Benefits of laparoscopic posterior wall suture repair in treating adolescent indirect inguinal hernias
This study aimed to evaluate the efficacy of laparoscopic intracorporeal posterior wall suture repair without mesh implantation for treating adolescent indirect inguinal hernias.MethodsLaparoscopic herniorrhaphy was performed between September 2012 and April 2015 in 244 patients aged 11 –18 years who were diagnosed with indirect inguinal hernias at Damsoyu Hospital, Seoul, Korea. The patients were stratified by surgical procedure into the high-ligation (115 patients) and wall suture (129 patients) groups.ResultsFour (3.5%) of the 115 patients in the high-ligation group experienced recurrence, but those in the wa...
Source: Hernia - February 1, 2018 Category: Sports Medicine Source Type: research

Systematic review and simulation study of ignoring clustered data in surgical trials.
CONCLUSION: Clustering 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. PMID: 29405280 [PubMed - in process] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - February 1, 2018 Category: Surgery Authors: Dell-Kuster S, Droeser RA, Schäfer J, Gloy V, Ewald H, Schandelmaier S, Hemkens LG, Bucher HC, Young J, Rosenthal R Tags: Br J Surg Source Type: research

Redefining the Rectus Sheath: Implications for Abdominal Wall Repair
Conclusions: These findings contradict classic teachings of abdominal wall structure and highlight the need for a cautious revisiting of the various permutations of component separation, particularly posterior component release. Furthermore, these anatomical landmarks may help predict the development or recurrence of ventral hernias, thus guiding patient selection and informing surgical technique. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - January 31, 2018 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research

What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction?
ConclusionThe routine use of biologic and biosynthetic meshes cannot be recommended. (Source: Hernia)
Source: Hernia - January 31, 2018 Category: Sports Medicine Source Type: research

Complications and recurrence rates of patients with Ehlers-Danlos syndrome undergoing ventral hernioplasty: a case series
ConclusionsThis series describes 14 patients with a median follow-up of 50  months and a recurrence rate of 7.1%. The low recurrence rate could be explained by the use of large meshes that reinforce the entire midline to compensate for the reduced collagen strength in EDS patients. (Source: Hernia)
Source: Hernia - January 31, 2018 Category: Sports Medicine Source Type: research

A rare case of bullhorn-injury associated traumatic hernia of anterior abdominal wall managed by laparoscopic sutured tissue-only repair
We report here one such patient who was managed by laparoscopic transperitoneal anatomical repair of the defect using polypropylene suture. The patient recovered well without any complication and is being followed up. Such small defects can be managed laparoscopically and tissue-only repair using a nonabsorbable suture is a feasible option. Our case is the first reported case of bullhorn-injury associated traumatic hernia managed laparoscopically and first reported case of TAWH in an adult which was managed by laparoscopic sutured tissue-only repair. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 30, 2018 Category: Internal Medicine Authors: KD Singh V Singh P Gupta R Mani Source Type: research

Reducing intra-abdominal pressure in peritoneal dialysis patients to avoid transient hemodialysis.
Abstract Patients treated with peritoneal dialysis (PD) are often required to switch to hemodialysis (HD) temporarily when they develop abdominal wall hernias and dialysate leaks, peritonitis or undergo thoracic or abdominal surgeries. There are significant risks associated with incident hemodialysis including possible central venous catheter infections, thrombosis, and need for invasive procedures. Therefore, strategies to avoid temporary transfer to hemodialysis are desirable. The increased intra-abdominal pressure associated with PD is largely responsible for the issues requiring withholding PD. However, the hi...
Source: Seminars in Dialysis - January 30, 2018 Category: Urology & Nephrology Authors: Jegatheswaran J, Warren J, Zimmerman D Tags: Semin Dial Source Type: research

