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Hernia

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575 papers 500 to 1000 followers Abdominal Ventral Hernia
https://read.qxmd.com/read/31785825/preclinical-bioassay-of-a-novel-antibacterial-mesh-for-the-repair-of-abdominal-hernia-defects
#1
Bárbara Pérez-Köhler, Selma Benito-Martínez, Francisca García-Moreno, Marta Rodríguez, Gemma Pascual, Juan M Bellón
BACKGROUND: In hernia surgery, soaking of meshes in antibiotics before implantation is a prophylactic strategy for minimizing the risk of infection while providing minimal, local, drug doses. This study describes the development and application of an antibacterial mesh coating comprising a carboxymethylcellulose gel loaded with rifampicin in a preclinical model of Staphylococcus aureus and S. epidermidis infection in rabbits. METHODS: Antibacterial activity and cytocompatibility (with fibroblasts) of unloaded carboxymethylcellulose gel and 0...
November 27, 2019: Surgery
https://read.qxmd.com/read/31672681/prevention-of-fascial-dehiscence-with-onlay-prophylactic-mesh-in-emergency-laparotomy-a-randomized-clinical-trial
#2
Helber Vg Lima, Roberto Rasslan, Fernando Cf Novo, Tibério Ma Lima, Sérgio Hb Damous, Celso O Bernini, Edna Fs Montero, Edivaldo M Utiyama
BACKGROUND: FD occurs in up to 14.9% of high-risk patients undergoing emergency laparotomy. While prophylactic mesh may prevent FD, its use in emergency surgery remains controversial. STUDY DESIGN: A prospective randomized clinical trial was conducted at the Hospital das Clínicas from Faculdade de Medicina da Universidade de São Paulo in Brazil. It was performed among high-risk patients, defined according to Rotterdam risk model, undergoing midline emergency laparotomy...
October 11, 2019: Journal of the American College of Surgeons
https://read.qxmd.com/read/31659548/comparison-of-coated-meshes-for-intraperitoneal-placement-in-animal-studies-a-systematic-review-and-meta-analysis
#3
REVIEW
H Liu, S van Steensel, M Gielen, T Vercoulen, J Melenhorst, B Winkens, N D Bouvy
PURPOSE: Laparoscopic intraperitoneal onlay mesh in hernia repair can result in adhesions leading to intestinal obstruction and fistulation. The aim of this systematic review is to compare the effects of mesh coatings reducing the tissue-to-mesh adhesion in animal studies. METHODS: Pubmed and Embase were systematically searched. Animal experiments comparing intraperitoneally placed meshes with coatings were eligible for inclusion. Only studies with comparable follow-up, measurements, and species were included for data pooling and subsequent meta-analysis...
October 28, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31673846/biofilms-and-effective-porosity-of-hernia-mesh-are-they-silent-assassins
#4
A S W Jacombs, A Karatassas, B Klosterhalfen, K Richter, P Patiniott, C Hensman
PURPOSE: The purpose of this paper is to communicate two new concepts with the potential to cause major morbidity in hernia repair, effective porosity and biofilm. These 2 concepts are interrelated and have the potential to result in mesh-related complications. Effective porosity is a term well described in the textile industry. It is best defined as the changes to pore morphology after implantation of mesh in situ. It is heavily dependent on mesh construct and repair technique and has the potential to impact hernia repair by reducing mesh tissue integration and promoting fibrosis...
October 31, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31646722/acquired-transdiaphragmatic-intercostal-hernia-in-a-patient-with-recent-pneumonia-surgical-management-with-a-thoracoabdominal-approach
#5
Alice Gori, Henry Ferland, Laura Manuela Otalvaro Acosta, Salomone Di Saverio, George Velmahos
No abstract text is available yet for this article.
October 24, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/31641872/is-there-a-role-for-prophylactic-mesh-in-abdominal-wall-closure-after-emergency-laparotomy-a-systematic-review-and-meta-analysis
#6
REVIEW
F A Burns, E G Heywood, C P Challand, Matthew J Lee
BACKGROUND: Incisional hernias are a common complication of emergency laparotomy and are associated with significant morbidity. Recent studies have found a reduction in incisional hernias when mesh is placed prophylactically during abdominal closure in elective laparotomies. This systematic review will assess the safety and efficacy of prophylactic mesh placement in emergency laparotomy. METHODS: A systematic review was performed according to the PROSPERO registered protocol (CRD42018109283)...
October 22, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31637626/what-s-new-in-the-management-of-incarcerated-hernia
#7
Caroline E Reinke, Brent D Matthews
Management of incarcerated hernias is a common issue facing general surgeons across the USA. When hernias are not able to be reduced, surgeons must make decisions in a short time frame with limited options for patient optimization. In this article, we review assessment and management options for incarcerated ventral and inguinal hernias.
