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

Abdominal Wall Reconstruction Utilizing the Combination of Absorbable and Permanent Mesh in a Retromuscular Position: A Multicenter Prospective Study
ConclusionThe combination of AM with very large PM in the same retromuscular position in AWR seems to be safe. The efficacy with recurrence rates below 4% in complex midline and lateral IH may be explained by the use of larger PMs that are extended and configured with the support of AMs. Reoperations on patients have confirmed the previous experimental reports on the use of the AM. (Source: World Journal of Surgery)
Source: World Journal of Surgery - January 1, 2019 Category: Surgery Source Type: research

Renal Transplant in Obese Patients and Impact of Weight Loss Before Surgery on Surgical and Medical Outcomes: A Single-Center Cohort Study.
CONCLUSIONS: In our study, weight loss before transplant surgery in obese patients had no influence on surgical outcomes but was associated with a higher mortality rate. A prospective assessment of the impact of weight loss before surgery is needed to establish its usefulness. PMID: 30602363 [PubMed - as supplied by publisher] (Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation)
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - December 31, 2018 Category: Transplant Surgery Authors: Heng AE, Aniort J, Pereira B, Fervenza F, Boirie Y, Prieto M Tags: Exp Clin Transplant Source Type: research

Lumbar hernia after iliac crest bone harvest
This article discusses a patient presenting with flank pain years after an iliac crest bone harvest as well as a brief review of the pathogenesis and history of lumbar hernias. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - December 28, 2018 Category: Primary Care Tags: Case Report Source Type: research

"All In One Mesh Hernioplasty" device for inguinal hernia repair. Results of 400 cases.
"All In One Mesh Hernioplasty" device for inguinal hernia repair. Results of 400 cases. Ann Ital Chir. 2018;89:438-442 Authors: Testa SS, Di Cello P, Lo Bianco G Abstract BACKGROUND: Our intention in this study was to evaluate the effectiveness of a new open mesh hernia repair procedure, the "All in One Mesh Hernioplasty", for the treatment of primary inguinal hernias in adults. METHODS: Between February 2014 and February 2016, we performed the All In One Mesh Hernioplasty procedure on 400 patient suffering from primary unilateral inguinal hernia at our Institution. The prosthes...
Source: Annali Italiani di Chirurgia - December 22, 2018 Category: Surgery Tags: Ann Ital Chir Source Type: research

Simultaneous stoma reinforcement and perineal reconstruction with biological mesh - A multicentre prospective observational study
ConclusionPerineal and parastomal reconstruction with biological mesh is a feasible approach for parastomal and perineal hernia prevention after laparoscopic and open elAPE. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 21, 2018 Category: General Medicine Source Type: research

Biocompatibility of synthetic ultraviolet radiation cross ‐linked polymers – Subcutaneous implantation study
AbstractPhoto ‐cross‐linked polymers have attracted a lot of attention in the biomedical field. The main benefits of these materials are related to the fact that they are most of the time viscous liquids or pastes that adapt a custom and fixed shape on demand of the user. Present study deals specifically with the biological response upon subcutaneous implantation of four different materials in rabbits. In the study 20 rabbits were divided into four groups (each five rabbits): Groups 1–3 were implanted with tested new obtained by us macromonomers (P1838‐DMA; P1838‐UR; PDEGA‐UR – respectively), while gr...
Source: Journal of Biomedical Materials Research Part B: Applied Biomaterials - December 21, 2018 Category: Materials Science Authors: Labib Zair, Mariola Marchlewicz, Karol Tejchman, Samir Zeair, Karolina K ędzierska, Joanna Stępniewska, Maciej Domański, Arkadiusz Kazimierczak, Ewa Duchnik, Marek Ostrowski Tags: Original Research Reports Source Type: research

Patient selection criteria for an effective laparoscopic intraperitoneal ventral hernia repair in day surgery
AbstractThe laparoscopic treatment of abdominal wall defects is currently a valid alternative to the open technique, given the possibility to significantly reduce the length of hospital stay and, consequently, to allow its carrying out in a day surgery setting. The comparison between the two methods has also been the subject of a Cochrane meta-analysis performed by Sauerland et al. (Cochrane Database Syst Rev 3: CD007781,2011), which pointed out how, in spite of many clinical trials indicating the superiority of laparoscopy in terms of invasiveness and postoperative pain control, the quality of evidence is low due to the e...
Source: Updates in Surgery - December 19, 2018 Category: Surgery Source Type: research

