Variation in the use of laparoscopy with inguinal hernia repairs in a sample of pediatric patients at children ’s hospitals
Metachronous contralateral inguinal hernias (MCH) occur in approximately 10% of pediatric patients following unilateral inguinal hernia repairs (UIHR). Laparoscopic evaluation of the contralateral internal ring is a method of identifying high-risk individuals for prophylactic contralateral exploration and repair. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - November 2, 2017 Category: Urology & Nephrology Authors: K.W. Herbst, H. Thaker, G.M. Lockwood, J.I. Hagadorn, S. Masoud, P. Kokorowski Source Type: research

Variation in the use of laparoscopy with inguinal hernia repairs in a sample of pediatric patients at children's hospitals
Metachronous contralateral inguinal hernias (MCH) occur in approximately 10% of pediatric patients following unilateral inguinal hernia repairs (UIHR). Laparoscopic evaluation of the contralateral internal ring is a method of identifying high-risk individuals for prophylactic contralateral exploration and repair. (Source: Journal of Pediatric Urology)
Source: Journal of Pediatric Urology - November 2, 2017 Category: Urology & Nephrology Authors: K.W. Herbst, H. Thaker, G.M. Lockwood, J.I. Hagadorn, S. Masoud, P. Kokorowski Source Type: research

Laparoscopic Harvest of the Rectus Abdominis for Perineal Reconstruction
Source: Plastic and Reconstructive Surgery Global Open - November 1, 2017 Category: Cosmetic Surgery Tags: Ideas and Innovations Source Type: research

Optimizing donor site closure following bilateral breast reconstruction with abdominal-based free flaps
The abdomen is the primary donor site for autologous free flap breast reconstruction, but violation of the rectus abdominus complex can result in significant morbidity.1, 2 Abdominal hernias and bulges are the most concerning donor site complications in the long term, but early wound complications also contribute to significant morbidity during the initial postoperative period. In order to minimize the risk of hernias and bulges, reinforcement of the abdominal wall with placement of mesh may be necessary particularly in the setting of bilateral breast reconstruction. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - November 1, 2017 Category: Cosmetic Surgery Authors: Noelle M. Messina, Kristie Rossi, Lisa M. Wetherhold, Matthew J. Wetherhold, Samuel Litwin, Neal S. Topham, Eric I. Chang Tags: Correspondence and Communications Source Type: research

Adhesive internal hernia: multidetector CT findings and clinical relevance
To review the clinical and multidetector computed tomography (MDCT) features of adhesive internal hernias (IHs) and to ascertain specific MDCT criteria to assist in the diagnosis of adhesive IHs and the early detection of intestinal strangulation. (Source: Clinical Radiology)
Source: Clinical Radiology - November 1, 2017 Category: Radiology Authors: C.-Y. Lu, M. Xu, J. Lin, Y. Chen, Y. Gao, Z.-F. Wang, Z.-W. Zhao, J.-J. Song, H.-F. Que, J.-J. Ji Source Type: research

Non ‐operative treatment as a strategy for patients with parastomal hernia: a multicentre, retrospective cohort study
ConclusionParastomal hernia repair is associated with high recurrence and additional repair rates. Non‐operative treatment has a relatively low cross‐over and emergency surgery rate. Given these data, non‐operative treatment might be a better choice for patients without complaints or with comorbiditiesThis article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - November 1, 2017 Category: Gastroenterology Authors: L.F Kroese, D.P.V Lambrichts, J. Jeekel, G.J Kleinrensink, A.G. Menon, E.J.R. de Graaf, W.A. Bemelman, J.F. Lange Tags: Original Article Source Type: research

Are Delayed Undescended Testes Referrals Avoidable?
Aim: Undescended testes increase the risk of subfertility, inguinal hernias, and unrecognised testicular carcinoma. The European Society for Paedatric Urology recommends surgery before eighteen months of age. We sought to establish whether children undergoing delayed orchidopexy had earlier identification opportunities missed. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2017 Category: Surgery Authors: A. Mowat, M. Haneef, S. Besarovic, M. Fleet, R. Daniel Tags: Paediatric surgery Source Type: research

