Richter's hernia in a 3-month-old colt - A rare event.
This report describes a case of Richter's hernia in a 3-month-old colt that was presented with signs of acute colic. The foal underwent a herniorrhaphy with intestinal resection and anastomosis. PMID: 31156267 [PubMed - in process] (Source: The Canadian Veterinary Journal)
Source: The Canadian Veterinary Journal - June 1, 2019 Category: Veterinary Research Authors: Avison A Tags: Can Vet J Source Type: research

A systematic methodological review of non-randomised interventional studies of elective ventral hernia repair: clear definitions and a standardised minimum dataset are needed
ConclusionCurrently, non-randomised interventional studies of VH repair are methodologically poor. Clear outcome definitions and a standardised minimum dataset are needed. (Source: Hernia)
Source: Hernia - May 31, 2019 Category: Sports Medicine Source Type: research

Long-term Outcome of Incisional Hernia Repairs Using the Erlangen Inlay Onlay Mesh (EIOM) Technique
The objective of this study was to investigate the long-term outcome of incisional hernias treated with the Erlangen Inlay Onlay Mesh (EIOM) repair technique, taking into account recurrence, complications, and patient satisfaction. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - May 27, 2019 Category: Surgery Authors: Nizameddin Ayik, Peter Klein, Robert Gr ützmann, Resit Demir Tags: Gastrointestinal Source Type: research

Needlescopic assisted internal ring suturing; a novel application of low-cost home-made instruments for pediatric inguinal hernia repair
ConclusionThis preliminary study showed that NAIRS after cauterization of the neck of the hernia sac in infants and children is safe, feasible, reproducible with excellent cosmetic results. (Source: Hernia)
Source: Hernia - May 25, 2019 Category: Sports Medicine Source Type: research

Use of commercial mesh for hernia repair in a low resource setting: experience after 500 cases
ConclusionIn spite of resource limitations, the use of mesh for hernia repairs continues to rise and has overtaken tissue-based repairs in a sub-Saharan African setting. Results show good outcomes justifying continued use. (Source: Hernia)
Source: Hernia - May 25, 2019 Category: Sports Medicine Source Type: research

Parastomal hernia repair with 3-D mesh implants after radical cystectomy and ileal conduit urinary diversion - A single-center experience using a purpose made alloplastic mesh implant
To report and evaluate our open surgical technique for the treatment of parastomal hernias after ileal conduit urinary diversion and results using a specifically designed, three-dimensional intraperitoneal onlay mesh aiming to minimize parastomal hernia recurrence and perioperative complications. (Source: Urology)
Source: Urology - May 23, 2019 Category: Urology & Nephrology Authors: Karl Tully, Florian Roghmann, Jobst Pastor, Joachim Noldus, Christian von Bodman Source Type: research

Abdominal pain and internal hernias after Roux-en-Y Gastric Bypass: are we dealing with the tip of an iceberg?
CONCLUSIONS: Based on abdominal pain characteristics, we can reasonably postulate the presence of remittent bowel torsions (remittent internal hernia) in many patients after antecolic RYGB, only occasionally complicating. Therapeutic management of these cases remains controversial, being laparoscopic exploration a reasonable option when symptomatology is suggestive. PMID: 31125004 [PubMed - in process] (Source: Acta Bio-Medica : Atenei Parmensis)
Source: Acta Bio-Medica : Atenei Parmensis - May 23, 2019 Category: General Medicine Authors: Tartamella F, Ziccarelli A, Cecchini S, Ferro M, Riccò M, Baldini E, Mancini R, Anselmino M, Marchesi F Tags: Acta Biomed Source Type: research

Primary unilateral not complicated inguinal hernia with an effective, cheap, less invasive, and easy operation: the Trabucco repair
ConclusionIn our experience of almost 30 years we have been able to experiment and refine more and more the sutureless technique proposed by Trabucco for the treatment of primitive inguinal hernia, peer to peer, improving the local anaesthesia and the ability to detect hidden defects during the repair (Spigelian included), reducing the width of the incisions and tractions on the tissues, introducing the concept of a gentle and bloodless “finger surgery” according to a minimally invasive, extremely anatomic, safe, inexpensive, very effective anterior open approach. (Source: Hernia)
Source: Hernia - May 22, 2019 Category: Sports Medicine Source Type: research

