Diagnosis of inguinal hernia by prone- vs. supine-position computed tomography
ConclusionsProne-position CT is adequate for detecting and classifying inguinal hernia and for evaluating occult hernia. (Source: Hernia)
Source: Hernia - August 10, 2017 Category: Sports Medicine Source Type: research

Bilateral totally extraperitoneal (TEP) repair of the ultrasound-diagnosed asymptomatic contralateral inguinal hernia
ConclusionBilateral TEP for the clinically unilateral groin hernia with an occult contralateral groin hernia can be performed without increased morbidity, accepting a minor and very temporary impairment of QoL. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - August 8, 2017 Category: Surgery Source Type: research

Laparoscopic repair of ventral/incisional hernias with the “Slim-Mesh” technique without transabdominal fixation sutures: preliminary report on short/midterm results
This study details our experience with a new laparoscopic technique called “Slim-Mesh” without using transabdominal full-thickness stitches, to treat ventral and incisional hernias (V/IH). Since 2009–May 2015, 28 consecutive patients with V/IH were treated in our center, with this new SM technique. Fifty percent males were included in this retrospective study, averag ing 59 years (range 31–81 years). Mean body mass index was 26 and VH size was
Source: Updates in Surgery - August 8, 2017 Category: Surgery Source Type: research

Clinical Features of Refractory Ascites in Outpatients
CONCLUSION: Patients with refractory ascites were malnourished, suffered from hernias, had a high prevalence of complications and had a high postoperative death frequency, which was mostly due to infectious processes. (Source: Clinics)
Source: Clinics - August 8, 2017 Category: General Medicine Source Type: research

2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias
Emergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. There is no consensus on management of complicated abdominal ... (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - August 7, 2017 Category: Emergency Medicine Authors: Arianna Birindelli, Massimo Sartelli, Salomone Di Saverio, Federico Coccolini, Luca Ansaloni, Gabrielle H. van Ramshorst, Giampiero Campanelli, Vladimir Khokha, Ernest E. Moore, Andrew Peitzman, George Velmahos, Frederick Alan Moore, Ari Leppaniemi, Clay Tags: Review Source Type: research

Quality of life after laparoscopic totally extraperitoneal repair of an asymptomatic inguinal hernia
This study compares general and disease-specific quality of life following totally extraperitoneal (TEP) laparoscopic inguinal hernia repair (LIHR) of asymptomatic and symptomatic hernias.MethodsWe summarize prospective data from 387 patients who underwent TEP LIHR between 2009 and 2015 by four surgeons at a single institution. Asymptomatic individuals were identified by pain scores of zero at preoperative clinic visits. Validated quality of life (QOL) measurements were administered preoperatively and at 3  weeks, 6 months, and 1-year postop. Comparisons were made using Chi-square test,t test, or Mann –Whit...
Source: Surgical Endoscopy - August 4, 2017 Category: Surgery Source Type: research

Closure of a direct inguinal hernia defect in laparoscopic repair with barbed suture: a simple method to prevent seroma formation?
ConclusionsThe present direct inguinal hernia defect closing technique with barbed suture is a simple, easily reproducible, and effective method for the prevention of seroma formation. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - August 4, 2017 Category: Surgery Source Type: research

Early Wound Morbidity after Open Ventral Hernia Repair with Biosynthetic or Polypropylene Mesh
Recently introduced slow-resorbing biosynthetic and non-resorbing macroporous polypropylene meshes are being used in hernias with clean-contaminated and contaminated wounds. However, information about the usage of biosynthetic meshes and their outcomes compared to polypropylene meshes in clean-contaminated and contaminated cases is lacking. Herein we evaluate the usage of biosynthetic mesh and polypropylene mesh in elective, open ventral hernia repair (OVHR) and investigate differences in early wound morbidity following OVHR within clean-contaminated and contaminated cases. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - August 4, 2017 Category: Surgery Authors: Sambit Sahoo, Ivy N. Haskins, Li-Ching Huang, David M. Krpata, Kathleen A. Derwin, Benjamin K. Poulose, Michael J. Rosen Tags: Original Scientific Article Source Type: research

