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Seroma after laparoscopic repair

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https://read.qxmd.com/read/30900956/should-we-routinely-close-the-fascial-defect-in-laparoscopic-ventral-and-incisional-hernia-repair
#1
Emmanuel E Sadava, María E Peña, Francisco Schlottmann
INTRODUCTION: Closure of the hernia defect during laparoscopic ventral hernia repair (LVHR) remains controversial. We aimed to analyze whether closing hernia defects impacts in postoperative morbidity and recurrence rates after LVHR. MATERIALS AND METHODS: A consecutive series of patients undergoing LVHR from January 2014 to June 2017 with a minimum follow-up of 6 months were included. The sample was divided into two groups: DC, patients with fascial defect closure and NDC, patients without closure of the defect...
March 21, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30887379/two-year-patient-related-outcome-measures-prom-of-primary-ventral-and-incisional-hernia-repair-using-a-novel-three-dimensional-composite-polyester-monofilament-mesh-the-symchro-registry-study
#2
J F Gillion, M Lepere, C Barrat, O Cas, A Dabrowski, F Jurczak, H Khalil, C Zaranis
PURPOSE: This study examined patient-related outcome measures (PROMs) after repair of ventral primary or incisional hernias using Symbotex™ composite mesh (SCM), a novel three-dimensional collagen-coated monofilament polyester textile. METHODS: Pre-operative, peri-operative, and post-operative data were obtained from the French "Club Hernie" registry with 12- and 24-month follow-up. RESULTS: One-hundred consecutive patients (mean age 62...
March 18, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/30868322/laparoscopic-versus-open-repair-of-groin-hernias-in-children-a-systematic-review-and-meta-analysis
#3
Christoffer Skov Olesen, Kristoffer Andresen, Stina Öberg, Jacob Rosenberg
BACKGROUND: Regarding groin hernia repair in children, guidelines do not favor open or laparoscopic repair. Even so, most surgeons prefer an open technique. The aim of this systematic review was to compare short- and long-term outcomes after laparoscopic and open groin hernia repair in children. METHODS: Systematic searches were conducted in three databases, and all randomized controlled trials comparing laparoscopic and open groin hernia repair in children under 18 years were included...
March 13, 2019: Surgical Endoscopy
https://read.qxmd.com/read/30790084/posterior-component-separation-with-transversus-abdominis-release-tar-for-repair-of-complex-incisional-hernias-after-orthotopic-liver-transplantation
#4
L Tastaldi, J A Blatnik, D M Krpata, C C Petro, A Fafaj, H Alkhatib, M Svestka, S Rosenblatt, A S Prabhu, M J Rosen
BACKGROUND: Incisional hernias (IH) after orthotopic liver transplant (OLT) are challenging due to their concurrent midline and subcostal defects adjacent to bony prominences in the context of lifelong immunosuppression. To date, no studies evaluated the posterior component separation with transversus abdominis release (TAR) to repair complex IH after OLT. We aim to report the outcomes of TAR in this scenario. STUDY DESIGN: OLT patients who underwent open, elective IH repair with TAR performed at two centers and with a minimum of 1-year follow-up were identified in the Americas Hernia Society Quality Collaborative (AHSQC)...
February 21, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/30767697/laparoscopic-modified-keyhole-technique-with-coated-polyester-mesh-for-treatment-of-parastomal-hernia-measures-for-improving-the-outcome
#5
Stefano Olmi, Alberto Oldani, Matteo Uccelli, Bruno Scotto, Giovanni Cesana, Francesca Ciccarese, Roberta Villa, Riccardo Giorgi
PURPOSE: Although the modified Sugarbaker technique gives good results for the treatment of parastomal hernia (PH), there are other valid options for the treatment of this frequent complication. In our practice, the laparoscopic keyhole (KH) technique, with some specific modifications, can give similar results. MATERIALS AND METHODS: We collected data on all the patients with symptomatic PHs who underwent surgical repair between January 2002 and December 2017 in our surgical department...