Incisional hernia after cystectomy: incidence, risk factors and anthropometric predisposition.
CONCLUSIONS: Patients undergoing RC are at significant risk of RPIH and PHR regardless of surgical approach. Anthropomorphic factors and urinary diversion type appear to be associated with PIH risk. Further research is needed to understand how risks of PIH can be reduced in patients undergoing cystectomy. PMID: 30553281 [PubMed - in process] (Source: Canadian Journal of Urology)
Source: Canadian Journal of Urology - December 18, 2018 Category: Urology & Nephrology Tags: Can J Urol Source Type: research

Early repair of ventral incisional hernia may improve quality of life after surgery for abdominal malignancy: a prospective observational cohort study
ConclusionsRepair of VIH after surgery for abdominal malignancy may improve abdominal wall-specific and cancer-specific QoL, making post-resection abdominal wall reconstruction an important aspect of cancer survivorship. (Source: Hernia)
Source: Hernia - December 18, 2018 Category: Sports Medicine Source Type: research

[Double Running Suture Line Repair in Primary Umbilical Hernias - Analysis after 282 Cases].
Abstract INTRODUCTION: There is an ongoing debate as to which patients presenting with an umbilical hernia should be operated with the sole suture technique or augmented by mesh. After treating most of our patients for a long period uniformly with a double running suture line, the aim of this study was to evaluate the performance of this strategy - especially in patients with larger defects. PATIENTS AND METHODS: From 1/2004 to 4/2017, all patients operated on for an umbilical hernia were identified through our hospital information system (KIS). The relevant documents for each case - such as operation and dis...
Source: Zentralblatt fur Chirurgie - December 18, 2018 Category: Surgery Authors: Heise JW, Ewodo Beyeme JM, Tomczak J, Tosuncuk Ari N Tags: Zentralbl Chir Source Type: research

Comparison of Polypropylene and Bioabsorbable Mesh for Abdominal Wall Reinforcement following Microsurgical Breast Reconstruction
Conclusions Polyglycolic acid/trimethylene carbonate mesh is not appropriate for anterior rectus fascia reinforcement following abdominal tissue transfer. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - December 17, 2018 Category: Surgery Authors: Jordan, Sumanas Wanant Schulz, Steven Andrew Carraher, Amanda Marie Cabiling, David Shannon Tags: Original Article Source Type: research

Comparison of slit mesh versus nonslit mesh in laparoscopic extraperitoneal hernia repair.
Authors: Yildirim D, Donmez T, Ozcevik H, Cakir M, Demiryas S, Akturk OM Abstract Introduction: Endoscopic hernia repair integrates the advantages of tension-free preperitoneal mesh support of the groin with the advantages of minimally invasive surgery procedures. Aim: To compare outcomes between slit mesh (SM) and nonslit mesh (NSM) placement in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. Material and methods: This is a retrospective study of 353 patients who underwent TEP inguinal hernia repair between January 2010 and December 2011. One hundred forty-nine and 154 hernias were opera...
Source: Videosurgery and Other Miniinvasive Techniques - December 15, 2018 Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research

Socioeconomic Disparities in the Complexity of Hernias evaluated at Emergency Departments across the United States
ConclusionUninsured, publicly-insured, and low-MHI patients were more likely to present to ED with uncomplicated hernias. This finding might reflect a lack of access to primary surgical care for non-urgent surgical diseases.Graphical abstract (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - December 14, 2018 Category: Surgery Source Type: research

Endo-laparoscopic reconstruction of the abdominal wall midline with linear stapler, the THT technique. Early results of the first case series
ConclusionOur THT is a feasible technique, easily reproducible, and effective in the repair of primary defects of the midline and RAD, which greatly reduces the operating times and hospitalization allowing a quick return to active life. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 13, 2018 Category: General Medicine Source Type: research

Socioeconomic Disparities in the Complexity of Hernias evaluated at Emergency Departments across the United States
We examined the impact of socioeconomic-status and complexity of presentation among patients in the Emergency Department (ED). (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 13, 2018 Category: Surgery Authors: Maria F. Nunez, Gezzer Ortega, Lucas G. Souza Mota, Olubode A. Olufajo, Derek W. Altema, Terrence M. Fullum, Daniel Tran Source Type: research

