Clinical Application Value of Automated Breast Volume Scanner in the Diagnosis of Abdominal External Hernia
This study investigated the clinical application value of the automated breast volume scanner (ABVS) in patients with abdominal external hernias. A total of 121 abdominal external hernias from 103 inpatients were examined with both conventional handheld ultrasound (HHUS) and the ABVS before surgery. The rate of detection of abdominal external hernias and the diagnostic accuracy of classifying inguinal hernias using the two modalities were compared between junior and senior sonographers. Additionally, the sonographic appearance of abdominal external hernias with the ABVS system was evaluated. (Source: Ultrasound in Medicine and Biology)
Source: Ultrasound in Medicine and Biology - March 1, 2019 Category: Radiology Authors: Xianwei Ni, Yan Yang, Zhe Liu, Fangfang Yu Tags: Original Contribution Source Type: research

Lumbar Incisional Hernia Repair: Complete Reconstruction of the Deficient Myofascial Component Using Christmas Tree Bone Anchors.
We present a novel technique for open repair of large lumbar incisional hernias using a double-mesh technique in combination with suture-loaded bone anchors to reattach the abdominal wall musculature onto the iliac crest. The surgical technique involves creating a preperitoneal plane behind the transversus abdominus and above the iliac crest and iliacus, below the iliac crest, with application of a Prolene mesh in this layer. This is followed by the drilling of suture-loaded Christmas Tree bone anchors™ along the rim of the iliac crest. The preloaded sutures are used to attach the myofascial component on the iliac cr...
Source: The American Surgeon - March 1, 2019 Category: Surgery Authors: Baird-Gunning E, Ackermann T, Lim JK Tags: Am Surg Source Type: research

Overuse of Previsit Ultrasound in Patients Referred for Treatment of Inguinal Hernias.
Abstract Inguinal ultrasound (US) has a high sensitivity and specificity for the diagnosis of inguinal hernias but is often performed unnecessarily, adding cost and time to treatment. The aim of our study was to assess the rate and necessity of US before clinical examination by a hernia surgeon. Medical records of patients referred for an inguinal hernia from April through July 2017 were reviewed. These cases were analyzed for patient demographics, physical examination (PE) findings, previsit imaging, health-care system of surgeon, and case outcome. Twenty-nine per cent of patients had an inguinal US before visiti...
Source: The American Surgeon - March 1, 2019 Category: Surgery Authors: French B, Van Essen C, McDonald C, Ting A Tags: Am Surg Source Type: research

Laparoscopic Repair of Lumbar Hernia: A Case Report and Mini Review
ConclusionLumbar hernia is a rare abdominal wall defect, which is usually secondary to trauma or previous surgery. A thorough history and clinical examination, along with abdominal CT, will provide accurate confirmation of the diagnosis. CT should always be included in the investigation prior to surgery, even in uncomplicated cases. The relevant literature is limited, but confirms that laparoscopic repair with mesh is the treatment of choice, especially when the hernia is symptomatic. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - March 1, 2019 Category: Surgery Source Type: research

Retromuscular mesh and hernial sac technique in the reconstruction of 139 cases of large median incisional hernias: one institution ’s experience
ConclusionsThe retromuscular technique with prolene mesh and a hernial sac is an effective method of restoring the integrity of the abdominal wall in large median incisional hernias with low rates of morbidity and recurrence. (Source: Hernia)
Source: Hernia - February 26, 2019 Category: Sports Medicine Source Type: research

Totally Endoscopic Sublay Anterior Repair for Ventral and Incisional Hernias
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - February 26, 2019 Category: Surgery Authors: Federico Fiori Francesco Ferrara Daniele Gentile Davide Gobatti Marco Stella Source Type: research

Totally Endoscopic Sublay Anterior Repair for Ventral and Incisional Hernias
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic and Advanced Surgical Techniques)
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - February 26, 2019 Category: Surgery Authors: Federico Fiori Francesco Ferrara Daniele Gentile Davide Gobatti Marco Stella Source Type: research

