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Abdominal wall defect

Guglielmo Niccolò Piozzi, Riccardo Cirelli, Marco Enrico Mario Maino, Giovanni Lenna
Grynfeltt's lumbar hernia is a rare abdominal wall pathology with around 300 cases described in the literature. Recently, a therapeutically aimed classification was proposed analysing the size, location, contents, muscular atrophy, origin, and existence of the previous recurrence. Surgical repair is the only definitive treatment option through either an open or laparoscopic approach. An 87-year-old female came to consult for swelling in the right lumbar area without traumatic history. A smooth, reducible, and tender mass of 4 x 3 cm was described...
January 10, 2019: Curēus
Signe Gellert Hansen, Mehmet Berat Taskin, Menglin Chen, Lise Wogensen, Jens Vinge Nygaard, Susanne Maigaard Axelsen
Surgical outcome following pelvic organ prolapse (POP) repair needs improvement. We suggest a new approach based on a tissue-engineering strategy. In vivo, the regenerative potential of an electrospun biodegradable polycaprolactone (PCL) mesh was studied. Six different biodegradable PCL meshes were evaluated in a full-thickness abdominal wall defect model in 84 rats. The rats were assigned into three groups: (1) hollow fiber PCL meshes delivering two dosages of basic fibroblast growth factor (bFGF), (2) solid fiber PCL meshes with and without bFGF, and (3) solid fiber PCL meshes delivering connective tissue growth factor (CTGF) and rat mesenchymal stem cells (rMSC)...
March 19, 2019: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
V I Belokonev, S Yu Pushkin
AIM: To analyze clinical course and develop surgical technique for thoracoabdominal hernia in patients after previous sterno-mediastinitis. MATERIAL AND METHODS: There were 7 (20%) patients aged 53-69 years with thoracoabdominal hernia after previous cardiac surgery followed by postoperative sterno-mediastinitis. Thoracoomentoplasty was used for treatment of this complication. There were 2 males and 5 females. RESULTS: All patients underwent surgery aimed at translocation of the organs from mediastinum to abdominal cavity, restoring normal anatomical location of stomach, transverse colon and large omentum, stabilizing the thorax and closing the defects in the diaphragm and anterior abdominal wall...
2019: Khirurgiia
Yang Li, Pei-Yuan Li, Shi-Jing Sun, Yuan-Zhang Yao, Zhan-Fei Li, Tao Liu, Fan Yang, Lian-Yang Zhang, Xiang-Jun Bai, Jing-Shan Huo, Wu-Bing He, Jun Ouyang, Lei Peng, Ping Hu, Yan-An Zhu, Ping Jin, Qi-Feng Shao, Yan-Feng Wang, Rui-Wu Dai, Pei-Yang Hu, Hai-Ming Chen, Ge-Fei Wang, Yong-Gao Wang, Hong-Xu Jin, Chang-Ju Zhu, Qi-Yong Zhang, Biao Shao, Xi-Guang Sang, Chang-Lin Yin
Vacuum sealing drainage (VSD) is frequently used in abdominal surgeries. However, relevant guidelines are rare. Chinese Trauma Surgeon Association organized a committee composed of 28 experts across China in July 2017, aiming to provide an evidence-based recommendation for the application of VSD in abdominal surgeries. Eleven questions regarding the use of VSD in abdominal surgeries were addressed: (1) which type of materials should be respectively chosen for the intraperitoneal cavity, retroperitoneal cavity and superficial incisions? (2) Can VSD be preventively used for a high-risk abdominal incision with primary suture? (3) Can VSD be used in severely contaminated/infected abdominal surgical sites? (4) Can VSD be used for temporary abdominal cavity closure under some special conditions such as severe abdominal trauma, infection, liver transplantation and intra-abdominal volume increment in abdominal compartment syndrome? (5) Can VSD be used in abdominal organ inflammation, injury, or postoperative drainage? (6) Can VSD be used in the treatment of intestinal fistula and pancreatic fistula? (7) Can VSD be used in the treatment of intra-abdominal and extra-peritoneal abscess? (8) Can VSD be used in the treatment of abdominal wall wounds, wound cavity, and defects? (9) Does VSD increase the risk of bleeding? (10) Does VSD increase the risk of intestinal wall injury? (11) Does VSD increase the risk of peritoneal adhesion? Focusing on these questions, evidence-based recommendations were given accordingly...