Laparoscopic Groin Hernia Repair; Is it Time for Reconsideration?
Aim: Groin hernias referrals are common, with a life time risk of 27% in men and 3% in women. Overall operative complication rate ranges between 15% and 27% for adults. Laparoscopic hernia repair is cost effective in the long-term with quick recovery and less post-operative pain. The aim of this study is to assess our practice against the NICE Guidelines and ASGBI Groin hernia guidelines. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2017 Category: Surgery Authors: R. Hawkins, S. Sandhu, M. Kumar, P. Mekhail Source Type: research

Short-term Recurrence and Complication Rates in Patients with Self-Gripping Mesh Hernia Repair
Aim: Management of hernias has significantly improved with recent introduction of prosthetic mesh.Further improvements was made on mesh fixation including the use of fibrin glue, absorbable sutures and self-adhesion.This audit was focused on comparison of post-operative complication and recurrence rates of patients with self-gripping ProGripTM mesh and suture-fixed mesh. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2017 Category: Surgery Authors: G. Verdiyeva, M. Elnaggar, N.R. Thamaran, O. Fafemi Tags: Hernia Source Type: research

Opening the Black Box of Surgical Interventions: Understanding Variations in Stoma Formation to Inform Uniform Data Collection in a Multi-Centre Cohort Study
This study used multi-modal data collection to identify ‘known' and ‘unknown' variations in stoma formation, to inform which data items to collect within CIPHER. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2017 Category: Surgery Authors: C. Murkin, L. Rooshenas, J. Blazeby, I. Daniels, C. Jones, N. Smart, N. Blencowe, The CIPHER Study Source Type: research

Mechanical Properties Of Triclosan Sutures
Abstract To avoid infections and wound healing disorders Triclosan coated sutures have been invented. Little is known of these sutures regarding their tensile properties. Three different Triclosan coated sutures (Vicryl 1 plus, PDS 0 plus, Monocryl 3‐0 plus) were tested at several time points over 42 days regarding load to failure, strain and stiffness compared to their non‐coated versions (Vicryl 1, PDS 0, Monocryl 3‐0). Four different measurement points were made. Suture loops were fixed in a material testing machine over two metal bars which were moved apart creating a stress to the fiber. Unpaired, two‐tailed t...
Source: Journal of Orthopaedic Research - November 1, 2017 Category: Orthopaedics Authors: A Jungwirth ‐Weinberger, F Grubhofer, MA Imam, E Bachmann, S Wirth Tags: Research Article Source Type: research

Feasibility of a novel tacking method of securing mesh in transabdominal preperitoneal inguinal hernia repair: Secure tacking against recurrence
ConclusionThe STAR procedure is feasible and safety as a standard procedure for securing the mesh during TAPP. (Source: Asian Journal of Endoscopic Surgery)
Source: Asian Journal of Endoscopic Surgery - November 1, 2017 Category: Surgery Authors: Yoshio Nagahisa, Ryuju Kawashima, Ryu Matsumoto, Masaki Harada, Kazuki Hashida, Michio Okabe, Kazuyuki Kawamoto Tags: Original Article Source Type: research

Efficacy of emergency exploratory laparotomy in incarcerated obturator hernia.
CONCLUSIONS: The EEL is a clinically safe and necessary choice for early diagnosis and treatment in IOH. EEL may improve the curative effect of IOH significantly. PMID: 29065783 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - October 28, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Laparoscopic repair of large suprapubic hernias.
Authors: Sikar HE, Çetin K, Eyvaz K, Kaptanoglu L, Küçük HF Abstract INTRODUCTION: Suprapubic hernia is the term to describe ventral hernias located less than 4 cm above the pubic arch in the midline. Hernias with an upper margin above the arcuate line encounter technical difficulties, and the differences in repair methods forced us to define them as large suprapubic hernias. AIM: To present our experience with laparoscopic repair of large suprapubic hernias that allows adequate mesh overlap. MATERIAL AND METHODS: Nineteen patients with suprapubic incisional hernias who underwent lap...
Source: Videosurgery and Other Miniinvasive Techniques - October 26, 2017 Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research

