Early laparoscopic port site hernia with incarceration and small bowel obstruction after sleeve gastrectomy: A case report and literature review
The aim of this manuscript is to present a case of acute port site hernia and to discuss the diagnosis and treatment methods. Port site hernias are rare with overall incidence estimated at 0.74%. A review of the current literature is also presented. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2017 Category: Surgery Authors: Paul Clark, Alexander Ramirez Source Type: research

Simple and Inexpensive Method of Creating Pledgeted Sutures for Hiatal Hernia Repair at time of Bariatric Surgery
A significant percentage of patients undergoing bariatric surgery have associated hiatal hernias.   Morbid obesity is a risk factor for recurrence of hiatal hernia repairs.  Pledgeted sutures may decrease the risk of hiatal hernia recurrence at time of bariatric operation with associated hiatal hernia repair. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2017 Category: Surgery Authors: Aviv Ben-Meir, Courtney Holbrook, Dian Nutter Source Type: research

Laparoscopic Repair of Perforated Duodenal Ulcer After Laparoscopic Roux-en-Y Gastric Bypass
Perforated duodenal ulcer after gastric bypass is rare. There have been less than 25 reported cases of duodenal perforation after Gastric bypass. Although most peptic ulcers after gastric bypass surgery occur in the roux limb as marginal ulcers, duodenal ulceration and perforated ulcers in the secretory limb can also present with acute abdominal pain with or without free air in the peritoneal cavity on imaging studies. Laparoscopy is recommended for post gastric bypass patients presenting with acute abdominal signs to rule out internal hernias and other pathology. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2017 Category: Surgery Authors: Saqib Saeed, Khuram Khan, Amrita Persaud, Mohammed Sbeih, Sanjiv Gray, Leaque Ahmed Source Type: research

Sleeve Gastrectomy with Ventral Hernia Repair Offers Less Wound Occurrences Compared to Roux-en-Y Gastric Bypass
Morbidly obese patients are predisposed to developing ventral hernias. Although the optimal timing of ventral hernia repair (VHR) and bariatric surgery is unclear, concurrent management remains common. The aim of this study was to assess the incidence of wound site occurrence in the setting of VHR during bariatric surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2017 Category: Surgery Authors: Salvatore Docimo, Aurora Pryor, Andrew Bates, Mark Talamini, Dino Spaniolas Source Type: research

Our Experience with the Use of Low Cost Mesh in Tension-Free Inguinal Hernioplasty in Northern Ghana.
CONCLUSION: Low cost mesh such as sterilized mosquito net mesh for use in hernioplasty in resource-limited settings is reasonable, acceptable and cost-effective, it should be widely propagated. FUNDING: None declared. PMID: 28955103 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 29, 2017 Category: African Health Tags: Ghana Med J Source Type: research

Tracheoesophageal fistula, multiple diaphragmatic hernias and posterior urethral valves: A unique triad
Publication date: Available online 27 September 2017 Source:Journal of Pediatric Surgery Case Reports Author(s): Colin Mizzi, David Farruiga, Adrian Bianchi, Muhammad Choudhry (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - September 29, 2017 Category: Surgery Source Type: research

Severe type IV hiatal hernia secondary to congenital shortened esophagus
This article reviews the causes of shortened esophagus and its clinical manifestations. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 27, 2017 Category: Primary Care Tags: Review Article Source Type: research

Incarcerated giant uterine leiomyoma within an incisional hernia: a case report
Key Clinical Message Uterine leiomyomas presenting as incarcerated or strangulated hernias in surgical emergencies are extremely rare and should be considered in the differential diagnosis in patients with known uterine fibroids and an irreducible ventral abdominal wall hernia. Detailed history and multidisciplinary approach optimize the diagnosis and decision making toward surgical treatment. Uterine leiomyomas presenting as incarcerated or strangulated hernias in surgical emergencies are extremely rare and should be considered in the differential diagnosis in patients with known uterine fibroids and an irreducible ventr...
Source: Clinical Case Reports - September 26, 2017 Category: General Medicine Authors: Georgios Exarchos, Nikolaos Vlahos, Dionysios Dellaportas, Linda Metaxa, Theodosios Theodosopoulos Tags: Case Report Source Type: research

PE08 Concurrent repair of inguinal hernias with or without mesh application during transperitoneal robotic-assisted radical prostatectomy: Initial experience
Publication date: September 2017 Source:European Urology Supplements, Volume 16, Issue 6 Author(s): A.F. Atmaca, N. Hamidi, A.E. Canda, M. Keske, A. Ardicoglu (Source: European Urology Supplements)
Source: European Urology Supplements - September 25, 2017 Category: Urology & Nephrology Source Type: research

