Younes Motii, Hussein Chahrour, Ali Harb
This case series aims to explore the application of preoperative CT guided Botox injections in three different cases of abdominal wall reconstructions. Each of the three cases highlights the role of chemical component separation in achieving myofascial release and contributing to a successful surgical repair. The use of Botox in the preoperative planning of abdominal wall repair aims at creating a tension-free environment for midline closure and promoting an overall positive postoperative course for the patient...
June 2024: Radiology Case Reports
Z Wang, X Wang, C Wang, Y Zhao
PURPOSE: The objective of incisional hernia surgery is to achieve the restoration of abdominal wall anatomical and physiological functions. This study aims to investigate the impact of abdominal wall reconstruction on abdominal muscle alterations by measuring the preoperative and postoperative changes in abdominal wall muscles in patients undergoing incisional hernia repair. METHODS: For patients undergoing open incisional hernia abdominal wall reconstruction, preoperative and postoperative abdominal CT scans were analyzed at a minimum of 3 months post-surgery...
March 22, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
M Golling, V Breul, Z Zielska, P Baumann
AIM: To analyze laparotomy closure quality (suture/wound length ratio; SL/WL) and short term complications (surgical site occurrence; SSO) of conventional midline and transverse abdominal incisions in elective and emergency laparotomies with a longterm, absorbent, elastic suture material. METHOD: Prospective, monocentric, non-randomized, controlled cohort study on short stitches with a longterm resorbable, elastic suture (poly-4-hydroxybutyrate, [p-4OHB]) aiming at a 6:1 SL/WL-ratio in midline and transverse, primary and secondary laparotomies for elective and emergency surgeries...
January 29, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
P Marcolin, S Mazzola Poli de Figueiredo, B Oliveira Trindade, S Bueno Motter, G R Brandão, R-M D Mao, J M Moffett
BACKGROUND: Prophylactic mesh augmentation in emergency laparotomy closure is controversial. We aimed to perform a meta-analysis of randomized controlled trials (RCT) evaluating the placement of prophylactic mesh during emergency laparotomy. METHODS: We performed a systematic review of Cochrane, Scopus, and PubMed databases to identify RCT comparing prophylactic mesh augmentation and no mesh augmentation in patients undergoing emergency laparotomy. We excluded observational studies, conference abstracts, elective surgeries, overlapping populations, and trial protocols...
January 22, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
C Amro, L Smith, J Shulkin, J R McGraw, N Hill, R B Broach, J Torkington, J P Fischer
PURPOSE: Accurate prediction of hernia occurrence is vital for surgical decision-making and patient management, particularly in colorectal surgery patients. While a hernia prediction model has been developed, its performance in external populations remain to be investigated. This study aims to validate the existing model on an external dataset of patients who underwent colorectal surgery. METHODS: The "Penn Hernia Calculator" model was externally validated using the Hughes Abdominal Repair Trial (HART) data, a randomized trial comparing colorectal cancer surgery closure techniques...
January 16, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Cameron Casson, Jeffrey Blatnik, Arnab Majumder, Sara Holden
BACKGROUND: Complex ventral hernias are frequently repaired via an open transversus abdominis release (TAR). Obesity, particularly a BMI > 40, is a strong predictor of wound morbidity following this procedure. We aimed to determine if preoperative weight loss may still be beneficial in patients with persistently elevated BMIs. METHODS: A retrospective chart review of patients with obesity (BMI ≥ 30) who underwent open TAR at a tertiary academic medical center from January 2018 to December 2021 was completed...
February 2024: Surgical Endoscopy
Shreyash Garg, Moorat Singh Yadav, Kritika Singhal
BACKGROUND: Midline exploratory laparotomy is essential in emergency surgery, and effective closure of the abdominal wall is crucial for optimal healing and reduced complications. The far-near-near-far technique for rectus sheath closure has gained attention due to potential advantages over conventional closure due to the fact that even if one suture gives way it does not affect the nearby suture and the rectus sheath is still held in place. This study aims to compare these techniques in emergency exploratory laparotomy...
September 2023: Curēus
Georgios Polychronidis, Nuh N Rahbari, Thomas Bruckner, Anja Sander, Florian Sommer, Selami Usta, Janssen Hermann, Max Benjamin Albers, Mine Sargut, Phillip Knebel, Rosa Klotz
BACKGROUND: High-level evidence regarding the technique of abdominal wall closure for patients undergoing emergency midline laparotomy is sparse. Therefore, we conducted a randomized controlled trial (RCT) to evaluate the efficacy and safety of two commonly applied abdominal wall closure strategies after primary emergency midline laparotomy. METHODS/DESIGN: CONTINT was a multi-center pragmatic open-label exploratory randomized controlled parallel trial. Two different abdominal wall closure strategies in patients undergoing primary midline laparotomy for an emergency surgical intervention with a suspected septic focus in the abdominal cavity were compared: the continuous, all-layer suture and the interrupted suture technique...
October 17, 2023: World Journal of Emergency Surgery: WJES
Nadine van Veenendaal, Marijn Poelman, Jan Apers, Huib Cense, Hermien Schreurs, Eric Sonneveld, Susanne van der Velde, Jaap Bonjer
BACKGROUND: Laparoscopic incisional hernia repair is increasingly performed worldwide and expected to be superior to conventional open repair regarding hospital stay and quality of life (QoL). The INCisional Hernia-Trial was designed to test this hypothesis. METHODS: A multicenter parallel randomized controlled open-label trial with a superiority design was conducted in six hospitals in the Netherlands. Patients with primary or recurrent incisional hernias were randomized by computer-guided block-randomization to undergo either conventional open or laparoscopic repair...