Musculotendinous Disorders in the Upper Extremity: Part 2. MRI of the Elbow, Forearm, Wrist, and Hand
This article reviews our experience with muscle and tendon injury as well as denervation of muscles. We focus on abnormalities of the biceps and the triceps tendons about the elbow as well as abnormalities of the flexor and extensor tendons about the elbow, forearm, wrist, and hand. We also discuss and illustrate our experience with lacerations, crush injuries, and muscle hernias in the forearm. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Musculoskeletal Radiology)
Source: Seminars in Musculoskeletal Radiology - August 3, 2017 Category: Radiology Authors: Fritz, Russell C. Boutin, Robert D. Tags: Review Article Source Type: research

Intracorporeal versus Extracorporeal Anastomoses Following Laparoscopic Right Colectomy in Obese Patients: A Case-Matched Study
Conclusion: IA in obese patients is associated with similar short-term outcomes, lower incidence of incisional hernias, and might possibly reduce the risk of hospital readmission.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - August 2, 2017 Category: Surgery Source Type: research

Congenital diaphragmatic hernias: from genes to mechanisms to therapies [REVIEW]
ABSTRACT Congenital diaphragmatic hernias (CDHs) and structural anomalies of the diaphragm are a common class of congenital birth defects that are associated with significant morbidity and mortality due to associated pulmonary hypoplasia, pulmonary hypertension and heart failure. In ~30% of CDH patients, genomic analyses have identified a range of genetic defects, including chromosomal anomalies, copy number variants and sequence variants. The affected genes identified in CDH patients include transcription factors, such as GATA4, ZFPM2, NR2F2 and WT1, and signaling pathway components, including members of the retinoic acid...
Source: DMM Disease Models and Mechanisms - August 2, 2017 Category: Biomedical Science Authors: Kardon, G., Ackerman, K. G., McCulley, D. J., Shen, Y., Wynn, J., Shang, L., Bogenschutz, E., Sun, X., Chung, W. K. Tags: REVIEW Source Type: research

Management of asymptomatic pediatric umbilical hernias: a systematic review
The objective of this review is to examine the existing literature on the natural history of pediatric umbilical hernias, known complications of repair and non-operative approaches, and management recommendations. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - August 2, 2017 Category: Surgery Authors: Tiffany Zens, Peter F. Nichol, Randi Cartmill, Jonathan E. Kohler Tags: Review Article Source Type: research

Laparoscopic Total Extraperitoneal (TEP) Inguinal Hernia Repair Using 3-dimensional Mesh Without Mesh Fixation
Conclusions: Laparoscopic TEP inguinal repair with 3-dimensional mesh without mesh fixation can be performed as safe as repair with tack fixation. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - August 1, 2017 Category: Surgery Tags: Original Articles Source Type: research

Open Retromuscular Repair of Parastomal Hernias with Synthetic Mesh.
We report our experience with open retromuscular repair of PHs using permanent synthetic mesh. A prospectively maintained database was retrospectively reviewed to identify patients undergoing PH repair. Primary outcomes are surgical site occurrence, surgical site infection (SSI), and hernia recurrence. Variables were analyzed using Pearson's χ2 test or Fisher's exact test. Values of P
Source: The American Surgeon - August 1, 2017 Category: Surgery Authors: Beffa LR, Warren JA, Cobb WS, Knoedler B, Ewing JA, Carbonell AM Tags: Am Surg Source Type: research

An Evaluation of Parastomal Hernia Repair Using the Americas Hernia Society Quality Collaborative.
Abstract The purpose of this review was to evaluate outcomes relating to parastomal hernia repair. Data from the Americas Hernia Society Quality Collaborative were used to identify patients undergoing parastomal hernia repair from 2013 to 2016. Parastomal hernia repairs were compared with other repairs using Pearson's test and Wilcoxon test with a P value
Source: The American Surgeon - August 1, 2017 Category: Surgery Authors: Fox SS, Janczyk R, Warren JA, Carbonell AM, Poulose BK, Rosen MJ, Hope WW Tags: Am Surg Source Type: research