Routine Upper Gastrointestinal Fluoroscopy Before Laparoscopic Sleeve Gastrectomy: Is It Necessary?
AbstractBackgroundControversy exists regarding the clinical utility of routine preoperative upper gastrointestinal (GI) fluoroscopy in morbid obese patients undergoing laparoscopic sleeve gastrectomy (LSG). The aim of our study was to determine the efficacy of these studies in detecting hiatal hernias (HH).MethodsThe institution ’s prospectively maintained, IRB-approved database was retrospectively queried to identify all consecutive patients who underwent LSG between 2011 and 2017. All patients underwent routine preoperative upper GI fluoroscopy. Reports from all imaging studies were retrospectively reviewed and com...
Source: Obesity Surgery - February 22, 2019 Category: Surgery Source Type: research

Posterior component separation with transversus abdominis release (TAR) for repair of complex incisional hernias after orthotopic liver transplantation
ConclusionsIn a challenging cohort of immunosuppressed patients with large IH, TAR was shown to have acceptable medium-term results, but high recurrence rate driven by CMF. Further studies investigating the mechanism of central mesh fractures are necessary to reduce these recurrences. (Source: Hernia)
Source: Hernia - February 21, 2019 Category: Sports Medicine Source Type: research

Cutaneous presentations of omphalomesenteric duct remnant: a systematic review of the literature
Disorders of the umbilicus are commonly seen in infancy including: hernias, infections, anomalies, granulomas and malignancies. Meticulous inspection of the umbilicus at birth may reveal a persisting embryonic remnant such as omphalomesenteric duct (OMD), manifested by a variety of cutaneous signs such as: an umbilical mass, granulation tissue or discharge. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - February 21, 2019 Category: Dermatology Authors: Efrat Solomon Cohen, Moshe Lapidoth, Igor Snast, Dan Ben-Amitai, Omri Zidan, Rivka Friedland, Michael Moshe, Daniel Mimouni, Yael Ann Leshem, Emmilia Hodak, Assi Levi Source Type: research

Occult Inguinal Hernias Matter
We thank the authors for their letter, as radiologic interpretation of inguinal hernias is a topic of interest to surgeons, and this gives us an opportunity to address the important, yet debated, topic of occult inguinal hernias. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - February 20, 2019 Category: Surgery Authors: Shirin Towfigh, Joseph Miller Tags: Letter Source Type: research

A primary inferior lumbar hernia misdiagnosed as a lipoma.
We present a case of a primary spontaneous inferior lumbar hernia in a 79-year-old woman that was initially diagnosed as a large lipoma on ultrasound. The first operation was abandoned and an open mesh repair was conducted. Lumbar hernias can be primary acquired (55%), secondary acquired (25%) or congenital (20%). Cross-sectional imaging by CT or MRI appears to be the gold standard in diagnosis as ultrasound may lead to misdiagnosis. Strangulation, incarceration and obstruction are recognised complications, requiring prompt surgical intervention. There are currently no guidelines for surgical managements, although laparosc...
Source: Annals of the Royal College of Surgeons of England - February 18, 2019 Category: Surgery Authors: Kadler B, Shetye A, Patten DK, Al-Nowfal A Tags: Ann R Coll Surg Engl Source Type: research

Is the 8-mm robotic port safe? A case of trocar site hernia after robotic cholecystectomy using the da Vinci Xi system.
Authors: Cho WT, Yoo T, Kim SM Abstract With the increase in the frequency of robotic surgery, complications have also increased, including trocar site hernias, which rarely occur at the 8-mm port site after robotic cholecystectomy using the da Vinci Xi system. A 37-year-old woman was diagnosed with cholecystitis on abdominal sonography. She underwent robotic cholecystectomy using a bikini-line incision. However, after postoperative day 2, she presented to the emergency room with small bowel obstruction secondary to a herniated bowel loop through the left 8-mm port site. After failure to resolve the ileus, the pati...
Source: Videosurgery and Other Miniinvasive Techniques - February 17, 2019 Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research

A decade of experience with laparoscopic ventral hernia repairs
DR. DAVID LINZ (Parma, Ohio): I would like to congratulate the authors for a very well done retrospective study and particularly for obtaining long-term data on 63 patients who underwent laparoscopic hernia repair all more than a decade ago. As we know, the treatment of abdominal wall hernias remains a far too common problem for the general surgeon and a difficult problem. There is continued evolution in particular regard to the mesh composition. So that being said, I have a number of questions for Dr. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 17, 2019 Category: Surgery Source Type: research

