Case report of laparoscopic reduction of retro-ureter incarcerated small bowel obstruction
We report a case of small bowel herniation caused by the ureter in a woman who underwent radical hysterectomy for cervical cancer. Patient concerns: A 53-year-old woman presented with acute abdominal pain and vomiting and reported a history of radical hysterectomy for cervical cancer 6 years prior to presentation. Diagnoses: Computed tomography revealed segmental luminal dilatation of pelvic ileal loops, 2 transition zones with the beak sign in the left-sided pelvic cavity, and reduced enhancement of bowel loops. Hydronephrosis with abrupt luminal narrowing of the left distal ureter was also observed. Interventions:...
Source: Medicine - December 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Do North American colorectal surgeons use mesh to prevent parastomal hernia? A survey of current attitudes and practice
Conclusion: Prophylactic mesh placement remains relatively uncommon; when used, biologic mesh was the most common type. Many surgeons were not convinced of the safety or efficacy of prophylactic mesh placement. PMID: 31782298 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - December 1, 2019 Category: Surgery Authors: Holland J, Chesney T, Dossa F, Acuna S, Fleshner KA, Baxter NN Tags: Can J Surg Source Type: research
Advancing the Use of Laparoscopy in Trauma: Repair of Intraperitoneal Bladder Injuries.
Abstract Traumatic intraperitoneal bladder rupture (IBR) requires surgical repair. Traditionally performed via laparotomy, experience with laparoscopic bladder repair (LBR) after blunt trauma is limited. Benefits of laparoscopy include decreased length of stay (LOS), less pain, early return to work, fewer adhesions, and lower risk of incisional hernia. The aim of this series is to demonstrate the potential superiority of LBR in select trauma patients. This is a retrospective review performed of all IBR patients from 2008 to 2016. Demographics, clinical management, outcomes, and follow-up were compared between LBR ...
Source: The American Surgeon - December 1, 2019 Category: Surgery Authors: Arnold MR, Lu CD, Thomas BW, Sachdev G, Cunningham KW, Vaio R, Heniford BT, Sing RF Tags: Am Surg Source Type: research
Acute abdomen in the centanary patient, mesh migration into the sigmoid colon after laparoscopic inguinal hernia repair (tapp): a case report and review of literature
ConclusionTAPP is a safe procedure for treat groin hernias, unless, mesh complications like foreign body reaction, deep-seated infection, mesh migration and perforation. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - November 30, 2019 Category: Surgery Source Type: research
Hospital volume and outcome in inguinal hernia repair: analysis of routine data of 133,449 patients
ConclusionsThe study gives a detailed picture of hospital care for inguinal hernia repair in Germany. Furthermore, it was noted that the risk of hernia recurrence decreases in line with a rising caseload of the treating hospital. (Source: Hernia)
Source: Hernia - November 30, 2019 Category: Sports Medicine Source Type: research
Transomental hernia - an enigmatic case report causing bowel obstruction in a virgin abdomen
ConclusionTransomental Hernias can be present in virgin abdomen also. Its presence should be considered in all suspicions of internal hernia occurrence even though they are commonly known to be associated with bariatric surgery, liver surgery, etc. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - November 28, 2019 Category: Surgery Source Type: research
Chimney Trial: study protocol for a randomized controlled trial
Parastomal hernias (PSHs) are common, troubling the lives of people with permanent colostomy. In previous studies, retromuscular keyhole mesh placement has been the most-used technique for PSH prevention but r... (Source: Trials)
Source: Trials - November 28, 2019 Category: General Medicine Authors: Elisa M äkäräinen-Uhlbäck, Heikki Wiik, Jyrki Kössi, Maziar Nikberg, Pasi Ohtonen and Tero Rautio Tags: Study protocol Source Type: research
Revisiting HERQL, the hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall hernias
AbstractPurposeIn the past we have developed and validated the hernia-specific quality of life assessment instrument, HERQL, for groin hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall hernias.MethodsSubjective quality-of-life perceptions from abdominal wall hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment na ïve with follow-up hernia patients. Measurement invariance between groin and abdominal wall hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and i...