Robotic repair of large Morgagni hernia in an adolescent girl
ConclusionThis case demonstrates that robotic repair of a Morgagni hernia, even with massive hernia content, is feasible in adolescents. However, whether robotic surgery in general, and for Morgagni hernia in particular, is superior to laparoscopy in children, remains to be proven. (Source: Journal of Pediatric Surgery Case Reports)
Source: Journal of Pediatric Surgery Case Reports - December 11, 2018 Category: Surgery Source Type: research

Systematic review of transversus abdominis release in complex abdominal wall reconstruction
ConclusionThis review demonstrates that the transversus abdominis release is a good alternative for anterior CST in terms of SSO and recurrence, especially in very large midline ventral hernias. (Source: Hernia)
Source: Hernia - December 11, 2018 Category: Sports Medicine Source Type: research

A propensity score matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted sigmoidectomy in an enhanced recovery pathway
This study was designed to assess outcomes comparing intracorporeal and extracorporeal techniques for robotic-assisted sigmoid resection in an established enhanced recovery pathway. This is a retrospective comparison of intracorporeal and extracorporeal techniques for robotic-assisted sigmoid resection for benign and malignant disease. Operative technique for the newer intracorporeal innovation is described in detail. Propensity score matching was performed using patient characteristics as predictors in the propensity score model. 169 cases met inclusion criteria. After propensity score matching, 114 cases were available f...
Source: Journal of Robotic Surgery - December 10, 2018 Category: Surgery Source Type: research

Outcome of laparoscopic paraesophageal hernia repair in octogenarians: a registry-based, propensity score-matched comparison of 360 patients
ConclusionsDespite a higher risk of general complications, PEH repair in octogenarians is not in itself associated with increased rates of intraoperative and postoperative complications or associated reoperations. Therefore, PEH repair can be safely offered to elderly patients with symptomatic PEH, if general medical risk factors are controlled. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 10, 2018 Category: Surgery Source Type: research

Outcome of laparoscopic paraesophageal hernia repair in octogenarians: a registry-based, propensity score-matched comparison of 360 patients.
CONCLUSIONS: Despite a higher risk of general complications, PEH repair in octogenarians is not in itself associated with increased rates of intraoperative and postoperative complications or associated reoperations. Therefore, PEH repair can be safely offered to elderly patients with symptomatic PEH, if general medical risk factors are controlled. PMID: 30535542 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - December 10, 2018 Category: Surgery Authors: Staerkle RF, Rosenblum I, Köckerling F, Adolf D, Bittner R, Kirchhoff P, Lehmann FS, Hoffmann H, Glauser PM Tags: Surg Endosc Source Type: research

Elective and emergent laparotomy closure: The importance of protocolizing the technique.
CONCLUSION: The 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. PMID: 30545642 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)
Source: Cirugia eEspanola - December 10, 2018 Category: Surgery Authors: Valverde S, SánchezLuis JL, Pereira JA, Armengol M, López-Cano M Tags: Cir Esp Source Type: research

Traumatic lumbar hernia: clinical features and management.
Conclusion: Traumatic lumbar hernia is a relatively rare injury of the posteriolateral abdominal wall. Lumbar hernia should be suspected in patients with high-energy injuries of the torso, and all such patients should undergo abdominopelvic computed tomography. After diagnosis, hernia repair can be electively performed without complications in most cases. PMID: 30505826 [PubMed] (Source: Annals of Surgical Treatment and Research)
Source: Annals of Surgical Treatment and Research - December 8, 2018 Category: Surgery Tags: Ann Surg Treat Res Source Type: research

Robotic-assisted versus laparoscopic unilateral inguinal hernia repair: a comprehensive cost analysis
AbstractBackgroundCost-effectiveness of robotic-assisted surgery is still debatable. Robotic-assisted inguinal hernia repair has no clear clinical benefit over laparoscopic repair. We performed a comprehensive cost-analysis comparison between the two approaches for evaluation of their cost-effectiveness in a large healthcare system in the Western United States.MethodsHealth records in 32 hospitals were queried for procedural costs of inguinal hernia repairs between January 2015 and March 2017. Elective robotic-assisted or laparoscopic unilateral inguinal hernia repairs were included. Cost calculations were done using a uti...
Source: Surgical Endoscopy - December 7, 2018 Category: Surgery Source Type: research