An unusually large paraesophageal hernia mimicking a Bochdalek hernia.
Authors: Selvakumar D, Sian K, Iyengar AJ, Mejia R Abstract Hiatal hernias are due to defects in the esophageal hiatus in the diaphragm and can be classified into sliding or paraesophageal hernias. A 31-year-old male raised a suspicion of a Bochdalek hernia but at surgery had a large paraesophageal hernia. Bochdalek hernia, a congenital diaphragmatic hernia presents in adulthood asymptomatically or with vague abdominal symptoms. It is paramount to confirm the diagnosis and rule out any fatal complications with imaging studies. Prompt surgical management with large complicated hernias, such as in our case presentati...
Source: Journal of Thoracic Disease - September 23, 2017 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research

Factors associated with hernia recurrence after laparoscopic total extraperitoneal repair for inguinal hernia: a 2-year prospective cohort study
ConclusionThe recurrence rate after TEP is higher than reported after open hernia repair. Attempts to decrease the rate should be persuaded. Good surgical technique with precise dissection and correct placement of the mesh, especially in medial hernias and obese patients, may be key points to improve outcomes after TEP. (Source: Hernia)
Source: Hernia - September 22, 2017 Category: Sports Medicine Source Type: research

Continuous local analgesia is effective in postoperative pain treatment after medium and large incisional hernia repair
AbstractIntroductionIncisional hernias are a frequent complication of laparotomy. Open surgery is still an option for the treatment of incisional hernias with medium and large wall defects. Major opioids are routinely used in the treatment of postoperative pain, with several side effects. Continuous local analgesia can be effective in postoperative pain management after various surgical interventions. However, very few reports exist on its application in incisional hernias.PurposeWe assessed the effectiveness of ropivacaine in reducing the need for systemic analgesics in postoperative pain management related to these inter...
Source: Hernia - September 22, 2017 Category: Sports Medicine Source Type: research

Favorable results from a prospective evaluation of 200 patients with large hiatal hernias undergoing LINX magnetic sphincter augmentation
AbstractIntroductionMagnetic sphincter augmentation (MSA) of the lower esophageal sphincter restores the antireflux barrier in patients with hiatal hernias  ≤3 cm. We performed a prospective study in patients undergoing MSA with the LINX device during repair of paraesophageal and hernias over 3 cm axial component.Methods and proceduresMulticenter, prospective study of consecutive patients treated with MSA at the time of repair of hiatal hernias  >3  cm.Results200 patients (110 female) were treated between March 2014 and February 2017 via laparoscopic hernia repair and MSA. Mean age was 59.5 &...
Source: Surgical Endoscopy - September 21, 2017 Category: Surgery Source Type: research

Follow-up trends after Emergency Department discharge for acutely symptomatic hernias
Conclusions Discharge and failure of follow-up after an ED visit for a symptomatic hernia leaves many patients at risk for recurrent ED visits and emergent surgery. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - September 20, 2017 Category: Surgery Source Type: research

Single-center ventral hernia repair with porcine dermis collagen implant
ConclusionTo the best of our knowledge, this is the largest retrospective single institutional study evaluating PADCI to date. Hernias repaired with PADCI were frequently in patients undergoing concomitant operations. Reinforcement with PADCI may be considered a temporary closure, with a relatively high recurrence rate, especially among patients who are older, male, and undergo multiple explorations in a short perioperative period. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 20, 2017 Category: Surgery Source Type: research

Inguinal Hernia
This article describes the different laparoscopic herniorrhaphy technique, as well as controversial topics, such as premature infants, contralateral repair, and incarcerated hernias. (Source: Clinics in Perinatology)
Source: Clinics in Perinatology - September 20, 2017 Category: Perinatology & Neonatology Authors: Sophia Abdulhai, Ian C. Glenn, Todd A. Ponsky Source Type: research

Preoperative diagnosis of hiatal hernia: barium swallow X-ray, high-resolution manometry, or endoscopy?
SummaryBackgroundThe assessment of hiatal hernias (HH) is typically done with barium swallow X ‑ray, upper endoscopy, and by high-resolution esophageal manometry (HRM). The aim of this study was to assess the clinical utility of these methods in terms of HH detection and their correlation to gastroesophageal reflux disease (GERD).MethodsA retrospective comparative analysis of patients with symptoms of GERD was carried out. The performance of endoscopy and HRM in diagnosing HH was assessed, taking barium swallow X ‑ray as a reference. Furthermore, statistically comparative analysis between detected hernias and the prese...
Source: European Surgery - September 19, 2017 Category: Surgery Source Type: research