Source: Hernia - November 28, 2019 Category: Sports Medicine Source Type: research
Gallbladder Retrieval From Epigastric Versus Umbilical Port in Laparoscopic Cholecystectomy: A PRISMA-Compliant Meta-Analysis.
Abstract Purpose. To date, no evidence supports the retrieval of the gallbladder through a specific trocar site, and this choice is left to surgeons' preference. The aim of this meta-analysis was to investigate the influence of the trocar site used to extract the gallbladder on postoperative outcomes. Methods. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a literature search of PubMed, Google Scholar, Cochrane Library, and EMBASE databases was performed. Terms used were: ("gallbladder" OR "cholecystectomy") AND "umbilical" AND...
Source: Surgical Innovation - November 28, 2019 Category: Surgery Authors: Mongelli F, La Regina D, Zschokke I, Ceppi M, Ferrario di Tor Vajana A, Di Giuseppe M, Fischer H, Heeren N, Metzger J, Gass M Tags: Surg Innov Source Type: research
Precostal top-down extended totally extraperitoneal ventral hernia plasty (eTEP): simplification of a complex technical approach
ConclusionWith technical modification of precostal access and pneumatic balloon dilation of both retro-rectus compartments, the complex procedure can be simplified through time saving and straightforward unidirectional ‘top-down’ dissection. The better overview facilitates the crossover for connecting both retro-rectus spaces. In addition, the cranial access allows the anterior- and posterior layers to be closed up to the xiphoid. (Source: Hernia)
Source: Hernia - November 27, 2019 Category: Sports Medicine Source Type: research
Female sex as independent risk factor for chronic pain following elective incisional hernia repair: registry-based, propensity score-matched comparison
AbstractIntroductionTo date, little attention has been paid by surgical scientific studies to sex as a potential influence factor on the outcome. Therefore, there is a sex bias in the surgical literature. With an incidence of more than 20% after 3 years, incisional hernias are a common complication following abdominal surgical procedures. The proportion of women affected is around 50%. There are very few references in the literature to the influence of sex on the outcome of elective incisional hernia repair.Materials and methodsIn all, 22,895 patients with elective incisional hernia repair from the Herniamed Registry...
Source: Hernia - November 27, 2019 Category: Sports Medicine Source Type: research
Incisional hernia repair outcome after renal transplantation in a reference center. Our experience of 7 years.
CONCLUSIONS: IHRT repair is a safe procedure at our medical center, with an acceptable rate of hernia recurrence, but it is not without complications. PMID: 31785777 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)
Source: Cirugia eEspanola - November 27, 2019 Category: Surgery Authors: Martínez-Hoed J, Bonafe Diana S, Torregrosa-Gallud A, García Pastor P, Audi DA, Menéndez-Jiménez de Zavada Y Lissón M, Carbonell Tatay F, Bueno-Lledó J Tags: Cir Esp Source Type: research
Hernia repair and simultaneous continuous ambulatory peritoneal dialysis (CAPD) catheter implantation: feasibility and outcome
ConclusionHernia repair and simultaneous peritoneal dialysis catheter implantation are associated with no recurrent hernias, an early start of peritoneal dialysis, a very low postoperative morbidity and very high 1-year and 2-year catheter survival. (Source: Hernia)
Source: Hernia - November 26, 2019 Category: Sports Medicine Source Type: research
Superficial peroneal nerve compression due to peroneus brevis muscle herniation
Muscle hernias of the extremities most commonly occur in the leg, between the knee and ankle. Symptomatic muscle hernias in the leg are rare cause of chronic leg pain and neuropathy, and not routinely encountered in surgical practice. Although this condition is especially an esthetic problem, with palpable subcutaneous soft tissue mass, it can lead to spontaneous pain, cramp, local tenderness or potentially neuropathic symptoms. Moreover, among leg muscles involved in this process, peroneus brevis is less frequent than tibialis anterior. Magnetic Resonance Imaging is the method of choice in establishing the diagnosis. Symp...
