Deperitoneum biological mesh repair for abdominal wall hernia: a novel wound healing promotion idea.
CONCLUSION: This novel approach could be safely performed in ventral hernia patients. Early evaluation of this surgical technique demonstrates quick recovery and minimal complications. PMID: 30307355 [PubMed - as supplied by publisher] (Source: Minimally Invasive Therapy and Allied Technologies)
Source: Minimally Invasive Therapy and Allied Technologies - October 13, 2018 Category: Surgery Tags: Minim Invasive Ther Allied Technol Source Type: research

A Decade of Experience with Laparoscopic Ventral Hernia Repairs
Publication date: Available online 12 October 2018Source: The American Journal of SurgeryAuthor(s): Sarah Lund, David FarleyAbstractBackgroundFew studies have evaluated surgical outcomes in long-term follow-up for patients undergoing Laparoscopic Ventral Hernia Repair (LVHR).MethodsA retrospective review of long-term follow-up of LVHR patients (2002 – 2005) at a single institution.ResultsSixty-three patients (37 males; mean age = 63, mean BMI = 33, 41% for recurrence) underwent LVHR. Mean operative time was 164 minutes. Mean hospital stay was 3.7 days. Short- and long-term complications occurred in 19% and 44% of pat...
Source: The American Journal of Surgery - October 13, 2018 Category: Surgery Source Type: research

Cost-effectiveness of Randomized Study of Laparoscopic Versus Open Bilateral Inguinal Hernia Repair
Conclusions: The TAPP procedure for bilateral inguinal hernia appears to be more cost-effective compared with OL. (Source: Annals of Surgery)
Source: Annals of Surgery - October 13, 2018 Category: Surgery Tags: ESA-Randomized Controlled Trials Source Type: research

Management of Incidental Hernia Discovered During Abdominal Contouring in Post–Bariatric Surgery Patients
Conclusions This is the first study to characterize incidental hernia discovered at the time of body contouring in the post–bariatric surgery patient. The body contouring surgeon should be aware of this common finding. Hernias typically discovered during panniculectomy or abdominoplasty arise in umbilical or epigastric regions, likely from prior laparoscopic port sites, and can be safely repaired by the plastic surgeon with low overall complication rates. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 13, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Comparison of laparoscopic and open pediatric inguinal hernia repairs at two institutions
ConclusionLaparoscopic hernia repairs at hospital B are associated with shorter operative times and have similar outcomes as open repairs at hospital A. A prospective study with both techniques done at the same institution is warranted. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - October 13, 2018 Category: Surgery Source Type: research

Pitfalls and clinical recommendations for the primary lumbar hernia based on a systematic review of the literature
ConclusionThe high risks of incarceration in lumbar hernias demand a relatively fast elective repair. The use of a mesh is recommended, but the surgical approach should be tailored to individual patient characteristics and risk factors. (Source: Hernia)
Source: Hernia - October 12, 2018 Category: Sports Medicine Source Type: research

Inguinal hernias in premature neonates: exploring optimal timing for repair
AbstractPurposeInguinal hernias have been reported in as many as 10 –30% premature neonates, making inguinal herniorrhaphy (IHR) one of the most commonly performed surgical procedures. The timing of surgery remains controversial. The purpose of this report is to compare outcomes of IHR while in the NICU (inpatient) versus repair following discharge (outpatient) to determine optimal timing.MethodsPremature neonates having undergone IHR over a 5-year period were identified and a retrospective case cohort analysis was performed.Results263 patients underwent IHR during the 5-year study period with 115 (43.7%) having surg...
Source: Pediatric Surgery International - October 11, 2018 Category: Surgery Source Type: research

Left Sided Richter type Obturator Hernia causing intestinal obstruction: A case report
ConclusionThe clinical diagnosis of an obturator hernia is often difficult due to its nonspecific symptoms and infrequent signs. Yet early diagnosis is mandatory because its delay contributes to bowel necrosis and to the poor prognosis in these patients. Surgery remains the only effective management of this condition. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 11, 2018 Category: General Medicine Source Type: research

Occult Hiatal Hernia in Achalasia Patients: Its Incidence and Treatment Options
Conclusion: Hiatal hernia was found in 20.7% of patients who received surgical treatment for achalasia, but no cases were diagnosed prior to surgery.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - October 10, 2018 Category: Surgery Source Type: research

