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

A comparison between Belsey Mark IV and laparoscopic Nissen fundoplication in patients with large paraesophageal hernia
Laparoscopic Nissen fundoplication is the most commonly performed operation for the repair of large hiatal hernias. We compared outcomes between the Belsey Mark IV fundoplication and the laparoscopic Nissen fundoplication. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - December 19, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Danuel V. Laan, John Agzarian, William S. Harmsen, K. Robert Shen, Shanda H. Blackmon, Francis C. Nichols, Stephen D. Cassivi, Dennis A. Wigle, Mark S. Allen Tags: Thoracic Source Type: research

Neurally adjusted ventilatory assist can be used to wean infants with congenital diaphragmatic hernias off respiratory support
This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - December 16, 2017 Category: Pediatrics Authors: Arata Oda, Liisa Lehtonen, Hanna Soukka Tags: Brief Report Source Type: research

Thoracic disc herniation: Surgical treatment
Publication date: Available online 7 December 2017 Source:Orthopaedics & Traumatology: Surgery & Research Author(s): C. Court, E. Mansour, C. Bouthors Thoracic disc herniation is rare and mainly occurs between T8 and L1. The herniation is calcified in 40% of cases and is labelled as giant when it occupies more than 40% of the spinal canal.A surgical procedure is indicated when the patient has severe back pain, stubborn intercostal neuralgia or neurological deficits. Selection of the surgical approach is essential. Midline calcified hernias are approached from a transthoracic incision, while lateralized sof...
Source: Orthopaedics and Traumatology: Surgery and Research - December 16, 2017 Category: Orthopaedics Source Type: research

Scrotal enteric fistula in an extremely low birth weight premature neonate
We present an extremely low birth weight premature male infant who developed spontaneous fecal drainage from his right scrotum. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - December 16, 2017 Category: Surgery Source Type: research

Neurally adjusted ventilatory assist can be used to wean infants with congenital diaphragmatic hernias off respiratory support
Acta Paediatrica,Volume 107, Issue 4, Page 718-719, April 2018. (Source: Acta Paediatrica)
Source: Acta Paediatrica - December 16, 2017 Category: Pediatrics Source Type: research

Laparoscopic repair of traumatic flank hernias
ConclusionLaparoscopic approach to TFH is feasible and safe. It is associated with minimal hospital stay and fast functional recovery. The key components of our approach include wide pre/retroperitoneal with defect closure and subsequent wide mesh underlay coverage with fixation to bony structures using anchors/screws. We believe that the laparoscopic approach should safely considered for the majority of patients with TFH. (Source: Hernia)
Source: Hernia - December 15, 2017 Category: Sports Medicine Source Type: research

Full-thickness skin graft vs. synthetic mesh in the repair of giant incisional hernia: a randomized controlled multicenter study
ConclusionNo difference was seen for the primary endpoint short-term surgical complication. Full-thickness skin graft appears to be a reliable material for ventral hernia repair producing no more complications than when using synthetic mesh. Patients repaired with a skin graft have less subjective abdominal wall symptoms. (Source: Hernia)
Source: Hernia - December 15, 2017 Category: Sports Medicine Source Type: research

ASCN UK Guideline: parastomal hernias.
PMID: 29240486 [PubMed - in process] (Source: British Journal of Nursing)
Source: British Journal of Nursing - December 14, 2017 Category: Nursing Authors: North J, Osborne W Tags: Br J Nurs Source Type: research

A case of total laparoscopic sigmoidectomy involving the use of needle forceps and transanal specimen extraction for sigmoid colon cancer
Rina Takahashi, Kazuhiro Sakamoto, Hisashi Ro, Kazumasa Kure, Masaya Kawai, Shun Ishiyama, Kiichi Sugimoto, Yutaka Kojima, Atsushi Okuzawa, Yuichi TomikiJournal of Minimal Access Surgery 2018 14(1):71-73A 76-year-old male underwent endoscopic mucosal resection for a stage T1 tumour of the sigmoid colon. We performed laparoscopic sigmoidectomy through 5 ports using needlescopic instruments. The resected specimen was extracted from the abdominal cavity transanally. After attaching an anvil to the sigmoidal stump, the rectal stump was reclosed using an endoscopic linear stapler, and then, colorectal anastomosis was conducted ...
Source: Journal of Minimal Access Surgery - December 11, 2017 Category: Surgery Authors: Rina Takahashi Kazuhiro Sakamoto Hisashi Ro Kazumasa Kure Masaya Kawai Shun Ishiyama Kiichi Sugimoto Yutaka Kojima Atsushi Okuzawa Yuichi Tomiki Source Type: research

