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hernia, abdominal wall

Rahima Nenshi, Cécile Bensimon, Trevor Wood, Frances Wright, Andrew J. Smith, Fred Brenneman
Background: Many cancer survivors live with postoperative complex abdominal wall hernias (CAWHs). However, the impact of CAWHs on their quality of life is unknown, and few descriptions of patient experiences exist. We performed a qualitative study to explore cancer survivors’ experience with CAWHs before and after repair. Methods: Patients waiting to undergo CAWH repair or who had completed the surgery in the previous 18 months were identified from a single surgeon’s practice in CAWH at a tertiary care centre...
March 22, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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
Arthur Bloemen, Marlies J Keijzers, Joop L M Konsten, Frits Aarts, F Jeroen Vogelaar
A symptomatic arcuate line hernia should be considered in patients with acute lower abdominal complaints. This rare internal herniation is caused by a sharp ending of the posterior aponeurotic sheath of the rectus muscle, rather than the more common gradual delineation, and can cause strangulation or incarceration of abdominal contents.
March 2019: Clinical Case Reports
Yuval Ramot, Noam Kronfeld, Michal Steiner, Guy Klaiman, Amir Hadid, Michal Sudak, Abraham Nyska
Self-adhesive meshes are being developed to avoid complications due to traumatic fixation methods. LifeMesh™ is a novel self-adhesive mesh with a biodegradable gelatin adhesive layer developed for hernia repair. The aim of this study was to assess the safety and biodegradability of LifeMesh in Sprague-Dawley (SD) rats for 6 weeks, in comparison to a bare polypropylene (BPP) mesh fixed with sutures. LifeMesh was tolerated well and its implantation did not result in any adverse local reaction, and its adhesive layer was substantially degraded after 4 weeks...
March 21, 2019: Toxicologic Pathology
I Armendáriz-Buil, S Gil-Caballero, M A Guibert-Bayona, A M Martín-Rubio, J M Vicente de Vera-Floristán, J Del Río-Manterola
High abdominal wall surgery may require general anesthesia but, in patients with high risk of difficult airway and respiratory complications, local or regional anesthesia is the choice whenever possible. Spinal anesthesia usually used (both isobaric and hyperbaric) could compromise the respiratory function due to blockade of the T6 metamere or higher. Hypobaric spinal anesthesia (HSA) at low doses (3.6 cc of 0.1% hypobaric bupivacaine plus 0.2 cc of 0.005% fentanyl) achieves sufficient analgesia with minimal motor blockade...
March 21, 2019: Anales del Sistema Sanitario de Navarra
Nellie Bering Zinther, Hans Friis-Andersen
Treatment of ventral hernias with "loss of domain" is a surgical challenge, and in this review, an overview of the current literature is presented. Abdominal compliance can be increased intra-operatively by performing component separation and/or organ reduction but leads to increased post-operative morbidity. As a result, preoperative methods, which increase abdominal compliance, are of interest: tissue expanders, progressive pneumoperitoneum, and botulinum toxin A. The aim of them all is to expand the abdominal wall allowing reconstruction while reducing complications...
March 4, 2019: Ugeskrift for Laeger
Sen Wang, Qingyang Meng, Jun Gao, Yuqin Huang, Jie Wang, Yang Chong, Youquan Shi, Huaicheng Zhou, Wei Wang, Dong Tang, Daorong Wang
Background: Due to the technical difficulty, it is not common to close the pelvic peritoneum in laparoscopic abdominoperineal resection (LAPR) in China, which increases the risk of related complications. Permanent sigmoid colostomy is performed through the transperitoneal route conventionally in LAPR. This leads to the high occurrence of parastomal hernias and bowel obstructions. To prevent the complications and reduce surgical costs of LAPR, we performed some modifications for it. Methods: 38 patients diagnosed with low rectal cancer during July 2014 to July 2016 received LAPR with our modifications...