February 14, 2019: Chinese Journal of Traumatology
Sang Hoon Lee, Sung Chul Park, Sung Joon Lee, Chang Don Kang, Seung-Joo Nam, Seung Yup Lee, Seong Kweon Hong, Seung Koo Lee
After gastrojejunostomy, a small space can occur between the jejunum at the anastomosis site, the transverse mesocolon, and retroperitoneum, which may cause an intestinal hernia. This report presents a rare case of intestinal ischemic necrosis caused by retroanastomotic hernia after subtotal gastrectomy. A 56-year-old male was admitted to Kangwon National University Hospital with melena, abdominal pain, and nausea. His only relevant medical history was gastrectomy due to stomach cancer. Endoscopic findings revealed subtotal gastrectomy with Billroth-II reconstruction and a bluish edematous mucosal change with necrotic tissue in afferent and efferent loops including the anastomosis site...
February 25, 2019: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
Apoorv Narang, Victoria Carlsen, Audrey Long, Malcolm Battin, Vipul Upadhyay, Lynn Sadler, Peter Stone
BACKGROUND: Anterior abdominal wall defects, including gastroschisis and omphalocoele, are common fetal anomalies. The management remains complicated, and their diagnosis may lead to significant parental distress. Effective parental counselling may impact on parental perceptions of the defect and help guide pregnancy management. AIMS: Using contemporary data, we aimed to describe clinical outcomes of patients with gastroschisis or omphalocoele in order to provide information for clinicians to assist in parental counselling...
March 6, 2019: Australian & New Zealand Journal of Obstetrics & Gynaecology
Federico Fiori, Francesco Ferrara, Daniele Gentile, Davide Gobatti, Marco Stella
BACKGROUND: Endoscopic technique is a valid and safe approach for the treatment of abdominal wall defects. To combine the advantages of complete endoscopic extraperitoneal surgery with those of sublay mesh repair we propose Totally Endoscopic Sublay Anterior Repair (TESAR) a safe and feasible approach for the treatment of ventral and incisional midline hernias. METHODS: From May to November 2018, 12 patients were referred to our unit for clinical and radiological diagnosis of midline ventral or incisional hernia and selected for TESAR...
February 26, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
T Bara, S Gurzu, C Borz, M Muresan, I Jung, Z Fulop, T Bara
PURPOSE: Incisional hernia is the most common complication of laparotomy. Postoperative parietal defects tend to relapse, even after the most optimal surgical methods. The aim of this study was to present the effectiveness of an adapted retromuscular technique with prolene mesh and a hernial sac, in patients with large incisional median hernias. The reported results were obtained by our team after more than 15 years of experience. METHODS: This retrospective study included 139 consecutive cases of large median incisional hernias operated on using a retromuscular mesh and hernial sac technique...
February 26, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
B Pérez-Köhler, S Benito-Martínez, M Rodríguez, F García-Moreno, G Pascual, J M Bellón
PURPOSE: Biomaterials with an antimicrobial coating could avoid mesh-associated infection following hernia repair. This study assesses the use of a chlorhexidine-loaded carboxymethylcellulose gel in a model of Staphylococcus aureus mesh infection. METHODS: A 1% carboxymethylcellulose gel containing 0.05% chlorhexidine was prepared and tested in vitro and in vivo. The in vitro tests were antibacterial activity (S. aureus; agar diffusion test) and gel cytotoxicity compared to aqueous 0...
February 26, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
R E Aliotta, J Gatherwright, D Krpata, S Rosenblatt, M Rosen, R Gurunluoglu
INTRODUCTION: Patients who require highly complex abdominal wall hernia repair with composite soft tissue free flap coverage represent the most challenging population, and the most difficult to definitively treat. For many, this combined procedure represents their last chance to restore any sense of normalcy to their lives. To date, patient reported post-operative outcomes have been limited in the literature, in particular, quality of life has been an under-reported component of successful management...
February 23, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Khairunnisa Che Ghazali, Haniif Ahmad Mazian, Kim Choon Keat, Michael Wong Pak Kai, Mohd Nizam Md Hashim, Andee Dzulkarnaen Zakaria, Wan Zainira Wan Zain, Zaidi Zakaria, Arman Zaharil Mat Saad, Wan Azman Wan Sulaiman, Nurul Atiqah Ahmad Zaidi, Hasnan Jaafar
Natural history of abdominal wall soft tissue sarcoma is still poorly understood due to its rarity. In unpublished data of our institution, only seven cases of abdominal wall soft sarcoma with ICD-10 coding of 49.4 were found for past 10 years. We illustrate a case of juvenile fibrosarcoma of anterior abdominal wall. This is a case of young girl with anterior abdominal wall tumour, underwent wide local excision with immediate reconstruction. There are few options of surgical treatment for this case, but which is the best...