Follow-up trends after Emergency Department discharge for acutely symptomatic hernias
This study evaluated the outcomes of patients presenting with symptomatic hernias without indication for immediate operation who are discharged for elective repair. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 17, 2017 Category: Surgery Authors: Lara Spence, Eric Pillado, Dennis Kim, David Plurad Source Type: research

Questions from and answers to a patient with groin hernia.
Authors: Dinc T, Kayilioglu SI, Goktug UU, Coskun F Abstract Inguinal hernia surgical treatment are the most commonly performed operations in general surgery practice. There is a need for detailed anatomical knowledge and surgical skills to satisfactorily treat this disease. In this review, we aimed to present up-to-date information and approaches on basic diagnosis, treatment, complications and management of inguinal hernias in our institution. KEY WORDS: Chronic pain, Groin hernia, Inguinal hernia, Recurrence, Surgery. PMID: 28904246 [PubMed - as supplied by publisher] (Source: Annali Italiani di Chirurgia)
Source: Annali Italiani di Chirurgia - September 16, 2017 Category: Surgery Tags: Ann Ital Chir Source Type: research

Mesh Displacement After Bilateral Inguinal Hernia Repair With No Fixation.
CONCLUSIONS: TEP with no mesh fixation is safe in bilateral inguinal repairs. Early mesh displacement is minimal. This technique can be safely used in most patients with inguinal hernia. PMID: 28904521 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - September 15, 2017 Category: Surgery Tags: JSLS Source Type: research

Mesh cruroplasty in laparoscopic repair of paraesophageal hernias  is not associated with better long-term outcomes compared to primary repair
Conclusions Selective mesh cruroplasty was not associated with differences in symptom outcomes or radiographic recurrence rates during laparoscopic PEH repair. Radiographic recurrence was associated with dissatisfaction, emphasizing the need for continued focus on reducing recurrences. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - September 15, 2017 Category: Surgery Source Type: research

A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair
We present a novel application of the eTEP access technique for the repair of ventral and incisional hernias.MethodsRetrospective review of consecutive laparoscopic retromuscular hernia repair cases utilizing the eTEP access approach from five hernia centers between August 2015 and October 2016 was conducted. Patient demographics, hernia characteristics, operative details, perioperative complications, and quality of life outcomes utilizing the Carolina ’s Comfort Scale (CCS) were included in our data analysis.ResultsSeventy-nine patients with mean age of 54.9  years, mean BMI of 31.1 kg/m2, and median ASA o...
Source: Surgical Endoscopy - September 15, 2017 Category: Surgery Source Type: research

Differences of alternative methods of measuring abdominal wall hernia defect size: a prospective observational study
ConclusionAmong five common methods of measuring abdominal wall hernia defect, sizes are only weakly to moderately correlated. Further studies are needed to determine which method results in optimally sized abdominal wall prostheses and superior ventral hernia repair. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 15, 2017 Category: Surgery Source Type: research

A Rare but Growing Cause of Abdominal Pain
​BY MARK GRANT, DO, & SARAH CARIGNAN, PA-CThe patient had been playing a round of golf a week earlier, and thought he had strained a muscle in his right lower back while swinging a golf club. The patient continued his golf workouts throughout the week, which included lifting weights and swinging a golf club with minimal pain.​The day prior to ED presentation, he began having worsening right-sided back pain, and began ibuprofen and ice treatment, which helped minimally. The patient woke up experiencing worsening back pain that radiated from his right flank to his right lower abdominal area. He reported increased pai...
Source: The Case Files - September 13, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Rives Technique for the Primary Larger Inguinal Hernia Repair: A Prospective Study of 1000 Repairs
ConclusionsThe Rives technique requires a sound knowledge of inguinal preperitoneal space anatomy, but it is an excellent technique for the larger and difficult primary inguinal hernias, giving a low rate of recurrences and chronic pain. (Source: World Journal of Surgery)
Source: World Journal of Surgery - September 13, 2017 Category: Surgery Source Type: research

