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 8, 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 6, 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 - March 31, 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 - March 31, 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 30, 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 26, 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 23, 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 20, 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 18, 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 15, 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 15, 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 11, 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 11, 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 10, 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 10, 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 9, 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 9, 2020 Category: Sports Medicine Source Type: research

Indirect inguinal hernia repair conducted with single conventional port intracorporeal conventional equipment-endoscopic surgery
ConclusionSingle conventional port intracorporeal IHR obviates additional stab wounds. Additionally, present technique eliminates the risk of skin puckering, subcutaneous granuloma, infection, nerve, and muscle damage development induced by the subcutaneously placed knot in laparoscopy-assisted IHR. Single conventional port intracorporeal IHR in children is a feasible and safe operative technique with low complication rates. (Source: Hernia)
Source: Hernia - March 8, 2020 Category: Sports Medicine Source Type: research

Are we failing to consent to an increasingly common complication? Incisional hernias at robotic prostatectomy
AbstractThe use of robot-assisted laparoscopic radical prostatectomy (RALP) continues to increase in the management of prostate cancer by minimally invasive approach, with shorter convalescence, reduced blood transfusion and improving oncological outcomes when compared to open surgery. There is a growing evidence base that RALP is significantly associated with incisional hernia (IH) at the specimen extraction site compared to open surgery. A series of 186 RALP patients between August 2012 and August 2018 was reviewed, where 1 –7 years follow-up had been observed. The study endpoint was IH rate at the supraumbili...
Source: Journal of Robotic Surgery - March 8, 2020 Category: Surgery Source Type: research

Stoma-site hernia after stoma reversal following rectal cancer resection.
CONCLUSIONS: 25% developed reversal-site incisional hernia. We were unable to find any predictors for development of stoma reversal-site hernia. If hernias occur as frequently as this study shows, investigation of potential ways to decrease their occurrence is warranted. FUNDING: none. TRIAL REGISTRATION: The study was approved by the Danish Data Protection Agency (R. no. 2012-58-0004). PMID: 32138828 [PubMed - in process] (Source: Danish Medical Journal)
Source: Danish Medical Journal - March 8, 2020 Category: General Medicine Tags: Dan Med J Source Type: research

Posterior and anterior epidural and intradural migration of the sequestered intervertebral disc: Three cases and review of the literature.
Conclusion/clinical relevance: Posterior and anterior epidural, and intradural disc migration may manifest with clinical symptoms indistinguishable from those associated with non-sequestered lumbar disc hernias. Missed, migrated disc fragments can be implicated as a cause of low back pain, radiculopathy or cauda equina syndrome, especially in the absence of visible disc herniation. A high index of suspicion needs to be maintained in those cases with unexplained and persistent symptoms and/or no obvious disc herniation on MR images. PMID: 32130089 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 6, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Laparoscopic Trans-Abdominal Retromuscular (TARM) Repair for Ventral Hernia: A Novel, Low-Cost Technique for Sublay and Posterior Component Separation
ConclusionLaparoscopic TARM with PPM in sublay avoids mesh –bowel contact. It provides midline closure and PCS-TAR within the same port geometry with results comparable with ORS. (Source: World Journal of Surgery)
Source: World Journal of Surgery - March 5, 2020 Category: Surgery Source Type: research

Combining anterior and posterior component separation for extreme cases of abdominal wall reconstruction
ConclusionsThe combination of posterior and anterior component separation can effectively treat massive and challenging cases of abdominal wall reconstruction in which the primary midline closure is impossible to achieve despite appropriate optimization of surgery. (Source: Hernia)
Source: Hernia - March 4, 2020 Category: Sports Medicine Source Type: research

Pediatric inguinal hernia treated by single-port laparoscopic water injection hernia crochet needle.
Conclusions: It is feasible to treat pediatric inguinal hernia through a transumbilical single-port laparoscopic water-injection hernia crochet needle, which is associated with safety, less trauma, rapid recovery, no obvious scar, and satisfactory efficacy. Therefore, it is worthy of being promoted and applied in clinical practice. PMID: 32117511 [PubMed] (Source: Videosurgery and Other Miniinvasive Techniques)
Source: Videosurgery and Other Miniinvasive Techniques - March 3, 2020 Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research

A rare complication of video-assisted thoracoscopic surgery: lung herniation retrospective case series of three patients and review of the literature.
Conclusions: By this retrospective case series, we defined some patient-related and surgeon-related risk factors and some basic recommendations for prevention of this complication. PMID: 32117507 [PubMed] (Source: Videosurgery and Other Miniinvasive Techniques)
Source: Videosurgery and Other Miniinvasive Techniques - March 3, 2020 Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research

