Venous Thromboembolism in Emergency General Surgery Patients
Emergency general surgery (EGS) represents a growing area for quality improvement initiatives owing to the immense burden of disease and contribution to overall surgical morbidity in the United States. In this issue of JAMA Surgery, Ross and colleagues report on the almost 2-fold increased risk of venous thromboembolism (VTE) after emergency surgery of the gallbladder, ventral hernias, and colon compared with elective counterparts. The absolute risk of VTE in each operative category by emergency status was not reported but would help shed some light on which patients are at higher absolute risk. (Source: JAMA Surgery)
Source: JAMA Surgery - April 29, 2020 Category: Sports Medicine Source Type: research

Prevalence and Impact on Quality of Life of Occult Hernias among Patients Undergoing Computed Tomography
With the widespread use of advanced imaging there is a need to quantify the prevalence and impact of hernias. We aimed to determine the prevalence of abdominal wall hernias among patients undergoing computed tomography (CT) scans and their impact on abdominal wall quality of life (AW-QOL). (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - April 27, 2020 Category: Surgery Authors: Oscar A. Olavarria, Karla Bernardi, Julie L. Holihan, Nicole B. Lyons, Puja Shah, Tien C. Ko, Lillian S. Kao, Mike K. Liang Tags: Gastrointestinal Source Type: research

Primary thoracoabdominal hernias
ConclusionsPrimary thoracoabdominal hernias require a high index of suspicion. Durable repair involves complex reconstruction of the thoracoabdominal wall including the diaphragm, intercostal space, rib fracture fixation, and mesh reinforcement of the abdominal wall with permanent fixation constructs. (Source: Hernia)
Source: Hernia - April 24, 2020 Category: Sports Medicine Source Type: research

Small bowel obstruction caused by pericaecal hernia resolved with a laparoscopic approach.
We report a case of an 84-year-old woman with no previous history of abdominal surgery who came to our hospital having endured 6 hours of abdominal pain and vomiting. Following physical examination and computed tomography, a diagnosis of small bowel obstruction caused by pericaecal hernia was made and emergency surgery was performed. The hernia was successfully reduced with a laparoscopic approach. Although pericaecal hernia is a rare disease, surgeons should bear it in mind as a differential diagnosis in small bowel obstruction. PMID: 32326724 [PubMed - as supplied by publisher] (Source: Annals of the Royal College o...
Source: Annals of the Royal College of Surgeons of England - April 24, 2020 Category: Surgery Authors: Plua-Muñiz K, Sanchez-Gonzalez J, Bailon-Cuadrado M, Pacheco-Sanchez D Tags: Ann R Coll Surg Engl Source Type: research

Antibiotic prophylaxis for prevention of postoperative wound infection in adults undergoing open elective inguinal or femoral hernia repair.
Abstract BACKGROUND: Inguinal or femoral hernia is a tissue protrusion in the groin region and has a cumulative incidence of 27% in adult men and of 3% in adult women. As most hernias become symptomatic over time, groin hernia repair is one of the most frequently performed surgical procedures worldwide. This type of surgery is considered 'clean' surgery with wound infection rates expected to be lower than 5%. For clean surgical procedures, antibiotic prophylaxis is not generally recommended. However after the introduction of mesh-based hernia repair and the publication of studies that have high wound infection rat...
Source: Cochrane Database of Systematic Reviews - April 21, 2020 Category: General Medicine Authors: Orelio CC, van Hessen C, Sanchez-Manuel FJ, Aufenacker TJ, Scholten RJ Tags: Cochrane Database Syst Rev Source Type: research

Could isthmic approach to far lateral disc hernias cause instability?
These results show that a significant loss of resistance especially during the lateral bending loading was occurred with increasing resection portion of isthmus. With the load applied during the lateral bending of the pars interarticularis, the vertebra resected by 50% percent fractured significantly easier in comparison to the vertebra resected by 25% percent. Pars interarticularis is an important structure with an important role in stability. It is presumed that the more defect is created during the drill-up of the pars interarticularis, the more instability will be occurred. (Source: Clinical Biomechanics)
Source: Clinical Biomechanics - April 20, 2020 Category: Orthopaedics Authors: Ramazan Sari, Fatma K übra Erbay Elibol, Eylem Burcu Kahraman Özlü, İlhan Elmacı, Teyfik Demir Source Type: research

