Mesh implants for hernia repair: an update.
Authors: Klinge U, Klosterhalfen B Abstract INTRODUCTION: Today the use of textile meshes has become a standard for the treatment of abdominal wall hernias and for the reinforcement of any tissue repair as the strength of the implant decreases the recurrence rates. With increasing use, side effects of the textile implants became apparent, as well. Areas covered: Based on publications in Medline over the past decade, general and specific benefits as well as risks are discussed with the challenge to define individual risk-benefit ratios. For meshes, certain high-risk or low -risk conditions can be defined. In an atte...
Source: Expert Review of Medical Devices - September 29, 2018 Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research

Surgical findings and clinical outcome after bilateral repair of apparently unilateral perineal hernias in dogs
Journal of Small Animal Practice, EarlyView. (Source: The Journal of Small Animal Practice)
Source: The Journal of Small Animal Practice - September 27, 2018 Category: Veterinary Research Authors: A. Bernard é, P. Rochereau, L. Matres‐Lorenzo, H. Brissot Source Type: research

Robotic retro-rectus repair of parastomal hernias
AbstractObjectiveTo present our technique of robotic retrorectus parastomal hernia repair.BackgroundParastomal hernias represent a significant problem with high recurrence and long-term complications. An estimated of 120,000 new stomas are created per year with a prevalence of up to 800,000 patients in the U.S. 40 –60% of these ostomies will never be reversed. Parastomal hernias cause skin breakdown and make adherence of ostomy appliances difficult, creating the need for frequent bag exchanges. They can also cause pain, bowel obstruction and bowel incarceration or strangulation. All of these factors affect quality of...
Source: Journal of Robotic Surgery - September 24, 2018 Category: Surgery Source Type: research

Comparison of complete versus partial mesh removal for the treatment of chronic mesh infection after abdominal wall hernia repair
AbstractPurposeTreatment of chronic mesh infections (CMI) after parietal repair is difficult and not standardized. Our objective was to present the results of a standardized surgical treatment including maximal infected mesh removal.MethodsPatients who were referred to our center for chronic mesh infection were analyzed according to CMI risk factors, initial hernia prosthetic cure, CMI characteristics and treatments they received to achieve a cure.ResultsThirty-four patients (mean age 54  ± 13 years; range 23–72), were included. Initial prosthetic cure consisted of 26 incisional hernias and ...
Source: Hernia - September 22, 2018 Category: Sports Medicine Source Type: research

Safety and effectiveness of umbilical hernia repair in patients with cirrhosis
This study examined the outcomes of umbilical hernia repair in patients with advanced liver disease and compared this with a control group of non-cirrhotic patients.MethodsProspective data were collected regarding the outcome of umbilical hernia repairs performed between 2004 and 2013 at the Austin Hospital, Melbourne, Australia. Outcomes at 90  days were compared between patients with and without cirrhosis.Results79 patients with cirrhosis and 249 controls were analysed. Of the patients with cirrhosis, 9% were classified as Child –Pugh A, 61% were Child–Pugh B and 30% were Child–Pugh C. Emergency re...
Source: Hernia - September 22, 2018 Category: Sports Medicine Source Type: research

How to repair parastomal hernias involving the abdominal apron: to move or not to move
ANZ Journal of Surgery, EarlyView. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - September 21, 2018 Category: Surgery Authors: Nelson Chen MBBS , Kellee Slater MBBS (Hons), FRACS, FACS Source Type: research

Strangulated Hernia Can Be a Risk Factor of Seroma following Laparoscopic Transabdominal Preperitoneal Repair.
This study aimed to retrospectively evaluate the risk of seroma after TAPP and to identify the association between strangulated hernia and seroma. Methods: We treated 300 inguinal hernias by TAPP between 2013 and 2016 at Kurashiki Central Hospital. We used the Chi-square test. Factors significant in each association were further examined using multiple subsequent logistic regressions. Results: A total of 222 hernias were eligible for analysis. The incidence of seroma was 11% (n=25). There were nine cases of strangulated hernias, and three (33%) resulted in seroma. The ratio of strangulated hernia of seroma group is...
Source: Minimally Invasive Surgery - September 20, 2018 Category: Surgery Tags: Minim Invasive Surg Source Type: research