Wound protectors for improved exposure in open hernia repair
ConclusionOur results demonstrate that the use of disposable wound protectors provides superior surgical exposure for a given incision length compared to traditional techniques in the repair of ventral and open inguinal hernia repairs. (Source: Hernia)
Source: Hernia - May 21, 2019 Category: Sports Medicine Source Type: research

Pure tissue repairs: a timely and critical revival
Abstract“The majority of hernias can be satisfactorily repaired by using the tissues at hand. The use of mesh prosthesis should be restricted to those few hernias in which tension or lack of good fascial structures prevents a secure primary repair. This group includes large direct inguinal hernias and inc isional hernias in which the defect is too large to close primarily without undue tension. Most recurrent hernias, because of this factor are best repaired with mesh prosthesis”. These words, penned in 1960 by Francis Usher have reconfirmed what had been a mantra of the Shouldice Hospital (Usher i n 81:847&nda...
Source: Hernia - May 20, 2019 Category: Sports Medicine Source Type: research

Frequency of inguinal herniotomy in Australia (1998 –2017)
ConclusionThis study suggests that fewer 0 –4-year olds are undergoing inguinal herniotomy, compared with 20 years ago. This is likely due to a change in practice for the management of unilateral symptomatic hernias, from routine bilateral herniotomies, to unilateral surgery. As well as less aggressive surgical intervention for hydroceles in boys.Level of evidenceIII. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - May 20, 2019 Category: Surgery Source Type: research

Malpractice claims and abdominal wall hernia repair
ConclusionHernia surgery, although an everyday event for many practitioners, requires the same rigor as all other visceral surgery. (Source: Journal of Visceral Surgery)
Source: Journal of Visceral Surgery - May 17, 2019 Category: Surgery Source Type: research

Overgrowth Syndrome
Large offspring syndrome (LOS) is a fetal overgrowth condition in bovines most often observed in offspring conceived with the use of assisted reproductive technologies (ART). Phenotypes observed in LOS include, overgrowth, enlarged tongues, umbilical hernias, muscle and skeleton malformations, abnormal organ growth and placental development. Although LOS cases have only been reported to be associated with ART, fetal overgrowth can occur spontaneously in cattle (S-LOS). S-LOS refers to oversized calves that are born at normal gestation lengths. ART-induced LOS has been characterized as an epigenetic syndrome, more specifica...
Source: Veterinary Clinics of North America: Food Animal Practice - May 16, 2019 Category: Veterinary Research Authors: Yahan Li, Callum G. Donnelly, Roc ío Melissa Rivera Source Type: research

Preoperative Abdominal Computed Tomography at Rest and During Valsalva's Maneuver to Evaluate Incisional Hernias.
CONCLUSIONS: The preoperative CT scan both at rest and during Valsalva's maneuver seemed useful to estimate the risk of difficult IH repairs. Moreover, it could allow surgeons to decide if the patient should be addressed to more specialized centers. PMID: 31096865 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - May 16, 2019 Category: Surgery Authors: Bellio G, Cipolat Mis T, Del Giudice R, Munegato G Tags: Surg Innov Source Type: research

Robotic inguinal hernia repair: is technology taking over? Systematic review and meta-analysis
ConclusionsRobotic technology has been progressively entering surgical thinking and gradually changing surgical procedures. Based on the results of the present study, the rTAPP seems feasible, safe, and effective in the short term for patients with unilateral and bilateral inguinal hernias. Further prospective studies and randomized controlled trials are needed to validate these findings. (Source: Hernia)
Source: Hernia - May 15, 2019 Category: Sports Medicine Source Type: research

