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

Robot-assisted laparoscopic repair of perineal hernia after abdominoperineal resection: a case report and review of the literature
CONCLUSIONSymptomatic perineal hernias can feasibly be repaired with robot-assisted laparoscopy. Furthermore, suturing and mesh placement require less effort with the robot approach when compared to the open and laparoscopic approaches. These promising findings are demonstrated in the included video. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - January 18, 2019 Category: Surgery Source Type: research

Diagnosis and Management of Parastomal Hernias
CASE SUMMARY: A 63-year-old woman with history of stage II rectal adenocarcinoma status postneoadjuvant chemoradiation and subsequent abdominoperineal resection presented with worsening bulge and inability to pouch stoma. CT scan revealed a 4-cm parastomal hernia. After discussion with the patient regarding management options, she elected to undergo repair of hernia defect. A robot-assisted laparoscopic parastomal hernia repair with synthetic mesh via the Sugarbaker technique was performed. After a short stay in the hospital, the patient recovered well and reported no recurrent symptoms. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - January 18, 2019 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Expert Commentary on Diagnosis and Management of Parastomal Hernias
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - January 18, 2019 Category: Gastroenterology Tags: Resident’s Corner Source Type: research

Trocar Site Hernias in Bariatric Surgery —an Underestimated Issue: a Qualitative Systematic Review and Meta-Analysis
AbstractThe reported incidence of trocar site hernias in bariatric surgery ranges between 0.5 and 3%. The best available evidence derives from retrospective studies analysing prospective databases, thus including only patients who presented with symptoms or received surgical treatment due to trocar site hernias after a laparoscopic bariatric procedure. A systematic literature research was conducted up until September 2017. Search strategies included proper combinations of the MeSH terms ‘laparoscopy’ and ‘bariatric surgery’, ‘trocar/port’ and ‘hernia’. Searches were not limit...
Source: Obesity Surgery - January 18, 2019 Category: Surgery Source Type: research

Inguinal hernia repair in Nigeria: a survey of surgical trainees
ConclusionsSurgical trainees in Nigeria perform more tissue-based inguinal hernia repair than mesh but majority would recommend both mesh repair and laparoscopic surgery. Majority found sac dissection as the most difficult part of open hernia surgery. (Source: Hernia)
Source: Hernia - January 17, 2019 Category: Sports Medicine Source Type: research

Risk of incarceration in children with inguinal hernia: a systematic review
ConclusionsThe risk of incarceration in children awaiting inguinal hernia surgery is substantial. In general, we cannot support delaying surgery unnecessarily. However, there may be benefits of delaying surgery in individual cases. In such cases, the surgeon should assess if the benefits may overrule the risk of incarceration. (Source: Hernia)
Source: Hernia - January 12, 2019 Category: Sports Medicine Source Type: research

Management of Reducible Ventral Hernias: Clinical Outcomes and Cost-effectiveness of Repair at Diagnosis Versus Watchful Waiting
Conclusions: Ventral hernia repair at diagnosis is very cost-effective. The choice between open and laparoscopic repair depends on surgical costs and postoperative quality of life. In patients with high risk of perioperative mortality or recurrence, watchful waiting is preferred. (Source: Annals of Surgery)
Source: Annals of Surgery - January 9, 2019 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Outcomes of transversus abdominis release in non-elective incisional hernia repair: a retrospective review of the Americas Hernia Society Quality Collaborative (AHSQC)
ConclusionNot surprisingly, TAR in the non-elective setting is associated with increased wound morbidity requiring procedural interventions and reoperations compared to what has previously been reported for elective cases. The long-term consequences of this wound morbidity with regard to hernia recurrence are as of yet unknown. (Source: Hernia)
Source: Hernia - January 9, 2019 Category: Sports Medicine Source Type: research

Inguinal hernias appearing after lateral lymph node dissection via extraperitoneal approach for advanced lower rectal cancer
ConclusionsThe characteristics associated with developing IHs after LLND were similar to those after RRP. Any pelvic operation via the extraperitoneal approach has a risk of IHs, and surgeons should pay attention to IHs after surgery. (Source: Hernia)
Source: Hernia - January 9, 2019 Category: Sports Medicine Source Type: research

An analysis of results in a single-blinded, prospective randomized controlled trial comparing non-fixating versus self-fixating mesh for laparoscopic inguinal hernia repair
ConclusionsPatients receiving self-fixating mesh report worse postoperative pain in the first 2 –3 days than those receiving non-fixating mesh. The groups showed no differences across QoL metrics (SOMS and CCS) at 3 weeks or 1 year postoperatively. Self-fixating mesh does not appear to positively impact QoL after TEP LIHR. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 9, 2019 Category: Surgery Source Type: research

CTEP Versus LESS Totally Extraperitoneal Hernioplasty.
Authors: Zhang H, Li J, Gong M, Zhang G, Liu J, Li B Abstract Background and Objectives: The authors sought to assess and compare the surgical outcomes of laparoendoscopic single-port surgery (LESS) for totally extraperitoneal (LESS-TEP) hernioplasty and conventional totally extraperitoneal (CTEP) hernioplasty. Methods: From March 2015 through May 2018, a retrospective analysis of postoperative outcomes was conducted that included 81 cases of LESS-TEP and 88 cases of CTEP hernioplasty patients. For postoperative indicator comparisons, a visual-analog pain scale and 5-level cosmesis evaluation sheet were applied...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - January 6, 2019 Category: Surgery Tags: JSLS Source Type: research

Unexpected Intraoperative Findings, Situations, and Complications in Bariatric Surgery
ConclusionUnexpected intraoperative findings/complications are common in bariatric surgery, but without increasing morbidity or length of stay. Surgery suspension, change in the planned technique, or adding extra (non-bariatric) procedures may occur. (Source: Obesity Surgery)
Source: Obesity Surgery - January 4, 2019 Category: Surgery Source Type: research

[Abordaje laparosc ópico de una hernia de Spiegel en edad pediátrica. Revisión de la literatura].
Conclusions: Spigelian hernias in childhood can be securely closured with laparoscopic transperitoneal approach. PMID: 30600802 [PubMed - in process] (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - January 3, 2019 Category: Surgery Authors: Vega-Mata N, Vázquez-Estevez JJ, Montalvo-Ávalos C, Raposo-Rodríguez L Tags: Cir Cir Source Type: research

Hernias at the Extraction Incision After Laparoscopic Colon and Rectal Resection: Influence of Incision Location and Use of Prophylactic Mesh
ConclusionsThe location of the incision is relevant to avoid incisional hernias. Transverse incisions should be used as the first option. When a midline incision is needed, a prophylactic mesh could be considered in high risk patients because it is safe and associated with low morbidity.ResumenObjetivosDeterminar la incidencia de hernia incisional (HI) en la incisión de asistencia (IA) de la pieza en cirugía por neoplasia de colon y recto. Análisis de la relación de la localización de la incisión y uso de una malla en la prevención de la HI en pacientes de alto riesgo.M&eacu...
Source: Cirugia Espanola - January 3, 2019 Category: Surgery Source Type: research