February 2019: Journal of Surgical Case Reports
Housem Fadhl, Amal Suhool, Gianfranco Donatelli, David Fuks, Guillaume Pourcher
BACKGROUND: Laparoscopic sleeve gastrectomy is the most common bariatric procedure worldwide, commonly performed using laparoscopic multiport. Feasibility and safety of single-port sleeve gastrectomy (SPSG) have been proved. We reported a standardized procedure describing the different steps as a reference for bariatric surgeons. MATERIALS: Two news concepts are necessary: "surgical corridor," surgeon working in a small intraperitoneal area is less disturbed by excess abdominal fat and liver hypertrophy; "parietal space" is the area in the abdominal wall through the instruments are introduced, it's important to preserve this...
February 19, 2019: Obesity Surgery
Wendy Jo Svetanoff, Benjamin Zendejas, Farokh R Demehri, Alex Cuenca, Bharath Nath, C Jason Smithers
Introduction: There are no reported survivors of gastroschisis with complete liver herniation. We describe a case report of two patients, one of whom survived. Case #1: The patient was born with gastroschisis and herniation of the entire liver. Along with silo placement, the abdominal fascia was attached to an external traction system for growth. Complete closure was achieved at 5 months. Due to pulmonary hypoplasia, high-frequency ventilation was required. The patient is doing well, on a home ventilator wean, at 20 months...
2019: Case Reports in Surgery
Zheng-Ying Jiang, Ming-Zhuo Liu, Zhong-Hua Fu, Xin-Cheng Liao, Guang-Hua Guo
With aging populations and the increased incidence of cerebrovascular disease, diabetes, and other diseases, more and more patients suffer from pressure injuries. Pressure injuries are often difficult to heal because of the presence of sinus tracts, which make it difficult to clean and change dressings. Sinus wounds are common in patients with pressure injuries, but also occur after abdominal wall incision and in patients who have experienced a physical trauma that created a wound. It is difficult for clinicians to observe, evaluate, and repair sinus wounds because of the small surface defect and large and deep basement of each wound...
November 2018: Advances in Skin & Wound Care
Elliot T Walters, Kevin D Han, Anna C Howell, Michael V DeFazio, Reuben Falola, Sarah R Sher, Thomas M Fishbein, Cal S Matsumoto, Karen K Evans
No abstract text is available yet for this article.
November 1, 2018: American Surgeon
Ming-Chun Chen, Jian-Han Chen, Yun Chen, Ya-Hui Tsai, Cheng-Hung Lee
PURPOSE: This study aims to identify the prevalence of Congenital abdominal wall defects (AWD), hospital outcomes, and related congenital abnormalities in Taiwan by using the National Health Insurance Research Database (NHIRD). MATERIALS AND METHODS: From 1998 through 2013, all pediatric patients with AWD were collected via ICD-9-CM diagnostic code 756.7x ("congenital anomalies of abdominal wall") or procedure codes (54.71, 54.72 for Gastroschisis repair (GS-repair); 54...
December 28, 2018: Journal of Pediatric Surgery
Paul L Tenzel, Robert G Johnson, Jordan A Bilezikian, William F Powers, William W Hope
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 measure abdominal wall tension from 8/1/2013 to 8/2/2017...
February 1, 2019: Surgical Technology International
Marc Miserez, An P Jairam, Geesien S A Boersema, Yves Bayon, Johannes Jeekel, Johan F Lange
BACKGROUND: Prosthetic materials for the repair of abdominal wall defects have been studied extensively to improve outcome. A new approach can be the use of a slowly resorbable synthetic mesh, which aims to combine advantages of both synthetic and biological meshes. 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...
January 30, 2019: Journal of Surgical Research
Nobutoshi Tsukuda, Shuhei Komatsu, Tatsuya Kumano, Yumi Matsumuro, Atsuki Ohta, Ryota Tsuji, Keita Minowa, Sachie Tanaka, Kenichiro Imura, Katsumi Shimomura, Jun Ikeda, Fumihiro Taniguchi, Yasuhiro Shioaki
Laparoscopy and endoscopy cooperative surgery(LECS)is an excellent surgical procedure that utilizes the advantages of both methods. Furthermore, non-exposed endoscopic wall-inversion surgery(NEWS)is a more promising procedure that enables avoidance of tumor exposure of and dissemination to the abdominal cavity. However, NEWS has the potential risk of postoperative ulceration, leading to delayed perforation because of mucosal defect. We invented a modified NEWS, which was a safe procedure, by including the all-layer suture to close the mucosal defect...
December 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Pyong Wha Choi
INTRODUCTION: Although vascular anatomy of the rectum is complex, pseudoaneurysm followed by massive hemoperitoneum after rectal impalement injury is extremely rare. CASE PRESENTATION: A 43-year-old man presented with abdominal distension. One day earlier, he had undergone sigmoid loop colostomy for rectal implement injury at a local hospital. After the operation, he had become hemodynamically unstable. Digital rectal examination showed a penny-sized anterior rectal wall defect 6 cm from the anal verge...
January 19, 2019: International Journal of Surgery Case Reports
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