Studying the complications of bariatric surgery with intravenous contrast-enhanced multidetector computed tomography.
CONCLUSION: The rate of complications in bariatric surgery is high and the associated mortality is not negligible. Radiologists need to know the normal findings in these patients so they can quickly identify possible complications, most of which can be diagnosed with intravenous contrast-enhanced MDCT. PMID: 29395108 [PubMed - as supplied by publisher] (Source: Radiologia)
Source: Radiologia - January 29, 2018 Category: Radiology Authors: Morandeira C, Bárcena MV, Bilbao A, Pérez M, Ibáñez AM, Isusi M, Lecumberri G Tags: Radiologia Source Type: research

Outcomes of surgery on patients with a clinically inapparent inguinal hernia as diagnosed by ultrasonography
AbstractBackgroundChronic post-operative inguinal pain (CPIP) is the most significant complication following inguinal hernia repair. Patients without a palpable hernia prior to surgery seemed to report more CPIP. Our aim was to evaluate the effects of surgery on patients with a clinically inapparent inguinal hernia as diagnosed using ultrasonography.MethodsA total of 179 hernia repairs in patients with a positive ultrasonography but negative physical examination were analysed retrospectively. Patients with recurrent hernias, femoral hernias or previous surgery to the inguinal canal were excluded. The primary outcome was th...
Source: Hernia - January 27, 2018 Category: Sports Medicine Source Type: research

Primary and incisional ventral hernias are different in terms of patient characteristics and postoperative complications - A prospective cohort study of 4,565 patients
Primary and incisional hernias are often pooled in publications studying hernia symptoms, treatment, or surgical outcomes. The question rises whether this is justified or if primary and incisional hernia should be considered as two separate entities. The aim of this prospective cohort study is to compare primary and incisional ventral hernias regarding patient characteristics, hernia characteristics, surgical characteristics, and postoperative complications. (Source: International Journal of Surgery)
Source: International Journal of Surgery - January 27, 2018 Category: Surgery Authors: Leonard F. Kroese, Jean-Francois Gillion, Johannes Jeekel, Gert-Jan Kleinrensink, Johan F. Lange, the Hernia-Club Members Tags: Original Research Source Type: research

The Treatment of Incisional Hernia.
CONCLUSION: The operative treatment of incisional hernia markedly improves patients' quality of life. The currently available evidence regarding the complication rates of open and laparoscopic surgical repair is highly heterogeneous, and further RCTs on this subject would therefore be desirable. Moreover, new study models are needed so that well-founded individualized treatment algorithms can be developed. PMID: 29366450 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - January 26, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Long-term follow-up results of umbilical hernia repair.
Conclusions: The overall umbilical hernia recurrence rate was 13.1%. Body mass index> 30 kg/m2, diabetes and wound infection were independent risk factors for UH recurrence. According to our study results, laparoscopic medium and large umbilical hernia repair has slight advantages over open mesh repair concerning early postoperative complications, long-term postoperative pain and recurrence. PMID: 29362649 [PubMed] (Source: Videosurgery and Other Miniinvasive Techniques)
Source: Videosurgery and Other Miniinvasive Techniques - January 25, 2018 Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research

Repairing the female pelvic floor: when good enough is not good enough
Repairing the female pelvic floor: when good enough is not good enough, Published online: 23 January 2018; doi:10.1038/nrurol.2017.219Women commonly experience pelvic floor damage during pregnancy and vaginal childbirth and later develop stress urinary incontinence and prolapse. Polypropylene mesh can repair abdominal hernias, but complications result when used in the female pelvic floor. In October, the Royal Society hosted a workshop to address issues surrounding pelvic floor disorders. (Source: Nature Reviews Urology)
Source: Nature Reviews Urology - January 23, 2018 Category: Urology & Nephrology Authors: Sheila MacNeil Sohier El Neil Gloria Esegbona Margot Damaser Source Type: research