Negative pressure therapy in combination with mesh-mediated fascial traction in the treatment of infected pancreatic necrosis. A new therapeutic option.
Conclusion: Patients with complicated acute pancreatitis with infected pancreatic necrosis represent a challenge in their treatment due to the serious nature of the condition and the morbidity associated with it. A therapeutic option is presented with the combined use of negative pressure therapy (ABThera™) and mesh-mediated fascial traction. With this report we propose a potential line of research to determine its role in the treatment of these patients, as well as their possible advantages and complications. PMID: 30768066 [PubMed - in process] (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - February 16, 2019 Category: Surgery Authors: García-Corral JR, Cárdenas-Lailson LE, Sanjuan-Martínez CA, Arellano-Solorio CH, Aquino-Matus JE, Carrillo-Romero A Tags: Cir Cir Source Type: research

Comparison of early and long term outcomes of open Lichtenstein repair and totally extraperitoneal herniorrhaphy for primary inguinal hernias
Conclusion: In experienced hands, TEP procedure has better early and late postoperative results than OLR, whereas recurrence rates are similar. PMID: 30761846 [PubMed - in process] (Source: Turkish Journal of Medical Sciences)
Source: Turkish Journal of Medical Sciences - February 16, 2019 Category: General Medicine Tags: Turk J Med Sci Source Type: research

Laparoscopic versus lichtenstein hernioplasty for inguinal hernias: a systematic review and Meta-analysis of randomized controlled trials.
CONCLUSION: The results demonstrated that laparoscopic repair reduced chronic pain and wound infection compared with Lichtenstein repair. But Lichtenstein could reduce the operative time and hernia recurrence. PMID: 30762458 [PubMed - as supplied by publisher] (Source: Minimally Invasive Therapy and Allied Technologies)
Source: Minimally Invasive Therapy and Allied Technologies - February 16, 2019 Category: Surgery Tags: Minim Invasive Ther Allied Technol Source Type: research

Concomitant ventral hernia repair and bariatric surgery: a retrospective analysis from a UK-based bariatric center
ConclusionSynchronous VHR and BS in a bariatric unit is feasible with low recurrence rate. Laparoscopic VHR has lower complication rates than open, apart from seroma formation. Patients with diabetes have higher risk of infection. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 16, 2019 Category: Surgery Source Type: research

Prolene hernia system versus Lichtenstein repair for inguinal hernia: a meta-analysis
ConclusionBoth prolene hernia system and Lichenstein repair appear comparable acceptable techniques for inguinal herniorrhaphy. Further longer-term studies of new mesh technologies will improve information available to surgeons and their patients. (Source: Hernia)
Source: Hernia - February 15, 2019 Category: Sports Medicine Source Type: research

Robotic retromuscular ventral hernia repair and transversus abdominis release: short-term outcomes and risk factors associated with perioperative complications
AbstractBackgroundRetromuscular ventral hernia repairs have become increasingly popular, both with and without transversus abdominis release. We aim to describe our 90-day outcomes in patients who underwent robotic retromuscular ventral hernia repair (RRVHR).MethodsAll patients were subcategorized into those who underwent a TAR (TAR+) as part of their repair, and those who did not (TAR −). Patient demographics, comorbidities, hernia characteristics, and LOS were studied. Perioperative complications were reviewed in four different time frames up to 90 days. All hernias and complications were classified using the ...
Source: Hernia - February 15, 2019 Category: Sports Medicine Source Type: research

Laparoscopic Inguinal Hernia Repair Using ProGrip ™ Self-Fixating Mesh: Technical Learning Curve and Mid-Term Outcomes.
Laparoscopic Inguinal Hernia Repair Using ProGrip™ Self-Fixating Mesh: Technical Learning Curve and Mid-Term Outcomes. Surg Technol Int. 2019 Feb 11;34: Authors: Mellert LT, Cheung ME, Zografakis JG, Dan AG Abstract PURPOSE: Self-fixating mesh has been introduced to further improve the quality results already seen with laparoscopic inguinal hernia repair. An observational study was undertaken to evaluate the technical learning curve and mid-term outcomes associated with the use of ProGrip™ (Medtronic, Minneapolis, MN, USA) laparoscopic self-fixating mesh in transabdominal preperitoneal (TAPP) inguina...
Source: Surgical Technology International - February 14, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