October 21, 2019: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://read.qxmd.com/read/31624963/primary-ventral-hernia-where-are-we-at
#8
EDITORIAL
G Campanelli
No abstract text is available yet for this article.
October 17, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31585352/incisional-hernia-cannot-be-diagnosed-by-a-patient-reported-diagnostic-questionnaire
#9
Dimitri Sneiders, An P Jairam, Gijs H J de Smet, Imro Dawson, Lien H A van Eeghem, Wietske W Vrijland, Gert-Jan Kleinrensink, Johan F Lange
BACKGROUND: Incisional hernia (IH) is one of the most frequent complications after abdominal surgery. Follow-up with regard to IH remains challenging. Physical examination and imaging to diagnose IH are time-consuming and costly, require devotion of both the physician and patient, and are often not prioritized. Therefore, a patient-reported diagnostic questionnaire for the diagnosis of IH was developed. Objective of this study was to validate this questionnaire in a consecutive sample of patients...
October 1, 2019: Journal of Surgical Research
https://read.qxmd.com/read/31549324/pooled-data-analysis-of-primary-ventral-pvh-and-incisional-hernia-ih-repair-is-no-more-acceptable-results-of-a-systematic-review-and-metanalysis-of-current-literature
#10
REVIEW
C Stabilini, G Cavallaro, P Dolce, S Capoccia Giovannini, F Corcione, M Frascio, M Sodo, G Merola, U Bracale
PURPOSE: Primary (PVHs) and incisional (IHs) ventral hernias represent a common indication for surgery. Nevertheless, most of the papers presented in literature analyze both types of defect together, thus potentially introducing a bias in the results of interpretation. The purpose of this systematic review and meta-analysis is to highlight the differences between these two entities. METHODS: Methods MEDLINE, Scopus, and Web of Science databases were reviewed to identify studies evaluating the outcomes of both open and laparoscopic repair with mesh of PVHs vs IHs...
September 23, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31549325/outcomes-of-transversus-abdominis-release-tar-with-permanent-synthetic-retromuscular-reinforcement-for-bridged-repairs-in-massive-ventral-hernias-a-retrospective-review
#11
H Alkhatib, L Tastaldi, D M Krpata, C C Petro, A Fafaj, S Rosenblatt, M J Rosen, A S Prabhu
PURPOSE: In a subset of patients with massive and multiply recurrent hernias, despite performing a transversus abdominis release (TAR), anterior fascial re-approximation is not feasible and a bridged repair is required. We aim to report on the outcomes of this patient population at our institution. METHODS: Patients that underwent a TAR-bridged repair at the Cleveland Clinic were identified retrospectively within the Americas Hernia Society Quality Collaborative (AHSQC) database...
September 23, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31571064/milos-and-emilos-repair-of-primary-umbilical-and-epigastric-hernias
#12
W Reinpold, M Schröder, C Berger, W Stoltenberg, F Köckerling
BACKGROUND: The currently mainly used techniques of primary ventral hernia repair have specific disadvantages and risks. METHODS: To minimize complications of the existing open and laparoscopic techniques of ventral hernia repair, the endoscopic-assisted or endoscopic Mini- or Less-Open Sublay (E/MILOS) concept was developed. This paper reports on our experience with the E/MILOS concept for the management of primary umbilical and epigastric hernias. All E/MILOS operations were prospectively documented in the German hernia registry "Herniamed"...
October 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31602587/primary-uncomplicated-midline-ventral-hernias-factors-that-influence-and-guide-the-surgical-approach
#13
H Alkhatib, A Fafaj, M Olson, T Stewart, D M Krpata
BACKGROUND: Considering recently published high-level evidence on the management of primary midline ventral hernias, we set out to review current practices and reevaluate the literature surrounding this topic. METHODS: The Americas Hernia Society Quality Collaborative (AHSQC) was used to abstract all uncomplicated primary midline ventral hernias. The primary outcomes of interest were surgical approaches, including the use of mesh, the type and position of mesh, and the use of minimally invasive surgery (MIS)...
October 10, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31429023/htx-011-reduced-pain-intensity-and-opioid-consumption-versus-bupivacaine-hcl-in-herniorrhaphy-results-from-the-phase-3-epoch-2-study
#14
E Viscusi, H Minkowitz, P Winkle, S Ramamoorthy, J Hu, N Singla
PURPOSE: Currently available local anesthetics have not demonstrated sufficient analgesia beyond 12-24 h postoperatively. The purpose of the study was to assess the safety and efficacy of HTX-011 (bupivacaine and meloxicam in Biochronomer® polymer technology), a long-acting investigational anesthetic, in reducing both postoperative pain over 72 h and postoperative opioid use compared to bupivacaine hydrochloride (HCl). METHODS: A phase 3, randomized, double-blind, active-controlled multi-center study (EPOCH 2; NCT03237481) in subjects undergoing unilateral open inguinal herniorrhaphy with mesh placement was performed...