Mesh Sutured Repairs of Contaminated Incisional Hernias
Conclusion Mesh sutured closure represents a simplified and effective surgical strategy for contaminated midline incisional hernia repair. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 26, 2017 Category: Surgery Source Type: research

Seroma following transabdominal preperitoneal patch plasty (TAPP): incidence, risk factors, and preventive measures
AbstractBackgroundThe reported range of seroma formation in the literature after TEP repair is between 0.5 and 12.2% and for TAPP between 3.0 and 8.0%. Significant clinical factors associated with seroma formation include old age, a large hernia defect, an extension of the hernia sac into the scrotum, as well as the presence of a residual indirect sac. Seroma formation is a frequent complication of laparoendoscopic mesh repair of moderate to large-size direct (medial) inguinal hernia defects. This present analysis of data from the Herniamed Hernia Registry now explores the influencing factors for seroma formation in male p...
Source: Surgical Endoscopy - October 26, 2017 Category: Surgery Source Type: research

Evaluation of Magnetic Resonance Imaging Safety and Imaging Issues Associated with the Occlusion Balloon Used during Fetoscopic Endoluminal Tracheal Occlusion
The objective of this study is to evaluate MRI-related imaging and safety issues (magnetic field interactions, heating, and artifacts) for the occlusion balloon used in FETO.Materials and Methods: Using well-established techniques, tests were performed to assess magnetic field interactions (translational attraction and torque) and MRI-related heating and artifacts that occurred when exposing the occlusion balloon typically used for FETO (Goldbal2, Balt, www.balt.fr) to a 3-T magnet. MRI-related heating was determined by placing the occlusion balloon in a gelled-saline-filled, head-torso phantom and conducting MRI at relati...
Source: Fetal Diagnosis and Therapy - October 25, 2017 Category: Perinatology & Neonatology Source Type: research

A matched comparison of laparoscopic versus open inguinal hernia repair in patients with liver disease using propensity score matching
ConclusionLaparoscopic inguinal hernia repair demonstrates similar morbidity and mortality when compared to open repairs in patients with liver disease suggesting that both are viable repair options. (Source: Hernia)
Source: Hernia - October 25, 2017 Category: Sports Medicine Source Type: research

Mesh Sutured Repairs of Contaminated Incisional Hernias
We sought to evaluate the results of a new mesh sutured repair technique for closure of contaminated incisional hernias. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 25, 2017 Category: Surgery Authors: Gregory A. Dumanian, Steven T. Lanier, Jason M. Souza, Mimi Wu Young, Alexei S. Mlodinow, Anne-Marie Boller, Kyle H. Mueller, Amy L. Halverson, Michael F. McGee, Jonah J. Stulberg Source Type: research

The advantages of transumbilical single-site laparoscopic percutaneous extraperitoneal closure for inguinal hernia in 1583 children
This study aimed to analyze the safety and efficacy of single-site laparoscopic hernia repair in a large number of children, while compared with the traditional open surgery.MethodsFrom January 2012 to June 2015, we performed transumbilical single-site laparoscopic percutaneous extraperitoneal closure (TSLPEC) in 1583 patients, including bilateral hernia in 135 cases, and unilateral hernia in 1448 cases (left side in 582, right side in 866). From January 2007 to January 2010, we performed open inguinal hernia repair in 355 patients, including bilateral hernia in 52 cases, and unilateral hernia in 303 cases. Operating time,...
Source: Surgical Endoscopy - October 25, 2017 Category: Surgery Source Type: research