Assessment of the testicular vascularity after inguinal herniotomy in children: a prospective color Doppler study.
CONCLUSION: The affection of testicular vascularity postoperatively is transient and returns to be near to the preoperative values in the late postoperative period (six months postoperatively). Additionally, no significant change in testicular volume postoperatively. PMID: 31091967 [PubMed - as supplied by publisher] (Source: Acta Radiologica)
Source: Acta Radiologica - May 15, 2019 Category: Radiology Authors: Basha MAA, Saber S, El-Hamid M Abdalla AA, Aly SA, GObran T, Waly A, Arafa AS Tags: Acta Radiol Source Type: research

Prevalence and risk factors for abdominal wall hernia in the general Russian population
AbstractPurposeTo find out the prevalence and risk factors for abdominal wall hernias in the general Russian population.Methods783 residents of Kryukovo rural community (Central Russia) of 10  >  years were enrolled. Medical history was taken and clinical examination was performed documenting hernia presence. Ultrasound examination was performed in inconclusive situations. We considered residents with hernias at the time of examination, as well as those who had previously undergone hernia repair, to be hernia positive.ResultsThere were 298 (38%) men and 485 (62%) women (mean age 49.3). Abdominal wall herni...
Source: Hernia - May 14, 2019 Category: Sports Medicine Source Type: research

Successful mesh plug repair using a hybrid method for recurrent inguinal hernia after laparoscopic transabdominal preperitoneal approach: A case report
ConclusionThis hybrid method facilitates the choice of an optimal approach for the treatment of recurrent hernia and may reduce surgical complications and re-recurrence rate. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - May 11, 2019 Category: Surgery Source Type: research

Long-term incisional hernia rate after single-incision laparoscopic cholecystectomy is significantly higher than that after standard three-port laparoscopy: a cohort study
ConclusionSILC is associated with a statistically significantly higher long-term incisional hernia rate at the umbilical port site than the standard multiport laparoscopic cholecystectomy. Our data show there was no relevant advantage regarding the postoperative course, hospital stay or cosmetic satisfaction. To date, widespread use of SILC cannot be recommended. Registration number: NCT03768661 (https://www.clinicaltrials.gov).Trial registrationThis study has been registered atwww.clinicaltrials.gov. The clinicaltrials.gov ID number is: NCT03768661. (Source: Hernia)
Source: Hernia - May 9, 2019 Category: Sports Medicine Source Type: research

Preaponeurotic endoscopic repair (REPA) of diastasis recti associated or not to midline hernias
ConclusionsDiastasis recti is a common pathology with aesthetic and symptomatic problems. Endoscopic surgery allowed us to resolve the parietal defect with plication of recti and placement of preaponeurotic reinforcement prosthesis, increasing the safety of the repair, without entering the abdominal cavity, with a short hospitalization and no complications or recurrence in 3  years. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 8, 2019 Category: Surgery Source Type: research

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This article was corrected o nline. (Source: JAMA Surgery)
Source: JAMA Surgery - May 8, 2019 Category: Sports Medicine Source Type: research

Risk factors and management of incisional hernia after cytoreduction and hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with peritoneal surface malignancies
ConclusionsThe incidence of incisional hernia after cytoreduction and HIPEC is within the ranges described in the literature for other abdominal surgery procedures. The use of systemic chemotherapy and treatment with HIPEC, in particular, were identified as factors related to their occurrence. (Source: Hernia)
Source: Hernia - May 8, 2019 Category: Sports Medicine Source Type: research

Worldwide hernia repair: variations in the treatment of primary unilateral inguinal hernias in adults in the United Kingdom and in low- and middle-income countries
ConclusionThere is widespread variation in the repair of ‘uncomplicated’ primary inguinal hernias worldwide and within developed healthcare systems. (Source: Hernia)
Source: Hernia - May 8, 2019 Category: Sports Medicine Source Type: research