Source: Journal of Radiology Case Reports - November 22, 2019 Category: Radiology Source Type: research
Abdominal hernias in cirrhotic patients: surgery or conservative treatment? Results of a prospective cohort study in a high volume center: cohort study
CONCLUSIONSElective hernia repair offers an acceptable morbidity and ensures longer survival. “Wait and see” approach jeopardizes cirrhotic patients and should be avoided, given the higher incidence of emergency surgery due to hernia complications. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 22, 2019 Category: General Medicine Source Type: research
Response to letter to the editor: Emergency groin hernia repair: A single center 10-year experience
In this study, we retrospectively reviewed 257 cases of acutely incarcerated or strangulated groin hernias repaired by a large group of surgeons practicing across academic or community hospitals affiliated with our institution. The objective of our study was to investigate the different management approaches performed at our institution (open versus laparoscopic, mesh versus tissue repairs) and their associated short- and long-term outcomes. (Source: Surgery)
Source: Surgery - November 22, 2019 Category: Surgery Authors: Luciano Tastaldi, David M. Krpata, Michael J. Rosen Source Type: research
One Anastomosis Gastric Bypass –Mini-Gastric Bypass (OAGB-MGB) Versus Roux-en-Y Gastric Bypass (RYGB)—a Mid-Term Cohort Study with 612 Patients
AbstractBackgroundOAGB-MGB emerged as a standard procedure, albeit RYGB remains the most frequently performed gastric bypass. Comparative studies are scarce.MethodsProspectively collected data (July 2006 to November 2017) from a large sample size and adequate follow-up were analyzed using logistic regression and linear mixed models. Total weight loss (TWL) within the first 3 years was defined as primary outcome and duration of operation, perioperative, and late complications and comorbidity remission as secondary outcomes.ResultsThree hundred twenty-four OAGB-MGBs (age 42.51 ± 11.36 years, 74.69% females) presented ...
Source: Obesity Surgery - November 22, 2019 Category: Surgery Source Type: research
Primary inguinal hernia repair: current practice amongst members of the British Hernia Society.
CONCLUSIONS: Despite recent controversy, UK surgeons support the use of mesh in the repair of inguinal hernias with an open Lichtenstein repair being the most common choice. There has only been a modest increase in the use of laparoscopic surgery over the past 20 years. PMID: 31755727 [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 - November 22, 2019 Category: Surgery Authors: Light D, Stephenson BM, Sanders DL, British Hernia Society Tags: Ann R Coll Surg Engl Source Type: research
The reality of general surgery training and increased complexity of abdominal wall hernia surgery
ConclusionA tailored approach is now employed and seen more so in hernia surgery and this fact is referred to and highlighted in the contemporaneous hernia guidelines published to date. In addition, with the increasing complexity of abdominal wall surgery, the number of procedures actually performed by trainees is no longer considered adequate to overcome any recognized learning curve. Therefore, to supplement general surgery training young surgeons should be offered a clinical fellowship to obtain an additional qualification as an abdominal wall surgeon and thus improve their clinical and operative experience under superv...
Source: Hernia - November 21, 2019 Category: Sports Medicine Source Type: research
Retrospective evaluation of children with airway and lung abnormalities: a single center experience of one year
Conclusions: we propose the description of large sample of pediatric patients with congenital bronchopulmonary malformations, followed from one Center. Chest CT and LTBS are important investigation in congenital airway anomalies. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 21, 2019 Category: Respiratory Medicine Authors: Porcaro, F., Petreschi, F., Petrone, M. I., Cutrera, R. Tags: Paediatric bronchology Source Type: research
A rare complication of videothoracoscopic surgery; lung herniation
We present three cases of lung herniation as a complication of videothoracoscopic surgery.Case: Three patients with the history of videothoracoscopic lung resection for lung cacner, admitted to our clinic at different times with similar complaintments like chest pain, bulge on the chest wall and cought(table). Herniated lung parenchyma was detected in thorax computed tomography. Surgical repair of lung herniation was planned. The postoperative period of all three patients was uneventful.CaseAge/GenderPrevious OperationComplaintPotential Predisposing FactorRepairmentRecurrence163/MRULChest pain and bulge on the chest wallCO...
Source: European Respiratory Journal - November 21, 2019 Category: Respiratory Medicine Authors: Batihan, G., Yaldız, D., Ceylan, K. C. Tags: Thoracic surgery Source Type: research
Herniation of the broad ligament… And the other side?