Mesh sutured repairs of contaminated incisional hernias
We sought to evaluate the results of a new mesh sutured repair technique for closure of contaminated incisional hernias. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 25, 2017 Category: Surgery Authors: Gregory A. Dumanian, Steven T. Lanier, Jason M. Souza, Mimi Wu Young, Alexei S. Mlodinow, Anne-Marie Boller, Kyle H. Mueller, Amy L. Halverson, Michael F. McGee, Jonah J. Stulberg Source Type: research

Comparative Study of Sutureless Fixation of Lightweight Surgical Meshes for Hernia Repair in a Rat Model
The aim of this study was to compare the efficacy of different methods of sutureless fixation of lightweight meshes made of different polymers for repair of experimental hernias. Two lateral hernia defects were modeled in male rats and covered with polyester and polypropylene prostheses. The meshes were fixed with Histacryl glue (group 1), or self-gripping meshes were used (group 2), or the meshes were implanted without fixation (group 3). On day 5 after surgery, mesh position and efficiency of fixation were evaluated. It was found that fixation is necessary for all light surgical meshes. Polyester meshes demonstrated bett...
Source: Bulletin of Experimental Biology and Medicine - October 24, 2017 Category: Biology Source Type: research

The impact of gallbladder retrieval from an epigastric vs. umbilical port on trocar-site complications A prospective randomized study.
CONCLUSIONS: The findings of this study provide epigastric port retrieval in terms of plausible reasons including significantly lower postoperative pain scores in both short- and long-term and quite lower trocar site-related complications. Key words: Gallbladder disease, Laparoscopic cholecystectomy, Port-site complications. PMID: 29051399 [PubMed - in process] (Source: Annali Italiani di Chirurgia)
Source: Annali Italiani di Chirurgia - October 22, 2017 Category: Surgery Tags: Ann Ital Chir Source Type: research

A multi-institution analysis of predictors of timing of inguinal hernia repair among premature infants
Inguinal hernias are common in premature infants, but there is substantial variation with regards to timing of repair. We sought to quantify and explain this variation. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 19, 2017 Category: Surgery Authors: Brian C Gulack, Rachel Greenberg, Reese H Clark, Marie Lynn Miranda, Martin L Blakely, Henry E Rice, Obinna O Adibe, Elisabeth T Tracy, P Brian Smith Source Type: research

Long-term clinical outcomes after intrathoracic stomach surgery: a decade of longitudinal follow-up
ConclusionsLong-term clinical outcomes confirm that laparoscopic ITS repair is safe and durable, and is associated with a high degree of patient satisfaction and symptom resolution. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - October 19, 2017 Category: Surgery Source Type: research

Concomitant open ventral hernia repair: what is the financial impact of performing open ventral hernia with other abdominal procedures concomitantly?
This study aimed to evaluate the financial implications of adding VHR to open abdominal procedures.MethodsThis IRB-approved study retrospectively reviewed hospital costs to 180-day post-discharge of standalone VHRs, isolated open abdominal surgeries (bowel resection or stoma closure, removal of infected mesh, hysterectomy or oophorectomy, panniculectomy or abdominoplasty, open appendectomy or cholecystectomy), performed at our institution from October 1, 2011 to September 30, 2014. The perioperative risk data were obtained from the local National Surgery Quality Improvement Program (NSQIP) database, and resource utilizatio...
Source: Surgical Endoscopy - October 19, 2017 Category: Surgery Source Type: research