The Abdominal Hernia-Q: Development, Psychometric Evaluation, and Prospective Testing
Conclusions: Through patient involvement and rigorous, iterative psychometric evaluation, we have produced substantial data to suggest the validity and reliability of AHQ scores in measuring hernia-specific PRO. The AHQ advances the clinical management and treatment of patients with abdominal hernias by providing a more complete understanding of patient-defined outcomes. (Source: Annals of Surgery)
Source: Annals of Surgery - April 17, 2020 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Variations in open and laparoscopic repair of paediatric inguinal hernia.
CONCLUSIONS: This study found considerable variation in the execution of both open and laparoscopic repair of inguinal hernias in children of different age groups. Research into inguinal hernia repair in children is needed to rationalise and update guidelines in order to improve quality and facilitate research. FUNDING: none. TRIAL REGISTRATION: not relevant. PMID: 32285794 [PubMed - in process] (Source: Danish Medical Journal)
Source: Danish Medical Journal - April 16, 2020 Category: General Medicine Tags: Dan Med J Source Type: research

Robotic repair of lateral incisional hernias using intraperitoneal onlay, preperitoneal, and retromuscular mesh placement: a  comparison of mid-term results and surgical technique
SummaryBackgroundGiven the paucity of evidence surrounding lateral incisional hernias (LIH), optimal techniques remain elusive. We aim to compare perioperative and mid-term outcomes of patients who underwent robotic LIH repair using three techniques.MethodsPatients were grouped as intraperitoneal onlay (IPOM), transabdominal preperitoneal (TAPP), or retromuscular (RM). Clavien –Dindo classification and Comprehensive Complication Index (CCI®; University of Zurich, Zurich, Switzerland) were used to report postoperative complications and morbidity scores. Surgical site events (SSEs), including surgical site occurren...
Source: European Surgery - April 15, 2020 Category: Surgery Source Type: research

Risk of hernia formation after radical prostatectomy: a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial
ConclusionsWe found no difference in incidence of inguinal hernia after open retropubic and robot-assisted laparoscopic radical prostatectomy. The low incidence of incisional hernia after both procedures did not allow for statistical analysis. Risk factors for developing an inguinal hernia after prostatectomy were increased age and BMI. (Source: Hernia)
Source: Hernia - April 11, 2020 Category: Sports Medicine Source Type: research

Prophylactic mesh augmentation using permanent synthetic mesh: outcomes of keyhole and Stapled Ostomy Reinforcement with Retromuscular Mesh techniques
ConclusionPermanent synthetic mesh placed as a sublay in the retromuscular space is safe and appears to decrease the risk of PSH formation after the creation of permanent stomas. A stapled technique may provide advantages over a traditional keyhole technique. (Source: Hernia)
Source: Hernia - April 11, 2020 Category: Sports Medicine Source Type: research

Pediatric trauma: Management and lessons learned
Conclusion: In spite of extensive injuries and the need for multiple surgeries, children with trauma have a good prognosis. Close observation during admission and also in follow-up are essential, as many patients may require delayed surgery ≥1 week from injury. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - April 11, 2020 Category: Surgery Authors: Shalini Hegde Monika Bawa Ravi P Kanojia Jai K Mahajan Prema Menon Ram Samujh K L N Rao Source Type: research

Traumatic abdominal wall hernias following high-velocity trauma in children
We present one such case of a 9 year-old boy requiring a trauma laparotomy to repair visceral injuries following a motor vehicle accident. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - April 11, 2020 Category: Surgery Authors: Rakesh Quinn Susan Jehangir Michael Collin S V S Soundappan Source Type: research