Laparoscopic transabdominal preperitoneal approach for giant inguinal hernias.
CONCLUSION: The TAPP approach is a feasible, safe therapeutic option that may reduce wound size and pain following surgical treatment of Type 1 GIH. PMID: 29371050 [PubMed - as supplied by publisher] (Source: Asian Journal of Surgery)
Source: Asian Journal of Surgery - January 20, 2018 Category: Surgery Authors: Fujinaka R, Urade T, Fukuoka E, Murata K, Mii Y, Sawa H, Man-I M, Oka S, Iwatani Y, Kuroda D Tags: Asian J Surg Source Type: research

Outcomes of utilizing absorbable mesh as an adjunct to posterior sheath closure during complex posterior component separation
ConclusionsUtilization of AMB for large posterior layer deficits results in acceptable rates of perioperative wound morbidity, effective PCS repairs, and does not increase intestinal morbidity or fistula formation. (Source: Hernia)
Source: Hernia - January 18, 2018 Category: Sports Medicine Source Type: research

Development of a Disease-based Hernia Program and the Impact on Cost for a Hospital System
Objective: The aim of this study was to assess the impact of developing a hernia program on mesh utilization. Background: With the ongoing changes in healthcare, the value of all interventions will see increased scrutiny. Hernia mesh can be one of the most costly components of hernia repairs. A disease-based institutional hernia program that defines roles for mesh utilization and measures outcomes has the potential to add significant value to hospital systems. Methods: In August 2014, a disease-based hernia program was initiated across a hospital system. In collaboration with hospital administration, surgical opera...
Source: Annals of Surgery - January 17, 2018 Category: Surgery Tags: Original Articles Source Type: research

Laparoscopic intracorporeal rectus aponeuroplasty (LIRA technique): a step forward in minimally invasive abdominal wall reconstruction for ventral hernia repair (LVHR)
ConclusionThe LIRA technique could be considered as an alternative to conventional CD or endoscopic component separation for medium defects under 10  cm in width. This technique obtained a “no tension” effect that could be related to a lower rate of postoperative pain with no recurrence or bulging, being a safe, feasible, and reproducible technique. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 17, 2018 Category: Surgery Source Type: research

Hiatal hernia recurrence following magnetic sphincter augmentation and posterior cruroplasty: intermediate-term outcomes
AbstractBackgroundWe have previously reported short-term outcomes after hiatal hernia repair (HHR) at the time of magnetic sphincter augmentation (MSA) for gastroesophageal reflux disease (GERD). Here we report intermediate-term outcomes and hernia recurrence rate after concomitant MSA and HHR.MethodsThis is a retrospective cohort study of patients who underwent repair of a hiatal hernia 3  cm or larger at the time of MSA implantation between May 2009 and December 2015. The primary endpoint was hiatal hernia recurrence identified by routine postoperative videoesophagography or endoscopy. Recurrence was defined by a 2&...
Source: Surgical Endoscopy - January 16, 2018 Category: Surgery Source Type: research

A word of caution: never use tacks for mesh fixation to the diaphragm!
ConclusionsTacks should not be used for mesh fixation in the diaphragm above the costal arch. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 16, 2018 Category: Surgery Source Type: research

Persistent posterior seroma after laparoscopic repair of ventral abdominal wall hernias with expanded polytetrafluoroethylene mesh: prevalence, independent predictors and detached tacks
ConclusionsA PPS is a relatively common complication after LVHR with an ePTFE mesh of usually larger hernias. A “wait-and-see” approach seems justified in most cases. Some require laparoscopic excision of the thick neoperitoneum. A PPS can cause tack and mesh detachment but the clinical consequences are unclear. Recurrences have not been observed in this series. (Source: Hernia)
Source: Hernia - January 15, 2018 Category: Sports Medicine Source Type: research

International guidelines for groin hernia management
ConclusionsThe HerniaSurge Group has developed these extensive and inclusive guidelines for the management of adult groin hernia patients. It is hoped that they will lead to better outcomes for groin hernia patients wherever they live. More knowledge, better training, national audit and specialization in groin hernia management will standardize care for these patients, lead to more effective and efficient healthcare and provide direction for future research. (Source: Hernia)
Source: Hernia - January 12, 2018 Category: Sports Medicine Source Type: research