Burden of gastrointestinal and liver diseases in India, 1990 –2016
In this study, we estimated the age-standardized prevalence, mortality, and disability adjusted life years (DALY) rates of GI and liver diseases in India from 1990 to 2016 using data from the Global Burden of Disease (GBD) Study, which systematically reviews literature and reports for international disease burden trends. Despite a decrease in the overall burden from GI infectious disorders since 1990, they still accounted for the majority of DALYs in 2016. Among noncommunicable disorders (NCDs), there were increases in the prevalence and mortality rates for pancreatitis, liver cancer, paralytic ileus and intestinal obstruc...
Source: Indian Journal of Gastroenterology - October 10, 2018 Category: Gastroenterology Source Type: research

Reply to “Incidence, risk factors, and prevention of stoma site incisional hernias: a systematic review and meta‐analysis”
Colorectal Disease,Volume 0, Issue ja, -Not available-. (Source: Colorectal Disease)
Source: Colorectal Disease - October 9, 2018 Category: Gastroenterology Authors: Ian Jun Yan Wee Source Type: research

Laparoscopic Repair for Groin Hernias in Female Patients: A Single-Center Experience in 15 Years
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - October 9, 2018 Category: Surgery Authors: Zirui He Xiaohui Hao Bo Feng Jianwen Li Jing Sun Pei Xue Fei Yue Xialin Yan Ji Wang Minhua Zheng Source Type: research

Laparoscopic Repair for Groin Hernias in Female Patients: A Single-Center Experience in 15 Years
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic and Advanced Surgical Techniques)
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - October 9, 2018 Category: Surgery Authors: Zirui He Xiaohui Hao Bo Feng Jianwen Li Jing Sun Pei Xue Fei Yue Xialin Yan Ji Wang Minhua Zheng Source Type: research

The Utility of Ultrasound in the Diagnosis of Muscle Hernias in the Dermatology Clinic
Publication date: Available online 5 October 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): M. Sigüenza-Sanz, F. Alfageme-Roldán, I. Salgüero-Fernández, G. Roustan-Gullón (Source: Actas Dermo-Sifiliograficas)
Source: Actas Dermo-Sifiliograficas - October 6, 2018 Category: Dermatology Source Type: research

Comparison of Laparoscopic Versus Open Surgical Management of Morgagni Hernia
ConclusionsMorgagni hernias often present with respiratory and GI symptoms and require repair. All cases in our series were repaired electively. Regardless of approach, recurrence rate was low (2.3%) and complication rate was similar between laparoscopic, laparotomy and thoracotomy. Given the shorter length of stay with similar recurrence rates, a laparoscopic approach is a viable option for repair of Morgagni hernia. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The impact of preoperative anemia and malnutrition on outcomes in paraesophageal hernia repair
AbstractBackgroundPatients with a paraesophageal hernia may experience gastroesophageal reflux symptoms and/or obstructive symptoms such as dysphagia. Some patients with large and complex paraesophageal hernias unintentionally lose a significant amount of weight secondary to difficulty eating. A subset of patients will develop Cameron ’s erosions in the hernia, which contribute to anemia. Given the heterogeneous nature of patients who ultimately undergo paraesophageal hernia repair, we sought to determine if patients with anemia or malnutrition suffered from increased morbidity or mortality.MethodsThe American Colleg...
Source: Surgical Endoscopy - October 5, 2018 Category: Surgery Source Type: research

Ultrasonography in diagnosing clinically occult groin hernia: systematic review and meta-analysis
ConclusionsSensitivity, specificity and NPV of US in detecting clinically occult groin hernia cannot reliably be determined based on current evidence. Further studies are necessary. Accuracy may strongly depend on the examiner's skills. PPV is high. Inguinal and femoral hernias can reliably be differentiated by US.Key Points• Sensitivity, specificity and NPV of ultrasound in detecting clinically occult groin hernia cannot reliably be determined based on current evidence.• Accuracy may strongly depend on the examiner's skills.• PPV of US in detection of clinically occult groin hernia is high [pooled PPV of 85...
Source: European Radiology - October 5, 2018 Category: Radiology Source Type: research