Prophylactic placement of permanent synthetic mesh at the time of ostomy closure prevents formation of incisional hernias
We present the outcomes of a series of prophylactic mesh reinforcements with retromuscular, large-pore polypropylene at the time of enterostomy reversal. (Source: Surgery)
Source: Surgery - December 7, 2017 Category: Surgery Authors: Jeremy A. Warren, Lucas R. Beffa, Alfredo M. Carbonell, Jennifer Cull, Brent Sinopoli, Joseph A. Ewing, Cedrek McFadden, Jay Crockett, William S. Cobb Tags: Original Communications Source Type: research

External Validation of the European Hernia Society Classification for Postoperative Complications after Incisional Hernia Repair: A Cohort Study of 2,191 Patients
The objective of this study was to investigate the EHS classification as a predictor for postoperative complications after incisional hernia surgery. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - December 7, 2017 Category: Surgery Authors: Leonard F. Kroese, Gert-Jan Kleinrensink, Johan F. Lange, Jean-Francois Gillion, Hernia-Club Tags: Original Scientific Article Source Type: research

Prophylactic placement of permanent synthetic mesh at the time of ostomy closure prevents formation of incisional hernias
We present the outcomes of a series of prophylactic mesh reinforcements with retromuscular, large-pore polypropylene at the time of enterostomy reversal. (Source: Surgery)
Source: Surgery - December 7, 2017 Category: Surgery Authors: Jeremy A. Warren, Lucas R. Beffa, Alfredo M. Carbonell, Jennifer Cull, Brent Sinopoli, Joseph A. Ewing, Cedrek McFadden, Jay Crockett, William S. Cobb Tags: Hernia Source Type: research

Editorial Comment
For any urologist performing radical cystectomy with an ileal conduit PSH is a common complication. Hernias are difficult to manage and can be particularly bothersome to patients. Hussein et al confirm that the rate of PSH following robotic cystectomy parallels rates described for open cystectomy. A PSH developed in approximately 20% of patients and at least a third were symptomatic. While some of them can be managed conservatively, others require surgery. This begs the question of whether prophylactic mesh during stoma formation is warranted. (Source: The Journal of Urology)
Source: The Journal of Urology - December 5, 2017 Category: Urology & Nephrology Authors: Angela B. Smith Tags: Adult Urology Source Type: research

Single-center, retrospective study of the outcome of laparoscopic inguinal herniorrhaphy in children
Laparoscopic hernia repairs are used increasingly in children. The purpose of this single-center cohort observational research study was to analyze the outcome of children treated surgically for unilateral or bilateral inguinal hernia using laparoscopy. We did a STROBE-compliant retrospective outcome analysis of pediatric, laparoscopic hernia repair. Consecutive laparoscopic herniorrhaphies in 123 children done between March 2, 2010, and March 1, 2014, were included in this analysis. Data analysis was based on reviewing the hospital records and a prospective questionnaire. We evaluated postoperative hernia recurrence rat...
Source: Medicine - December 1, 2017 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Robotic Inguinal Hernia Repair.
Abstract Laparoscopic inguinal hernia repair has certain advantages over open repair including less pain and earlier return to normal activity. Concurrent robotic inguinal hernia repair at the time of prostatectomy has been shown to have a lower recurrence rate than open repair. Robotic surgery adds high definition visualization and articulating instruments which enhances dexterity that makes laparoscopic hernia repair more refined. A series of robotic, laparoscopic, inguinal hernia repairs by a single surgeon with an extensive laparoscopic hernia experience at a single institution was undertaken to determine the ...
Source: The American Surgeon - December 1, 2017 Category: Surgery Authors: Edelman DS Tags: Am Surg Source Type: research