A new approach to umbilical hernia repair: the Circular suture technique for defects less than 2 cm.
CONCLUSION: We believe that the double layer circular suture technique is practical, inexpensive and effective in the repair of umbilical hernia defects, which are smaller than 2 cm diameter. Key words: Hernia, Repair, Umbilical hernia. PMID: 28892467 [PubMed - as supplied by publisher] (Source: Annali Italiani di Chirurgia)
Source: Annali Italiani di Chirurgia - September 12, 2017 Category: Surgery Tags: Ann Ital Chir Source Type: research

Robotic Parastomal Hernia Repair with Biologic Mesh
IntroductionParastomal hernia is a common and vexing problem after ileal conduit urinary diversion that can cause pain, bowel symptoms and problems with the stoma appliance resulting in leakage, odor and impairment of quality of life. Historically these hernias have been managed open surgically, which requires considerable dissection of the abdominal wall for mesh placement, and may also require relocating the stoma to the contralateral side. Further, open parastomal hernia repair can be a morbid procedure with recurrence rates of approximately 30%. (Source: Urology)
Source: Urology - September 7, 2017 Category: Urology & Nephrology Authors: Peter Mekhail, Akbar Ashrafi, Mario Mekhail, David Hatcher, Monish Aron Tags: “Show Me How” Video Source Type: research

Inguinal hernia containing urinary bladder —a case report
Conclusion Physicians seeing patients with inguinal hernia should be aware that patient may have inguinal bladder hernia, especially in patients presenting with newly developed symptoms of lower urinary tract. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 5, 2017 Category: Surgery Source Type: research

An Unexpected Cause of Acute Abdomen
Question: A 64-year-old, obese women with a history of schizophrenia and multiple bariatric surgeries had been attending clinics for 4 years for assessment and adjustment of her gastric band. The patient had largely been unsuccessful in losing weight and had remained oscillating around a body mass index of 46 kg/m2. In November 2016, a computed tomography scan revealed 2 hernias, which were to be repaired after further weight loss (Figure A). Two months later, the patient presented to accident and emergency with vomiting and severe abdominal pain. (Source: Gastroenterology)
Source: Gastroenterology - September 4, 2017 Category: Gastroenterology Authors: Benjamin Zucker, George Malietzis, Christos Kontovounisios Tags: Electronic Clinical Challenges and Images in GI Source Type: research

Proposal for a national triage system for the management of ventral hernias.
Abstract Ventral hernia disease is becoming increasingly prevalent and complex. Subspecialisation for patients with challenging conditions requiring surgery has been shown to improve postoperative outcomes. Worldwide, there is an emergence of specialist hernia centres using new and innovative techniques to repair large and complicated ventral hernias. After a national meeting of hernia experts, we present an algorithm to be used as a national triage system for patients with ventral hernias, with the aim of ensuring that patients are operated on by the most appropriate surgeon. Evidence-based clinical risk factors ...
Source: Annals of the Royal College of Surgeons of England - September 4, 2017 Category: Surgery Authors: Parker SG, Reid TH, Boulton R, Wood C, Sanders D, Windsor A Tags: Ann R Coll Surg Engl Source Type: research

Surgical Endoscopy Versus Endoscopic Surgery for Obesity
Conclusions: The current tendency is to promote surgical treatment of obesity to a status of less invasive scars therefore promoting minimally invasive surgical techniques. (Source: American Journal of Therapeutics)
Source: American Journal of Therapeutics - September 1, 2017 Category: Drugs & Pharmacology Tags: Therapeutic Reviews Source Type: research

Evaluation of port site hernias, chronic pain and recurrence rates after laparoscopic ventral hernia repair: a monocentric long-term study
ConclusionLaparoscopic repair for primary or incisional ventral hernias is a safe surgical approach, with low rates of hernia recurrence and a low morbidity rate. When fascial closure is maintained for 10  mm port sites, the incidence of port site hernias is very low. Five millimetre ports do not require closure. (Source: Hernia)
Source: Hernia - September 1, 2017 Category: Sports Medicine Source Type: research

Management of gastroesophageal reflux disease and hiatal hernia post –sleeve gastrectomy: cardiopexy with ligamentum teres
Laparoscopic sleeve gastrectomy (LSG) is becoming an increasingly popular form of bariatric surgery [1]. Given this popularity, more is being understood about the management of the complications associated with LSG, including gastroesophageal reflux disease (GERD) and hiatal hernias. As per followed practice, LSG predisposes patients to GERD and should not be performed in obese patients with preexisting GERD or hiatal hernia [2]. In these patients, surgical reinforcement of the lower esophageal sphincter at the gastroesophageal junction (GEJ) to restore function is necessary to prevent acid reflux. (Source: Surgery for Obe...
Source: Surgery for Obesity and Related Diseases - September 1, 2017 Category: Surgery Authors: Salman Al-Sabah, Shehab Akrouf, Mohannad Alhaddad, Jonathon D. Vaz Tags: Surgeon-at-work Source Type: research