Surgical complications of laparoendoscopic single ‐site donor nephrectomy: a retrospective study
Summary The single‐port approach has been associated with an unacceptably high rate of umbilical port hernias in large series of patients undergoing single‐port cholecystectomy and colectomy and with additional surgical risks thought secondary to technical and ergonomic limitations. A retrospective review of 378 consecutive laparoendoscopic single‐site(LESS) donor nephrectomies performed between 04/15/2009 and 04/09/2014 was conducted. Twelve patients (3%) developed an umbilical hernia. Eleven (92%) were female and eight (73%) of these patients had a prior pregnancy. Hernias were reported 13.5 ± 6.9 months aft...
Source: Transplant International - July 27, 2017 Category: Transplant Surgery Authors: John C. LaMattina, Jessica M. Powell, Nadiesda A. Costa, David B. Leeser, Silke V. Niederhaus, Jonathan S. Bromberg, Josue Alvarez ‐Casas, Michael S. Phelan, Rolf N. Barth Tags: Original Article Source Type: research

Intraperitoneal pressure in peritoneal dialysis.
Authors: Pérez Díaz V, Sanz Ballesteros S, Hernández García E, Descalzo Casado E, Herguedas Callejo I, Ferrer Perales C Abstract The measure of intraperitoneal pressure in peritoneal dialysis is easy and provides clear therapeutic benefits. However it is measured only rarely in adult peritoneal dialysis units. This review aims to disseminate the usefulness of measuring intraperitoneal pressure. This measurement is performed in supine before initiating the drain of a manual exchange with "Y" system, by raising the drain bag and measuring from the mid-axillary line the height of ...
Source: Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia - July 26, 2017 Category: Urology & Nephrology Tags: Nefrologia Source Type: research

The use of a composite synthetic mesh in the vicinity of bowel - For repair and prophylaxis of parastomal hernias. Does it increase the risk of short term infective complications?
This study describes our experience with the use of a synthetic composite mesh for prophylaxis and repair of parastomal hernias. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 24, 2017 Category: Surgery Authors: Zhaowei Zhou, Amarvir Bilkhu, Suhail Anwar Tags: Original Research Source Type: research

Modified laparoscopic placement of peritoneal dialysis catheter with intra-abdominal fixation
ConclusionsOur modified laparoscopic intra-abdominal fixation technique using suture passer hernia forceps is a simple and safe method for PD catheter placement and is effective in minimizing the risk of catheter migration. (Source: International Urology and Nephrology)
Source: International Urology and Nephrology - July 22, 2017 Category: Urology & Nephrology Source Type: research

Stapled Transabdominal Ostomy Reinforcement with retromuscular mesh (STORRM): Technical details and early outcomes of a novel approach for retromuscular repair of parastomal hernias
Conclusions STORRM represents a safe method to repair parastomal hernias. The unified aperture with stapled reinforcement results in reproducible repairs, minimizing intestinal angulation associated with traditional stoma passage. Early outcomes evidenced minimal complications and favorable recurrence rate. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 21, 2017 Category: Surgery Source Type: research

Preoperative progressive pneumoperitoneum for giant inguinal hernias
We present two giant inguinal hernia patients who were prepared for hernia repair with preoperative progressive pneumoperitoneum and then treated successfully by graft hernioplasty. We observed that abdominal expansion correlated with the inflated volume and pressure during the first four days of pneumperitoneum. Although insufflated gas volume can be different among patients, we observed that the duration of insufflation may be the same for similar patients.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 20, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Hiatus Hernia as a Cause of Dysphagia
AbstractPurpose of ReviewThis review aims to discuss the putative relationship between hiatus hernia and dysphagia.Recent FindingsProposed mechanisms of dysphagia in patients with hiatus hernia are usually difficult to identify, but recent advances in technology (high-resolution manometry with or without concomitant impedance, ambulatory pH with impedance, videofluoroscopy, and the endoluminal functional lumen imaging probe (EndoFLIP)) and methodology (inclusion of swallows of various consistencies and volumes or shifting position during the manometry protocol) can help induce symptoms and identify the underlying disorder....
Source: Current Gastroenterology Reports - July 20, 2017 Category: Gastroenterology Source Type: research