The impact of preoperative anemia and malnutrition on outcomes in paraesophageal hernia repair
AbstractBackgroundPatients with a paraesophageal hernia may experience gastroesophageal reflux symptoms and/or obstructive symptoms such as dysphagia. Some patients with large and complex paraesophageal hernias unintentionally lose a significant amount of weight secondary to difficulty eating. A subset of patients will develop Cameron ’s erosions in the hernia, which contribute to anemia. Given the heterogeneous nature of patients who ultimately undergo paraesophageal hernia repair, we sought to determine if patients with anemia or malnutrition suffered from increased morbidity or mortality.MethodsThe American Colleg...
Source: Surgical Endoscopy - October 5, 2018 Category: Surgery Source Type: research

Suture choice to reduce occurrence of surgical site infection, hernia, wound dehiscence and sinus/fistula: a network meta-analysis.
CONCLUSIONS: No suture type can be considered the 'best treatment' for the prevention of surgical site infection, hernia, wound dehiscence and sinus/fistula occurrence. PMID: 30286645 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - October 5, 2018 Category: Surgery Authors: Zucker BE, Simillis C, Tekkis P, Kontovounisios C Tags: Ann R Coll Surg Engl Source Type: research

Comparison of Laparoscopic Versus Open Surgical Management of Morgagni Hernia.
CONCLUSIONS: Morgagni hernias often present with respiratory and GI symptoms and require repair. All cases in our series were repaired electively. Regardless of approach, recurrence rate was low (2.3%) and complication rate was similar between laparoscopic, laparotomy and thoracotomy. Given the shorter length of stay with similar recurrence rates, a laparoscopic approach is a viable option for repair of Morgagni hernia. PMID: 30296422 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 5, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Young MC, Saddoughi SA, Aho JM, Harmsen WS, Allen MS, Blackmon SH, Cassivi SD, Nichols FC, Shen KR, Wigle DA Tags: Ann Thorac Surg Source Type: research

Management of the Difficult Hiatal Hernia
The ideal operative solution to giant paraesophageal hernias involves a complex evaluation of the functional anatomy and the intraoperative assessment of both esophageal length and crural closure tension. The addition of surgical adjuncts such as extended transmediastinal dissection, Collis gastroplasty, and mesh reinforcement are all necessary, on an individualized basis, to address these 2 primary causes of hernia recurrence. We discuss the options available. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Matthew Rochefort, Jon O. Wee Source Type: research

Incisional Hernia Repair of Medium- and Large-Sized Defects: Laparoscopic IPOM Versus Open SUBLAY Technique.
Authors: Alizai PH, Lelaona E, Andert A, Neumann UP, Klink CD, Jansen M Abstract BACKGROUND: Small incisional hernias can be repaired laparoscopically with low morbidity and reasonable recurrence rates. The aim of this study was to compare laparoscopic with open technique in medium- and large-sized defects regarding postoperative complications and recurrence rates. METHODS: Between 2012 and 2016, 102 patients with medium- or large-sized defects according to EHS classification underwent incisional hernia repair. Patients' characteristics, hernia size and postoperative complications were prospectively recorded. I...
Source: Acta Chirurgica Belgica - October 4, 2018 Category: Surgery Tags: Acta Chir Belg Source Type: research

Long-term outcomes after prophylactic use of onlay mesh in midline laparotomy
ConclusionsIn our setting, the use of polypropylene prophylactic meshes in MLs is safe, efficient and durable. (Source: Hernia)
Source: Hernia - October 4, 2018 Category: Sports Medicine Source Type: research

Single-port Laparoscopic Appendectomy: Beyond the Learning Curve A Retrospective Comparison With Multi-port Laparoscopic Appendectomy
Conclusions: Our study supports recently published metaanalyses that fail to support older studies demonstrating longer operative times, and higher hernia rates with SPLA. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2018 Category: Surgery Tags: Original Articles Source Type: research

Factors predicting chronic pain after open inguinal hernia repair: a regression analysis of randomized trial comparing three different meshes with three fixation methods (FinnMesh Study)
ConclusionOnly the presence of recurrent hernia and early severe pain after index operation seemed to predict longstanding inguinal pain. (Source: Hernia)
Source: Hernia - October 1, 2018 Category: Sports Medicine Source Type: research

Infection and recurrence rates of the C-QUR V-Patch ™ in ventral hernia repairs
ConclusionThis series finds that recurrence rates associated with the novel C-QUR V-Patch Mesh™ is acceptably low; however, infection rates appear to be higher when compared to comparable products for use in ventral hernia repairs. (Source: Hernia)
Source: Hernia - October 1, 2018 Category: Sports Medicine Source Type: research