Biliary Tract and Liver Complications in Polycystic Kidney Disease
We report a 50-year single-center experience of 1007 patients, which raised a hypothesis that ADPKD is associated with biliary tract disease. We tested this hypothesis using all England Hospital Episode Statistics data (1998–2012), within which we identified 23,454 people with ADPKD and 6,412,754 hospital controls. Hospitalization rates for biliary tract disease, serious liver complications, and a range of other known ADPKD manifestations were adjusted for potential confounders. Compared with non-ADPKD hospital controls, those with ADPKD had higher rates of admission for biliary tract disease (rate ratio [RR], 2.24; ...
Source: Journal of the American Society of Nephrology : JASN - August 31, 2017 Category: Urology & Nephrology Authors: Judge, P. K., Harper, C. H. S., Storey, B. C., Haynes, R., Wilcock, M. J., Staplin, N., Goldacre, R., Baigent, C., Collier, J., Goldacre, M., Landray, M. J., Winearls, C. G., Herrington, W. G. Tags: Clinical Epidemiology Source Type: research

Laparoscopic and open inguinal hernia repair: Patient reported outcomes in the elderly from a single centre - A prospective cohort study
Conclusion Time off work is not an absolute appropriate measure of return to premorbid status with respect to the elderly as a substantial number of >65 year olds have retired. We therefore present this interesting insight into patient perceptions following hernia repair by age group. Overall patients over 65 can expect the same high levels of satisfaction and low levels of pain following either technique for inguinal hernia repair as younger patients. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 30, 2017 Category: General Medicine Source Type: research

Bilateral endoscopic totally extraperitoneal (TEP) inguinal hernia repair does not impair male fertility
ConclusionsOur data suggest that bilateral endoscopic TEP hernia repair with polypropylene mesh does not impair fertility, as no differences in testicular blood flow, testicular volume, or semen quality were observed. Postoperative levels of LH and inhibin B differed significantly from preoperative measurements, yet no clinical relevance could be ascribed to these findings. (Source: Hernia)
Source: Hernia - August 29, 2017 Category: Sports Medicine Source Type: research

Robotic repair of symptomatic Spigelian hernias: a series of three cases and surgical technique review
We report three cases of incarcerated Spigelian hernias that were successfully repaired r obotically with mesh. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - August 28, 2017 Category: Surgery Source Type: research

"All-in-one mesh" hernioplasty: A new procedure for primary inguinal hernia open repair.
CONCLUSIONS: This new hernioplasty technique respects the anatomy of the inguinal canal, uses a smaller mesh, and seems to avoid neuralgia with maximum comfort for the patients. PMID: 28851612 [PubMed - as supplied by publisher] (Source: Asian Journal of Surgery)
Source: Asian Journal of Surgery - August 26, 2017 Category: Surgery Authors: Guttadauro A, Maternini M, Frassani S, De Simone M, Chiarelli M, Macchini D, Pecora N, Bertolini A, Cioffi U, Gabrielli F Tags: Asian J Surg Source Type: research

Regarding “5-Millimeter Trocar Site Hernias after Laparoscopy Requiring Surgical Repair”
Publication date: Available online 24 August 2017 Source:Journal of Minimally Invasive Gynecology Author(s): Stavros A. Antoniou, Filip E. Muysoms (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 25, 2017 Category: OBGYN Source Type: research

Evaluating the feasibility of phrenoesophagopexy during hiatal hernia repair in sleeve gastrectomy patients
Both hiatal hernias (HH) and morbid obesity significantly contribute to gastroesophageal reflux disease which increases the risk for esophagitis and esophageal cancer. Therefore, concomitant HH repair is recommended during bariatric surgery procedures. Unfortunately, recurrence of HH following repair is not uncommon and the optimal surgical technique has yet to be established. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 25, 2017 Category: Surgery Authors: Nathaniel R. Ellens, Joshua E. Simon, Kimberly D. Kemmeter, Tyler W. Barreto, Paul R. Kemmeter Source Type: research