Thoracic herniation secondary to pleural effusion
We present the case of a 61-year-old gentleman with history of stage IV esophageal cancer presented to the emergency department with the complaints of dyspnea on exertion and cough of 1-month duration. Patient had undergone resection of distal esophagus 4 years' prior this admission. Chest radiograph revealed a large right pleural effusion and, a computed tomography scan of the chest revealed a portion of the effusion herniating between the ribs in the right hemithorax. Thoracentesis was performed with improvement in patient's dyspnea and overall condition. Patient was doing better and asymptomatic on his 3-month follow-up...
Source: Respiratory Medicine Case Reports - January 12, 2018 Category: Respiratory Medicine Source Type: research

Clinical and Patient-Reported Outcomes after Absorbable Strap Fixation for Ventral Hernia Repair.
CONCLUSION: Mesh fixation with straps with or without additional sutures is associated with significant improvements in patient-reported pain and movement limitation from baseline to six months post-operative. PMID: 29315451 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - January 11, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Sensors, Vol. 18, Pages 189: Surgical Dynamometer to Simultaneously Measure the Tension Forces and the Distance between Wound Edges during the Closure of a Laparotomy
llas Cristina Gas Jorge Olsina The closure of the abdominal wall after making a laparotomy is a major challenge for surgeons, since a significant percentage of closures fail and incisional hernias rise. The suture has to withstand the forces required to close the incision, while not hindering the adequate wound healing progression. Currently, there is no surgical measuring device that could be used to determine the required closing forces, which can be very different depending on the patient. This paper presents a dynamometer to measure the tension forces to be applied while closing a surgical incision, and it simu...
Source: Sensors - January 11, 2018 Category: Biotechnology Authors: Joan Roca Miquel Nogu és Rafael Villalobos Mar ía Mías Mart í Comellas Cristina Gas Jorge Olsina Tags: Article Source Type: research

Traumatic Thoracic Rib Cage Hernias Discussion
I am very pleased to be asked to discuss this comprehensive experience of the operative management of traumatic chest wall hernias. Dr William Long of Legacy Emanuel Medical Center in Portland, OR is a pioneer in the management of chest wall injuries in general and complex deformities and defects in particular. My recent experience at 2 different trauma centers was to encounter 1 or 2 patients per year with these injuries. Some years there were none. I cannot say whether the frequency of these injuries is increasing. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 9, 2018 Category: Surgery Authors: John Mayberry Source Type: research

Discussion of “Traumatic thoracic rib cage hernias: Operative management and proposal for a new anatomic-based grading system”
I am very pleased to be asked to discuss this comprehensive experience of the operative management of traumatic chest wall hernias. Dr William Long of Legacy Emanuel Medical Center in Portland, OR is a pioneer in the management of chest wall injuries in general and complex deformities and defects in particular. My recent experience at 2 different trauma centers was to encounter 1 or 2 patients per year with these injuries. Some years there were none. I cannot say whether the frequency of these injuries is increasing. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 9, 2018 Category: Surgery Authors: John Mayberry Source Type: research

Traumatic bicycle handlebar hernia in children: a systematic review.
CONCLUSIONS: Traumatic abdominal wall hernia can be visualized by ultrasonography, but CT scan is often used as the final diagnostic modality because of the risk of associated intra-abdominal injuries. Open surgical repair in layers or laparoscopic suturing during diagnostic laparoscopy may be appropriate in managing traumatic abdominal wall hernias in children. Non-surgical management has been described, but available data do not support a general recommendation for a non-surgical approach. PMID: 29301610 [PubMed - in process] (Source: Danish Medical Journal)
Source: Danish Medical Journal - January 7, 2018 Category: General Medicine Tags: Dan Med J Source Type: research