Stapled Transabdominal Ostomy Reinforcement with retromuscular mesh (STORRM): Technical details and early outcomes of a novel approach for retromuscular repair of parastomal hernias
Parastomal hernia repair (PHR) remains a challenge with no optimal repair technique. During retromuscular hernia repair, traversing the stomal conduit through the abdominal wall can result in angulation and compression. Widening of traditional cruciate incisions in mesh and/or fascia likely contributes to recurrences. To address these pitfalls, the Stapled Transabdominal Ostomy Reinforcement with Retromuscular Mesh (STORRM) technique utilizing a circular stapler was developed. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 20, 2017 Category: Surgery Authors: Arnab Majumder, Sean B. Orenstein, Heidi J. Miller, Yuri W. Novitsky Source Type: research

A prospective randomized study comparing laparoscopic transabdominal preperitoneal (TAPP) versus Lichtenstein repair for bilateral inguinal hernias
Conclusions TAPP procedure for bilateral inguinal hernia effectively reduces early postoperative pain, hospital stay and postoperative complications. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - July 19, 2017 Category: Surgery Source Type: research

A prospective randomized study comparing laparoscopic transabdominal preperitoneal (TAPP) versus Lichtenstein repair for bilateral inguinal hernias
In literature, only a few studies have prospectively compared the results of laparoscopic with open inguinal hernia repair yet none have compared bilateral inguinal hernia repair.The aim of this study is to compare the open Lichtenstein repair (OLR) with laparoscopic trans-abdominal preperitoneal (TAPP) repair in patients undergoing surgery for bilateral inguinal hernia. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 18, 2017 Category: Surgery Authors: Benedetto Ielpo, Hipolito Duran, Eduardo Diaz, Isabel Fabra, Riccardo Caruso, Luis Malav é, Valentina Ferri, Sara Lazzaro, Denis Kalivaci, Yolanda Quijano, Emilio Vicente Source Type: research

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh
This study aimed to review the outcomes... (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - July 18, 2017 Category: Emergency Medicine Authors: Sameh Hany Emile, Hesham Elgendy, Ahmad Sakr, Waleed Ahmed Gado, Ahmed Aly Abdelmawla, Mahmoud Abdelnaby and Alaa Magdy Source Type: research

A prospective randomized study comparing laparoscopic transabdominal preperitoneal (TAPP) versus Lichtenstein repair for bilateral inguinal hernias
In literature, only a few studies have prospectively compared the results of laparoscopic with open inguinal hernia repair yet none have compared bilateral inguinal hernia repair.The aim of this study is to compare the open Lichtenstein repair (OLR) with laparoscopic trans-abdominal preperitoneal (TAPP) repair in patients undergoing surgery for bilateral inguinal hernia. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 18, 2017 Category: Surgery Authors: Benedetto Ielpo, Hipolito Duran, Eduardo Diaz, Isabel Fabra, Riccardo Caruso, Luis Malav é, Valentina Ferri, Sara Lazzaro, Denis Kalivaci, Yolanda Quijano, Emilio Vicente Source Type: research

Laparoscopic Single-Site Inguinal Hernia Repair Using a Self-Fixating Mesh.
CONCLUSIONS: With comparable operative times, perioperative outcomes, and safety profile, SS-TEP appears to be a safe and effective surgical approach for the management of inguinal hernias in the short term. Furthermore, SS-TEP with a self-fixating mesh is a feasible approach. PMID: 28701857 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - July 14, 2017 Category: Surgery Tags: JSLS Source Type: research

High incidence of recess formation at myopectineal orifice during laparoscopic surgery.
CONCLUSIONS: This study showed that rate of patients with asymptomatic latent groin hernias is relatively high in Japanese. PMID: 28716501 [PubMed - as supplied by publisher] (Source: Asian Journal of Surgery)
Source: Asian Journal of Surgery - July 14, 2017 Category: Surgery Authors: Mine Y, Fujita F, Kinoe H, Inoue Y, Yamanouchi K, Kanetaka K, Kobayashi K, Takatsuki M, Eguchi S Tags: Asian J Surg Source Type: research