Primary unilateral not complicated inguinal hernia: our choice of TAPP, why, results and review of literature
ConclusionAnalyzing the own abundant experiences and the reports in the literature, the TAPP technique has the potential to become the standard operative technique for repair of inguinal hernias in future. However, due to the low level of evidence of most of the studies definite conclusions are difficult to draw at this point of time. (Source: Hernia)
Source: Hernia - May 8, 2019 Category: Sports Medicine Source Type: research

TEP for elective primary unilateral inguinal hernia repair in men: what do we know?
ConclusionFor the subgroup of elective primary unilateral inguinal hernia in men, accounting for a proportion of less than 50% of the total collective, advantages were identified for TEP compared with open Lichtenstein repair but not versus TAPP. (Source: Hernia)
Source: Hernia - May 6, 2019 Category: Sports Medicine Source Type: research

The role of body mass index in determining clinical and quality of life outcomes after laparoscopic anti-reflux surgery
AbstractBackgroundCurrent literature is conflicted regarding the efficacy of laparoscopic anti-reflux surgery (LARS) among obese patients complaining of pathologic reflux or otherwise symptomatic hiatal hernias. Controlling for other factors, this study examined the influence of preoperative body mass index (BMI) on clinical and subjective quality of life (QOL) outcomes following LARS.MethodsPatients who underwent LARS between February 2012 and April 2018 were subdivided into four BMI stratified categories according to CDC definitions: normal (18.5 to  
Source: Surgical Endoscopy - May 6, 2019 Category: Surgery Source Type: research

Inguinal Bladder Hernia: A Case Report and Literature Review
ConclusionWe present a case report of inguinal bladder hernia in a middle-aged man that presented as left lower quadrant pain, groin pain, and dysuria. Diagnosis was confirmed preoperatively with radiographic imaging. The hernia was surgically reduced and the defect repaired without complications. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - May 4, 2019 Category: Surgery Source Type: research

Large inguinal bladder hernias: can a preoperative diagnosis be made?
ConclusionThe main objectives in treatment of inguinal bladder hernia are to preserve the voiding function and to avoid bladder injuries in a tension-free hernia repair. To our knowledge, this is the first series of cases in which all inguinal bladder hernias were diagnosed preoperatively. (Source: Hernia)
Source: Hernia - May 4, 2019 Category: Sports Medicine Source Type: research

Intraoperative hypertonic saline irrigation preventing seroma formation and reducing drain secretion in extended endoscopic hernia and linea alba reconstruction glue
ConclusionsIHSI enhance adhesion formation and reduce secretion rate in wide subcutaneous dissection space like in eEHLARglue, therefore enables early drain removal and prevent SF. As a result, reducing overall morbidity and hospitalization period, decreasing inconveniency and cost saving of multiple outpatient visits or additional surgery. This simple technique could be used in other potential postoperative SF surgeries. Further larger study with a longer follow up is advised. (Source: Hernia)
Source: Hernia - May 4, 2019 Category: Sports Medicine Source Type: research

A 25  year experience of perineal hernia repair
ConclusionPresentation for repair of perineal hernia has increased at our instituion over the past 2 decades. Outcomes did not differ between the three repair approaches and the choice of mesh or tissue-based repair. Surgeons should base these decisions on hernia complexity and local tissue conditions. (Source: Hernia)
Source: Hernia - May 2, 2019 Category: Sports Medicine Source Type: research

Laparohernioscopic right colectomy for bowel ischaemia within a strangulated inguinal hernia.
We present a case where hernioscopy t(i.e. laparoscopy through the hernia sac) has been used to confirm the ischaemia of the strangulated bowel and perform a hybrid laparohernioscopic right colectomy with intracorporeal anastomosis without the need for a formal laparotomy. Hernioscopy is an easy and reliable method to assess the viability of the content of the hernia sac in strangulated hernias that have spontaneously reduced before it could be visually inspected. It can also be associated with a laparoscopic access in a hybrid laparohernioscopic technique to perform complex procedures. PMID: 31042432 [PubMed - in pro...
Source: Annals of the Royal College of Surgeons of England - May 1, 2019 Category: Surgery Authors: Tebala GD, Yee J, Kola-Adejumo A Tags: Ann R Coll Surg Engl Source Type: research