Heroic Measures for an American Hero: Attempting to Save the Life of General Douglas MacArthur.
This article reviews the General's medical care during two separate life-threatening medical crises that required surgical intervention. The first episode occurred in 1960 when MacArthur presented with renal failure due to an obstructed prostate. Four years later after his 84th birthday, MacArthur developed bile duct obstruction from common duct stones. He underwent an uncomplicated cholecystectomy and common duct exploration but developed variceal bleeding requiring an emergent splenorenal shunt. His terminal event was precipitated by strangulated bowel in long-ignored very large inguinal hernias. MacArthur died, despite ...
Source: The American Surgeon - December 1, 2017 Category: Surgery Authors: Pappas TN Tags: Am Surg Source Type: research

Inguinal Herniation of Perinephric Tissue: Case Report and Review of the Literature.
We report the case of a 79-year-old man who presented with abdominal pain and scrotal swelling. He was found on imaging to have an inferiorly displaced kidney with an inguinal herniation of Gerota fascia, as well as an obstructing ureteral stone with an associated forniceal rupture. The unusual renal anatomy, as well as the management of a forniceal rupture, is discussed. PMID: 29181522 [PubMed - in process] (Source: Journal of the American Osteopathic Association)
Source: Journal of the American Osteopathic Association - November 29, 2017 Category: Complementary Medicine Tags: J Am Osteopath Assoc Source Type: research

Retzius space reconstruction following transperitoneal laparoscopic robot-assisted radical prostatectomy: does it have any added value?
AbstractRetzius space sparing (RSS) during laparoscopic robot-assisted radical prostatectomy (RALP) has been offered as an approach that reduces perioperative complications and enables faster gaining of full urinary continence due to bladder anatomy preservation. Retro and transperitoneal techniques have been proposed, whereby RSS has been implemented. We sought to explore whether Retzius space reconstruction (RSR) following transperitoneal RALP will be an advantageous step as well. A prospective registry database of 102 consecutive transperitoneal RALP cases performed by a single surgeon was reviewed. The Retzius space ha...
Source: Journal of Robotic Surgery - November 27, 2017 Category: Surgery Source Type: research

Treatment of giant paraesophageal hernia: pro laparoscopic approach
ConclusionsThe laparoscopic treatment of primary and secondary GPEH is safe and feasible in elective and emergency settings, especially in high-volume centers. The procedure is still challenging. The main steps are well defined. However, there is still room for improvement to lower the recurrence rate. (Source: Hernia)
Source: Hernia - November 25, 2017 Category: Sports Medicine Source Type: research

Neutrophil-to-Lymphocyte Ratio Predicts the Severity of Incarcerated Groin Hernia.
CONCLUSIONS An elevated NLR can serve as a biomarker for the prediction of severity of incarcerated groin hernias. Additionally, incarcerated groin hernia patients who present with bowel obstruction or with duration of intestinal incarceration longer than 26 h have an increased risk for bowel resection. PMID: 29166362 [PubMed - in process] (Source: Medical Science Monitor)
Source: Medical Science Monitor - November 24, 2017 Category: Research Tags: Med Sci Monit Source Type: research

Factors associated with lumbar disc hernia recurrence after microdiscectomy
Conclusion In our series we found that the higher rate of disc height, the percentage of spinal canal occupied by the hernia and degenerative facet joint changes were associated with hernia recurrence. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 21, 2017 Category: Orthopaedics Source Type: research

What Kind of Incision Should Be Made to Reduce the Risk of Incisional Hernia in Kidney Transplantation?
CONCLUSIONS We conclude that using the smallest possible semilunar line incision in the inguinal region would aid in preventing post-transplantation incisional hernias. PMID: 29151569 [PubMed - in process] (Source: Annals of Transplantation)
Source: Annals of Transplantation - November 20, 2017 Category: Transplant Surgery Authors: Yildız I, Koca YS Tags: Ann Transplant Source Type: research