Development of a Disease-based Hernia Program and the Impact on Cost for a Hospital System
Objective: The aim of this study was to assess the impact of developing a hernia program on mesh utilization. Background: With the ongoing changes in healthcare, the value of all interventions will see increased scrutiny. Hernia mesh can be one of the most costly components of hernia repairs. A disease-based institutional hernia program that defines roles for mesh utilization and measures outcomes has the potential to add significant value to hospital systems. Methods: In August 2014, a disease-based hernia program was initiated across a hospital system. In collaboration with hospital administration, surgical opera...
Source: Annals of Surgery - January 5, 2018 Category: Surgery Tags: Original Articles Source Type: research

A systematic methodological review of reported perioperative variables, postoperative outcomes and hernia recurrence from randomised controlled trials of elective ventral hernia repair: clear definitions and standardised datasets are needed
ConclusionVH RCTs report peri- and post-operative variables inconsistently, and with poor definitions. A standardised minimum dataset, including definitions of recurrence, is required. (Source: Hernia)
Source: Hernia - January 5, 2018 Category: Sports Medicine Source Type: research

Traumatic Thoracic Rib Cage Hernias: Operative Management and Proposal for a New Anatomic-Based Grading System
Conclusion The size and degree of injury has important implications in the optimal surgical management of TRCHs. These operative grades effectively direct surgical care for these rare and complex injuries. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - January 5, 2018 Category: Surgery Source Type: research

Invited comment to: European Hernia Society guidelines on prevention and treatment of parastomal hernias
(Source: Hernia)
Source: Hernia - January 4, 2018 Category: Sports Medicine Source Type: research

Traumatic Thoracic Rib Cage Hernias: Operative Management and Proposal for a New Anatomic-Based Grading System
Traumatic Rib Cage Hernias (TRCH) requiring operative repair are rare and there is currently no literature to guiding surgical management. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 4, 2018 Category: Surgery Authors: John Kuckelman, Riyad Karmy-Jones, Elizabeth Windell, Seth Izenberg, Jean-Stephane David, William Long, Matthew J. Martin Source Type: research

Traumatic thoracic rib cage hernias: Operative management and proposal for a new anatomic-based grading system
Traumatic Rib Cage Hernias (TRCH) requiring operative repair are rare and there is currently no literature to guiding surgical management. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 4, 2018 Category: Surgery Authors: John Kuckelman, Riyad Karmy-Jones, Elizabeth Windell, Seth Izenberg, Jean-Stephane David, William Long, Matthew J. Martin Source Type: research

Here and Now: Clinical practice Hiatal and Paraesophageal Hernias
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - January 3, 2018 Category: Gastroenterology Authors: James P. Callaway, Michael F. Vaezi Source Type: research

Novel large-pore lightweight polypropylene mesh has better biocompatibility for rat model of hernia.
Abstract PURPOSE: Abdominal wall hernias are repaired with tension-free prosthetic materials but there remains a foreign body response (FBR) to commonly used polypropylene mesh. Thus, we should optimize mesh materials to improve the patient outcomes after surgery. MATERIALS AND METHODS: A polypropylene mesh was developed with wrap knitting technique. The physical, mechanical and biocompatible characteristics were tested in a rat abdominal hernia model and compared to ULTRAPRO and Easy Prosthesis. RESULTS: Polypropylene mesh of two pore sizes was developed (LP-WKPM and SP-WKPM). Compared with ULTRAPRO and...
Source: Biomed Res - January 3, 2018 Category: Research Authors: Qiu W, Zhong C, Xu R, Zou T, Wang F, Fan Y, Wang L, Yang Z Tags: J Biomed Mater Res A Source Type: research

Hiatal and Paraesophageal Hernias
Anatomically, one of the primary defense mechanisms to prevent gastroesophageal reflux (GER) is an intact gastroesophageal junction (GEJ) that is composed of an overlapping lower esophageal sphincter and diaphragmatic crus (Figure  1). This barrier, if disrupted, can lead to increased GER and symptoms of gastroesophageal reflux disease (GERD) including heartburn, chest pain, regurgitation, and extraesophageal symptoms of cough or throat soreness. Prolonged or frequent GER can lead to complications including erosive esophagit is, Barrett’s esophagus, or stricture formation. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - January 3, 2018 Category: Gastroenterology Authors: James P. Callaway, Michael F. Vaezi Tags: Here and Now: Clinical Practice Source Type: research

