal of Surgery - February 19, 2018 Category: Surgery Authors: Wenbin Gong, Junsheng Li Tags: Review Source Type: research

Esophageal hiatal hernia: Risk, Diagnosis and Management.
Authors: Yu HX, Han CS, Xue JR, Han ZF, Xin H Abstract INTRODUCTION: Esophageal hiatal hernia involves abnormal abdominal entry into thoracic cavity. It is classified based on orientation between esophageal junction and diaphragm. Sliding hiatal hernia (Type-I) comprises the most frequent category, emanating from right crus of diaphragm. Type-II esophageal hernia engages both left and right muscular crura. Type-III and IV additionally include the left crus. Age and increased body mass index are key risk factors, and congenital skeletal aberrations trigger pathogenesis through intestinal malrotations. Familiar manif...
Source: Expert Review of Gastroenterology and Hepatology - February 18, 2018 Category: Gastroenterology Tags: Expert Rev Gastroenterol Hepatol Source Type: research

Time for use of mesh repair for all umbilical hernias?
Publication date: Available online 17 February 2018 Source:The Lancet Author(s): Frederik Helgstrand, Thue Bisgaard (Source: The Lancet)
Source: The Lancet - February 17, 2018 Category: General Medicine Source Type: research

Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial
In this study we aimed to investigate whether use of a mesh was better in reducing recurrence compared with suture repair for smaller umbilical hernias. Methods We did a randomised, double-blind, controlled multicentre trial in 12 hospitals (nine in the Netherlands, two in Germany, and one in Italy). Eligible participants were adults aged at least 18 years with a primary umbilical hernia of diameter 1–4 cm, and were randomly assigned (1:1) intraoperatively to either suture repair or mesh repair. In the first 3 years of the inclusion period, blocked randomisation (of non-specified size) was achieved by an envelope ran...
Source: The Lancet - February 17, 2018 Category: General Medicine Source Type: research

[Comment] Time for use of mesh repair for all umbilical hernias?
The indication for open umbilical hernia repair is based predominantly on a surgeon's preference rather than solid evidence, and whether to suture or reinforce the repair with mesh has been heavily debated.1 –3 Annually, millions of patients undergo repair for an umbilical hernia,4 and despite 90% of these defects being less than 2 cm in diameter, 5–10% of patients are reoperated for recurrence, and many more have a clinically detectable recurrence and therefore risk chronic pain.5,6 (Source: LANCET)
Source: LANCET - February 16, 2018 Category: General Medicine Authors: Frederik Helgstrand, Thue Bisgaard Tags: Comment Source Type: research

[Articles] Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial
This is the first study showing high level evidence for mesh repair in patients with small hernias of diameter 1 –4 cm. Hence we suggest mesh repair should be used for operations on all patients with an umbilical hernia of this size. (Source: LANCET)
Source: LANCET - February 16, 2018 Category: General Medicine Authors: Ruth Kaufmann, Jens A Halm, Hasan H Eker, Pieter J Klitsie, Jeroen Nieuwenhuizen, Dick van Geldere, Maarten P Simons, Erwin van der Harst, Martijne van 't Riet, Bronno van der Holt, Gert Jan Kleinrensink, Johannes Jeekel, Johan F Lange Tags: Articles Source Type: research

Acute abdominal pain due to internal herniation of the sigmoid colon, fallopian tube and left ovary, a rare presentation of Allen Masters syndrome.
Authors: Mazzetti CH, Hock N, Taylor S, Lemaitre J, Crener K, Lebrun E Abstract In 1955, Allen and Masters describe a painful syndrome which associates traumatic delivery to laceration found on the posterior leaf of the broad ligament. Herniation through this defect is a rare entity, accounted for about 4-7% of all internal hernias. Normally, it involves the small bowel. The authors present the case of a multiparous woman admitted at emergency for constipation and abdominal pain. The CT scan showed an extremely rare case of internal hernia of the sigmoid colon, fallopian tube and left ovary through a large defect o...
Source: Acta Chirurgica Belgica - February 15, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Age-Correlated Phenotypic Alterations in Cells Isolated From Human Degenerated Intervertebral Discs With Contained Hernias
Conclusion. These findings highlight the remarkable morphological alterations that occur on hIVD cells with aging and degeneration, while reinforcing previous reports on the gradual disappearance of an endogenous progenitor cell population. Level of Evidence: N/A (Source: Spine)
Source: Spine - February 14, 2018 Category: Orthopaedics Tags: Basic Science Source Type: research