2019: Gastroenterology Research and Practice
Hassan Nasser, Semeret Munie, Dania Shakaroun, Tommy Ivanics, Surya Nalamati, Keith Killu
Introduction: Isolated Clostridium difficile small bowel enteritis is a rare condition with significant morbidity and mortality. Presentation of Case: An 83-year-old female with refractory ulcerative colitis underwent a total proctocolectomy and end ileostomy. Her postoperative course was complicated with return to the operating room for repair of an incarcerated port site hernia. Subsequently, she developed septic shock and multiorgan failure requiring intubation and mechanical ventilation, renal replacement therapy, and high dose vasopressors...
2019: Case Reports in Critical Care
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
Yiting Liu, Huiqi Yang, Jie Chen, Yingmo Shen
No abstract text is available yet for this article.
March 4, 2019: Panminerva Medica
David K Halpern, Raelina S Howell, Harika Boinpally, Cristina Magadan-Alvarez, Patrizio Petrone, Collin E M Brathwaite
Background: Robotic complex abdominal wall reconstruction (r-AWR) using transversus abdominis release (TAR) is associated with decreased wound complications, morbidity, and length of stay compared with open repair. This report describes a single-institution experience of r-AWR. Methods: A retrospective chart review was performed on patients who underwent r-AWR by a single surgeon (D.H.) from August 2015 through October 2018. Results: Fifty-five patients underwent r-AWR (16 males [29%] and 39 females [71%]) with a mean age of 60...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
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
M Glauser Philippe, Brosi Philippe, Speich Benjamin, A Käser Samuel, Heigl Andres, Robert Rosenberg, A Maurer Christoph
OBJECTIVES: Incisional hernia, a serious complication after laparotomy, is associated with high morbidity and costs. This trial examines the value of prophylactic intraperitoneal onlay mesh to reduce the risk of incisional hernia after a median follow-up time of 5.3 years. METHODS: We conducted a parallel group, open-label, single center, randomized controlled trial (NCT01003067). After midline incision, the participants were either allocated to abdominal wall closure according to Everett with a PDS-loop running suture reinforced by an intraperitoneal composite mesh strip (Group A) or the same procedure without the additional mesh strip (Group B)...
March 1, 2019: World Journal of Surgery
Verónica Gómez-Gil, Marta Rodríguez, Francisca García-Moreno Nisa, Bárbara Pérez-Köhler, Gemma Pascual
INTRODUCTION: Reticular hybrid meshes represent an alternative material for intraperitoneal repair of abdominal hernias. These consist of a reticular mesh coated or interwoven/knitted with inert materials. This study assesses the performance of two reticular polypropylene-containing hybrid meshes, TiMESH (coated with titanium) and DynaMesh (interwoven with polyvinylidene fluoride), in vitro, as well as their efficiency in adhesion prevention and tissue incorporation in an intraperitoneal model...
2019: PloS One
Casey T Kraft, Jeffrey E Janis
INTRODUCTION: Ventral hernias are a common problem after exploratory laparotomy, and plastic surgeons often become involved for hernia repair in complex situations. Plastic surgeons can achieve fascial closure through primary repair, an external oblique aponeurosis release, or a transversus abdominis release. Currently, there is scant literature evaluating venous thromboembolism (VTE) rates after these procedures. We sought to evaluate our own experience with complex abdominal wall reconstruction and VTE events...
February 15, 2019: Plastic and Reconstructive Surgery
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
Vincenzo Davide Palumbo, Benedetto Di Trapani, Antonio Bruno, Mario Feo, Bernardo Molinelli, Simone Tomasini, Attilio Ignazio Lo Monte, Marianna Messina, Giovanni Tomasello
INTRODUCTION: Hepatic abscess can be defined as an encapsulated collection of suppurative material within the liver parenchyma. Hepatic abscess can be distinguished as pyogenic, amebic, or fungal. Biliary tract disease remains the most common cause of hepatic abscess today, and the most common complications range from pleural effusion, empyema, and bronchohepatic fistula to subphrenic abscess and rupture into the peritoneal cavity, stomach, colon, vena cava, or kidney. A large abscess compressing the inferior vena cava and the hepatic veins may result in Budd-Chiari syndrome...
February 25, 2019: Journal of Medical Case Reports
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
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