Laparoscopic repair of an excessive Morgagni hernia in an adult presenting as upside-down stomach.
DISCUSSION Morgagni hernias refer to a rare type of diaphragmatic congenital hernias, usually identified during childhood, leaving only a small number of cases observed in the adult population. Its diagnosis can pose a challenge due to the non-specific and usually asymptomatic presentation. An early surgical management is advised due to an increased number of potentially lethal complications, such as gastric incarceration and obstruction. Treatment consist of open surgical techniques through a trans-thoracic or a trans-abdominal approach, although a paradigm shift in the 21st century considers minimal invasive laparoscopic...
Source: International Journal of Surgery Case Reports - November 19, 2017 Category: Surgery Source Type: research

Previously implanted intra-peritoneal mesh increases morbidity during re-laparoscopy: a retrospective, case-matched cohort study
ConclusionsIntra-peritoneal mesh placement is associated with adhesion formation that may increase risk during subsequent laparoscopic surgery. (Source: Hernia)
Source: Hernia - November 18, 2017 Category: Sports Medicine Source Type: research

Surgery for diverticular disease results in a higher hernia rate compared to colorectal cancer: a population-based study from Ontario, Canada
AbstractBackgroundIncisional hernias are a well described complication of abdominal surgery. Previous studies identified malignancy and diverticular disease as risk factors. We compared incisional hernia rates between colon resection for colorectal cancer (CRC) and diverticular disease (DD).Study designWe performed a retrospective, population-based, matched cohort study. Provincial databases were linked through the Institute for Clinical Evaluative Sciences. These databases include all patients registered under the universal Ontario Health Insurance Plan. Patients aged 18 –105 undergoing open colon resection, without...
Source: Hernia - November 16, 2017 Category: Sports Medicine Source Type: research

Computed Tomography of Internal Hernias Following Laparoscopic Roux-en-Y Gastric Bypass Surgery
Publication date: Available online 14 November 2017 Source:Seminars in Ultrasound, CT and MRI Author(s): Yoan Kagoma, Gabriela Gayer Internal 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 sum...
Source: Seminars in Ultrasound, CT and MRI - November 15, 2017 Category: Radiology Source Type: research

Femoral, Direct, and Rare Inguinal Hernias in Children —An Update
Eur J Pediatr Surg DOI: 10.1055/s-0037-1608684Pediatric surgeons deal with inguinal hernias on a regular basis. While most of these are straightforward in terms of diagnosis and therapy, occasionally what initially sounds like a routine case turns out to be a perplexing conundrum. This review discusses rare and unusual findings in the groin area that may mimic an indirect inguinal hernia, but are not. To provide good and effective care, pediatric surgeons should be readily familiar with the possible differential diagnosis of these entities, along with their specific management. In general, laparoscopy is one of the most us...
Source: European Journal of Pediatric Surgery - November 15, 2017 Category: Surgery Authors: G ödeke, Jan Muensterer, Oliver J. Tags: Review Article Source Type: research

Timing and Management of Inguinal Hernia in the Premature Baby
Eur J Pediatr Surg DOI: 10.1055/s-0037-1608802Inguinal hernias in children occur with a prevalence ranging from 3 to 5%. The likelihood of a symptomatic patent processus vaginalis is significantly higher in preterms, as reported by most series. As a consequence, inguinal hernia represents the most common condition requiring surgical repair in the neonate and preterm baby. Surgery aims at avoiding and preventing intestinal and gonadal lesions related to incarceration. Nonetheless, hernia repair is technically demanding, with a relatively high risk of complications including recurrence and testicular atrophy. This paper will...
Source: European Journal of Pediatric Surgery - November 15, 2017 Category: Surgery Authors: Pini Prato, Alessio Casaccia, Germana Arnoldi, Rossella Tags: Review Article Source Type: research

Computed Tomography of Internal Hernias Following Laparoscopic Roux-en-Y Gastric Bypass Surgery
Internal 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 summary of their diagnostic accuracy. (Source: Seminars in Ultrasound CT and MRI)
Source: Seminars in Ultrasound CT and MRI - November 14, 2017 Category: Radiology Authors: Yoan Kagoma, Gabriela Gayer Source Type: research

Invited comment to: European Hernia Society Guidelines on prevention and treatment of parastomal hernias
(Source: Hernia)
Source: Hernia - November 13, 2017 Category: Sports Medicine Source Type: research