Acute renal failure caused by giant inguinoscrotal bladder hernia
We present a case of a 70-year old man with such inguinal hernia presenting with acute scrotal hemorrhage. Our patient presented with signs of sepsis (due to UTI) and no symptoms of strangulation. Due to the high risk of developing respiratory failure during the post-operative period of a giant hernia such as the one our patient presented with, a conservative approach with creation of nephrostomy was utilized. (Source: Urology)
Source: Urology - April 11, 2020 Category: Urology & Nephrology Authors: Micha ł W. Szymański, Andrzej R. Hellmann, Agastya Patel, Monika Proczko-Stepaniak, Łukasz Kaska Tags: Grand Rounds Source Type: research

Robotic inguinal hernia repair: Is it a new era in the management of inguinal hernias?
Abstract OBJECTIVE: We compared outcomes of elective inguinal hernia repair performed at one institution by three approaches: robotic-assistance, laparoscopic, and open. METHODS: Characteristics of the patients, the hernia and the procedures performed during 2014-2016 were accessed from patient electronic medical files of 137 elective inguinal hernia repairs. 24 surgeries were robotic-assisted, 16 laparoscopic and 97 open repairs. RESULTS: Distributions of age, sex and BMI did not differ between the groups. Bilateral repair was more common in the robotic (70.8%) than the laparoscopic (50.0%) and open groups (12.4%) (p 
Source: Asian Journal of Surgery - April 11, 2020 Category: Surgery Authors: Kakiashvili E, Bez M, Abu Shakra I, Ganam S, Bickel A, Merei F, Drobot A, Bogouslavski G, Kassis W, Khatib K, Badran M, Kluger Y, Almog R Tags: Asian J Surg Source Type: research

Laparoscopic Abdominal Wall Hernia Repair.
Authors: Olmi S, Uccelli M, Cesana GC, Oldani A, Giorgi R, De Carli SM, Ciccarese F, Villa R Abstract Background and Objectives: The aim of this retrospective monocentric study was to evaluate results and recurrence rate with long-term follow-up after laparoscopic incisional/ventral hernia repair. Methods: This was a retrospective, single-center, observational trial, collecting data from patients who underwent laparoscopic incisional/ventral abdominal hernia repair using the open intraperitoneal onlay mesh technique and a single mesh type. All patients signed an informed consent form before surgery. Results...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - April 10, 2020 Category: Surgery Tags: JSLS Source Type: research

Prospective, Randomized Study on the Use of Prosthetic Mesh to Prevent a Parastomal Hernia in a Permanent Colostomy: Results of a Long-term Follow-up
CONCLUSION: Prophylactic intra-abdominal keyhole mesh did not decrease the rate of clinically detectable hernias but reduced the need for the surgical repair of parastomal hernias. Further trials are needed to identify a more efficient method to prevent parastomal hernias. See Video Abstract at http://links.lww.com/DCR/B171. CLINICAL TRIAL REGISTRATION: https://clinicaltrials.gov. Identifier: NCT02368873. ESTUDIO PROSPECTIVO ALEATORIZADO SOBRE EL USO DE MALLA PROTÉSICA PARA PREVENIR UNA HERNIA PARAESTOMAL EN UNA COLOSTOMÍA PERMANENTE: RESULTADOS DE UN SEGUIMIENTO A LARGO PLAZO: PREVENCIÓN DE HERN...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Outcomes Source Type: research

Intracorporeal Anastomoses in Minimally Invasive Right Colectomies Are Associated With Fewer Incisional Hernias and Shorter Length of Stay
BACKGROUND: Intracorporeal anastomosis is associated with several short-term benefits. However, it is a technically challenging procedure with potential risk OBJECTIVE: The purpose of this study was to investigate differences in short-term complications and long-term incisional hernia rates after robotic right colectomy with intracorporeal versus extracorporeal anastomoses and standardized extraction sites. DESIGN: This was a historical cohort study. SETTINGS: The study was conducted at a single institution. PATIENTS: All of the patients undergoing robotic right colectomy with intracorporeal anastomosis and a...
Source: Diseases of the Colon and Rectum - April 10, 2020 Category: Gastroenterology Tags: Original Contributions: Outcomes Source Type: research