A prospective Study on Femoral Hernia Repair: Is the Inguinal Better Than The Infrainguinal Approach?
This study aimed to compare the infrainguinal with the inguinal approach in the treatment of femoral hernias. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - September 19, 2018 Category: Surgery Authors: Yanyan Xie, Yinghan Song, Dongyang Ma, Fushun Jian, Sen Zhang, Anqing Lu, Wang Yong, Wenzhang Lei Tags: Gastrointestinal Source Type: research

Delayed laparoscopic repair of a traumatic flank hernia: a case report and review of the literature
CONCLUSIONThere is growing evidence supporting a non-operative management strategy in patients with a traumatic abdominal wall hernia who do not have a clear indication for abdominal surgery. These patients may be safely observed with delayed laparoscopic repair using synthetic mesh reserved for traumatic abdominal wall hernias that become symptomatic. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 17, 2018 Category: Surgery Source Type: research

Mesh: Prescribe like a drug
Usher introduced the first polypropylene mesh in 1968 as a method to achieve tension-free hernia repair. It took less than a decade for the worldwide adoption of the mesh to replace most anatomical repairs. Mesh is one of the most commonly used implants in surgery today. Approximately 20 million hernias are repaired every year worldwide (1), meshplasty being the commonest kind of hernia surgery. (see Table 1) (Source: International Journal of Surgery)
Source: International Journal of Surgery - September 17, 2018 Category: Surgery Authors: Sarfaraz J. Baig, Pallawi Priya Tags: Letter to the Editor Source Type: research

Suprapubic single-port approach for complicated diverticulitis
ConclusionsSPSP sigmoidectomy for diverticulitis is feasible and effective, minimizing the size of the access wound and avoiding increased risk of hernia. This approach might be especially valuable for the management of large diverticular phlegmon and sigmoid-vesical fistula. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 15, 2018 Category: Surgery Source Type: research

Degenerative spondylolisthesis: a prospective cross-sectional cohort study on the role of weakened anterior abdominal musculature on causation
ConclusionThis study highlights the important role that the abdominal musculature plays in stabilization of the spine and highlights its potential role as a factor in the development of DS.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material. (Source: European Spine Journal)
Source: European Spine Journal - September 14, 2018 Category: Orthopaedics Source Type: research

Prevention of Parastomal Hernia.
Authors: MacQueen IT, Kirchhoff P, Chen DC Abstract Parastomal hernia (PSH), defined as an incisional hernia at the abdominal wall defect resulting from stoma formation, is a frequent complication of enterostomy (ileostomy and jejunostomy), colostomy, and urostomy. A growing body of evidence supports the use of prophylactic mesh at the time of stoma creation to prevent the development of PSH. In particular, the use of permanent mesh has been supported in the creation of an end colostomy, and prophylactic mesh has been studied for use in other types of stoma. Permanent mesh materials used for PSH prophylaxis include...
Source: Surgical Technology International - September 13, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Mesh versus non-mesh for inguinal and femoral hernia repair.
CONCLUSIONS: Mesh and non-mesh repairs are effective surgical approaches in treating hernias, each demonstrating benefits in different areas. Compared to non-mesh repairs, mesh repairs probably reduce the rate of hernia recurrence, and reduce visceral or neurovascular injuries, making mesh repair a common repair approach. Mesh repairs may result in a reduced length of hospital stay and time to return to activities of daily living, but these results are uncertain due to variation in the results of the studies. Non-mesh repair is less likely to cause seroma formation and has been favoured in low-income countries due to low c...
Source: Cochrane Database of Systematic Reviews - September 13, 2018 Category: General Medicine Authors: Lockhart K, Dunn D, Teo S, Ng JY, Dhillon M, Teo E, van Driel ML Tags: Cochrane Database Syst Rev Source Type: research