Totally extraperitoneal inguinal hernia repair with or without fixation leads to similar results. Outcome of randomized prospective trial.
Conclusions: Lack of fixation in TEP-IHR does not increase the risk of hernia recurrence, and its presence does not significantly worsen the treatment results; especially it does not increase the incidence of chronic pain. PMID: 32117479 [PubMed] (Source: Videosurgery and Other Miniinvasive Techniques)
Source: Videosurgery and Other Miniinvasive Techniques - March 3, 2020 Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research

Abdominal wall sonography: a pictorial review
AbstractThe anterior abdominal wall, which is composed of three layers (skin and adipose tissues; the myofascial layer; and the deep layer, consisting of the transversalis fascia, preperitoneal fat, and the parietal peritoneum), has many functions: containment, support and protection for the intraperitoneal contents, and involvement in movement and breathing. While hernias are often encountered and well reviewed in the literature, the other abdominal wall pathologies are less commonly described. In this pictorial review, we briefly discuss the normal anatomy of the anterior abdominal wall, describe the normal ultrasonograp...
Source: Journal of Ultrasound - March 2, 2020 Category: Radiology Source Type: research

Incidence of incisional hernia after laparoscopic liver resection
ConclusionAdvantages of laparoscopic surgery with regard to low rates of IH can be translated to minimally invasive liver surgery. Even though there are low rates of IH, patients with poor performance status at the time of operation should be monitored closely. While patients ’ characteristics are hard to influence, it might be worth focusing on surgical factors such as the approach and the closure of the umbilical site to further minimize the rate of IH. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 1, 2020 Category: Surgery Source Type: research

Internal Hernia Following Primary Laparoscopic SADI-S: the First Reported Case
ConclusionsAn internal hernia following LSADI-S is rare, despite the unclosed space behind the small bowel mesentery. If they occur, they should not cause ischemia and can be fixed easily using a laparoscopic surgical approach with good postoperative outcomes. (Source: Obesity Surgery)
Source: Obesity Surgery - March 1, 2020 Category: Surgery Source Type: research

Hernia at the stoma site after loop ileostomy reversal
ConclusionHernia at the previous stoma site was underdiagnosed. Less than a third of symptomatic patients had a hernia diagnosis in routine follow up. Randomized studies are needed to evaluate if prophylactic mesh can be used to prevent hernias, especially in patients with risk factors. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - March 1, 2020 Category: Gastroenterology Source Type: research

Incidence of incisional hernia after laparoscopic liver resection.
CONCLUSION: Advantages of laparoscopic surgery with regard to low rates of IH can be translated to minimally invasive liver surgery. Even though there are low rates of IH, patients with poor performance status at the time of operation should be monitored closely. While patients' characteristics are hard to influence, it might be worth focusing on surgical factors such as the approach and the closure of the umbilical site to further minimize the rate of IH. PMID: 32124059 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - March 1, 2020 Category: Surgery Authors: Wabitsch S, Schulz P, Fröschle F, Kästner A, Fehrenbach U, Benzing C, Haber PK, Denecke T, Pratschke J, Fikatas P, Schmelzle M Tags: Surg Endosc Source Type: research

A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy.
;, Korkut S Abstract BACKGROUND: The present study aims to investigate the usefulness of NIRS in identifying decreased blood flow in intestinal tissue inside the hernial sac in incarcerated hernias. METHODS: Forty patients with manually irreducible inguinal hernias and with ileus determined by clinical findings and imaging were included in this study. Patients' intestinal oxygenations were measured by placing NIRS probes over the areas of inguinal hernia and over non-herniated areas immediately lateral to these. Differences in oxygenation between normal and herniated areas were evaluated. RESULTS: Forty ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - February 29, 2020 Category: Emergency Medicine Authors: Ziyan M, Kalkan A, Bilir Ö, Ersunan G, Özel D, Uzun Ö, Korkut S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Morgagni −Larrey diaphragmatic hernia repair in adult patients: a retrospective single-center experience
ConclusionMLH repair seems to be safely feasible by laparoscopic surgery. The benefit of mesh augmentation in MLH repair is not clear yet. In contrast to the current literature, all patients in this study received mesh augmentation after primary closure of the hernia. This should be evaluated in larger patient cohorts with long-term follow-up. (Source: Hernia)
Source: Hernia - February 28, 2020 Category: Sports Medicine Source Type: research