Tracheostomy, respiratory support, and developmental outcomes in neonates with severe lung diseases: Retrospective study in one center.
CONCLUSION: Tracheostomy in infants requiring at least 1 week of ventilation is performed for complex cases and is favored for orolaryngotracheal anomalies. Clinicians should anticipate the need for developmental care in this population. PMID: 32280047 [PubMed - as supplied by publisher] (Source: Archives de Pediatrie)
Source: Archives de Pediatrie - April 9, 2020 Category: Pediatrics Authors: Bergeron Gallant K, Sauthier M, Kawaguchi A, Essouri S, Quintal MC, Emeriaud G, Jouvet P Tags: Arch Pediatr Source Type: research

Meta-Analysis of Integrated Therapeutic Methods in Noninvasive Lower Back Pain Therapy (LBP): The Role of Interdisciplinary Functional Diagnostics.
Conclusions: Lower back pain is a serious health problem, and this review article will help educate physicians and physiotherapists dealing with LBP in the options of evidence-based treatment. Ultimately, the article introduces and postulates the need to systematize therapeutic procedures in LBP therapy, with a long-term perspective. PMID: 32256908 [PubMed - as supplied by publisher] (Source: Pain Research and Management)
Source: Pain Research and Management - April 8, 2020 Category: Anesthesiology Authors: Bitenc-Jasiejko A, Konior K, Lietz-Kijak D Tags: Pain Res Manag Source Type: research

Single-site laparoscopic percutaneous extraperitoneal closure (SLPEC) of hernia sac high ligation using an ordinary taper needle: a novel technique for pediatric inguinal hernia
ConclusionModified SLPEC of hernia sac high ligation using an ordinary taper needle for repair of indirect PIH is a safe, reliable, and minimally invasive procedure with satisfactory outcome, with no special device being needed. It is easy to learn and perform and is worthy of popularization in the clinical setting. (Source: Hernia)
Source: Hernia - April 7, 2020 Category: Sports Medicine Source Type: research

Inguinal hernia repair in patients under and over 65 years of age: a district general hospital experience.
CONCLUSIONS: Despite more comorbidities in the over 65s, this study shows that there is no significant difference in complication rates between laparoscopic and open inguinal hernia repair irrespective of age category. Selection bias for the type of repair and the potential for an alpha error mean larger studies are required to show equivalence. PMID: 32243111 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Assessment of the delayed repair of uncomplicated inguinal hernias in infants.
CONCLUSION: Delayed repair, up to 2 months later, for uncomplicated infant hernia carries a small risk of incarceration but does not increase the rate of strangulation or other complications. PMID: 32243110 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Preoperative Progressive Pneumoperitoneum Enables Defect Closure and Laparoscopic Repair of Large Parastomal Hernias
Purpose: Preoperative progressive pneumoperitoneum (PPP) has not been reported in the management of parastomal hernias; therefore, the present study evaluated its effectiveness in the surgical management of large parastomal hernias. Patients and Methods: This prospective, observational study included 23 consecutive patients with large parastomal hernias who underwent PPP between January 2016 and September 2018. The volume of parastomal hernia (VPH), volume of the abdominal cavity (VAC), and the VPH/VAC ratio were measured before and after PPP using abdominal computed tomography scan data. All the hernias were repaired...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - April 1, 2020 Category: Surgery Tags: Original Articles Source Type: research

Chronic Pain After Gastric Bypass: Another Argument to Support Mesenteric Windows Closure
Chronic pain is frequent after Roux-en-Y gastric bypass (RYGB). Recurrent internal hernias (IHs) may be responsible for chronic abdominal pain. Physical examination and computed tomography are often inconclusive. This observational retrospective study describes 11 patients who underwent elective laparoscopy for post-RYGB chronic abdominal pain of undetermined etiology after noninvasive investigations and failure of conservative treatment. Open intermesenteric and/or Peterson spaces were found in all cases; IH was present in 6 cases. Nine patients were totally relieved from symptoms after mesenteric windows closure; substan...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - April 1, 2020 Category: Surgery Tags: Original Articles Source Type: research

