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Hernia

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562 papers 500 to 1000 followers Abdominal Ventral Hernia
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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
https://read.qxmd.com/read/31421893/is-non-operative-management-warranted-in-ventral-hernia-patients-with-comorbidities-a-case-matched-prospective-3-year-follow-up-patient-centered-study
#8
Karla Bernardi, Alexander C Martin, Julie L Holihan, Oscar A Olavarria, Juan R Flores-Gonzalez, Deepa V Cherla, Nicole B Lyons, Puja Shah, Lillian S Kao, Tien C Ko, Mike K Liang
BACKGROUND: We hypothesized that long-term quality of life (QoL) is improved among patients with ventral hernias (VHs) and comorbid conditions managed operatively than with non-operative management. METHODS: This was the 3-year follow-up to a prospective observational study of patients with comorbid conditions and VHs. Primary outcome was change in QoL measured utilizing the modified Activities Assessment Scale (AAS), a validated, hernia-specific survey. Outcomes were compared using: (1)paired t-test on matched subset and (2)multivariable linear regression on the overall cohort...
August 7, 2019: American Journal of Surgery
https://read.qxmd.com/read/31422492/a-systematic-review-on-surgical-treatment-of-primary-epigastric-hernias
#9
REVIEW
L Blonk, Y A Civil, R Kaufmann, J C F Ket, S van der Velde
OBJECTIVE: In this systematic review, we evaluated all literature reporting on the surgical treatment of primary epigastric hernias, primarily focusing on studies comparing laparoscopic and open repair, and mesh reinforcement and suture repair. METHODS: A literature search was conducted in Embase.com, PubMed and the Cochrane Library up to 24 April 2019. This review explicitly excluded literature on incisional hernias, ventral hernias not otherwise specified, and isolated (para)umbilical hernias...
August 17, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/31418302/current-trends-in-hernia-surgery-in-nhs-england
#10
M Pawlak, B Tulloh, A de Beaux
BACKGROUND: Mesh is recommended for the repair of most hernias when prevention of recurrence is the primary endpoint. However, mesh may be associated with increased complications for the patient. The aim of this study was to quantify the use of mesh for abdominal wall hernia surgery in NHS England in recent years. MATERIALS AND METHODS: The NHS Digital Secondary Uses Service database for 2016/17 and 2017/18 was interrogated for numbers of patient undergoing elective primary hernia surgery...
August 16, 2019: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/31365365/primary-fascial-closure-during-laparoscopic-ventral-hernia-repair-improves-patient-quality-of-life-a-multicenter-blinded-randomized-controlled-trial-nct02363790
#11
Karla Bernardi, Oscar A Olavarria, Julie L Holihan, Lillian S Kao, Tien C Ko, John S Roth, Shawn Tsuda, Khashayar Vaziri, Mike K Liang
BACKGROUND: Observational studies have reported conflicting results with primary fascial closure (PFC) versus bridged repair during laparoscopic ventral hernia repair (LVHR). OBJECTIVE: The aim of the study was to determine whether when evaluated in a randomized controlled trial (RCT), PFC compared to bridged repair would improve patient quality of life (QoL). METHODS: In this blinded, multicenter RCT, patients scheduled for elective LVHR (hernia defects 3 to 10 cm on computed tomography scan) were randomized to PFC versus bridged repair...
July 30, 2019: Annals of Surgery
https://read.qxmd.com/read/31391112/incisional-hernia-recurrence-after-open-elective-repair-expertise-in-abdominal-wall-surgery-matters
#12
J A Pereira, A Bravo-Salva, B Montcusí, S Pérez-Farre, L Fresno de Prado, M López-Cano
BACKGROUND: Recurrence after incisional hernia repair is one of the major problems related with this operation. Our objective is to analyze the influence of abdominal wall surgery expertise in the results of the open elective repair of incisional hernia. METHODS: We have compiled the data of a cohort of patients who received surgery for an incisional hernia from July 2012 to December 2015 in a University Hospital. Data were collected prospectively and registered in the Spanish Register of Incisional Hernia (EVEREG)...
August 7, 2019: BMC Surgery
https://read.qxmd.com/read/31399945/are-online-surgical-discussion-boards-a-safe-and-useful-venue-for-surgeons-to-ask-for-advice-a-review-of-the-international-hernia-collaboration-facebook-group
#13
Karla Bernardi, Alexis N Milton, William Hope, John Scott Roth, Shinil K Shah, Puja Shah, Nicole B Lyons, Alexander C Martin, Julie L Holihan, Deepa V Cherla, Tien C Ko, Tyler G Hughes, Mike K Liang
BACKGROUND: Social media is a growing medium for disseminating information among surgeons. The International Hernia Collaboration Facebook Group (IHC) is a widely utilized social media platform to share ideas and advice on managing patients with hernia-related diseases. Our objective was to assess the safety and utility of advice provided. METHODS: Overall, 60 consecutive de-identified clinical threads were extracted from the IHC in reverse chronological order. A group of three hernia specialists evaluated all threads for unsafe posts, unhelpful comments, and if an established evidence-based management strategy was provided...