Incisional hernia prevention and use of mesh. A narrative review.
ira-Rodríguez JA Abstract Incisional hernias are a very common problem, with an estimated incidence around 15-20% of all laparotomies. Evisceration is another important problem, with a lower rate (2.5-3%) but severe consequences for patients. Prevention of both complications is an essential objective of correct patient treatment due to the improved quality of life and cost savings. This narrative review intends to provide an update on incisional hernia and evisceration prevention. We analyze the current criteria for proper abdominal wall closure and the possibility to add prosthetic reinforcement in certain...
Source: Cirugia eEspanola - February 14, 2018 Category: Surgery Authors: Hernández-Granados P, López-Cano M, Morales-Conde S, Muysoms F, García-Alamino J, Pereira-Rodríguez JA Tags: Cir Esp Source Type: research

Paraesophageal hernias: “You say potato, I say potato”
We greatly appreciate the commentary and questions raised by Dr Mattioli in regard to our recently published study on the 1-year follow-up of giant paraesophageal hernia repairs.1 The first issue is with our use of the term “giant paraesophageal hernia.” We defined the condition in our study as “gastric herniation of 30% or more through the diaphragmatic hiatus on preoperative imaging.” This definition has been widely used over the past decade, most notably by Dr James Luketich and colleagues2 as published in t he Journal. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Benjamin D. Kozower Tags: Thoracic: Esophagus: Letter to the editor Source Type: research

Why consider a paraesophageal hernia giant and a long esophagus short? Definitions and results of surgery for paraesophageal hiatal hernias
I read with much interest the article by Stringham and colleagues1 published in the August 2017 issue of the Journal. I was intrigued by some of their interpretations of the terminology, which clash with what I had been taught about gastric hiatal hernias in my residency years, in fact many years ago. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Sandro Mattioli Tags: Thoracic: Esophagus: Letter to the editor Source Type: research

A call for standardization of wound events reporting following ventral hernia repair
ConclusionPostoperative wound events following VHR are intimately associated with patient quality of life and long-term hernia repair durability. Standardization of the definition of postoperative wound events to include SSI, SSO, and SSOPI following VHR will improve the ability of hernia surgeons to make evidence-based decisions regarding the management of ventral hernias. (Source: Hernia)
Source: Hernia - February 10, 2018 Category: Sports Medicine Source Type: research

Two de novo novel mutations in one SHANK3 allele in a patient with autism and moderate intellectual disability
SHANK3 encodes for a scaffolding protein that links neurotransmitter receptors to the cytoskeleton and is enriched in postsynaptic densities of excitatory synapses. Deletions or mutations in one copy of the SHANK3 gene cause Phelan‐McDermid syndrome, also called 22q13.3 deletion syndrome, a neurodevelopmental disorder with common features including global developmental delay, absent to severely impaired language, autistic behavior, and minor dysmorphic features. By whole exome sequencing, we identified two de novo novel variants including one frameshift pathogenic variant and one missense variant of unknown significance ...
Source: American Journal of Medical Genetics Part A - February 9, 2018 Category: Genetics & Stem Cells Authors: Wenmiao Zhu, Jianli Li, Stella Chen, Jinglan Zhang, Francesco Vetrini, Alicia Braxton, Christine M. Eng, Yaping Yang, Fan Xia, Kory L. Keller, Leila Okinaka ‐Hu, Chung Lee, J. Lloyd Holder, Weimin Bi Tags: CLINICAL REPORT Source Type: research

Laparoscopic management of large hiatal hernia: mesh method with the use of ProGrip mesh versus standard crural repair
This study was performed on 98 gastroesophageal reflux disease patients who underwent Nissen fundoplication with mesh-augmented crura repair and fundoplication with standard crura repair. We used non-absorbable laparoscopic self-fixating mesh by ProGrip ™. All patients were separated into the mesh group (n = 50) and non-mesh group (n = 48). The groups were evaluated according to the following criteria: dysphagia, patients’ symptomatic outcome judgment according to The Gastroesophageal Reflux Disease-Health Related Quality of Life (GERD-HRQL) questionnaire and patients’ satisfac...
Source: Surgical Endoscopy - February 8, 2018 Category: Surgery Source Type: research