Clinical relevance of intraperitoneal pressure in peritoneal dialysis patients.
CLINICAL RELEVANCE OF INTRAPERITONEAL PRESSURE IN PERITONEAL DIALYSIS PATIENTS. Perit Dial Int. 2017 Jul 11;: Authors: Betancourt LA Abstract INTRODUCTION: Intraperitoneal pressure (IPP) in peritoneal dialysis (PD) increases in sitting and upright positions and is related to some individual characteristics. Adverse effects can appear with IPP> 20 cm H2O. Few studies about peritoneal transport or abdominal wall problems have directly measured IPP. We measured IPP in our prevalent PD patients to identify the clinical factors related to its variability and its possible association with peritoneal trans...
Source: Peritoneal Dialysis International - July 13, 2017 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

Long-Term Results of Fixation-Free Incisional Hernia Repair Using a Tentacle-Shaped Implant.
CONCLUSIONS: The tentacle strap system of the prosthesis effectively ensured reduced skin incision and an easier implant placement avoiding the need for suturing the mesh. Regularly performed computed tomography (CT) and ultrasound (US) investigations proved that the arms of the implant ensured a proper orientation and stabilization of the mesh in association with a broad defect overlap. The specifically developed surgical procedure showed a quick postoperative recovery, a very low complication rate, and no recurrences, even in the long-term. PMID: 28693050 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - July 13, 2017 Category: Surgery Tags: Surg Technol Int Source Type: research

Hiatal Hernia Repair: Current Evidence for Use of Absorbable Mesh to Reinforce Hiatal Closure.
CONCLUSIONS: The available literature lacks definitive evidence to support the use of biologic or bioabsorbable materials to reinforce hiatal closure in the cure of paraesophageal hernias. Further studies are needed to assess newer materials and longer-term effects of existing products. PMID: 28693045 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - July 13, 2017 Category: Surgery Tags: Surg Technol Int Source Type: research

Long-term quality of life and outcomes following robotic assisted TAPP inguinal hernia repair
The objective of this study was to examine the long-term quality of life and outcomes following robotic assisted TAPP inguinal hernia repair, since these data have not been reported up to now. From October 2012 to October 2015, 159 inguinal hernias in 82 consecutive patients were repaired with 3D mesh (BARD) using da Vinci Si Surgical System (Intuitive Surgical, Sunnyvale, CA, USA). The patients ’ demographics and intraoperative data were documented. Patients were seen 2 and 6 weeks after the surgery and the complications were recorded. Patients were assessed 6 weeks after the surgery by a survey using a un...
Source: Journal of Robotic Surgery - July 13, 2017 Category: Surgery Source Type: research

Methodical endoscopic repair of congenital indirect inguinoscrotal hernia in adult male patients with completely patent processus vaginalis
ConclusionsIn the presence of a completely PPV, the recognized benefit of a posterior approach, such as endoscopic TEP inguinal hernia repair, outweighs the theoretical risk of damaging the spermatic cord structures when dissecting and dividing the congenital hernia sac. This technique should be the preferred option among expert laparoscopic surgeons. (Source: Hernia)
Source: Hernia - July 11, 2017 Category: Sports Medicine Source Type: research

Case Series of 10 Patients with Cirrhosis Undergoing Emergent Repair of Ruptured Umbilical Hernias: Natural History and Predictors of Outcomes.
CONCLUSIONS: Emergent repair after umbilical hernia rupture in patients with decompensated cirrhosis carries a poor prognosis with 30% of patients developing poor postsurgical outcomes. PMID: 28697716 [PubMed - as supplied by publisher] (Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation)
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - July 11, 2017 Category: Transplant Surgery Authors: Malespin M, Moore CM, Fialho A, de Melo SW, Benyashvili T, Kothari AN, di Sabato D, Kallwitz ER, Cotler SJ, Lu AD Tags: Exp Clin Transplant Source Type: research