ConclusionThis case demonstrate the importance of a systematic exploration of other internal abdominal hernias during the surgery, especially a contralateral broad ligament hernia. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - November 20, 2019 Category: Surgery Source Type: research
Aggressive angiomyxoma of the pelvis presenting as an obturator hernia.
CONCLUSIONS: Angiomyxoma is a rare, benign and locally aggressive tumor, which can infiltrate locally and present unusually as perineal hernia. Due to its rarity and lack of specific diagnostic requirements, it's difficult to diagnose preoperatively KEY WORDS: Angiomyxoma, Obturator hernia, Pelvic mass. PMID: 31723050 [PubMed - in process] (Source: Annali Italiani di Chirurgia)
Source: Annali Italiani di Chirurgia - November 16, 2019 Category: Surgery Tags: Ann Ital Chir Source Type: research
Risk factors for bowel resection among patients with incarcerated hernias: A meta-analysis
Groin hernia repair is the most common elective operation performed worldwide with over 20 million operations per year. The rate of hernia surgery varies from 10 per 10000 people in the United Kingdom to 28 per 10000 people in the United States. Around 5% –15% of hernia patients have incarceration, of which approximately 15% of cases may evolve into bowel necrosis requiring bowel resection. Patients with bowel necrosis have a significantly longer hospitalization and a higher postoperative complications, which varied from 6% to 43%[4–7], with a mortality rate of 1%–7%[4,6]. (Source: The American J...
Source: The American Journal of Emergency Medicine - November 15, 2019 Category: Emergency Medicine Authors: Peng Chen, Libin Huang, Wenming Yang, Diao He, Xueting Liu, Yong Wang, Yongyang Yu, Lie Yang, Zongguang Zhou Source Type: research
Risk factors for bowel resection among patients with incarcerated groin hernias: A meta-analysis
Groin hernia repair is the most common elective operation performed worldwide with over 20 million operations per year . The rate of hernia surgery varies from 10 per 10 000 people in the United Kingdom to 28 per 10 000 people in the United States . Around 5–15% of hernia patients have incarceration, of which approximately 15% of cases may evolve into bowel necrosis requiring bowel resection . Patients with bowel necrosis have a significantly longer hos pitalization and a higher postoperative complications, which varied from 6% to 43% [4–7], with a mortality rate of 1–7% [4,6]. (Source: The ...
Source: The American Journal of Emergency Medicine - November 15, 2019 Category: Emergency Medicine Authors: Peng Chen, Libin Huang, Wenming Yang, Diao He, Xueting Liu, Yong Wang, Yongyang Yu, Lie Yang, Zongguang Zhou Source Type: research
Anterior enterocele as an etiology for anterior vaginal wall prolapse: a magnetic resonance defecography case series
We report a series of seven patients who presented with anterior vaginal wall “mass” or bulge after cystectomy and were found on magnetic resonance defecography (MRD) to have enteroceles or sigmoidoceles in the anterior rather than posterior compartment. MRD was instrumental for diagnoses in these patients and to exclude local recurrence of bladder malignancy. We also report five additional patients that were found to have bowel herniation anterior to the vaginal apex, but without history of cystectomy. (Source: Abdominal Imaging)
Source: Abdominal Imaging - November 14, 2019 Category: Radiology Source Type: research
An unusual case of gastric volvulus through Bochdalek hernia A case report and review of the recent literature.
CONCLUSIONS: Considering the severity of this condition, accurate diagnosis and timely surgical treatment is mandatory to reducing morbidity and mortality. KEY WORDS: Bochdalek hernia, Gastric volvulus. PMID: 31702578 [PubMed - in process] (Source: Annali Italiani di Chirurgia)
Source: Annali Italiani di Chirurgia - November 9, 2019 Category: Surgery Tags: Ann Ital Chir Source Type: research
A preventable cause of transplant hydroureteronephrosis: inguinal herniation of the transplant ureter. Case report and review of the literature.