Abdominal wall and pelvic hernias: classic and unusual hernias and their mimics
Abdominal and pelvic wall hernias are classically defined as a weakness or opening of the muscular wall through which abdominal or pelvic tissues protrude. The aim of this manuscript is to review the imaging findings of abdominal and pelvic wall hernias and their mimics and to discuss pearls and pitfalls for accurately diagnosing and classifying these entities. (Source: Clinical Imaging)
Source: Clinical Imaging - April 1, 2020 Category: Radiology Authors: Arash Bedayat, Cameron Hassani, Jason Chiang, Frank Hebroni, Saeed Ghandili, Hamid Chalian, Pegah Khoshpouri, Hao S. Lo, Adib R. Karam Tags: Body Imaging Source Type: research

Primary Repair of Umbilical Hernias: Evidence of Feasibility.
PMID: 32391787 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Meier J, Huerta S Tags: Am Surg Source Type: research

Representation of the circumferential distribution of small lower esophageal lesions by defining the position of the right wall in the esophageal hiatus.
CONCLUSIONS: Using this method, the circumferential position of small lower esophageal lesions may be reliably represented as a clock face. PMID: 32238738 [PubMed - as supplied by publisher] (Source: Journal of Nippon Medical School)
Source: Journal of Nippon Medical School - March 31, 2020 Category: Universities & Medical Training Authors: Hoshihara Y, Yamada A, Hoshino S, Hoshikawa Y, Kawami N, Aida J, Takubo K, Iwakiri K Tags: J Nippon Med Sch Source Type: research

Single-stage repair of contaminated hernias using a novel antibiotic-impregnated biologic porcine submucosa tissue matrix
Single-stage repair of incisional hernias in contaminated fields has a high rate of surgical site infection (30 –42%) when biologic grafts are used for repair. In an attempt to decrease this risk, a novel graft... (Source: BMC Surgery)
Source: BMC Surgery - March 30, 2020 Category: Surgery Authors: Samuel Minor, Carl J. Brown, Paul S. Rooney, Jason P. Hodde, Lisa Julien, Tracy M. Scott, Ahmer A. Karimuddin, Manoj J. Raval and P. Terry Phang Tags: Research article Source Type: research

Incisional hernia repair surgery improves patient reported outcomes
Incisional hernias are a frequent complication after abdominal surgeries. The aim of this study is to investigate the impact of incisional hernia repair on health related quality of life. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 27, 2020 Category: Surgery Authors: Shiana Manoharan, Guiping Liu, R. Trafford Crump, Ahmer A. Karimuddin, Tracy M. Scott, Jason M. Sutherland Source Type: research

Adolescent with Superior Mesenteric Artery Syndrome
We describe the imaging features of this entity and its demographics, imaging characteristics, treatment and prognosis. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - March 26, 2020 Category: Radiology Source Type: research

Robotic Fundoplication for Large Paraesophageal Hiatal Hernias.
Conclusions: The success of robotic fundoplication depends on adhering to a few important technical principles. In our experience, the robotic surgical treatment of gastroesophageal reflux disease with large paraesophageal hernias may afford the surgeon increased dexterity and is feasible with comparable outcomes compared with traditional laparoscopic approaches. PMID: 32206010 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 25, 2020 Category: Surgery Tags: JSLS Source Type: research

Discussion
DR JOHN SCOTT ROTH (Lexington, KY): The authors address a challenging and controversial area in the field of hernia by analyzing their experiences with hernia repair in clean-contaminated, contaminated, and infected hernias. These decisions have an impact on both patient outcomes and economic implications in hernia repair due to the increased risk of surgical site infection and hernia recurrence relative to clean hernia repair. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - March 24, 2020 Category: Surgery Tags: Southern surgical association article Source Type: research

Totally endoscopic sublay (TES) repair for midline ventral hernia: surgical technique and preliminary results
ConclusionsInitial experiences with this technique show that the TES procedure is safe and reliable, requires no specific instruments, and is highly reproducible. There is no need for an expensive anti-adhesion mesh or fixation device, making it cost-effective. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 24, 2020 Category: Surgery Source Type: research