The Best of Abdominal Wall Reconstruction
Learning Objectives: After reviewing this article, the participant should be able to: 1. List major risk factors for hernia formation and for failure of primary repair. 2. Outline an algorithmic approach to anterior abdominal wall reconstruction based on the degree of contamination, components involved in the deficit, and width of the hernia defect. 3. Describe appropriate indications for synthetic and biological mesh products. 4. List common flaps used in anterior abdominal wall reconstruction, including functional restoration strategies. 5. Describe the current state of the art of vascularized composite tissue allotran...
Source: Plastic and Reconstructive Surgery - January 1, 2018 Category: Cosmetic Surgery Tags: CME Source Type: research

Laparoscopic management of pediatric and adolescent patients with intra-abdominal complications of ventriculoperitoneal shunt
Conclusion Laparoscopic is a very useful diagnostic and therapeutic tool in dealing with intra-abdominal complications of VP shunt with high safety and an excellent outcome. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - January 1, 2018 Category: Surgery Tags: Original Articles Source Type: research

Randomised controlled trial of standard closure of stoma site versus biologic mesh reinforcement: Study protocol of the ROCSS trial
This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - January 1, 2018 Category: Gastroenterology Tags: Trial Protocol Source Type: research

Activity of metalloproteinases and adiponectin in obese patients-a possible factor of incisional hernias after bariatric procedures.
Abstract PURPOSE: Metalloproteinases are a key component of the pathogenesis of abdominal hernias. Obesity is considered a risk factor in herniogenesis and hernia recurrence. The aim of this study was to evaluate the serum concentrations of metalloproteinase-2 (MMP-2), MMP-9, MMP-13, and adiponectin in morbidly obese and non-overweight controls. MATERIALS AND METHODS: The participants were recruited from among patients undergoing bariatric and non-bariatric surgery and divided into two groups: I (body mass index (BMI)≥35 kg/m2, n=40) and II (BMI
Source: J Zhejiang Univ Sci ... - January 1, 2018 Category: Science Authors: Szczęsny W, Kuligowska-Prusińska M, Dąbrowiecki S, Szmytkowski J, Reśliński A, Słupski M Tags: J Zhejiang Univ Sci B Source Type: research

Activity of metalloproteinases and adiponectin in obese patients — a possible factor of incisional hernias after bariatric procedures
AbstractPurposeMetalloproteinases are a key component of the pathogenesis of abdominal hernias. Obesity is considered a risk factor in herniogenesis and hernia recurrence. The aim of this study was to evaluate the serum concentrations of metalloproteinase-2 (MMP-2), MMP-9, MMP-13, and adiponectin in morbidly obese and nonoverweight controls.Materials and methodsThe participants were recruited from among patients undergoing bariatric and non-bariatric surgery and divided into two groups: I (body mass index (BMI) ≥35 kg/m2, n=40) and II (BMI
Source: Journal of Zhejiang University. Science. B. - January 1, 2018 Category: Universities & Medical Training Source Type: research

Reducing intra ‐abdominal pressure in peritoneal dialysis patients to avoid transient hemodialysis
Abstract Patients treated with peritoneal dialysis (PD) are often required to switch to hemodialysis (HD) temporarily when they develop abdominal wall hernias and dialysate leaks, peritonitis or undergo thoracic or abdominal surgeries. There are significant risks associated with incident hemodialysis including possible central venous catheter infections, thrombosis, and need for invasive procedures. Therefore, strategies to avoid temporary transfer to hemodialysis are desirable. The increased intra‐abdominal pressure associated with PD is largely responsible for the issues requiring withholding PD. However, the high intr...
Source: Seminars In Dialysis - January 1, 2018 Category: Hematology Authors: Januvi Jegatheswaran, Jeffrey Warren, Deborah Zimmerman Tags: EDITORIAL Source Type: research