Abdominal wall reconstruction following resection of large abdominal aggressive neoplasms using tensor fascia lata flap with or without mesh reinforcement
ConclusionsAbdominal wall defects caused by neoplasms should be repaired by autologous flaps combined with or without mesh reinforcement. Most type I defects should be primary sutured; type II or III defects should be repaired well by flaps, with or without mesh; if the incision is infected or contaminated, biological mesh or flaps are the best choice. (Source: Hernia)
Source: Hernia - February 7, 2018 Category: Sports Medicine Source Type: research

Investigation into the optimal prosthetic material for wound healing of abdominal wall defects.
Authors: Akcakaya A, Aydogdu I, Citgez B Abstract The purpose of this experimental study is to investigate and compare the effects of prosthetic materials used for wound healing of abdominal wall hernias. A total of 60 rats were divided into five equal groups: Group I, control subjected to laparotomy; group II, abdominal wall defect 3×2 cm+polypropylene (PP) mesh; group III, abdominal wall defect 3×2 cm+PP mesh+hyaluronate and carboxymethylcellulose (H-CMC; Seprafilm®); group IV, abdominal wall defect 3×2 cm+polytetrafluoroethylene (PTFE; Composix™); and group V, abdominal wall defect 3&...
Source: Experimental and Therapeutic Medicine - February 6, 2018 Category: General Medicine Tags: Exp Ther Med Source Type: research

Stomach Intestinal Pylorus-Sparing Surgery for Morbid Obesity.
Conclusion: In conclusion, SIPS surgery is a safe procedure with favorable weight loss outcomes at 2 years. PMID: 29398898 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - February 6, 2018 Category: Surgery Tags: JSLS Source Type: research

Laparoscopic pyloromyotomy for hypertrophic pyloric stenosis: a survey of 407 children
DiscussionLP procedure appeared to be as quick as the open procedure. Our results were similar to others series for intraoperative complications. According to operative time, this technique does not have an impact on operative room utilization. Vomiting duration at presentation in HPS does not seem to have a significant impact on postoperative outcomes. LP procedure causes little pain during the postoperative period. No wound complications were registered. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - February 6, 2018 Category: Surgery Source Type: research

Prosthetic mesh repair of abdominal wall hernias in horses
Abstract Repair of hernias of the abdominal wall of horses is often augmented by inserting a prosthetic mesh. In this review, we describe the various characteristics of prosthetic meshes used for hernia repair and present 2 systems that are used by surgeons in the human medical field to classify techniques of prosthetic mesh herniorrhaphy. Both of these classification systems distinguish between onlay, inlay, sublay, and underlay placements of mesh, based on the location within the abdominal wall in which the prosthetic mesh is inserted. We separate the published techniques of prosthetic mesh herniorrhaphy of horses using ...
Source: Veterinary Surgery - February 5, 2018 Category: Veterinary Research Authors: Ferenc T óth, Jim Schumacher Tags: INVITED REVIEW Source Type: research

Systematic review and simulation study of ignoring clustered data in surgical trials
ConclusionClustering was rarely considered in inguinal hernia trials. The simulations underline the importance of considering clustering as part of the statistical analysis to avoid false‐positive and false‐negative results, and hence inappropriate study conclusions. (Source: British Journal of Surgery)
Source: British Journal of Surgery - February 5, 2018 Category: Surgery Authors: S. Dell ‐Kuster, R. A. Droeser, J. Schäfer, V. Gloy, H. Ewald, S. Schandelmaier, L. G. Hemkens, H. C. Bucher, J. Young, R. Rosenthal Tags: Systematic review Source Type: research

Diagnosing Internal Herniation After Roux-en-Y Gastric Bypass Surgery: Literature Overview, Cadaver Study and the Added Value of 3D CT Angiography
Conclusion3D CTA is a promising technique for diagnosing active internal hernias. Our findings suggest that for diagnosing internal hernias, focus should probably shift from routine abdominal CT examination towards the 3D assessment of the mesenteric vasculature and surgical staples. (Source: Obesity Surgery)
Source: Obesity Surgery - February 5, 2018 Category: Surgery Source Type: research