The efficacy of absorbable versus non-absorbable fixation in laparoscopic totally extraperitoneal (tep) repair of large inguinal hernias.
CONCLUSION: Both titanium and absorbable tacks showed similar post-operative complications and pain scores. As such, they both appear safe and feasible for mesh fixation during laparoscopic repair of large inguinal hernias. PMID: 30773309 [PubMed - as supplied by publisher] (Source: Asian Journal of Surgery)
Source: Asian Journal of Surgery - February 14, 2019 Category: Surgery Authors: Prakash PS, Wijerathne S, Salgaonkar HP, Lomanto D Tags: Asian J Surg Source Type: research

An uncommon cause of acute bowel obstruction: the left para-duodenal hernia.
We report a case of 77 year-old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical exploration confirmed the diagnosis of a left internal paraduodenal hernia by showing incarcerated jejunal loops in a paraduodenal hernia through a narrow opening to the left of the angle of Treitz. A surgical reduction of the hernia and closure of the hernia neck were performed. The follow-ups were uncomplicated. Through this observation and a literature review, we try to recall the clinical and radiological char...
Source: Annali Italiani di Chirurgia - February 13, 2019 Category: Surgery Tags: Ann Ital Chir Source Type: research

Internal hernia after gastrectomy for gastric cancer in minimally invasive surgery era
This study aimed to analyze the clinical features and risk factors for internal hernia after gastrectomy for gastric cancer.MethodsWe retrospectively analyzed internal hernia after gastrectomy for gastric cancer in 6474 patients between January 2003 and December 2016 at Seoul National University Bundang Hospital. Multivariable logistic regression was performed to evaluate risk factors.ResultsInternal hernias identified by computed tomography or surgical exploration were 111/6474 (1.7%) and the median interval time was 450 days after gastrectomy. Fourteen (0.9%) of the 1510 patients who underwent open gastrectomy and 97 (2....
Source: Gastric Cancer - February 13, 2019 Category: Gastroenterology Source Type: research

Transnasal stent-assisted targeting technique for percutaneous jejunostomy placement in patients with hiatal hernias
ConclusionThe transnasal stent-assisted targeting technique is a novel method for primary jejunostomy placement in patients with hiatal hernias. (Source: Abdominal Imaging)
Source: Abdominal Imaging - February 12, 2019 Category: Radiology Source Type: research

The Value of Decision Analytical Modeling in Surgical Research: An Example of Laparoscopic Versus Open Distal Pancreatectomy
Conclusions: The results show how decision analytical modeling can help to identify relevant uncertainty and guide decisions for future research in surgery. Based on the current available evidence, a randomized clinical trial on complications, hospital stay, costs, quality of life, and survival is highly unlikely to change the conclusion that LDP is more cost-effective than ODP. (Source: Annals of Surgery)
Source: Annals of Surgery - February 8, 2019 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Intraoperative adjunctive techniques to reduce seroma formation in laparoscopic inguinal hernioplasty: a systematic review
AbstractBackgroundSeroma formation is the most common postoperative complication after laparoscopic inguinal hernia repair. Recurrence and seroma formation may be difficult to distinguish. Many adjunctive techniques with which to reduce the incidence of seroma formation after laparoscopic inguinal repair have been described in the literature; however, the evidence for using intraoperative adjunctive techniques is limited. Therefore, the present systematic review was performed to evaluate the effects and limitations of adjunctive techniques used during laparoscopic inguinal hernia repair.MethodsMajor databases (PubMed, Emba...
Source: Hernia - February 8, 2019 Category: Sports Medicine Source Type: research

Minimally Invasive Multidisciplinary Approach to Chronic Giant Inguinoscrotal Hernias.
CONCLUSION: In this article, we present the first series of GIH patients undergoing combined PPP, BTI, and eTEP access approach to retromuscular dissection. This multidisciplinary approach to patient care has proven both safe and effective. PMID: 30734667 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - February 8, 2019 Category: Surgery Authors: Sanford Z, Weltz AS, Singh D, Hanley R, Todd D, Belyansky I Tags: Surg Innov Source Type: research