Conclusion Inguinal herniation of the transplant ureter leading to ureteral obstruction is a rare, probably underreported, cause graft of dysfunction. Therefore, we advocate elective repair of inguinal or incisional hernias in renal transplant recipients. PMID: 31690216 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 8, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research
Novel homozygous mutation in a colombian patient with persistent müllerian duct syndrome: expanded phenotype
ABSTRACT The anti-M üllerian hormone triggers the regression of uterus and fallopian tubes in male embryos; if there are problems in the synthesis or action of this protein, Müllerian structures persist in an otherwise phenotypic male. The most frequent clinical presentation of Persistent Mullerian Duct syndrome is c ryptorchidism and inguinal hernia. The few cases reported in adults are incidental findings or inguinal hernias. However, we present an adult male with history of bilateral cryptorchidism with unsuccessful orchidopexy, who presents with a large abdominal mass with the finding of a seminomatous tumor ...
Source: International Braz J Urol - November 7, 2019 Category: Urology & Nephrology Source Type: research
Ovarian inguinal hernia.
CONCLUSIONS: Ovarian inguinal hernias should be considered among the differential diagnoses of a groin mass or swelling. In women of reproductive age, repair of the hernia with the intent to preserve fertility is of critical importance. PMID: 31696731 [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 - November 7, 2019 Category: Surgery Authors: Prodromidou A, Machairas N, Garoufalia Z, Kostakis ID, Kyriakidis AV, Spartalis E, Sotiropoulos GC Tags: Ann R Coll Surg Engl Source Type: research
Other Surgeries in Patients with Inflammatory Bowel Disease.
Abstract Patients with inflammatory bowel disease (IBD) will often require abdominal surgical intervention for indications not directly related to their IBD. Because these patients often have a history of multiple previous abdominal operations and/or ostomies, they are at increased risk for incisional and parastomal hernias. They may also have develop symptomatic cholelithiasis, chronic pain, or desmoid disease. All of these potentially surgical issues may require special consideration in the IBD population. PMID: 31676055 [PubMed - in process] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - November 5, 2019 Category: Surgery Authors: Giugliano DN, Bernier GV, Johnson EK Tags: Surg Clin North Am Source Type: research
Morphology of the Esophageal Hiatus: Is It Different in 3 Types of Hiatus Hernias.
Conclusions: Using a novel approach, we provide details of the esophageal hiatus in patients with various kinds of hiatal hernia. Impaired LES relaxation in paraesophageal hernia may play a role in its pathophysiology and genesis of symptoms. PMID: 31677612 [PubMed - as supplied by publisher] (Source: Journal of Neurogastroenterology and Motility)
Source: Journal of Neurogastroenterology and Motility - November 4, 2019 Category: Gastroenterology Tags: J Neurogastroenterol Motil Source Type: research
Combined Laparoscopic and Thoracoscopic Approach for Tension Gastrothorax in a Foramen of Bochdalek Hernia
ConclusionWe strongly recommend employing a combined laparoscopic and thoracoscopic approach for an emergency repair of a tension gastrothorax in a hemodynamically stable patient as, it poses all the advantages of minimal access surgery and is available, at smaller centres, even in an emergency. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - November 3, 2019 Category: Surgery Source Type: research
Perineal hernia repair using permanent suture and mesh: a video case presentation
ConclusionsRobotics-assisted abdominal primary repair of the perineal hernia and overlying mesh placement offered a safe and effective repair of this rare disorder. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - November 1, 2019 Category: OBGYN Source Type: research
Comparison of surgical techniques and results for emergency or elective femoral hernia repair.
CONCLUSION: For the comparison of surgical techniques and outcomes, prospective randomized studies should be designed to standardize broad-based surgical techniques. PMID: 31701494 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - November 1, 2019 Category: Emergency Medicine Authors: Kunduz E, Sormaz İC, Yapalak Y, Bektasoglu HK, Gok AF Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
The Ideal Candidate for Subcutaneous Endoscopically Assisted Ligation (SEAL) of the Internal Ring for Pediatric Inguinal Hernia Repair.
Abstract Subcutaneous endoscopically assisted ligation (SEAL) technique is an effective and minimally invasive approach for indirect inguinal hernia repair in children. Not all patients are candidates for SEAL because of technical limitations. We hypothesized that preoperatively assessed patient-level factors may predict technical feasibility of SEAL repair. We performed a retrospective review of all patients who underwent indirect inguinal hernia repair between June 2012 and December 2014. All patients younger than two years and any patient older than two years who had a concomitant umbilical hernia were consider...