Etiology, management, and survival of acute mechanical bowel obstruction: Five-year results of a training and research hospital in Turkey.
CONCLUSION: Adhesions, tumors, and hernias are the most common etiologies of AMBO. The incidence of femoral/inguinal hernia have decreased while that of incisional hernia has increased, and it was further observed that peritoneal carcinomatosis has now become as common as hernia as a cause. PMID: 31135942 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2019 Category: Emergency Medicine Authors: Karakaş DÖ, Yeşiltaş M, Gökçek B, Eğin S, Hot S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Perioperative Outcomes and Quality of Life after Repair of Recurrent Hiatal Hernia Are Compromised Compared with Primary Repair.
Abstract Paraesophageal hernia repair (PEHR) is burdened by high recurrence rates that frequently lead to redo PEHR. Revisional surgery, because of higher complexity, higher risk of injury, and the intrinsic risk of recurrence, has increased likelihood of higher complication rates and decreased quality of life (QOL) postoperatively. We aimed to compare perioperative outcomes and QOL after revisional and primary PEHR. A retrospective review of all patients who underwent PEHR for a recurrent hernia between January 2011 and July 2016 was completed. These were matched with a contemporary cohort of patients who underwe...
Source: The American Surgeon - May 1, 2019 Category: Surgery Authors: Brown AM, Nagle R, Pucci MJ, Chojnacki K, Rosato EL, Palazzo F Tags: Am Surg Source Type: research

Poorly Differentiated Biliary Adenocarcinoma Leading to Boerhaave syndrome: A Case Report and Review of the Literature.
Abstract Boerhaave syndrome is a transmural disruption of the esophagus, due to an increase in esophageal pressure and is associated with high morbidity and mortality. There are cases reported secondary to bowel obstructions such as incarcerated hernias and gallstone ileus. Here, we describe an unusual autopsy case of Boerhaave syndrome, due to bowel obstruction secondary to biliary adenocarcinoma, which has never been reported in the literature. The patient was an 87-year old male presenting with severe chest and epigastric pain. Computed tomography showed fluid-filled esophagus, gastric distention and an ill-def...
Source: Annals of Clinical and Laboratory Science - May 1, 2019 Category: Laboratory Medicine Authors: Murzabdillaeva A, Zhao B Tags: Ann Clin Lab Sci Source Type: research

Venous Thromboembolism after Abdominal Wall Reconstruction: A Prospective Analysis and Review of the Literature
Conclusions: Patients undergoing complex abdominal wall reconstruction are at high risk for venous thromboembolism events. There is scant literature published on this topic, but surgeons should be aware of the risk for venous thromboembolism after complex abdominal wall reconstruction and work to minimize this risk as much as possible. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - April 30, 2019 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research

Short-term safety of preoperative administration of botulinum toxin A for the treatment of large ventral hernia with loss of domain
ConclusionsWe found early preoperative administration of BTA a safe adjunct to large ventral hernia repair, without adverse events related to the administration preoperative. Future studies should further highlight the efficacy of preoperative BTA for reconstruction of otherwise untreatable hernias. (Source: Hernia)
Source: Hernia - April 30, 2019 Category: Sports Medicine Source Type: research

Robot-assisted repair of ureterosciatic hernia with mesh
We present the first report of robot-assisted reduction and repair of an USH using mesh interposition. A 68 year old female presented with left flank pain for the past three weeks. A computed topography urogram revealed an USH. She began having flank pain with nausea and vomiting during the diuresis portion of the study. She was admitted, and a left percutaneous nephrostomy tube was placed. A left retrograde pyelogram confirmed a pathognomonic “curlicue” distal ureter. She underwent robot-assisted repair of the USH, during which time the left ureter was mobilized and traced down to the point of herniation. Afte...
Source: Journal of Robotic Surgery - April 30, 2019 Category: Surgery Source Type: research