The Use of Prosthetic Mesh in the Emergency Management of Acute Incarcerated Inguinal Hernias.
Abstract INTRODUCTION: Tension-free hernia repair has been regarded as a gold standard treatment for selected inguinal hernias, but the use of prosthetic mesh in acute incarcerated inguinal hernias is controversial. Our study focused on evaluating the safety and efficacy of the prosthetic mesh repair for emergency cases. METHODS: Patients with acute incarcerated inguinal hernias who underwent emergency prosthetic mesh repair during 2009 to 2014 at our department were included. Patient characteristics, operative approaches and results, and complications were retrospectively analyzed. RESULTS: A total of 1...
Source: Surgical Innovation - February 8, 2019 Category: Surgery Authors: Liu J, Zhai Z, Chen J Tags: Surg Innov Source Type: research

Lessons learned from an unusual condition of incidental synchronous multiple hernias of indirect inguinal hernia, femoral hernia, and incarcerated obturator hernia
In this study, we present a case of an 83-year-old female who suffered from multiple hernias namely a left-sided indirect inguinal hernia, a right-sided femoral hernia, and a right-sided incarcerated obturator hernia. Additionally, the characteristics and treatment of obturator hernia were discussed. Ultrasound and computed tomography (CT) are capable of accurately diagnosing groin hernia. Preoperative bilateral ultrasound of examinations or abdominopelvic CT should be recommended to perform routinely for patients with suspected hernias to avoid ignoring the concurrent hernias. A careful exploration of the operative field ...
Source: Nigerian Journal of Clinical Practice - February 7, 2019 Category: Rural Health Authors: LL Jiang CC Chen K Yang Source Type: research

A Preliminary Assessment of Abdominal Wall Tension in Patients Undergoing Retromuscular Hernia Repair.
Authors: Tenzel PL, Johnson RG, Bilezikian JA, Powers WF, Hope WW Abstract A common technique for ventral and incisional hernia repair is the retrorectus repair (Rives-Stoppa). The posterior rectus sheath is incised bilaterally, and mesh is placed retromuscularly. There is little information on how this component separation technique affects abdominal wall tension. We evaluated abdominal wall tension in patients undergoing retrorectus repair of abdominal wall hernias. Patients undergoing retrorectus repair of their ventral hernias were enrolled in a prospective, Institutional Review Board-approved protocol to measu...
Source: Surgical Technology International - February 5, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

Hernioscopy: a reliable method to explore the abdominal cavity in incarcerated or strangulated inguinal hernias spontaneously reduced after general anaesthesia
ConclusionsHernioscopy is an easy and reliable method to explore the abdominal cavity and make sure of the viability of the bowel in patients with strangulated inguinal hernia and to proceed to minimally invasive resection if needed. (Source: Hernia)
Source: Hernia - February 5, 2019 Category: Sports Medicine Source Type: research

Spontaneous regression of cervical discs: Retrospective analysis of 14 cases
Cervical disc herniation is a condition which arises from compression of cervical spinal nerve root by the degenerated disc and vast majority of the patients are aged between 30 and 40 years. Spontaneous regression of cervical disc was first reported by Kriegerand Maniker in 1992. Our study is the second large series in literature. Besides, 4 patients are the first who were shown to have resorption in C 4-5. The records of patients diagnosed with cervical disc herniation who applied to the Spine Polyclinic between 2014 and 2018 were reviewed retrospectively. The files of the patients who were recommended surgery with the ...
Source: Medicine - February 1, 2019 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Comparing the Incidences of Occult Contralateral Hernia under Laparo-Endoscopic Techniques and of Contralateral Metachronous Hernia after a Unilateral Groin Hernia Repair in Open Technique.
Abstract The aim of this study was to evaluate the utility of immediate repair of a contralateral occult hernia at the same time as incipient hernia repair. A total of 693 patients were diagnosed preoperatively with a unilateral groin hernia from January 2006 to December 2017. The open technique was used for 541 patients, and the laparo-endoscopic technique was used for 152 patients. The incidences of occult contralateral hernia confirmed during surgery under laparo-endoscopic techniques and those of contralateral metachronous hernia after a unilateral groin hernia repair with open technique were compared. Fifty-o...
Source: The American Surgeon - February 1, 2019 Category: Surgery Authors: Imai Y, Hiramatsu M, Kobayashi T, Tsunematsu I, Emiko K, Sakane J, Suzuki Y Tags: Am Surg Source Type: research

Traumatic posterolateral abdominal wall hernia in a pediatric patient
We present a case report of a child who presented with a traumatic posterolateral abdominal wall hernia following a motor vehicle collision (MVC) and was found to have multiple intraabdominal injuries as well as a diffuse lumbar hernia with incarcerated bowel. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - January 31, 2019 Category: Surgery Source Type: research