Source: The American Surgeon - November 1, 2019 Category: Surgery Authors: Muncie C, Cockrell H, Whitlock R, Morris M, Sawaya D Tags: Am Surg Source Type: research
Repair of small abdominal wall hernias. The comparison of open in-lay and on-lay techniques.
CONCLUSION: Although, the patch itself has tendency to make a dome formation when placed intra-abdominally, a composite polypropylene and ePTFE hernia patch has better outcomes if placed precisely with minimal extra-peritoneal and extensive intra-peritoneal dissection. We assume that inadequate liberation of omental attachments around the defect enhances the prior reported failures of the product. KEY WORDS: Composite mesh, Hernia, Ventralex patch. PMID: 31661438 [PubMed - as supplied by publisher] (Source: Annali Italiani di Chirurgia)
Source: Annali Italiani di Chirurgia - October 30, 2019 Category: Surgery Tags: Ann Ital Chir Source Type: research
Laparoscopic plug removal for chronic pain after inguinal hernia repair using the plug-and-patch technique: a case report
CONCLUSIONLaparoscopic plug removal for nociceptive pain due to a plug meshoma is effective. However, since there is insufficient evidence to recommend mesh removal without triple neurectomy, informed consent and further consideration of techniques and diagnostic methods are needed. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 29, 2019 Category: Surgery Source Type: research
Assessment of short-term outcome with TiO2 mesh in laparoscopic repair of large paraesophageal hiatal hernias
Laparoscopic large para-oesophageal hiatal hernia (LPHH) repair using mesh reinforcement significantly reduces postoperative recurrence rates compared to conventional suture repair, especially within short fol... (Source: BMC Surgery)
Source: BMC Surgery - October 28, 2019 Category: Surgery Authors: Islam Khaled, Pablo Priego, Mohammed Faisal, Marta Cuadrado, Francisca Garc ía-Moreno, Araceli Ballestero, Julio Galindo and Eduardo Lobo Tags: Research article Source Type: research
Robotic transabdominal preperitoneal approach for repair of primary, uncomplicated ventral hernias
Source: Hernia - October 26, 2019 Category: Sports Medicine Source Type: research
Survey of patients regarding experience following repair of inguinal hernias
This study aimed to determine patients ’ experiences following inguinal hernia repair at a tertiary hospital and associated cottage hospital in terms of postherniorraphy pain and follow-up.MethodsAfter exclusions, 373 adult patients undergoing inguinal hernia repair at Derriford and Tavistock hospitals during a 1-year period from October 2017 were sent a questionnaire regarding preoperative pain experience, current symptoms, and pain severity at 28 days and other intervals postoperatively. Statistical analysis of responses included unpairedttest to compare means andχ2 test for discrete variables with ap value
Source: Hernia - October 25, 2019 Category: Sports Medicine Source Type: research
DSE associated musculocontractural EDS, a milder phenotype or phenotypic variability.
In this study we provide clinical and molecular presentation of two new patients with DSE related mcEDS. Analysing clinical exome data, a homozygous pathogenic DSE variant, c.1150_1157del p.(Pro384Trpfs*9), was identified in a 32 year old man with bilateral congenital talipes equinovarus, characteristic facial features, myopia, hyperextensible skin at the elbows, significant palmar wrinkling, bilateral inguinal hernias and chronic leg, back and joint pain. Electron microscopical examination of skin biopsy showed changes consistent with mild compensatory elastic fibre hypertrophy and mildly loose collagen bundles. The varia...
Source: European Journal of Medical Genetics - October 23, 2019 Category: Genetics & Stem Cells Authors: Schirwani S, Metcalfe K, Wagner B, Berry I, Sobey G, Jewell R Tags: Eur J Med Genet Source Type: research
Is there a role for prophylactic mesh in abdominal wall closure after emergency laparotomy? A systematic review and meta-analysis
AbstractBackgroundIncisional hernias are a common complication of emergency laparotomy and are associated with significant morbidity. Recent studies have found a reduction in incisional hernias when mesh is placed prophylactically during abdominal closure in elective laparotomies. This systematic review will assess the safety and efficacy of prophylactic mesh placement in emergency laparotomy.MethodsA systematic review was performed according to the PROSPERO registered protocol (CRD42018109283). Papers were dual screened for eligibility, and included when a comparison was made between closure with prophylactic mesh and clo...