Comparative Efficacy of Bariatric Surgery in the Treatment of Morbid Obesity and Diabetes Mellitus: a Systematic Review and Network Meta-Analysis
ConclusionsRYGB and SG had excellent long-term outcomes for both the %EWL and DM remission rates. Additionally, SG had a relatively lower risk of adverse events than RYGB. (Source: Obesity Surgery)
Source: Obesity Surgery - April 29, 2019 Category: Surgery Source Type: research

Predictors of Robotic Versus Laparoscopic Inguinal Hernia Repair
The advent of robotic-assisted surgery has added an additional decision point in the treatment of inguinal hernias. The goal of this study was to identify the patient, surgeon, and hospital demographic predictors of robotic inguinal hernia repair (IHR). (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - April 27, 2019 Category: Surgery Authors: John D. Vossler, K. Keano Pavlosky, Sarah M. Murayama, Marilyn A. Moucharite, Kenric M. Murayama, Dean J. Mikami Tags: Gastrointestinal Source Type: research

Outcomes after Split Abdominal Wall Muscle Flap Repair for Large Congenital Diaphragmatic Hernias
Eur J Pediatr Surg DOI: 10.1055/s-0039-1687867 Background Repair of large congenital diaphragmatic hernias (CDHs) is challenging. As primary repair is not always feasible, patches are commonly used. An alternative treatment is split abdominal wall muscle flap repair, which uses vascularized autologous tissue. The aim of this study was to analyze the long-term outcome of large CDH defects undergoing split abdominal wall muscle repair. Materials and Methods This is a retrospective review (2003–2016) of large CDH treated by split abdominal wall muscle flap repair. Results In a total of 107 CDH pa...
Source: European Journal of Pediatric Surgery - April 25, 2019 Category: Surgery Authors: Molino, Jos é A. Garc ía Martínez, Laura Guill én Burrieza, Gabriela Peir ó Ibáñez, José Luís L ópez-Fernández, Sergio La ín, Ana Ruiz Campillo, Cesar Lloret Roca, Josep L ópez, Manuel Tags: Original Article Source Type: research

Internal hernias: a difficult diagnostic challenge. Review of CT signs and clinical findings.
Abstract Although internal hernias are uncommon, they must be beared in mind in the differential diagnosis in cases of intestinal obstruction, especially in patients with no history of previous surgery or trauma. Because of the high possibility of strangulation and ischemia of the affected loops, internal hernias represent a potentially life-threatening condition and surgical emergency that needs to be quickly recognized and managed promptly. Imaging plays a leading role in the diagnosis and in particular multidetector computed tomography (MDCT), with its thin-section and high-resolution multiplanar reformatted (M...
Source: Acta Bio-Medica : Atenei Parmensis - April 24, 2019 Category: General Medicine Authors: Lanzetta MM, Masserelli A, Addeo G, Cozzi D, Maggialetti N, Danti G, Bartolini L, Pradella S, Giovagnoni A, Miele V Tags: Acta Biomed Source Type: research

Chronic pain after reoperation of an inguinal hernia with Lichtenstein or laparoscopic repair following a primary Lichtenstein repair: a nationwide questionnaire study
ConclusionsA high proportion of patients in both groups had pain several years after the second repair. None of the analyses favored Lichtenstein-Lichtenstein, but a few of the secondary outcomes favored Lichtenstein-Laparoscopy. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - April 22, 2019 Category: Surgery Source Type: research

Chronic pain after reoperation of an inguinal hernia with Lichtenstein or laparoscopic repair following a primary Lichtenstein repair: a nationwide questionnaire study
The aim was to assess chronic pain after two Lichtenstein repairs for inguinal hernias (Lichtenstein-Lichtenstein) compared with Lichtenstein followed by a laparoscopic reoperation (Lichtenstein-Laparoscopy). (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 21, 2019 Category: Surgery Authors: Stina Öberg, Kristoffer Andresen, Jason J. Baker, Eva Angenete, Jacob Rosenberg Source Type: research