Prosthetic mesh repair of abdominal wall hernias in horses
Veterinary Surgery, EarlyView. (Source: Veterinary Surgery)
Source: Veterinary Surgery - February 5, 2018 Category: Veterinary Research Source Type: research

Identification of risk factors for 30-day postoperative complications in patients undergoing primary ventral hernia repair: a prospective cohort study of 2,374 patients
The objective of this study was to investigate the European Hernia Society classification as a predictor for complications within 30 days after primary ventral hernia surgery. (Source: Surgery)
Source: Surgery - February 3, 2018 Category: Surgery Authors: Leonard Frederik Kroese, Jean-Francois Gillion, Johannes Jeekel, Johan Frederik Lange, Gert-Jan Kleinrensink, Hernia-Club Members Source Type: research

Awareness of attenuated mucopolysaccharidoses in a pediatric orthopedic clinic
Mucopolysaccharidosis (MPS) I is an autosomal recessive lysosomal storage disorder caused by deficient activity of  the enzyme α-l-iduronidase, leading to widespread accumulation of the glycosaminoglycans (GAGs) dermatan sulfate and heparan sulfate in all tissues and organs. The clinical presentations of MPS I include learning difficulties (severe form), corneal clouding, coarse facial features, recurrent ear , nose, and throat infections, airway obstruction, valvular heart disease, umbilical and inguinal hernias, joint stiffness and skeletal deformities. (Source: Pediatrics and Neonatology)
Source: Pediatrics and Neonatology - February 3, 2018 Category: Perinatology & Neonatology Authors: Hsiang-Yu Lin, Chih-Kuang Chuang, Shih-Chia Liu, Shuan-Pei Lin Tags: Short Communication Source Type: research

Identification of risk factors for 30-day postoperative complications in patients undergoing primary ventral hernia repair: a prospective cohort study of 2,374 patients
The objective of this study was to investigate the European Hernia Society classification as a predictor for complications within 30 days after primary ventral hernia surgery. (Source: Surgery)
Source: Surgery - February 3, 2018 Category: Surgery Authors: Leonard Frederik Kroese, Jean-Francois Gillion, Johannes Jeekel, Johan Frederik Lange, Gert-Jan Kleinrensink, Hernia-Club Members Source Type: research

Awareness of attenuated mucopolysaccharidoses in a pediatric orthopedic clinic
Mucopolysaccharidosis (MPS) I is an autosomal recessive lysosomal storage disorder caused by deficient activity of  the enzyme α-l-iduronidase, leading to widespread accumulation of the glycosaminoglycans (GAGs) dermatan sulfate and heparan sulfate in all tissues and organs. The clinical presentations of MPS I include learning difficulties (severe form), corneal clouding, coarse facial features, recurrent ear , nose, and throat infections, airway obstruction, valvular heart disease, umbilical and inguinal hernias, joint stiffness and skeletal deformities. (Source: Pediatrics and Neonatology)
Source: Pediatrics and Neonatology - February 3, 2018 Category: Perinatology & Neonatology Authors: Hsiang-Yu Lin, Chih-Kuang Chuang, Shih-Chia Liu, Shuan-Pei Lin Tags: Short Communication Source Type: research

Randomized controlled trial of standard closure of a stoma site vs biological mesh reinforcement: study protocol of the ROCSS trial
DiscussionROCSS is a multicentre RCT assessing the placement of a biological mesh at the site of stoma closure on clinical hernia rate. Our hypothesis is that reinforcing the stoma closure site with a collagen mesh is superior to the standard technique in reducing the risk of herniation at 2 years. These findings could influence future closure of stomas and other complex and/or contaminated abdominal wounds in settings around the world. (Source: Colorectal Disease)
Source: Colorectal Disease - February 2, 2018 Category: Gastroenterology Authors: , T. Pinkney Tags: Trial protocol Source Type: research

Delineating the burden of chronic post-operative pain in patients undergoing open repair of complex ventral hernias
After open complex ventral hernia repair (cVHR), chronic pain has a significant impact on quality of life and processes of care. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 2, 2018 Category: Surgery Authors: Colin G. DeLong, Justin A. Doble, Amber L. Schilling, Eric M. Pauli, David I. Soybel Source Type: research