[Boerhaave's syndrome secondary to gastric volvulus].
We describe the case of an 83-year-old patient who presented gastric volvulus with complications from a hiatal hernia with associated vomiting, which triggered Boerhaave´s syndrome. This is the second case published in the literature. Key words. Boerhaave´s syndrome. Gastric volvulus. Surgical treatment. PMID: 29051629 [PubMed - as supplied by publisher] (Source: Anales del Sistema Sanitario de Navarra)
Source: Anales del Sistema Sanitario de Navarra - October 19, 2017 Category: General Medicine Authors: Eguaras Córdoba I, Goikoetxea Urdiain A, Hernando Sanz A, Esquiroz Lizaur I, Camarero Triana B, Artajona Rosino A Tags: An Sist Sanit Navar Source Type: research

A multi-institution analysis of predictors of timing of inguinal hernia repair among premature infants
Inguinal hernias are common in premature infants, but there is substantial variation with regards to timing of repair. We sought to quantify and explain this variation. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 19, 2017 Category: Surgery Authors: Brian C Gulack, Rachel Greenberg, Reese H Clark, Marie Lynn Miranda, Martin L Blakely, Henry E Rice, Obinna O Adibe, Elisabeth T Tracy, P Brian Smith Tags: Inguinal Condition Source Type: research

Outcomes for thoracoscopic versus open repair of small to moderate congenital diaphragmatic hernias
Indications for thoracoscopic versus open approaches to repair congenital diaphragmatic hernia (CDH) are unclear as the variability in defect size, disease severity and patient characteristics pose a challenge. Few studies use a patient and disease-matched comparison of techniques. We aimed to compare the clinical outcomes of open versus thoracoscopic repairs of small to moderate sized hernia defects in a low risk population. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 18, 2017 Category: Surgery Authors: Cory N. Criss, Megan A Coughlin, Niki Matusko, Samir K. Gadepalli Source Type: research

Preoperative Progressive Pneumoperitoneum in Obese Patients With Loss of Domain Hernias
Repair of hernias with loss of domain in obese patients can lead to acute respiratory failure. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 16, 2017 Category: Surgery Authors: A.C. Valezi, B.G.F. Melo, M. Liberatti, A.C. Marson, A.G. Lopes Tags: Paired papers Source Type: research

Laparoscopic versus open umbilical or paraumbilical hernia repair: a systematic review and meta-analysis
ConclusionsThe best available evidence (randomised and non-randomised studies) suggests that laparoscopic repair of umbilical or paraumbilical hernias may be associated with a lower risk of wound infection, wound dehiscence and recurrence rate, shorter length of stay but longer operative time. Results from a limited number of RCTs showed no difference in recurrence rates. The quality of the best available evidence is moderate, and selection bias is the major concern due to non-randomised design in most of the available studies. Therefore, considering the level of available evidence, the most reliable approach for repair of...
Source: Hernia - October 14, 2017 Category: Sports Medicine Source Type: research

Component separation of abdominal wall with intraoperative botulinum A presents satisfactory outcomes in large incisional hernias: A case report
Conclusion In our service, the incidence of incisional hernias following liver transplantation is 14.5%. We described a successful approach for selected patient group for whom there is no established standard treatment. Given the complexity of such cases, however, more studies are necessary. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 13, 2017 Category: Surgery Source Type: research

A new technique for tension-free reconstruction in large incisional hernia
AbstractIn the surgical management of large incisional hernias, the main target is the closure of the abdominal wall defect on the midline without a dangerous increase in the intraabdominal pressure. In this setting, new intraperitoneal prosthesis and components separation techniques were proposed to solve this problem. Both solutions present some critical issues. A new surgical approach with a free lateral double layer prosthesis totally in polypropylene both sides (FLaPp®) is proposed to overcome this problem. This is a retrospective cohort analysis study with a prospectively collected database from two different Ita...
Source: Updates in Surgery - October 13, 2017 Category: Surgery Source Type: research

How we do it: repair of large perineal hernia after abdominoperineal resection
ConclusionOur laparoscopic-perineal dual fixation method is a good alternative method for large perineal hernia repair after APR. (Source: Hernia)
Source: Hernia - October 12, 2017 Category: Sports Medicine Source Type: research