Invited commentary on European Hernia Society Guidelines on prevention and treatment of parastomal hernias
(Source: Hernia)
Source: Hernia - November 13, 2017 Category: Sports Medicine Source Type: research

Invited comment to: European Hernia Society guidelines on prevention and treatment of parastomal hernias
(Source: Hernia)
Source: Hernia - November 13, 2017 Category: Sports Medicine Source Type: research

Summary for patients: European Hernia Society guidelines on prevention and treatment of parastomal hernias
(Source: Hernia)
Source: Hernia - November 13, 2017 Category: Sports Medicine Source Type: research

European Hernia Society guidelines on prevention and treatment of parastomal hernias
ConclusionAn evidence-based approach to the diagnosis and management of parastomal hernias reveals the lack of evidence on several topics, which need to be addressed by multicenter trials. Parastomal hernia prevention using a prophylactic mesh for end colostomies reduces parastomal herniation. Clinical outcomes should be audited and adverse events must be reported. (Source: Hernia)
Source: Hernia - November 13, 2017 Category: Sports Medicine Source Type: research

From Inguinal Hernias to Spermatic Cord Lipomas: Pearls, Pitfalls, and Mimics of Abdominal and Pelvic Hernias
RadioGraphics,Volume 37, Issue 7, Page 2063-2082, November-December 2017. (Source: Radiographics)
Source: Radiographics - November 13, 2017 Category: Radiology Authors: Miguel C. Cabarrus Benjamin M. Yeh Andrew S. Phelps Jao J. Ou Spencer C. Behr Source Type: research

Robotic and hybrid robotic transversus abdominis release may be performed with low length of stay and wound morbidity
The objective of our study was to compare length of stay and wound complications after hybrid robotic transversus abdominis release (hrTAR) vs. robotic transversus abdominis release (rTAR) Two cohorts of patients undergoing robotic (rTAR) and hybrid robotic (hrTAR) performed by two surgeons at a single institution were analyzed. Mean length of stay (LOS) and incidence of surgical site occurrences (SSO) were compared. 57 patients undergoing rTAR and 25 patients undergoing hrTAR were analyzed. The hrTAR group had larger mean hernia dimensions and a larger proportion of men but otherwise the patient cohorts were similar. LOS ...
Source: The American Journal of Surgery - November 13, 2017 Category: Surgery Source Type: research

Transversalis fascia scoring: a new adjunct to anterior  component separation technique
ConclusionsAdding transversalis fascia scoring in a controlled standard fashion to ACS may help surgeons achieve closure of abdominal wall defects when ACS alone is not sufficient.Level of Evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 11, 2017 Category: Cosmetic Surgery Source Type: research

‘plug free’ connector placement modification of a bilayer patch device in male indirect inguinal hernioplasty.
‘PLUG FREE’ CONNECTOR PLACEMENT MODIFICATION OF A BILAYER PATCH DEVICE IN MALE INDIRECT INGUINAL HERNIOPLASTY. Acta Clin Croat. 2016 12;55(4):644-9 Authors: Ilić MD, Putnik SS Abstract The bilayer patch device (Ethicon, Prolen Hernia System®) for inguinal hernia repair has a connector that acts as a ‚plug‘ in the internal inguinal ring. The position of this ‚plug‘ component may be responsible for higher incidence of chronic pain and intestinal damage. We assumed that changing the position of the connector of a bilayer patch device (PHS®) and placing it media...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Parastomal Hernia Repair with a 3D Funnel Intraperitoneal Mesh Device and Same-Sided Stoma Relocation: Results of 56 Cases
ConclusionPSH repair with 3D funnel mesh in IPOM technique is safe, efficient and easy to perform in laparoscopic and open surgical approaches providing advantageous results compared to other techniques. Furthermore, simultaneous detection and treatment of concomitant incisional hernias has shown favorable. However, the mesh funnel distends and becomes shortened encasing a bulky bowel mesentery and further shrinkage happens eccentric. Changing mesh construction according to lengthening the funnel could possibly lead to reduction in recurrence. (Source: World Journal of Surgery)
Source: World Journal of Surgery - November 9, 2017 Category: Surgery Source Type: research