Source: Hernia - October 22, 2019 Category: Sports Medicine Source Type: research
What ’s New in the Management of Incarcerated Hernia
AbstractManagement of incarcerated hernias is a common issue facing general surgeons across the USA. When hernias are not able to be reduced, surgeons must make decisions in a short time frame with limited options for patient optimization. In this article, we review assessment and management options for incarcerated ventral and inguinal hernias. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 21, 2019 Category: Surgery Source Type: research
A Safe and Effective Technique of Paraesophageal Hernia Reduction Using Combined Laparoscopy and Nonsutured PEG Gastropexy in High-Risk Patients.
Conclusion: A combination of laparoscopic reduction and nonsutured PEG gastropexy is a safe and effective alternative treatment for high-risk patients (with significant morbidity and mortality) with symptomatic PHs. Most patients (80%) returned to normal oral intake postprocedure and were discharged home within 3 d. PMID: 31624456 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 19, 2019 Category: Surgery Tags: JSLS Source Type: research
Primary repair of umbilical hernias is feasible independent of patient/hernia size
This study found that concurrent repair of an inguinal hernia, current smoking, high body mass index (BMI), and primary repair of an umbilical hernia>1.5 cm were independent predictors of recurrence. (Source: Surgery)
Source: Surgery - October 18, 2019 Category: Surgery Authors: Jennie Meier, Sergio Huerta Tags: Letter to the Editor Source Type: research
A Rare Case of Gastric Volvulus with Hiatal Hernia
BY FAHAD SHAH & AHMED RAZIUDDIN, MDA 68-year-old woman presented with acute abdominal pain that had started three hours earlier. She said she had constant upper abdominal pain that was sharp and stabbing, and she rated her pain as 8/10.The patient said the pain did not radiate, and she was clearly in acute distress. She reported that her last meal had been four hours before and that she was nauseated and had had three to four episodes of dry heaves.She had no other concerning symptoms, and her pain was unaffected by eating, drinking, or position. She had a paraesophageal rolling hiatal hernia and was aware of her ch...
Source: The Case Files - October 16, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: research
Outcomes of Open Complex Ventral Hernia Repairs With Retromuscular Placement of Poly-4-Hydroxybutyrate Bioabsorbable Mesh.
Conclusions. Complex hernia repairs using bioabsorbable mesh were conducted in a small cohort of high-risk patients. These data demonstrate good outcomes with limited morbidity and mortality. There were no recurrences. PMID: 31617453 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 16, 2019 Category: Surgery Authors: Pakula A, Skinner R Tags: Surg Innov Source Type: research
Robotic Colostomy Take-Down
To demonstrate a surgical video where-in a robotic-assisted colostomy take-down was performed with anastomosis of the descending colon to the rectum after reduction of ventral hernias and extensive lysis of adhesions. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: S Kim, L Mutlu, G Altwerger, G Menderes Tags: Plenary 8: Robotics (4:10 PM – 5:10 PM) 4:30 PM Source Type: research
2405 The Cult of the Occult Hernia and the Endometriosis Population
Endometriosis is a condition in which tissue similar to but not the same as the lining of the uterus is found throughout the pelvic cavity. Pelvic Physical Therapy is a sub specialty of physical therapy focused on the hip, lower abdomen, and pelvis from the bones, to the muscles, including the pelvic floor, to the nerves and fascia. Ongoing pelvic pain post excision of endometriosis by a gynecology specialist may be treated by a pelvic physical therapist. In one year, a pelvic physical therapy practice specializing in endometriosis issues, multiple patients were suspected to have occult, or no bulge, hernias as sources of ...
Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: S Sarrel Tags: Virtual Poster Session 3: Endometriosis (10:20 AM – 10:30 AM) 10:20 AM: STATION K Source Type: research