February 15, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/30734117/intraoperative-adjunctive-techniques-to-reduce-seroma-formation-in-laparoscopic-inguinal-hernioplasty-a-systematic-review
#6
J Li, W Gong, Q Liu
BACKGROUND: Seroma formation is the most common postoperative complication after laparoscopic inguinal hernia repair. Recurrence and seroma formation may be difficult to distinguish. Many adjunctive techniques with which to reduce the incidence of seroma formation after laparoscopic inguinal repair have been described in the literature; however, the evidence for using intraoperative adjunctive techniques is limited. Therefore, the present systematic review was performed to evaluate the effects and limitations of adjunctive techniques used during laparoscopic inguinal hernia repair...
February 8, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/30697653/combined-open-and-laparoscopic-approach-for-repair-of-flank-hernias-technique-description-and-medium-term-outcomes-of-a-single-surgeon
#7
P H F Amaral, L Tastaldi, P H F Barros, I P Abreu Neto, B L Hernani, H Brasil, C J L Mendes, M Y Franciss, A M Pacheco, R Altenfelder Silva, S Roll
PURPOSE: A residual bulge in the lateral abdominal wall is a reason for patient dissatisfaction after flank hernia repair (FHR). We hypothesized that combining a laparoscopically-placed intraperitoneal mesh (IPOM) with onlay hernia repair performed through a small open incision would increase repair durability and decrease such residual bulges. We aim to report our medium-term outcomes with this technique. METHODS: Patients who have undergone FHR using the technique described above from March 2013 through June 2017 were identified in a prospectively maintained database...
January 30, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/30675994/modified-laparoscopic-keyhole-plus-repair-to-manage-a-parastomal-hernia-a-single-center-experience
#8
Subbiah Rajapandian, Samrat V Jankar, Harish Kakkilaya, Sandeep Sabnis, Parathasarthi Ramkrishana, Praveenraj Palanivelu, Palanivelu Chinnusamy
INTRODUCTION: Parastomal hernia (PH) is a common late complication of stoma formation for which laparoscopic repair is a well-accepted modality of treatment. Keyhole repair has been frequently reported with recurrence, but our modification in surgical technique have lesser and acceptable recurrence rates. The present study aimed to assess the results of modified laparoscopic keyhole plus repair in the treatment of symptomatic PH. METHODS: We reviewed our prospectively maintained database to search for patients who had undergone laparoscopic modified keyhole repair between January 2008 and April 2018...
January 24, 2019: Asian Journal of Endoscopic Surgery
https://read.qxmd.com/read/30586011/closure-of-direct-inguinal-hernia-defect-in-laparoscopic-hernioplasty-to-prevent-seroma-formation-a-prospective-double-blind-randomized-controlled-trial
#9
Yilin Zhu, Min Liu, Junsheng Li, Minggang Wang
OBJECTIVES: Seroma is the most frequent postoperative complication after laparoscopic direct inguinal hernia repair. This randomized controlled trial evaluated the preventive effect of a simple technique by closing the direct hernia defect with barbed suture in laparoscopic direct inguinal hernia. METHODS: In total, 60 patients aged 18 years or older who presented to the hernia center department in our hospital between October 1, 2017 and January 1, 2018 with primary direct inguinal hernia were randomized into the defect-closing group (by closing the transversalis) and the control groups...
February 2019: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/30539974/subcutaneous-onlay-laparoscopic-approach-scola-for-ventral-hernia-and-rectus-abdominis-diastasis-repair-technical-description-and-initial-results
#10
Christiano Marlo Paggi Claus, Flavio Malcher, Leandro Totti Cavazzola, Marcelo Furtado, Alexander Morrell, Mauricio Azevedo, Luciana Guimarães Meirelles, Heitor Santos, Rodrigo Garcia
BACKGROUND: Diastasis of the rectus abdominis muscles (DMRA) is frequent and may be associated with abdominal wall hernias. For patients with redudant skin, dermolipectomy and plication of the diastasis is the most commonly used procedure. However, there is a significant group of patients who do not require skin resection or do not want large incisions. AIM: To describe a "new" technique (subcutaneous onlay laparoscopic approach - SCOLA) for the correction of ventral hernias combined with the DMRA plication and to report the initial results of a case series...