Peritoneal dialysis catheter placement, outcomes and complications
ConclusionsOmentectomy is associated with longer PD catheter survival. Laparoscopic salvage of dysfunctional catheters may be a valuable adjunct in management. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - September 10, 2018 Category: Surgery Source Type: research

Incidence, risk factors and prevention of stoma site incisional hernias: a systematic review and meta ‐analysis
Colorectal Disease, EarlyView. (Source: Colorectal Disease)
Source: Colorectal Disease - September 8, 2018 Category: Gastroenterology Authors: D. P. V. Lambrichts , G. H. J. de Smet , R. D. van der Bogt , L. F. Kroese , A. G. Menon , J. Jeekel , G ‐J. Kleinrensink , J. F. Lange Source Type: research

Outcomes of abdominal surgeries in cirrhotic patients performed by liver transplant surgeons: Are these safe?
ConclusionsOur study indicates that elective operations could be performed safely with acceptable mortality in cirrhotic patients. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - September 6, 2018 Category: Surgery Source Type: research

Prophylactic mesh augmentation: Patient selection, techniques, and early outcomes
ConclusionsEarly results are encouraging, demonstrating PMA is safe with equivocal SSO. Further studies are needed to assess if the reduction in IH formation is statistically significant with longer follow-up. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - September 6, 2018 Category: Surgery Source Type: research

The change in groin pain perception after transabdominal preperitoneal inguinal hernia repair with glue fixation: a prospective trial of a single surgeon ’s experience
AbstractBackgroundAlthough inguinal hernia is one of the most common conditions requiring surgical treatment, no reliable information is available on the quality of life of patients with inguinal hernias before surgery. Additionally, patients with intense inguinal pain prior to surgery are more susceptible to postoperative chronic pain. In such cases, less invasive laparoscopic techniques can be used, allowing atraumatic mesh fixation to reduce postoperative pain. The aim of the study was to determine, whether these treatments for patients with preoperative pain would minimize upsetting experiences after surgery.Materials ...
Source: Surgical Endoscopy - September 6, 2018 Category: Surgery Source Type: research

What Exactly is Meant by “Loss of Domain” for Ventral Hernia? Systematic Review of Definitions
AbstractLarge ventral hernias are a significant surgical challenge. “Loss of domain” (LOD) expresses the relationship between hernia and abdominal volume, and is used to predict operative difficulty and success. This systematic review assessed whether different definitions of LOD are used in the literature. The PubMed database was searched for articles reporting large hernia repairs that explicitly described LOD. Two reviewers screened citations and extracted data from selected articles, focusing on the definitions used for LOD, study demographics, study design, and reporting surgical specialty. One hundred and...
Source: World Journal of Surgery - September 5, 2018 Category: Surgery Source Type: research

Ventral hernia recurrence in women of childbearing age: a systematic review and meta-analysis
ConclusionsVentral hernias in women of childbearing age have a pooled recurrence rate of 12%. Pregnancy may be considered a risk factor for ventral hernia recurrence. Female patients of childbearing age with asymptomatic or minimally symptomatic ventral hernias that do not pose a significant strain on the patients ’ quality of life could be provided with the option of watchful waiting, with appropriate education of risks while discussing management. (Source: Hernia)
Source: Hernia - September 4, 2018 Category: Sports Medicine Source Type: research

Case report of ventral hernia complicating bariatric surgery
Ankush Sarwal, Rajesh Khullar, Anil Sharma, Vandana Soni, Manish Baijal, Pradeep ChowbeyJournal of Minimal Access Surgery 2018 14(4):345-348Ventral hernias (VHs) are common in the bariatric population with incidence of around 8% of patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB). The factors contributing to the incidence of VH includes high intra-abdominal pressures, previous histories of abdominal surgeries, defects in fascial structure and reduced healing tendency. There is a high index of suspicion in BS patients with VH for hernia complications which can be lethal after LRYGB. Here, we present a c...
Source: Journal of Minimal Access Surgery - September 3, 2018 Category: Surgery Authors: Ankush Sarwal Rajesh Khullar Anil Sharma Vandana Soni Manish Baijal Pradeep Chowbey Source Type: research