August 9, 2019: Surgical Endoscopy
https://read.qxmd.com/read/31399946/evaluation-of-anterior-versus-posterior-component-separation-for-hernia-repair-in-a-cadaveric-model
#14
Arnab Majumder, Luis A Martin-Del-Campo, Heidi J Miller, Dina Podolsky, Hooman Soltanian, Yuri W Novitsky
BACKGROUND: Component separation remains an integral step during ventral hernia repair. Although a multitude of techniques are described, anterior component separation (ACS) via external oblique release (EOR) and posterior component separation (PCS) via transversus abdominis muscle release (TAR) are commonly utilized. The extent of myofascial medialization after ACS or PCS has not been well elucidated. We conducted a comparative analysis of ACS versus PCS in an established cadaveric model...
August 9, 2019: Surgical Endoscopy
https://read.qxmd.com/read/20501011/which-mesh-for-hernia-repair
#15
REVIEW
C N Brown, J G Finch
INTRODUCTION: The concept of using a mesh to repair hernias was introduced over 50 years ago. Mesh repair is now standard in most countries and widely accepted as superior to primary suture repair. As a result, there has been a rapid growth in the variety of meshes available and choosing the appropriate one can be difficult. This article outlines the general properties of meshes and factors to be considered when selecting one. MATERIALS AND METHODS: We performed a search of the medical literature from 1950 to 1 May 2009, as indexed by Medline, using the PubMed search engine (www...
May 2010: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/28739123/effects-of-modifiable-non-modifiable-and-clinical-process-factors-in-ventral-hernia-repair-surgical-site-infections-a-retrospective-study
#16
John Chipko, Anthony DeSantis, Erik Quinn, Vic Velanovich
BACKGROUND: The hypothesis of this study is that non-modifiable factors are more important in ventral hernia repair (VHR) surgical site infection (SSI) than care process factors. METHODS: All VHR's which were reviewed retrospectively for both NSQIP-recorded data, and also: preoperative hospitalization, existing mesh, enterocutaneous fistula, open wound, case month, case day, case length, prophylactic antibiotics, skin preparation, other procedure performed, re-do operation, estimate blood loss, hernia size, repair approach, repair type, mesh used, skin closure, suture type, use of drains, and dressing...
November 2017: American Journal of Surgery
https://read.qxmd.com/read/27785629/effect-of-hernia-size-on-operative-repair-and-post-operative-outcomes-after-open-ventral-hernia-repair
#17
K E Poruk, N Farrow, F Azar, K K Burce, C W Hicks, S C Azoury, P Cornell, C M Cooney, F E Eckhauser
BACKGROUND: Ventral hernia repair (VHR) is a commonly performed operation, but analysis of patient outcomes based upon hernia size is lacking. We sought to identify differences in operative repair and post-operative morbidity and mortality after open VHR based on hernia defect size. METHODS: Patient and operative data were retrospectively reviewed on all patients undergoing open incisional VHR between January 2008 and February 2015 by a single surgeon at the Johns Hopkins Hospital...
December 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/26014327/identification-of-implanted-mesh-after-incisional-hernia-repair-using-an-automated-breast-volume-scanner
#18
COMPARATIVE STUDY
Jun Wu, Yuanyuan Wang, Jinhua Yu, Yue Chen, Yun Pang, Xuehong Diao, Zhiying Qiu
OBJECTIVES: This study aimed to evaluate the utility of an automated breast volume scanner (ABVS) versus handheld ultrasound (US) for identifying implanted mesh after incisional hernia repair. METHODS: In vitro, the appearances of 3 samples of different flat mesh and a mesh plug on both ABVS and handheld US examinations were evaluated. In vivo, 97 patients received both ABVS and handheld US examinations in the incisional region. The frequency used for handheld US was 11 MHz...
June 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/26886012/proposed-technique-for-open-repair-of-a-small-umbilical-hernia-and-rectus-divarication-with-self-gripping-mesh
#19
B J Privett, M Ghusn
INTRODUCTION: There are a group of patients in which umbilical or epigastric hernias co-exist with rectus divarication. These patients have weak abdominal musculature and are likely to pose a higher risk of recurrence following umbilical hernia repair. We would like to describe a technique for open repair of small (<4 cm) midline hernias in patients with co-existing rectus divarication using self-adhesive synthetic mesh. The use of a self-adhesive mesh avoids the need for suture fixation of the mesh in the superior portion of the abdomen, allowing for a smaller skin incision...
August 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/27655239/carolinas-comfort-scale-as-a-measure-of-hernia-repair-quality-of-life-a-reappraisal-utilizing-3788-international-patients
#20
MULTICENTER STUDY
B Todd Heniford, Amy E Lincourt, Amanda L Walters, Paul D Colavita, Igor Belyansky, Kent W Kercher, Ronald F Sing, Vedra A Augenstein
OBJECTIVE: The goal of the present study was to reaffirm the psychometric properties of the CCS using an expansive, multinational cohort. BACKGROUND: The Carolinas Comfort Scale (CCS) is a validated, disease-specific, quality of life (QOL) questionnaire developed for patients undergoing hernia repair. METHODS: The data were obtained from the International Hernia Mesh Registry, an American, European, and Australian prospective, hernia repair database designed to capture information delineating patient demographics, surgical findings, and QOL using the CCS at 1, 6, 12, and 24 months postoperatively...
January 2018: Annals of Surgery
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