Long-term clinical, radiological, and histological follow-up after complex ventral incisional hernia repair using urinary bladder matrix graft reinforcement: a retrospective cohort study
ConclusionIn 64 patients undergoing complex ventral incisional hernia repair with UBM reinforcement, all have experienced successful resolution of complex clinical conditions and 15.6% of these repairs have recurred at a median follow-up of 3  years. Three full-thickness biopsies of the repaired fascia years later shed light on a promising remodeling response which may signal strength and durability comparable to native fascia. (Source: Hernia)
Source: Hernia - October 1, 2018 Category: Sports Medicine 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 - October 1, 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 - October 1, 2018 Category: Sports Medicine Source Type: research

Mesh-augmented versus direct abdominal closure in patients undergoing open abdomen treatment
AbstractBackgroundOpen abdomen (OA) may be required in patients with abdominal trauma, sepsis or compartment syndrome. Vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM) is a widely used approach for temporary abdominal closure to close the abdominal wall. However, this method is associated with a high incidence of re-operations in short term and late sequelae such as incisional hernia. The current study aims to compare the results of surgical strategies of OA with versus without permanent mesh augmentation.MethodsPatients with OA treatment undergoing vacuum-assisted wound closure and an intraperitone...
Source: Hernia - October 1, 2018 Category: Sports Medicine Source Type: research

A 12-year experience of using the Kugel procedure for adult inguinal hernias via the internal ring approach
ConclusionsThe Kugel procedure via the internal ring approach is a safe, feasible and cost-effective technique for inguinal hernias that retains the benefits of the standard Kugel procedure and is easier to master. (Source: Hernia)
Source: Hernia - October 1, 2018 Category: Sports Medicine Source Type: research

Electric cauterization of the hernia sac in laparoscopic ventral hernia repair reduces the incidence of postoperative seroma: a propensity score-matched analysis
AbstractBackgroundLaparoscopic intraperitoneal mesh repair has become one of the most commonly performed minimally invasive procedures. Nevertheless, despite improved overall outcome, postoperative seroma formation remains the most frequent complication. Our objective was to investigate the effectiveness of cauterization of the hernia sac in terms of reducing the incidence of postoperative seroma formation.MethodsA retrospective analysis of 94 patients who underwent standard laparoscopic intraperitoneal mesh repair without closure of the central defect (sIPOM) between June 2011 and December 2014 was conducted. In 20 of tho...
Source: Hernia - October 1, 2018 Category: Sports Medicine Source Type: research

Critical evaluation of an innovative mesh for bilateral transabdominal preperitoneal (TAPP) repair of inguinal hernias
ConclusionTreatment of bilateral inguinal hernias with the newly designed bilateral mesh for TAPP theoretically brings benefits in terms of resistance to forces acting on the mesh. The larger area may decrease the risk for mesh bulging and recurrence, and one large mesh might provide more stable support than two separate meshes overlapping at the midline. The results of our study do not confirm these theoretical benefits regarding a high recurrence rate (2.8%) after treatment of medial hernia defects. We recommend re-designing the mesh with only a small central slit, which would provide a broader mesh bridge with sufficien...
Source: Hernia - October 1, 2018 Category: Sports Medicine Source Type: research

Prophylactic mesh used in ileal conduit formation following radical cystectomy: a retrospective cohort
ConclusionsUsing prophylactic mesh in ileal conduit, creation is feasible and may decrease the parastomal hernia formation rate. Further study of using synthetic resorbable and biologic meshes for hernia prophylaxis is warranted. (Source: Hernia)
Source: Hernia - October 1, 2018 Category: Sports Medicine Source Type: research

Long-term clinical, radiological, and histological follow-up after complex ventral incisional hernia repair using urinary bladder matrix graft reinforcement: a retrospective cohort study
ConclusionIn 64 patients undergoing complex ventral incisional hernia repair with UBM reinforcement, all have experienced successful resolution of complex clinical conditions and 15.6% of these repairs have recurred at a median follow-up of 3  years. Three full-thickness biopsies of the repaired fascia years later shed light on a promising remodeling response which may signal strength and durability comparable to native fascia. (Source: Hernia)
Source: Hernia - October 1, 2018 Category: Sports Medicine Source Type: research