The Best of Abdominal Wall Reconstruction
Learning Objectives: After reviewing this article, the participant should be able to: 1. List major risk factors for hernia formation and for failure of primary repair. 2. Outline an algorithmic approach to anterior abdominal wall reconstruction based on the degree of contamination, components involved in the deficit, and width of the hernia defect. 3. Describe appropriate indications for synthetic and biological mesh products. 4. List common flaps used in anterior abdominal wall reconstruction, including functional restoration strategies. 5. Describe the current state of the art of vascularized composite tissue allotran...
Source: Plastic and Reconstructive Surgery - December 29, 2017 Category: Cosmetic Surgery Tags: CME Source Type: research

Complex Ventral Hernias: A Review of Past to Present.
Authors: Trujillo CN, Fowler A, Al-Temimi MH, Ali A, Johna S, Tessier D Abstract With the incidence of ventral hernias increasing, surgeons are faced with greater complexity in dealing with these conditions. Proper knowledge of the history and the advancements made in managing complex ventral hernias will enhance surgical results. This review article highlights the literature regarding complex ventral hernias, including a shift from a focus that stressed surgical technique toward a multimodal approach, which involves optimization and identification of suboptimal characteristics. PMID: 29272245 [PubMed - in proc...
Source: The Permanente journal - December 24, 2017 Category: General Medicine Tags: Perm J Source Type: research

Impact of Abdominal Wall Hernias and Repair on Patient Quality of Life
AbstractBackgroundThe modified Activities Assessment Scale (AAS) is a 13-question abdominal wall quality of life (AW-QOL) survey validated in patients undergoing ventral hernia repair (VHR). No studies have assessed AW-QOL among individuals without abdominal wall pathology. The minimal clinically important difference (MCID) of the modified AAS and its implications for the threshold at which VHR should be offered also remain unknown. Our objectives were to (1) establish the AW-QOL of patients with a clinical abdominal wall hernia versus those with no hernia, (2) determine the MCID of the modified AAS, and (3) identify the b...
Source: World Journal of Surgery - December 22, 2017 Category: Surgery Source Type: research

Bowel obstruction in obturator hernia: A challenging diagnosis
Conclusion Obturator hernia is a rare type of hernia due to his diagnosis, which is often unclear; a prompt suspect based for the non-specific symptoms is crucial for the diagnosis. Surgical management depends on early diagnosis and it is the only possible treatment for this pathology. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - December 21, 2017 Category: Surgery Source Type: research

Pediatric femoral hernia in the laparoscopic era
ConclusionFemoral hernia is a rare pathology in pediatric patients that is often difficult to diagnose. The laparoscopic approach is effective in the diagnosing and treating these hernias, and it allows for the simultaneous repair of multiple groin defects. (Source: Asian Journal of Endoscopic Surgery)
Source: Asian Journal of Endoscopic Surgery - December 20, 2017 Category: Surgery Authors: Bel én Aneiros Castro, Indalecio Cano Novillo, Araceli García Vázquez, María López Díaz, María Isabel Benavent Gordo, Andrés Gómez Fraile Tags: Original Article Source Type: research

Single port component separation: endoscopic external oblique release for complex ventral hernia repair
ConclusionsSingle port endoscopic EO release holds potential as an adjunct in the repair of large ventral hernia defects. It is easy to perform, is safe and efficient, and entails minimal disruption of tissue planes and preserves abdominal wall perforating vessels. It requires only one port-sized incision on each side of the abdomen, thus minimizing potential for complications. Further detailed quantification of advancement gains and morbidity from this technique is warranted, both with and without prior administration ofBotulinum Toxin A to facilitate closure. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 20, 2017 Category: Surgery Source Type: research