Pelvic floor imaging with MR defecography: correlation with gynecologic pelvic organ prolapse quantification
ConclusionWhen comparing POP-Q to MRI, anterior and middle compartment prolapse have better correlation than posterior compartment prolapse. Inherent differences that exist in technique and anatomic landmarks used for staging pelvic organ prolapse by clinical exam and imaging criteria account for this. MRD, however, still provides anatomic details on static images, real time simultaneous overview of multi-compartmental prolapse, characterizes contents of cul-de-sac hernias and rectal evacuation on dynamic imaging. Corroborative information derived from both methods of staging organ will result in optimum patient care. (Sou...
Source: Abdominal Imaging - March 24, 2020 Category: Radiology Source Type: research

Robotic-Assisted Transabdominal Preperitoneal Ventral Hernia Repair.
Authors: Nikolian VC, Coleman NL, Podolsky D, Novitsky YW Abstract Ventral hernia repair is one of the most common operations performed by surgeons worldwide. The widespread adoption of laparoscopic surgery has significantly reduced complications related to traditional open approaches. The most common approach in laparoscopic ventral hernia repair is the intraperitoneal onlay mesh (IPOM) approach. This technique, though simple to perform, has limitations, including bridging mesh, intraperitoneal positioning of mesh, transfascial fixation, circumferential mesh fixation, and the use of more expensive composite mesh m...
Source: Surgical Technology International - March 22, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Inguinal Hernia: The Destiny of the Inferior Epigastric Vessels and the Pathogenesis of the Disease.
CONCLUSIONS: In pantaloon hernias, excised inferior epigastric vessels suffered from chronic compressive degeneration but had no contact with the protrusions. Therefore, protrusion expansion does not produce the degenerative injuries seen in the epigastric vessels. In the inguinal area, there is no source of chronic compression except visceral impact. Consequently, orthostatic visceral impact could be hypothesized to cause structural weakening of the groin, leading to tissue disbanding and visceral protrusion through the weakened inguinal floor. PMID: 32196561 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 22, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

The utopia of randomized controlled trials: tissue repair of umbilical hernias is still feasible
(Source: Hernia)
Source: Hernia - March 21, 2020 Category: Sports Medicine Source Type: research

Smaller Inguinal Hernias are Independent Risk Factors for Developing Chronic Postoperative Inguinal Pain (CPIP): A Registry-based Multivariable Analysis of 57, 999 Patients
Objective: Impact of inguinal hernia defect size as stratified by the European Hernia Society (EHS) classification I to III on the rate of chronic postoperative inguinal pain (CPIP). Background: CPIP is the most important complication after inguinal hernia repair. The impact of hernia defect size according to the EHS classification on CPIP is unknown. Methods: In total, 57,999 male patients from the Herniamed registry undergoing primary unilateral inguinal hernia repair including a 1-year follow-up were selected between September 1, 2009 and November 30, 2016. Using multivariable analysis, the impact of EHS inguina...
Source: Annals of Surgery - March 19, 2020 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Is mesh always necessary in every small umbilical hernia repair? Comparison of standardized primary sutured versus patch repair: retrospective cohort study
AbstractPurposeA retrospective analysis was carried out to compare the results of patch repair using ready-made, synthetic mesh (PR) and sutured repair (SR) based on standard protocols. The accumulated recurrence rate was accepted as the primary outcome. Pain at rest and during exercise, cosmetic effect and treatment satisfaction were chosen as the secondary endpoints.MethodsAdult patients after elective, open surgical repair of a single, primary umbilical hernia
Source: Hernia - March 19, 2020 Category: Sports Medicine Source Type: research

Robotics vs Laparoscopy —Are They Truly Rivals?
The use of the robotic platform for primary inguinal hernia repair has been a controversial topic. In this issue of JAMA Surgery, the multicenter, pilot clinical trial by Prabhu et al is, to our knowledge, the first of its kind to compare outcomes of laparoscopic and robotic transabdominal preperitoneal inguinal hernia repair. The study showed no differences in postoperative outcomes between the 2 techniques, with the robotic approach incurring significantly greater operative times, total costs, and surgeon frustration. Despite the limitations of the small sample size and potential variations in the proficiency of the part...
Source: JAMA Surgery - March 18, 2020 Category: Sports Medicine Source Type: research