Laparoscopic ventral hernia repair using only 5 ‐mm ports
ConclusionLaparoscopic ventral hernia repair using only 5‐mm ports is a safe, effective technique with no extra risk of infection. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - October 12, 2017 Category: Surgery Authors: Nicholas Bell ‐Allen, Harriet O'Rourke, Lisa Hong, Nicholas O'Rourke Tags: Original Article Source Type: research

Diagnosis and Operative Management of a Perforated De Garengeot Hernia
CONCLUSION Full preoperative workup for a femoral hernia often fails to diagnose the presence of the Appendix within the hernia. It is important to have a high clinical suspicion for a de Garengeot’s hernia in patients with incarcerated or strangulated right femoral hernias. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2017 Category: Surgery Source Type: research

Long-Term Follow-Up of Retromuscular Incisional Hernia Repairs: Recurrence and Quality of Life
ConclusionsMidline retromuscular mesh IHR has a low long-term recurrence rate even after recurrent repair. Patient satisfaction was high although QoL was reduced. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 10, 2017 Category: Surgery Source Type: research

Use of biologic mesh at ostomy takedown to prevent incisional hernia: A case series
Conclusion We conclude that placement of biologic mesh is a safe and effective way of preventing incisional hernias at stoma sites. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 6, 2017 Category: Surgery Source Type: research

Evaluation of Magnetic Resonance Imaging Safety and Imaging Issues Associated with the Occlusion Balloon Used during Fetoscopic Endoluminal Tracheal Occlusion
The objective of this study is to evaluate MRI-related imaging and safety issues (magnetic field interactions, heating, and artifacts) for the occlusion balloon used in FETO.Materials and Methods: Using well-established techniques, tests were performed to assess magnetic field interactions (translational attraction and torque) and MRI-related heating and artifacts that occurred when exposing the occlusion balloon typically used for FETO (Goldbal2, Balt, www.balt.fr) to a 3-T magnet. MRI-related heating was determined by placing the occlusion balloon in a gelled-saline-filled, head-torso phantom and conducting MRI at relati...
Source: Fetal Diagnosis and Therapy - October 4, 2017 Category: Perinatology & Neonatology Source Type: research

Forty-one cases of round ligament varicosities that are easily misdiagnosed as inguinal hernias
ConclusionsRLVs are easily misdiagnosed as inguinal hernias and color Doppler of the inguinal area is the best examination for making the correct diagnosis. Conservative therapy for RLV is beneficial and safe when assured by color Doppler. (Source: Hernia)
Source: Hernia - October 3, 2017 Category: Sports Medicine Source Type: research

Evaluation of the effect of umbilical hernias on play behaviors in growing pigs.
This study used an assessment of play behavior to evaluate the welfare of pigs with UH. Twenty-one grower pigs with UH and 17 without hernias (WUH) were assigned to 16 playing groups (PG) of 2 or 3 pigs (with at least 1 UH pig per PG). The time each animal was engaged in any of the defined playing behaviors for locomotor/social or toy play behaviors was recorded. Mixed Poisson or negative binomial and linear models were used to determine the effect of UH and day of session, accounting for the cluster of pigs within groups, on the frequency of each play behavior, and playing times. Pigs with UH had the same frequency of mos...
Source: The Canadian Veterinary Journal - October 1, 2017 Category: Veterinary Research Authors: Atkinson M, Amezcua R, DeLay J, Widowski T, Friendship R Tags: Can Vet J Source Type: research

Robot assisted incisional hernia repair in a super obese patient after a ventriculoperitoneal shunt placement – a video vignette
This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - October 1, 2017 Category: Gastroenterology Authors: Federico Gheza, Mary E Huerter, Pier Cristoforo Giulianotti Tags: Correspondence Source Type: research