Preoperative Preparation of “Loss of Domain” Hernia. Progressive Pneumoperitoneum and Botulinum Toxin Type A
Publication date: Available online 10 July 2017 Source:Cirugía Española (English Edition) Author(s): José Bueno-Lledó, Antonio Torregrosa Gallud, Raquel Jiménez Rosellón, Fernando Carbonell Tatay, Providencia García Pastor, Santiago Bonafé Diana, José Iserte Hernández Preoperative progressive pneumoperitoneum and botulinum toxin type A are useful tools in the preparation of patients with loss of domain hernias. Both procedures are complementary in the surgical repair, especially with the use of prosthetic techniques without tension, that allow a integra...
Source: Cirugia Espanola - July 10, 2017 Category: Surgery Source Type: research

A case report of unexpected pathology within an incarcerated ventral hernia
Conclusion This is the first report of incisional hernia appendicitis with nonhealing colocutaneous fistulas secondary to Crohn’s. It is a lesson in developing a differential diagnosis of an inflammatory process within an incarcerated hernia and management of the complications related to laparoscopic hernial appendectomy in a patient with undiagnosed Crohn’s disease. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 8, 2017 Category: Surgery Source Type: research

Long term results of open complex abdominal wall hernia repair with self-gripping mesh: A retrospective cohort study
This study aimed to evaluate the long term results of this mesh for complex ventral hernia treatment. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 6, 2017 Category: Surgery Authors: Leonard F. Kroese, Lien H.A. van Eeghem, Joost Verhelst, Johannes Jeekel, Gert-Jan Kleinrensink, Johan F. Lange Tags: Original Research Source Type: research

Clinical Manifestations of Huge Diaphragmatic Hernias.
Abstract Translocation of abdominal organs into the thoracic cavity may cause dyspnea, heart disorders, and gastric symptoms. Diaphragmatic hernias can cause diagnostic difficulties, since both clinical and radiological symptoms might imitate different disorders. In these cases computed tomography of the chest is the method of choice. The aim of this study was to assess clinical manifestations, risk factors, and prognosis in patients with huge diaphragmatic hernias with displacement of abdominal organs into the thorax, depending on the action taken. We carried out a retrospective study using data of patients hospi...
Source: Adv Data - July 6, 2017 Category: Epidemiology Authors: Lesiński J, Zielonka TM, Kaszyńska A, Wajtryt O, Peplińska K, Życińska K, Wardyn KA Tags: Adv Exp Med Biol Source Type: research

Feasibility and limits of inguinal hernia repair under local anaesthesia in a limited resource environment: a prospective controlled study
AbstractPurposeLocal anaesthesia (LA) has proven effective for inguinal hernia repair in developed countries. Hernias in low to middle income countries represent a different issue. The aim of this study was to analyse the feasibility of LA for African hernia repairs in a limited resource environment.MethodsData from patients who underwent herniorrhaphy under LA or spinal anaesthesia (SA) by the 6th and 7th Forward Surgical Team were prospectively collected. All of the patients benefited from a transversus abdominis plane (TAP) block for postoperative analgesia. Primary endpoints concerned the pain response and conversion t...
Source: Hernia - July 4, 2017 Category: Sports Medicine Source Type: research

Laparoendoscopic stapled rives stoppa sublay technique for extraperitoneal ventral hernia repair
ConclusionLaparoendoscopic extraperitoneal stapled sublay is a  safe and effective method for small to medium-sized ventral and incisional hernias and adds another option to achieve minimally invasive extraperitoneal ventral hernia repair. (Source: European Surgery)
Source: European Surgery - July 4, 2017 Category: Surgery Source Type: research

Testicular Ischemia Caused by Incarcerated Inguinal Hernia in Infants: Incidence, Conservative treatment procedure, and Follow-up.
CONCLUSION: Testicular ischemia resulting from incarcerated inguinal hernia may be treated conservatively without orchiectomy for the ischemic testicle and testicular ischemia may be followed with color Doppler ultrasound for atleast 6 months. The inguinal hernia repair in infants should be subject to urgent surgery rather than elective surgery. So, the testicular ischemia in infants with the inguinal hernia will be an avoidable complication. PMID: 28670671 [PubMed - in process] (Source: Urology Journal)
Source: Urology Journal - July 2, 2017 Category: Urology & Nephrology Authors: Ozdamar MY, Karakus OZ Tags: Urol J Source Type: research