Robotic Foregut Surgery.
Abstract Robotic-assisted surgery for benign esophageal disease is described for treatment of achalasia, gastroesophageal reflux, paraesophageal hernias, epiphrenic diverticula, and benign esophageal masses. Robotic Heller myotomy has operative times, relief of dysphagia, and conversion rates comparable to laparoscopic approach, with lower incidence of intraoperative esophageal perforation. The use of robotic platform for primary antireflux surgery is under evaluation, due to prolonged operative time and increased operative costs, with no differences in postoperative outcomes or hospital stay. Studies have shown b...
Source: The Surgical Clinics of North America - March 16, 2020 Category: Surgery Authors: Damani T, Ballantyne G Tags: Surg Clin North Am Source Type: research

Robotic Inguinal Hernia Repair.
This article highlights all aspects of a robotic transabdominal preperitoneal (rTAPP) inguinal hernia repair with mesh, starting with preoperative planning and patient selection, key technical steps, and common postoperative complications and recovery. The most recent published data on robotic inguinal hernia repair are comprehensively reviewed, confirming that rTAPP is a safe and effective option for the repair of unilateral and bilateral inguinal hernias. PMID: 32169186 [PubMed - as supplied by publisher] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - March 16, 2020 Category: Surgery Authors: Podolsky D, Novitsky Y Tags: Surg Clin North Am Source Type: research

Commentary: Does a Bulge Beget a Bulge? Association of Abdominal Wall Hernias and Aortic Aneurysms
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Douglas M. Farmer, Ravi K. Ghanta Source Type: research

Extended Totally Extraperitoneal (eTEP) Approach for Ventral Hernia Repair: Initial Results.
CONCLUSIONS: Implementation of eTEP in abdominal wall repair is safe. Preliminary outcomes of the eTEP approach in ventral hernia repair show good pain control with less hospital stay. PMID: 32172955 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)
Source: Cirugia eEspanola - March 12, 2020 Category: Surgery Authors: Salido Fernandez S, Fraile Vilarrasa M, Osorio Silla I, Georgiev Hristov T, Bernar de Oriol J, González-Ayora S, Pardo García R, Guadalajara Labajo H Tags: Cir Esp Source Type: research

Current practice patterns for initial umbilical hernia repair in the United States
AbstractPurposeThe approach to repairing an initial umbilical hernia (IUH) varies substantially, and this likely depends on hernia size, patient age, sex, BMI, comorbidities including diabetes mellitus, and surgeon preference. Of these, only hernia size has been widely studied. This cross-sectional study aims to look at the practice pattern of umbilical hernia repair in the United States.MethodsA retrospective study was performed using data from the America Hernia Society Quality Collaborative. Patient characteristics included age, sex, hernia width, BMI, smoking status, and diabetes. Outcomes were use of mesh for repair, ...
Source: Hernia - March 11, 2020 Category: Sports Medicine Source Type: research

Transfascial suture versus tack fixation of mesh in totally extraperitoneal repair of inguinal hernia: A prospective comparative study
Conclusion: Transfascial suture fixation of mesh in TEP repair of inguinal hernia can be a cost-effective procedure with a comparable safety profile as compared to tack fixation. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - March 11, 2020 Category: Surgery Authors: Awanish Kumar Ajay Kumar Pal Anuraag Choudhary Akshay Anand Abhinav Arun Sonkar Harvinder Singh Pahwa Source Type: research

Improving surgical education in East Africa with a standardized hernia training program
ConclusionWe have demonstrated that, medical personnel in Africa can be trained in mesh and non-mesh hernia surgery using a structured training programme. (Source: Hernia)
Source: Hernia - March 10, 2020 Category: Sports Medicine Source Type: research

Preoperative progressive pneumoperitoneum: The answer for treating giant inguinal hernias while avoiding morbidities?
ConclusionWith our limited experience, it is too early to tell if this should be the gold standard for the treatment of GIH. To see if there is superiority among different procedures, more studies that compare the morbidity of PPP with that of other trans operative techniques are needed. Nevertheless, the procedure we propose has provided satisfactory results. (Source: Hernia)
Source: Hernia - March 10, 2020 Category: Sports Medicine Source Type: research