Budget Impact Analysis Of P4HB VS Permanent Synthetic Meshes In Complex Abdominal Wall Repair In Spain
Despite advances in surgical technique and prosthetic technologies, the risks for recurrence and infection are high following the repair of incisional ventral hernias. The current standard for reinforced hernia repair is synthetic mesh, which may reduce the risk for recurrence in many patients. Patients with comorbidities, contaminated wounds or previous wound infections experience higher rates of surgical site occurrences/infections (SSO/SSI). Mesh choice in Complex Abdominal Wall Repair (CAWR) may have an impact on short and long-term patient outcomes. (Source: Value in Health)
Source: Value in Health - October 1, 2017 Category: International Medicine & Public Health Authors: R Busutil, D Tripodi, M Corral Source Type: research

A Retrospective Premier Database Study To Compare Repair of Ventral Hernia With Phasixtm VS Stratticetm In The Inpatient Hospital Surgical Setting
There is no standard treatment for complex hernias or abdominal wall defects. In the United States, biologic grafts (xenograft tissue) are used to provide early reinforcement and remodel over time and rarely need to be removed for a post-operative infection. The challenge with biologic graft is the cost. They range from $300 - $30,000 depending on size. In recent years Phasix ™ Mesh, a fully absorbable synthetic mesh, was introduced into the market to address some limitations associated with biologic mesh. (Source: Value in Health)
Source: Value in Health - October 1, 2017 Category: International Medicine & Public Health Authors: D Tripodi, X Zhang, Y Wan, I Berhane, M Corral Source Type: research

Totally extraperitoneal approach (TEP) for scrotal cystocele ‐ a video vignette
This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - October 1, 2017 Category: Gastroenterology Authors: Sante Capitano Tags: Correspondence Source Type: research

Role of Mesh in Component Separation: A Meta-Analysis
Ventral incisional hernias treated with primary closure or bridging meshes are associated with high recurrence rates approaching 50-60%. The component separation technique was devised to provide a tension-free repair by mobilization of native tissue. The original description by Ramirez and colleagues did not include placement of mesh; however, modified techniques include the addition of mesh. The rationale for mesh insertion has been based on small, observational data. We predict that the adjunctive use of mesh with component separation will reduce recurrence rates. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2017 Category: Surgery Authors: Stephanie Scurci, Jess Buicko, Kandace Kichler Tags: Scientific poster presentation Source Type: research

Minimally Invasive Surgery for the Treatment of Inguinal Hernias in Children: A Diagnostic-Therapeutic Pathway
Inguinal hernia is one of the most common conditions requiring surgical treatment in pediatric patients. Minimally invasive techniques are increasingly being adopted for their repair. However, certain controversy exists regarding the indications for this approach and its benefits over the conventional open technique. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2017 Category: Surgery Authors: Jose M. Ramia-Angel, A. Aneiros, Indalecio Cano, A. Garcia, Pedro Yuste, Eduardo Ferrero Tags: Scientific poster presentation Source Type: research

Readability of Online Patient Educational Materials for Common Conditions in Pediatric General and Urologic Surgery Does Not Meet National Standards
Health literacy can influence medical decision-making and clinical outcomes. The NIH and AMA recommend patient education materials be written at the 6th grade reading level. The purpose of this study was to evaluate online patient educational resources for common pediatric general surgery (PGS) and urology diagnoses, such as phimosis, umbilical hernias (UH), and inguinal hernias (IH). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2017 Category: Surgery Authors: Daisy Nunez, Michael W. Chu, Matthew P. Landman Tags: Scientific poster presentation Source Type: research

Evidence-Based Analysis of Technical Variations in the Repair of Umbilical Hernias
Various factors affecting the complication and recurrence rate after umbilical hernia repair were compared. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2017 Category: Surgery Authors: Pascal G. Bortz, Jonathan C. Vo, Bishoy L. Zakhary, Edmund C. Burke, Peter Edpao, Emilio Alonso Tags: Scientific poster presentation Source Type: research