December 6, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://read.qxmd.com/read/30505826/traumatic-lumbar-hernia-clinical-features-and-management
#11
Youngeun Park, Min Chung, Min A Lee
Purpose: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias. Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed. Results: We included 5 men and 4 women (mean age, 55 years; range, 23-71 years)...
December 2018: Annals of Surgical Treatment and Research
https://read.qxmd.com/read/30478697/long-term-follow-up-of-endoscopic-totally-extraperitoneal-direct-inguinal-hernia-repair-using-the-endoloop-technique
#12
Emma Clout, Mirun Thayaparan, Cameron Douglas, Christophe R Berney
INTRODUCTION: The pre-tied suture Endoloop™ technique for plication of the weakened transversalis fascia is efficient in post-operative seroma prevention, after laparoscopic/endoscopic direct inguinal hernia repair. No studies have evaluated long-term tolerability of this new technique in regards to chronic pain and hernia recurrence. METHODS: Prospective longitudinal evaluation study of consecutive patients treated with Endoloop™ for M2 or M3 direct defects, during endoscopic totally extraperitoneal approach...
November 26, 2018: Surgical Endoscopy
https://read.qxmd.com/read/30449696/long-term-assessment-of-surgical-and-quality-of-life-outcomes-between-lightweight-and-standard-heavyweight-three-dimensional-contoured-mesh-in-laparoscopic-inguinal-hernia-repair
#13
Michael R Arnold, Kathleen M Coakley, Eric J Fromke, Steve A Groene, Tanu Prasad, Paul D Colavita, Vedra A Augenstein, Kent W Kercher, B Todd Heniford
BACKGROUND: Mesh weight is a possible contributor to quality-of-life outcomes after inguinal hernia repair. This study compares lightweight mesh versus heavyweight mesh in laparoscopic inguinal hernia repair. METHODS: A prospective, single-center, hernia-specific database was queried for all adult laparoscopic inguinal hernia repair with three-dimensional contoured mesh (3-D Max, Bard, Inc, New Providence, NJ) from 1999 to June 2016. Demographics and outcomes were analyzed...
April 2019: Surgery
https://read.qxmd.com/read/30426713/complete-intracorporeal-defect-closure-using-unidirectional-barbed-suture-in-laparoscopic-incisional-hernia-repair-preliminary-experience-with-short-term-follow-up
#14
Shingo Tsujinaka, Nao Kakizawa, Rintaro Fukuda, Rina Kikugawa, Nobuyuki Toyama, Toshiki Rikiyama
INTRODUCTION: Surgical techniques to close defects in laparoscopic incisional hernia repair vary across the literature. We herein demonstrate our original and standardized surgical technique for laparoscopic incisional hernia repair with complete intracorporeal defect closure using barbed suture. MATERIALS AND SURGICAL TECHNIQUE: Complete intracorporeal defect closures were indicated for defects less than or equal to 6 cm in transverse diameter. We performed a defect closure with a running suture using barbed suture in a caudal to cranial direction, with tissue bites and inter-suture spacing of 1 cm each...
November 13, 2018: Asian Journal of Endoscopic Surgery
https://read.qxmd.com/read/30406324/laparoscopic-transperitoneal-inguinal-hernioplasty-tapp-after-radical-open-retropubic-prostatectomy-special-features-and-clinical-outcomes
#15
W K J Peitsch
Purpose Laparoscopic transperitoneal endoscopic (TAPP) and totally extraperitoneal (TEP) hernia repair have been well established in primary and recurrent inguinal hernias [1]. Only few studies [2-5] evaluate the surgical outcome of patients with inguinal hernias after radical prostatectomy, using the TAPP or TEP procedure. But controversies remain including its feasibility, safety and recurrence rate. The mesh size to be used and the necessity of a complete dissection of the scared retropubic space are discussed controversially...