Laparoscopic Mesh Repair of Bilateral Obturator Hernias Post-Peritoneal Dialysis.
Authors: Ramkumar J, Lu D, Scott T Abstract Abdominal wall hernias are prevalent in patients undergoing peritoneal dialysis (PD). Obturator hernias, first described by Arnaud de Ronsil in 1724, are an uncommon type of hernia where intra-abdominal contents protrude through the obturator foramen. The following case highlights a rare presentation of bilateral obturator hernias with right femoral and inguinal hernia in an 82-year-old woman post-PD. This patient presented with 5 months of bilateral thigh pain and swelling and was found to only have a right-sided obturator hernia on computer tomography (CT) scan. Intraop...
Source: Peritoneal Dialysis International - January 31, 2019 Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research

How I do it: the horizontal-bilateral unfolding method for self-gripping (Progrip ™) mesh placement in laparoscopic inguinal hernia repair
ConclusionThe present “horizontal-bilateral unfolding” mesh deployment method is a relative easy method to implant the self-gripping mesh during laparoscopic inguinal hernia repair. (Source: Hernia)
Source: Hernia - January 31, 2019 Category: Sports Medicine Source Type: research

Radiographic and surgical findings of type I obturator hernias in patients with refractory groin pain
Groin pain is a common complaint in the general population, with an underlying etiology that may be difficult to diagnose. Although uncommon, type I obturator hernias may be a significant source of chronic or refractory groin pain. In this review, we discuss the commonly missed findings of type I obturator hernias at CT and MRI, as well as correlate these findings with images obtained at the time of laparoscopic repair. (Source: Clinical Imaging)
Source: Clinical Imaging - January 31, 2019 Category: Radiology Authors: Daniel D. Droukas, Mark P. Zoland, Devon A. Klein Tags: Body Imaging Source Type: research

Elective and Emergent Laparotomy Closure: The Importance of Protocolizing the Technique
ConclusionThe abdominal wall closure was deficient in nearly one-quarter of the laparotomies performed at a third-level medical center. A protocol improved the quality of the laparotomy closure.ResumenIntroducciónLa hernia incisional es una patología altamente prevalente cuya prevención incluye medidas como el correcto cierre de la pared abdominal.MétodosSe llevó a cabo un estudio prospectivo en un centro de tercer nivel que incluyó a pacientes intervenidos de modo electivo y de urgencias tras la implementación de un protocolo de cierre de la laparotomía media. Se rea...
Source: Cirugia Espanola - January 30, 2019 Category: Surgery Source Type: research

Combined open and laparoscopic approach for repair of flank hernias: technique description and medium-term outcomes of a single surgeon
ConclusionCombining laparoscopic IPOM with open onlay hernia repair resulted in low recurrence and acceptable wound morbidity rates, with no residual bulges noted at medium-term follow-up. Further studies with larger number of patients and other surgeon ’s experiences are necessary to determine the role of such technique in the surgical armamentarium for flank hernia repair. (Source: Hernia)
Source: Hernia - January 30, 2019 Category: Sports Medicine Source Type: research

Long-term results of a prospective randomized trial of midline laparotomy closure with onlay mesh
ConclusionThe protective effect of the use of an onlay mesh in abdominal wall closure is significantly maintained in the long-term, up to 5  years after surgery.International Standard Randomized Controlled Trial number: ISRCTN98336745. (Source: Hernia)
Source: Hernia - January 30, 2019 Category: Sports Medicine Source Type: research

Resorbable Synthetic Meshes for Abdominal Wall Defects in Preclinical Setting: A Literature Review
The objective of this review is to give an overview of the physicochemical characteristics and biomechanical, histological, and macroscopic outcome (recurrence, adhesion formation) of the use of resorbable synthetic meshes, for treatment and prevention of abdominal wall hernias, based on experimental studies. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - January 30, 2019 Category: Surgery Authors: Marc Miserez, An P. Jairam, Geesien S.A. Boersema, Yves Bayon, Johannes Jeekel, Johan F. Lange Tags: Gastrointestinal Source Type: research