August 19, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31432287/safety-and-efficacy-of-prophylactic-resorbable-biosynthetic-mesh-following-midline-laparotomy-in-clean-contemned-field-preliminary-results-of-a-randomized-double-blind-prospective-trial
#15
F Pizza, D D'Antonio, M Arcopinto, C Dell'Isola, A Marvaso
BACKGROUND: Incisional hernia (IH) is one of the most common sequelae of laparotomy. MATERIALS AND METHODS: We present a double-blind randomized study examining feasibility, safety and incisional hernia rate using a prophylactic Bio-A biosynthetic stripe (Gore) in a sub-lay position after midline laparotomy in patients undergoing operations in clean-contaminated and contaminated field. One hundred patients who underwent a midline laparotomy of at least 10 cm in a clean-contaminated and contaminated field were considered...
August 20, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31493051/the-use-of-synthetic-mesh-in-contaminated-and-infected-abdominal-wall-repairs-challenging-the-dogma-a-long-term-prospective-clinical-trial
#16
C Birolini, J S de Miranda, E Y Tanaka, E M Utiyama, S Rasslan, D Birolini
BACKGROUND: Abdominal wall reconstruction in patients presenting with enteric fistulas and mesh infection is challenging. There is a consensus that synthetic mesh must be avoided in infected operations, and the alternatives to using synthetic mesh, such as component separation techniques and biologic mesh, present disappointing results with expressive wound infection and hernia recurrence rates. METHODS: A prospective clinical trial designed to evaluate the short- and long-term outcomes of 40 patients submitted to elective abdominal wall repair with synthetic mesh in the dirty-infected setting, and compared to a cohort of 40 patients submitted to clean ventral hernia repairs...
September 6, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31493052/original-concepts-in-anatomy-abdominal-wall-surgery-and-component-separation-technique-and-strategy
#17
M Cavalli, P G Bruni, F Lombardo, A Morlacchi, C Andretto Amodeo, G Campanelli
BACKGROUND: The abdominal wall can be considered comprised of two compartments: an anterior and a posterior compartment. The anterior compartment includes the anterior rectus sheath and the rectus muscle. The posterior compartment comprises the posterior rectus sheath, the transversalis fascia, and the peritoneum. When a large defect in the anterior compartment has to be corrected, for example, a rectus diastasis or large incisional hernia, an action on the anterior compartment is necessary; therefore, an anterior component separation has to be considered...
September 6, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31456098/primary-non-complicated-midline-ventral-hernia-is-laparoscopic-ipom-still-a-reasonable-approach
#18
S Van Hoef, T Tollens
PURPOSE: Ventral hernia repair has become a common procedure, but the way in which it is performed still depends on surgeon's skill, experience, and habit. The initial open approach is faced with extensive dissection and a high risk of infection and prolonged hospital stay. To tackle these problems, minimally invasive procedures are gaining interest. Several new techniques are emerging, but laparoscopic intra-peritoneal onlay mesh (IPOM) is still the mainstay for many surgeons. We will discuss why laparoscopic IPOM is still a valuable approach in the treatment of primary non-complicated midline hernias and review the current literature...
August 27, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31407109/emergency-repair-of-complicated-abdominal-wall-hernias-wses-guidelines
#19
B De Simone, A Birindelli, L Ansaloni, M Sartelli, F Coccolini, S Di Saverio, V Annessi, F Amico, F Catena
PURPOSE: In July 2013, the World Society of Emergency Surgery (WSES) held the first Consensus Conference on emergency repair of abdominal wall hernias in adult patients with the intention of producing evidence-based guidelines to assist surgeons in the management of complicated abdominal wall hernias. Guidelines were updated in 2017 in keeping with varying clinical practice: benefits resulting from the increased use of biological prosthesis in the emergency setting were highlighted, as previously published in the World Journal of Emergency Surgery...
August 12, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31420773/cutting-through-the-fat-a-retrospective-analysis-of-clinical-outcomes-cost-and-quality-of-life-with-the-addition-of-panniculectomy-to-ventral-hernia-repair-in-overweight-patients
#20
C E Hutchison, I A Rhemtulla, J T Mauch, R B Broach, F A Enriquez, J A Hernandez, C A Messa, N N Williams, S P Harbison, J P Fischer
BACKGROUND: Due to the increased prevalence of overweight patients with ventral hernia, abdominal wall reconstruction combining ventral hernia repair (VHR) with panniculectomy (VHR-PAN) in overweight patients is increasingly considered. We present a retrospective comparison between VHR-PAN and VHR alone in overweight patients by examining costs, clinical outcomes, and quality of life (QoL). METHODS: Patients with body mass index (BMI) > 25.0 kg/m2 underwent VHR-PAN or VHR alone between September 2015 and May 2017 with a single surgeon and were matched into cohorts by BMI and age (n = 24 in each cohort)...
August 16, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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