Interrupted versus continuous fascial closure in patients undergoing emergent laparotomy: A randomized controlled trial
BACKGROUND The optimal method of fascial closure, interrupted fascial closure (IFC) versus continuous fascial closure (CFC) has never been studied exclusively in the setting of emergency surgery. We hypothesized that IFC decreases postoperative incisional hernia development following emergent laparotomies. METHODS Between August 2008 and September 2015, patients undergoing emergent laparotomies were consented and randomly assigned to either IFC or CFC. Patients were followed up postoperatively for at least 3 months and assessed for incisional hernia, dehiscence, or wound infection. We excluded those with trauma, elect...
Source: Journal of Trauma and Acute Care Surgery - September 1, 2018 Category: Surgery Tags: AAST 2017 Podium Paper Source Type: research

Retrospective analysis of smaller than 3-cm umbilical hernia repair with the lightweight macroporous mesh
There is evidence that mesh repair for primary umbilical hernias results in fewer recurrences and similar wound complication rates compared to tissue repair. Various devices and surgical approaches are used in umbilical hernia repair. The ULTRAPRO PLUG (UPP) has been adopted for inguinal hernias and femoral hernias with excellent results. However, there are few reports on the use of UPP for umbilical hernia repair. Thus, the aim of this study was to evaluate efficacy and safety in the treatment of smaller than 3-cm umbilical hernias using the UPP. The medical records of 123 patients who underwent umbilical hernia repair u...
Source: Medicine - September 1, 2018 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Acute Appendicitis Involving a De Garengeot Hernia
We present a case of appendicitis within a De Garengeot hernia. The patient presented to the emergency department with 4 days of worsening abdominal pain. Computed tomography examination revealed an inflamed appendix within a femoral hernia. The patient underwent appendectomy and repair of the femoral defect. Pathological examination was consistent with acute appendicitis. De Garengeot hernia is a rare phenomenon, with less than 5% of femoral hernias containing the appendix and 0.08% to 0.13% containing an incarcerated acute appendicitis. (Source: Journal of Computer Assisted Tomography)
Source: Journal of Computer Assisted Tomography - September 1, 2018 Category: Radiology Tags: Abdominal Imaging Source Type: research

A Diaphragmatic Hernia and Pericardial Rupture Caused by Blunt Injury of the Chest: A Case Review
Blunt traumatic diaphragmatic hernias are most commonly seen in combination with other injuries. Right diaphragmatic ruptures with serious pericardium ruptures are relatively rare. The diagnosis of diaphragmatic hernias is not difficult; however, prior to surgery, it is difficult to judge whether pericardium damage has occurred, particularly on the right side. This injury may occur in a critical pathological state in which cardiac tissue is outside the pericardium due to the pericardial defect. Severe hemodynamic disorders or even death may occur if the patient's condition is not diagnosed and treated in a timely manner. T...
Source: Journal of Trauma Nursing - September 1, 2018 Category: Nursing Tags: Case Study Source Type: research

The Expanding Role of Diagnostic Ultrasound in Plastic Surgery
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2018 Category: Cosmetic Surgery Tags: Special Topic Source Type: research

Femoral Hernias: Analysis of Preoperative Risk Factors and 30-Day Outcomes of Initial Groin Hernias Using ACS-NSQIP.
Abstract Femoral hernias are infrequently encountered groin hernias. The purpose of this study was to describe the natural history of femoral hernias by evaluating patient demographics, comorbidities, operative details, 30-day mortality, and risk factors for postoperative complications compared with inguinal hernias and in reducible versus incarcerated hernias. Overall 5360 femoral hernia repairs and 183,173 inguinal hernia repairs were identified using the 2005 to 2015 American College of Surgeon-National Surgical Quality Improvement Program's database. Univariate analysis was used to compare patient characterist...
Source: The American Surgeon - September 1, 2018 Category: Surgery Authors: Halgas B, Viera J, Dilday J, Bader J, Holt D Tags: Am Surg Source Type: research