Endoscopic Evaluation of Post-Fundoplication Anatomy
AbstractPurpose of ReviewWe aim to review the endoscopic evaluation of post-fundoplication anatomy and its role in assessment of fundoplication outcomes and in pre-operative planning for reoperation in failed procedures.Recent FindingsThere is no universally accepted system for evaluating post-fundoplication anatomy endoscopically. However, multiple reports described the usefulness of post-operative endoscopy as a quality control measure and in the evaluation of complex cases such as repeat procedures and paraesophageal hernias (PEH).SummaryEndoscopic evaluation of post-fundoplication anatomy has an important role in asses...
Source: Current Gastroenterology Reports - August 24, 2017 Category: Gastroenterology Source Type: research

Regarding “5-Millimeter Trocar Site Hernias after Laparoscopy Requiring Surgical Repair”
One of the attributes of proper academic work is appropriate wording of scientific publications and accurate screening of the relevant literature. In their systematic review on 5mm trocar-site herniation (1), Pereira and colleagues notice that “some professional organizations have provided guidelines [on trocar-site hernias] based on univariate and multivariate analyses of cohort studies. For example, the European Hernia Society recommends meticulous closure of the incised fascia in single-port surgery, though the evidence to support th is is weak.” (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - August 24, 2017 Category: OBGYN Authors: Stavros A. Antoniou, Filip E. Muysoms Tags: Letter to the Editor Source Type: research

Single center experience with the modified retromuscular Sugarbaker technique for parastomal hernia repair
ConclusionsThe outcomes of the retromuscular Sugarbaker technique for the management of parastomal hernias have been disappointing at our institution, with a concerning rate of serious mesh-related complications. This operation, as originally described, needs further study before widespread adoption with a particular focus on the technique of mesh placement, the most appropriate mesh selection, and the long-term rate of mesh erosion. (Source: Hernia)
Source: Hernia - August 24, 2017 Category: Sports Medicine Source Type: research

Improved immediate postoperative pain following laparoscopic inguinal herniorrhaphy using self-adhering mesh
ConclusionsSelf-adhering mesh in laparoscopic inguinal herniorrhaphy resulted in less immediate postoperative pain than tacked mesh as demonstrated by VAS score. Postoperative complications were similar between the two groups. The results of this study demonstrate that laparoscopic inguinal herniorrhaphy using self-adhering mesh is comparable to tacked mesh in regards to short-term complication rates, but show a favorable advantage in regards to immediate postoperative pain. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - August 24, 2017 Category: Surgery Source Type: research

Factors impacting patient cooperation during elective gastroscopy.
Abstract Background/Aims: Some people have difficulty tolerating upper endoscopy. The cause of and risk factors for this are not well known. The aim of this study was to investigate the factors involved in poor cooperation during screening upper endoscopy. Methods: A total of 4,422 subjects who underwent a health inspection with upper endoscopy carried out by a single experienced endoscopist were included. We retrospectively investigated subjects' self-reporting questionnaires and medical records, including endoscopic and histologic findings. The examinees' cooperation and the completeness of endoscopic exami...
Source: The Korean Journal of Internal Medicine - August 22, 2017 Category: Internal Medicine Authors: Lee SP, Sung IK, Kim JH, Lee SY, Park HS, Shim CS Tags: Korean J Intern Med Source Type: research

Outcomes of laparoscopic inguinal herniorrhaphy in female pediatric patients, particularly those with ovarian hernias
Inguinal hernia in females may contain uterine adnexa. The common presentation is herniation of one ovary, but involvement of both ovaries in a unilateral hernial sac and simultaneous herniation of other organs are possible. Regardless, ovarian hernias have a high incarceration rate. The aim of this study was to evaluate the outcomes of laparoscopic inguinal herniorrhaphy in female pediatric patients, particularly those with ovarian hernias. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - August 22, 2017 Category: Surgery Authors: Sung Ryul Lee Tags: Pediatric Surgical Images Source Type: research

TEMPORARY REMOVAL: Outcomes of laparoscopic inguinal herniorrhaphy in female pediatric patients, particularly those with ovarian hernias
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - August 22, 2017 Category: Surgery Authors: Sung Ryul Lee Tags: Pediatric Surgical Images Source Type: research

WITHDRAWN: Outcomes of laparoscopic inguinal herniorrhaphy in female pediatric patients, particularly those with ovarian hernias
This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - August 22, 2017 Category: Surgery Authors: Sung Ryul Lee Source Type: research