Increasing hernia size requires higher GRIP values for a biomechanically stable ventral hernia repair
Publication date: Available online 19 April 2019Source: Annals of Medicine and SurgeryAuthor(s): F. Kallinowski, D. Gutjahr, M. Vollmer, F. Harder, R. NesselAbstractBackgroundIncreasing hernia sizes lead to higher recurrence rates after ventral hernia repair. A better grip might reduce the failure rates.Material and MethodsA biomechanical model delivering dynamic intermittent strain (DIS) was used to assess grip values at various hernia orifices. The model consists of a water-filled aluminium cylinder covered with tissues derived from pig bellies which are punched with a central defect varying in diameter. DIS was applied ...
Source: Annals of Medicine and Surgery - April 20, 2019 Category: General Medicine Source Type: research

Impact of body mass index on minimally invasive ventral hernia repair: an ACS-NSQIP analysis
AbstractPurposeBody mass index (BMI)  ≥ 35 kg/m2 is a known independent risk factor for complications following open ventral hernia repair (VHR). We sought to examine the relationship between BMI and minimally invasive VHR.MethodsThe ACS-NSQIP database was queried for all patients age  ≥ 18 years undergoing minimally invasive VHR (2005–2015). Patients were stratified into seven BMI classes: underweight (BMI   30 kg/m2. When stratified by BMI class, we found significant differences in age, gender, race, comorbidities, and pre-operative characteristics acro...
Source: Hernia - April 20, 2019 Category: Sports Medicine Source Type: research

Paraduodenal hernias: a systematic review of the literature
ConclusionsPDH are not usually associated with specific symptoms and signs; thus, they constitute a diagnostic challenge, requiring a high level of knowledge and clinical suspicion. Undoubtedly, CT scan of the abdomen is the gold standard diagnostic tool. Their operative repair is mandatory, with the laparoscopic approach demonstrating significant advantages over the open repair, seeming to be the optimum treatment strategy. (Source: Hernia)
Source: Hernia - April 20, 2019 Category: Sports Medicine Source Type: research

Novel understanding of high mobility group box-1 in the immunopathogenesis of incisional hernias.
Authors: Larsen NK, Reilly MJ, Thankam FG, Fitzgibbons RJ, Agrawal DK Abstract INTRODUCTION: Incisional hernias (IH) arise as a complication of patients undergoing a laparotomy. Current literature has assessed the role of extracellular matrix (ECM) disorganization, alterations in type I and type III collagen, matrix metalloproteinases, and tissue inhibitors of metalloproteases on IH. However, there is limited information on the underlying molecular mechanisms that lead to ECM disorganization. Areas covered: We critically reviewed the literature surrounding IH and ECM disorganization and offer a novel pathway that m...
Source: Expert Review of Clinical Immunology - April 17, 2019 Category: Allergy & Immunology Tags: Expert Rev Clin Immunol Source Type: research

Single-port laparoscopic percutaneous extraperitoneal closure of inguinal hernia using “two-hooked” core needle apparatus in children
ConclusionSPLPEC of inguinal hernia using “two-hooked” core needle apparatus in children is a feasible and reliable minimal invasive procedure. It has the advantages of short operating time, low complication rate, low recurrence rate and better cosmetic result. (Source: Hernia)
Source: Hernia - April 16, 2019 Category: Sports Medicine Source Type: research

Tentacle-shaped mesh for fixation-free repair of umbilical hernias
ConclusionsThe tentacle strap system of the prosthesis effectively ensured an easier implant placement avoiding the need for suturing the mesh. 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. (Source: Hernia)
Source: Hernia - April 12, 2019 Category: Sports Medicine Source Type: research

Transjejunal Laparoscopic-Assisted ERCP: a Technique to Deal with Choledocholithiasis After Roux-En-Y Reconstruction
ConclusionTransjejunal LAERCP is a feasible technique to deal with choledocholithiasis, and it allows at the same time to identify and treat concomitant conditions like internal hernias. (Source: Obesity Surgery)
Source: Obesity Surgery - April 10, 2019 Category: Surgery Source Type: research