November 7, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/30359827/deciding-on-optimal-approach-for-ventral-hernia-repair-laparoscopic-or-open
#16
Kathryn A Schlosser, Michael R Arnold, Javier Otero, Tanushree Prasad, Amy Lincourt, Paul D Colavita, Kent W Kercher, B Todd Heniford, Vedra A Augenstein
BACKGROUND: The decision to perform laparoscopic (L) or open (O) ventral hernia repair (VHR) is multifactorial. This study evaluates the impact of operative approach, BMI and hernia size on outcomes after VHR. STUDY DESIGN: The International Hernia Mesh Registry was queried for VHR (2007-2017). A predictive algorithm was constructed, factoring the impact of BMI, hernia size, age, sex, diabetes, and operative approach on outcomes. RESULTS: Of the 1,906 VHRs, 58...
September 21, 2018: Journal of the American College of Surgeons
https://read.qxmd.com/read/30327912/correlation-between-laparoscopic-transection-of-an-indirect-inguinal-hernial-sac-and-postoperative-seroma-formation-a-prospective-randomized-controlled-study
#17
Rexiati Ruze, Zhibo Yan, Qunzheng Wu, Hanxiang Zhan, Guangyong Zhang
BACKGROUND: Seroma is the most common early minor complication of inguinal hernia repair. Seromas generally resolve spontaneously within a few weeks, but can sometimes cause other complications. The optimal ways to repair inguinal hernia and handle the hernial sac are still debatable. Large scale, prospective, randomized, controlled studies focusing on the correlation between transection of the hernial sac and seroma formation are scarce. METHODS: A total of 159 adult male patients with primary indirect inguinal hernia who underwent laparoscopic transabdominal preperitoneal repair were recruited...
October 16, 2018: Surgical Endoscopy
https://read.qxmd.com/read/30315438/pitfalls-and-clinical-recommendations-for-the-primary-lumbar-hernia-based-on-a-systematic-review-of-the-literature
#18
REVIEW
S van Steensel, A Bloemen, L C L van den Hil, J van den Bos, G J Kleinrensink, N D Bouvy
PURPOSE: The lumbar abdominal wall hernia is a rare hernia in which abdominal contents protrude through a defect in the dorsal abdominal wall, which can be of iatrogenic, congenital, or traumatic origin. Two anatomical locations are known: the superior and the inferior lumbar triangle. The aim of this systematic review is to provide a clear overview of the existing literature and make practical clinical recommendations for proper diagnosis and treatment of the primary lumbar hernia. METHODS: The systematic review was conducted according to the PRISMA guidelines...
October 12, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/30225141/strangulated-hernia-can-be-a-risk-factor-of-seroma-following-laparoscopic-transabdominal-preperitoneal-repair
#19
Ryu Matsumoto, Yoshio Nagahisa, Kazuki Hashida, Mitsuru Yokota, Michio Okabe, Kazuyuki Kawamoto
Purposes: Seroma is a postoperative complication following laparoscopic transabdominal preperitoneal repair (TAPP) for inguinal hernioplasty. Seroma naturally resolves in most cases, but it can lead to an increased amount of visits to the outpatient clinic and can result in anxiety of the patient. Local inflammation of the inguinal area is etiology of seroma formation. Strangulated hernia involves severe inguinal pain and can lead to severe inflammation and subsequent seroma. There have been no reports demonstrating the links of seroma and strangulated hernia...
2018: Minimally Invasive Surgery
https://read.qxmd.com/read/30168007/laparoscopic-ventral-hernia-repair-with-and-without-defect-closure-comparative-analysis-of-a-single-institution-experience-with-783-patients
#20
Luis A Martin-Del-Campo, Heidi J Miller, Heidi L Elliott, Yuri W Novitsky
BACKGROUND: Laparoscopic ventral hernia repair (LVHR) has gained popularity, since it can decrease the incidence of surgical site complications while providing similar recurrence rates as open repairs. The role of defect closure in LVHR has been a subject of controversy and has not been fully elucidated. We aimed to compare outcomes of LVHR with and without defect closure in a contemporary cohort. METHODS: Single-institution retrospective review of consecutive adults undergoes elective LVHR for 2-8 cm defects...
December 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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