Modified Lichtenstein Procedure for Repair of Direct or Indirect Inguinal Hernia by Triangulation of the Inguinal Canal
AbstractA modified Lichtenstein hernioplasty procedure was performed, by triangulating the inguinal canal, for indirect or direct inguinal hernia. A series of 276 patients is reported, who underwent a modified Lichtenstein procedure for surgical repair of the indirect or direct inguinal hernia, 32 of which were recurrent hernias. Because of the presence of bilateral hernia in 28 of the cases, the total number of modified Lichtenstein procedures performed was 304. The Lichtenstein hernioplasty procedure was modified by placement of the polypropylene mesh between the Poupart's ligament and the intersection line of the aponeu...
Source: Hellenic Journal of Surgery - September 1, 2018 Category: Surgery Source Type: research

Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case report.
Conclusion: Intraoperative ICG fluorescence angiography provides an objective method of judging bowel perfusion and therefore represents a useful tool for assessing intestinal perfusion in patients with incarcerated hernia. PMID: 30154915 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - August 31, 2018 Category: Surgery Authors: Daskalopoulou D, Kankam J, Plambeck J, Ambe PC, Zarras K Tags: Patient Saf Surg Source Type: research

Umbilical Cord Diameter at the Junction of the Body Wall in the Newborn. Is It a Biomarker for Congenital Umbilical Hernia?
CONCLUSION: These data may be used in determining the normality of UCD, which could be helpful in the evaluation of umbilical hernias. PMID: 30148418 [PubMed - as supplied by publisher] (Source: Fetal and Pediatric Pathology)
Source: Fetal and Pediatric Pathology - August 29, 2018 Category: Pathology Tags: Fetal Pediatr Pathol Source Type: research

A comparison of laparoscopic and open repair of subxiphoid incisional hernias
ConclusionLaparoscopic and open repair of subxiphoid incisional hernias are both technically challenging compared to other midline hernias. Referring to our results laparoscopic repair has shorter operative times, lower postoperative morbidity with a higher recurrence rate compared to open repair but the sample size is too small for an overall conclusion. (Source: Hernia)
Source: Hernia - August 29, 2018 Category: Sports Medicine Source Type: research

Peripartum Perineal Hernia: A Case Report and a Review of the Literature
Conclusions Obstetric trauma is a previously unreported cause of perineal hernias. Perineal hernias are rare conditions that must be considered in any patient who presents with a bulging perineal mass. Puerperal pubic symphysis rupture can lead to a large bladder hernia. Our combined abdominal-perineal approach of repair resulted in minimal perioperative morbidity and short-term resolution of the hernia. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - August 28, 2018 Category: Surgery Tags: Review Article Source Type: research

Iatrogenic diaphragmatic hernia after pulmonary artery banding operation through median sternotomy
We report a case of an iatrogenic diaphragmatic hernia following pulmonary artery banding operation through median sternotomy which was discovered 4  years later during the debanding and ventricular septal defect closure operation. The diaphragm was most likely injured during insertion of the retro-sternal tube during the first operation. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - August 28, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pediatric inguinal hernias, are they all the same? A proposed pediatric hernia classification and tailored treatment
ConclusionsPediatric inguinal hernias are not the same and there is extreme variation in the presentation regarding the size of the defect. We proposed a nouvelle pediatric hernia classification modified from the original Nyhus classification for adult inguinal hernia with tailored surgical approach to each type (PHCTT). Applying this (PHCTT), it has the benefit of a significant reduction of recurrence rate. (Source: Hernia)
Source: Hernia - August 28, 2018 Category: Sports Medicine Source Type: research