Predictors of ischemic bowel in patients with incarcerated hernias
ConclusionHyponatremia should raise suspicion for underlying strangulated bowel and prompt urgent exploration in patients with incarcerated hernias. (Source: Hernia)
Source: Hernia - January 28, 2019 Category: Sports Medicine Source Type: research

Open darn repair vs open mesh repair of inguinal hernia: a systematic review and meta-analysis of randomised and non-randomised studies
ConclusionsOur results suggest that open darn repair is comparable with open mesh repair for inguinal hernias. Considering that consequences of mesh complications in inguinal hernia repair, albeit rare, can be significant, open darn repair provides an equally credible alternative to open mesh repair for inguinal hernias. Further studies are required to investigate patient-reported outcomes and to elicit a superior non-mesh technique. (Source: Hernia)
Source: Hernia - January 28, 2019 Category: Sports Medicine Source Type: research

Traumatic posterolateral abdominal wall hernia
We present a case report of a child who presented with a traumatic posterolateral abdominal wall hernia following a motor vehicle collision (MVC) and was found to have multiple intraabdominal injuries as well as a diffuse lumbar hernia with incarcerated bowel. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - January 25, 2019 Category: Surgery Source Type: research

Short-term results after laparoscopic repair of giant hiatal hernias with pledgeted sutures: a retrospective analysis
ConclusionsUtilization of pledgets to reinforce hiatal sutures seems safe and shows a quite low early recurrence rate compared to other methods. Long-term data will allow firm conclusions as to whether pledgeted sutures are an appropriate solution for the treatment of giant hiatal hernias. (Source: Hernia)
Source: Hernia - January 25, 2019 Category: Sports Medicine Source Type: research

A study of contralateral persistent processus vaginalis in laparoscopic hernia repair in children
AbstractPurposeThe introduction of laparoscopy for hernia repair permits intra-abdominal observation of a hernia and contralateral persistent processus vaginalis (CPPV). The current study ’s aim was to investigate the diameter of opening of an inguinal hernia and CPPV in patients with unilateral inguinal hernia, and to evaluate their correlation with age.MethodsFrom September 2012 to August 2017, 569 pediatric patients underwent laparoscopic repair of unilateral inguinal hernia. We retrospectively evaluated the size of the hernia and CPPV by measuring the diameter of opening. Pearson correlation analysis and linear-b...
Source: Hernia - January 24, 2019 Category: Sports Medicine Source Type: research

Preoperative anemia: a common finding that predicts worse outcomes in patients undergoing primary hiatal hernia repair
In this study, we aimed to identify the incidence of preoperative anemia in patients undergoing primary HHR at our institution and sought to determine whether preoperative anemia had an impact on postoperative outcomes.MethodsUsing our IRB-approved institutional HH database, we retrospectively identified patients undergoing primary HHR between January 2011 and April 2017  at our institution. We identified patients with anemia, defined as serum hemoglobin levels less than 13 mg/dL in men and 12 mg/dL in women, measured within two weeks prior to surgery, and compared this group to a cohort of patients with nor...
Source: Surgical Endoscopy - January 23, 2019 Category: Surgery Source Type: research

Anatomical study comparing medialization after Rives-Stoppa, anterior component separation, and posterior component separation
This study aims to compare medialization achieved by these techniques in postmortem human specimens. (Source: Surgery)
Source: Surgery - January 23, 2019 Category: Surgery Authors: Dimitri Sneiders, Yagmur Yurtkap, Leonard F. Kroese, Johannes Jeekel, Filip E. Muysoms, Gert-Jan Kleinrensink, Johan F. Lange Source Type: research

The effects of the muscular contraction on the abdominal biomechanics: a numerical investigation.
Abstract Abdominal wall biomechanics is strongly affected by muscular contraction and intra-abdominal pressure (IAP) which characterize different physiological functions and daily tasks. However, the active muscular behavior is generally not considered in current computational models of the abdominal wall. The aim of this study is to develop a numerical model mimicking muscular activation and IAP. A three dimensional Finite Element model of a healthy abdominal wall is developed detailing the principal abdomen components reconstructed upon anatomical data and medical images. Fascial tissues, aponeuroses and linea a...
Source: Computer Methods in Biomechanics and Biomedical Engineering - January 20, 2019 Category: Biomedical Engineering Authors: Pavan PG, Todros S, Pachera P, Pianigiani S, Natali AN Tags: Comput Methods Biomech Biomed Engin Source Type: research