Rates of Incisional Hernia Repair among Patients with Prior Nissen Fundoplication and Paraesophageal Hernia Repair
Patients who develop paraesophageal hernias may be more predisposed to hernia formation compared to the general population. This analysis aims to determine rates of incisional hernias, among patients who previously underwent paraesophageal hernia repair vs Nissen fundoplication. As the 2 procedures require the same number and location of port sites, they were deemed comparable for this analysis. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2018 Category: Surgery Authors: Catherine C. Beauharnais, Salvatore Docimo, Jie Yang, Donglei Yin, Aurora D. Pryor Tags: Scientific poster presentations Source Type: research

Experimental Incisional Hernia Model Reveals Superiority of Sublay over Onlay Repair in Tension Force and Adhesion Formation
In the previous decade, surgical techniques for incisional hernias placing polypropylene meshes (PM) in the retromuscular plane (sublay [SL]) have been repeatedly reported as the ones with the lowest recurrence. Despite sufficient data supporting this, mechanisms involved are unknown. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2018 Category: Surgery Authors: Fernando Ponce Leon, Jos é Eduardo J.E. Manso, Rodrigo Martinez, Viviane L. Abud, Nathalia B.O. Santos Tags: Scientific poster presentations Source Type: research

Effect of Laparoscopic Ventral Hernia Repair on Quality of Life (QOL) Outcomes in Primary and Recurrent Hernias
WITHDRAWN (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2018 Category: Surgery Authors: Javier Otero, Kathryn A. Schlosser, Angela M. Kao, Michael R. Arnold, Tanushree Prasad, Vedra A. Augenstein, Paul D. Colavita, Brant T. Heniford Tags: Scientific poster presentations Source Type: research

Complex Incisional Hernias in Morbidly Obese Patients: Hernia Repair Outcomes with Weight Loss Surgery
Morbid obesity is a risk factor for development and recurrence of incisional hernias. Weight loss surgery can be performed concomitantly with hernia repair or as a staged approach, which is recommended in loss of domain hernias. We assessed feasibility and outcomes of either approach in patients with complex incisional hernias. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2018 Category: Surgery Authors: Turna Mukherjee, Alexander D. Schroeder, Nara L. Tashjian, Margaret Siu, Robert J. Fitzgibbons, Kalyana Nandipati Tags: Scientific poster presentations Source Type: research

Analysis of Risk Factors Influencing Outcome in Primary Inguinal Hernia Repairs in Male Patients
Since the introduction of meshes in inguinal hernia repairs it seems to be clear that we have to use a mesh in every case. The European guidelines, which are taking over also by the AHS, recommended the use of mesh in every case above 18 years for primary and recurrent hernias. There is no study respecting the type of hernia and no recommendations based of hernia size and risk factors. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2018 Category: Surgery Authors: Andreas Koch, Ralph Lorenz, Ferdinand Koeckerling, Daniela Adolf Tags: Scientific poster presentations Source Type: research

Is Robotic-Assisted Inguinal Hernia Repair Comparable or Superior to Laparoscopic Approach?
Outcomes and costs of robotic-assisted vs laparoscopic inguinal hernia repairs have been reported in a few retrospective case series, with conflicting results. Question remains whether robotic technology provides benefit to treat inguinal hernias. We aim to compare perioperative outcomes and costs of robotic-assisted transabdominal pre-peritoneal (roboticTAPP) vs laparoscopic totally extraperitoneal (TEP) inguinal hernia repairs. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2018 Category: Surgery Authors: Pedro P. Gomez, Guilherme S. Mazzini, Jad Khoraki, Gretchen R. Aquilina, Jennifer Salluzzo, Guilherme M. Campos Tags: Scientific forum Source Type: research

Incisional Hernia Prevention Using Dehydrated Amniotic Membrane in Rat Model
Incisional hernias (IH) develop in 15% to 20% of laparotomies. In rat models, growth factors reduce IH rates by 50% but this has not translated into clinical practice. Dehydrated human amnion-chorion membrane (dHACM) releases all previously tested growth factors and is routinely used by surgeons. To test our hypothesis that prophylactic dHACM would reduce IH rates, we performed a double-blinded, prospective randomized control trial (RCT) using a validated rat model. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2018 Category: Surgery Authors: Frank Lau, Patrick Greiffenstein, Ian A. Hodgdon, Kazi N. Islam, Celia A. Short, Aran Yoo, Leslie Birke Tags: Scientific forum Source Type: research

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