Preventative laparoscopic repair of Petersen ’s space following gastric bypass surgery reduces the incidence of Petersen’s hernia: a comparative study
We describe our experience at a third-level surgical center using a prophylactic Petersen ’s space herniorrhaphy immediately following LGBP as a preventative strategy for post-bariatric internal hernias. In addition, we perform a retrospective descriptive study with 667 patients undergoing LGBP under which we divided into two groups. In the first group, the Petersen’s space was not c losed, and in the second group, the Petersen´s space closure was performed using non-absorbable polypropylene non-interrupted sutures.Results and conclusions667 patients were taken to LGBP, and of which 5 presented internal h...
Source: Hernia - August 28, 2018 Category: Sports Medicine Source Type: research

Reply: Prophylactic placement of permanent synthetic mesh at the time of ostomy closure prevents formation of incisional hernias
Thank you for your critique of our manuscript.1,2 First, Fig 1 shows the 3 techniques used for stoma site reinforcement. Figure 1, A and B, include patients with stoma site reinforcement only without reinforcement of the midline. These groups consist of 12 loop ileostomies that were closed through the stoma site with unilateral reinforcement only, without a midline laparotomy, and 11 patients approached via a midline laparotomy in whom the mesh was not placed across the midline. Only 1 of these patients actually required a transversus abdominis release (TAR) (Fig 1, B). (Source: Surgery)
Source: Surgery - August 28, 2018 Category: Surgery Authors: Jeremy A. Warren, Alfredo M. Carbonell, William S. Cobb Source Type: research

Post TURBT Discovery of Urachal Remnant in 62-year-old Man
A 62-year-old male with a past medical history of cigarette smoking and laparoscopic repair of bilateral inguinal hernias using total extraperitoneal (TEP) mesh presented with persistent dysuria and perineal pain. Urine culture was negative, and he was treated with an extended course of antibiotics for a working diagnosis of prostatitis. His urinary symptoms improved but he returned with gross hematuria a few months later. CT Urogram was concerning for a bladder tumor, with soft tissue thickening from the dome of the bladder extending to the abdominal wall and left inguinal region. (Source: Urology)
Source: Urology - August 28, 2018 Category: Urology & Nephrology Authors: Stephanie Stillings, Megan Merrill Source Type: research

A simple and universal enzyme-free approach for the detection of multiple microRNAs using a single nanostructured enhancer of surface plasmon resonance imaging.
JM, Vanna R Abstract Here we describe a simple approach for the simultaneous detection of multiple microRNAs (miRNAs) using a single nanostructured reagent as surface plasmon resonance imaging (SPRi) enhancer and without using enzymatic reactions, sequence specific enhancers or multiple enhancing steps as normally reported in similar studies. The strategy involves the preparation and optimisation of neutravidin-coated gold nanospheres (nGNSs) functionalised with a previously biotinylated antibody (Ab) against DNA/RNA hybrids. The Ab guarantees the recognition of any miRNA sequence adsorbed on a surface properly fu...
Source: Analytical and Bioanalytical Chemistry - August 28, 2018 Category: Chemistry Authors: Sguassero A, Artiga Á, Morasso C, Jimenez RR, Rapún RM, Mancuso R, Agostini S, Hernis A, Abols A, Linē A, Gualerzi A, Picciolini S, Bedoni M, Rovaris M, Gramatica F, de la Fuente JM, Vanna R Tags: Anal Bioanal Chem Source Type: research

Post TURBT Discovery of Urachal Remnant in a 62-Year-Old Man
A 62-year-old male with a past medical history of cigarette smoking and laparoscopic repair of bilateral inguinal hernias using total extraperitoneal (TEP) mesh presented with persistent dysuria and perineal pain. Urine culture was negative, and he was treated with an extended course of antibiotics for a working diagnosis of prostatitis. His urinary symptoms improved but he returned with gross hematuria a few months later. CT urogram was concerning for a bladder tumor, with soft tissue thickening from the dome of the bladder extending to the abdominal wall and left inguinal region. (Source: Urology)
Source: Urology - August 28, 2018 Category: Urology & Nephrology Authors: Stephanie Stillings, Megan Merrill Source Type: research