Donor-Site Morbidity After DIEAP Flap Breast Reconstruction—A 2-Year Postoperative Computed Tomography Comparison
Source: Plastic and Reconstructive Surgery Global Open - July 1, 2017 Category: Cosmetic Surgery Tags: Original Article Source Type: research

Incarcerated Bochdalek hernia causing bowel obstruction in an adult male patient.
We report the case of a 28-year-old man who presented with subacute bowel obstruction, later diagnosed to have a left-sided incarcerated Bochdalek hernia containing an ischaemic splenic flexure and the distal transverse colon. During laparotomy, he underwent primary repair of the diaphragmatic defect and an extended right hemicolectomy with ileocolic anastomosis. The patient made a good recovery and is well at three months following surgery. This case highlights the need for surgeons to be vigilant about rare types of congenital internal hernias as they may become symptomatic later in life. PMID: 28660829 [PubMed - in...
Source: Annals of the Royal College of Surgeons of England - July 1, 2017 Category: Surgery Authors: Ekanayake E, Fernando SA, Durairajah PL, Jayasundara J Tags: Ann R Coll Surg Engl Source Type: research

Laparoscopic Approach to Morgagni Hernias.
PMID: 28738915 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - July 1, 2017 Category: Surgery Authors: Guerreso K, Howard B, Parel R Tags: Am Surg Source Type: research

Preoperative Computed Tomographic Angiogram Measurement of Abdominal Muscles Is a Valuable Risk Assessment for Bulge Formation after Microsurgical Abdominal Free Flap Breast Reconstruction
Background: A major shortcoming associated with abdominal tissue breast reconstruction is long-term abdominal wall morbidity. Although abdominal muscle size on computed tomographic angiography has been correlated with morbidity following many abdominal operations, it has not been studied for breast reconstruction. Therefore, the authors evaluated the association between preoperative computed tomography angiography–derived measurements of abdominal core muscles and postoperative abdominal wall morbidity after abdominal tissue breast reconstruction. Methods: In this retrospective matched case-control study of women wh...
Source: Plastic and Reconstructive Surgery - June 30, 2017 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research

Case of giant paraesophageal hiatal hernia associated with Morgagni hernia
Abstract Simultaneous paraesophageal and Morgagni hernias are very rare. Here, we report a case involving a 91‐year‐old woman with simultaneous paraesophageal and Morgagni hernias. Both hernias were repaired laparoscopically. The postoperative course was uneventful. Laparoscopic repair for hernias seems to be feasible and minimally invasive, but only a few reports have described such repairs of hernial orifices. (Source: Asian Journal of Endoscopic Surgery)
Source: Asian Journal of Endoscopic Surgery - June 30, 2017 Category: Surgery Authors: Hiroki Ozawa, Hiroharu Shinozaki, Masaru Kimata, Soji Ozawa Tags: Case Report Source Type: research

Mesh cruroplasty in laparoscopic repair of paraesophageal hernias is not associated with better long-term outcomes compared to primary repair
Equipoise still exists regarding routine mesh cruroplasty during laparoscopic paraesophageal hernia (PEH). We aimed to determine whether selective mesh cruroplasty is associated with differences in recurrence and patient-reported outcomes. (Source: American Journal of Surgery)
Source: American Journal of Surgery - June 24, 2017 Category: Surgery Authors: Vernissia Tam, James D. Luketich, Ryan M. Levy, Neil A. Christie, Omar Awais, Manisha Shende, Katie S. Nason Source Type: research

Rare case of incarcerated obturator hernia. case report and review of literature
Conclusion early diagnosis and surgical treatment are imperative in obturator hernias due to the high morbidity and mortality that occur in cases where the intervention is delayed. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - June 24, 2017 Category: Surgery 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. Summary for Table of Contents There is equipoise regarding the routine use of mesh for crural reinforcement during laparoscopic paraesophageal hernia repair. Selective use of mesh in nearly 800 patients was associated with similar rates of symptom resolution and hernia recurrence. Hernia recurrence was associated with patient dissatisfaction...
Source: The American Journal of Surgery - June 24, 2017 Category: Surgery Source Type: research