Loop transverse colostomy versus loop ileostomy for defunctioning of colorectal anastomosis: a systematic review, updated conventional meta-analysis, and cumulative meta-analysis
AbstractDefunctioning of colorectal anastomosis either with loop transverse colostomy or ileostomy was evaluated using updated and cumulative meta-analyses. Studies were identified by a systematic search of Embase, PubMed, Cochrane Library, and Google Scholar databases and were selected as per the PRISMA checklist. Both randomised control trials (RCTs) and retrospective studies were included. A sensitivity analysis was performed, and a cumulative meta-analysis was performed to monitor evidence over time. Significantly more male patients underwent loop ileostomy than transverse colostomy [odds ratio (OR)  = 0....
Source: Surgery Today - August 27, 2018 Category: Surgery Source Type: research

A retrospective study of diaphragmatic hernia in rabbits (Oryctolagus cuniculus): 16 cases (2009 –2016)
The objective of this study was to describe clinical information associated with diaphragmatic hernias in rabbits and assess the effect of different treatments. Sixteen pet rabbits were included in this study. Sex, age at provisional diagnosis, clinical signs, results of various medical examinations, treatments, and prognosis were recorded. Evaluation included physical examination, radiography, ultrasonography, computed tomography, exploratory laparotomy, and histopathology. Females represented 15/16 cases. (Source: Journal of Exotic Pet Medicine)
Source: Journal of Exotic Pet Medicine - August 27, 2018 Category: Veterinary Research Authors: Haruka Takimoto, Yasutsugu Miwa Tags: Case Report Source Type: research

Use of polypropylene mesh in contaminated and dirty strangulated hernias: short-term results
ConclusionThe use of polypropylene mesh for contaminated and dirty strangulated hernias is effective and safe, with acceptable morbidity and good short-term results. (Source: Hernia)
Source: Hernia - August 25, 2018 Category: Sports Medicine Source Type: research

Laparoscopic ventral hernia repair with and without defect closure: comparative analysis of a single-institution experience with 783 patients
AbstractBackgroundLaparoscopic ventral hernia repair (LVHR) has gained popularity, since it can decrease the incidence of surgical site complications while providing similar recurrence rates as open repairs. The role of defect closure in LVHR has been a subject of controversy and has not been fully elucidated. We aimed to compare outcomes of LVHR with and without defect closure in a contemporary cohort.MethodsSingle-institution retrospective review of consecutive adults undergoes elective LVHR for 2 –8 cm defects. Demographics, perioperative, and post-operative data were included for analysis. Surgical site even...
Source: Hernia - August 25, 2018 Category: Sports Medicine Source Type: research

Lower recurrence rate with heavyweight mesh compared to lightweight mesh in laparoscopic totally extra-peritoneal (TEP) repair of groin hernia: a nationwide population-based register study
AbstractPurposeLightweight meshes (LWM) have shown benefits compared to heavyweight meshes (HWM) in terms of less postoperative pain and stiffness in open inguinal hernia repair. It appears to have similar advantages also in TEP, but concerns exist if it may be associated with higher recurrence rates. The aim of the study was to compare reoperation rate for recurrence of LWM to HWM in laparoscopic totally extra-peritoneal (TEP) repair.MethodsAll groin hernias operated on with TEP between 1 January 2005 and 31 December 2013 at surgical units participating in The Swedish Hernia Register were eligible. Data included clinicall...
Source: Hernia - August 24, 2018 Category: Sports Medicine Source Type: research

Management of Groin Hernias in Adults —2018
This clinical update article summarizes advances in the management of inguinal and femoral hernias in adults, including indications for imaging and surgery, use of minimally invasive repair techniques, watchful waiting, and treatment of chronic postherniorrhaphy pain. (Source: JAMA - Journal of the American Medical Association)
Source: JAMA - Journal of the American Medical Association - August 20, 2018 Category: General Medicine Source Type: research