October 9, 2023: Surgical Endoscopy
Erwin Yii, James Onggo, Ming Kon Yii
Mass closure with a continuous suture using large bite stitching technique has been widely accepted for midline laparotomy wound closures. However, emerging evidence suggests the use of small bite technique to reduce rates of incisional ventral hernia, surgical site infection (SSI) and burst abdomen. This meta-analysis aims to compare small versus large bite stitching techniques to assess complication rates in midline laparotomy wound closures. A comprehensive multi-database search (OVID EBM Reviews, OVID Medline, EMBASE, Scopus) was conducted from database inception to 11th October 2021 according to PRISMA guidelines...
November 2023: Asian Journal of Surgery
Nir Messer, Megan S Melland, Benjamin T Miller, David M Krpata, Lucas R A Beffa, Xinyan Zheng, Clayton C Petro, Sara M Maskal, Ryan C Ellis, Ajita S Prabhu, Michael J Rosen
INTRODUCTION: Many studies identify active smoking as a significant risk factor for postoperative wound and mesh complications in patients undergoing abdominal wall reconstruction surgery. However, our group conducted an analysis using data from the ACHQC database, which revealed similar rates of surgical site infection (SSI) and surgical site occurrence requiring procedural intervention (SSOPI) between active smokers and non-smokers As a result, the Cl eveland Clinic Center for Abdominal Core Health instituted a policy change where active smokers were no longer subject to surgical delay...
September 27, 2023: American Journal of Surgery
Théophile Delorme, Jonathan Cottenet, Fawaz Abo-Alhassan, Alain Bernard, Pablo Ortega-Deballon, Catherine Quantin
INTRODUCTION: Incisional hernias are associated with a reduced quality of life. Mesh reinforcement of the abdominal wall is the current standard for incisional hernia repair (IHR), since it reduces the risk of recurrence. The best position for the mesh remains controversial, and each position has advantages and disadvantages. OBJECTIVE: In this nationwide population-based study, we aimed to determine whether IHR with intraperitoneal mesh is associated with an increased risk of bowel obstruction...
September 28, 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
C Sagnelli, E Tartaglia, L Guerriero, M L Montanaro, G D'Alterio, D Cuccurullo
PURPOSE: Undeniably, in the last 2 decades, surgical approaches in the field of abdominal wall repair have notably improved. However, the best approach to provide a durable repair with low morbidity rate has yet to be determined. The purpose of this study is to outline our long-term results following the Transverse Abdominis Release (TAR) approach in patients with complex ventral hernias, focusing on the incidence of recurrence and overall patient satisfaction following surgery. METHODS: This is a retrospective study on 167 consecutive patients who underwent TAR between January 2015 and December 2021 for primary or recurrent complex abdominal hernias...
September 19, 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
David L Sanders, Maciej M Pawlak, Maarten P Simons, Theo Aufenacker, Andrea Balla, Cigdem Berger, Frederik Berrevoet, Andrew C de Beaux, Barbora East, Nadia A Henriksen, Miloslav Klugar, Alena Langaufová, Marc Miserez, Salvador Morales-Conde, Agneta Montgomery, Patrik K Pettersson, Wolfgang Reinpold, Yohann Renard, Simona Slezáková, Thomas Whitehead-Clarke, Cesare Stabilini
No abstract text is available yet for this article.
September 19, 2023: British Journal of Surgery
Gerwin A Bernhardt
No abstract text is available yet for this article.
November 2023: World Journal of Surgery
Marine Goullieux, Fawaz Abo-Alhassan, Remi Vieira-Da-Silva, Papet Lauranne, Adeline Guiraud, Pablo Ortega-Deballon
OBJECTIVE: The aim of this study was to compare the likelihood of bowel obstruction according to the placement of the mesh (either intraperitoneal or extraperitoneal) in ventral hernia repairs. MATERIALS AND METHODS: Patients were divided into two groups, an intraperitoneal (IP) group (mesh placed by laparoscopy or with an open approach) and an extraperitoneal (EP) group, all operated on in the Digestive Surgery Department at the Dijon University Hospital. The primary outcome was the occurrence of an episode of bowel obstruction requiring hospitalization and confirmed by abdominal CT scan...
August 16, 2023: Journal of Clinical Medicine
H Riediger, P Holzner, L Kundel, C Gröger, U Adam, D Adolf, F Köckerling
PURPOSE: The open Rives-Stoppa retrorectus and transversus abdominis release (TAR) techniques are well established in open ventral and incisional hernia repair. The principles are currently being translated into minimally invasive surgery with different concepts. In this study, we investigate our initial results of transperitoneal laparoscopic TAR for ventral incisional hernia repair (laparoscopic TAR). METHODS: Over a 20-month period, 23 consecutive patients with incisional hernias underwent surgery...
August 28, 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Benjamin T Miller, Ryan C Ellis, R Matthew Walsh, Daniel Joyce, Robert Simon, Nima Almassi, Byron Lee, Robert DeBernardo, Scott Steele, Samuel Haywood, Lindsey Beffa, Chao Tu, Michael J Rosen
BACKGROUND: Tension-free abdominal closure is a primary tenet of laparotomy. But this concept neglects the baseline tension of the abdominal wall. Ideally, abdominal closure should be tailored to restore native physiologic tension. We sought to quantify the tension needed to re-establish the linea alba in patients undergoing exploratory laparotomy. METHODS: Patients without ventral hernias undergoing laparotomy at a single institution were enrolled from December 2021 to September 2022...
December 2023: Surgical Endoscopy
Omar M Ghanem, Sean Orenstein, S Julie-Ann Lloyd, Amin Andalib, Alice Race, Holly Ann Burt, Farah Husain, Matthew Goldblatt, Matthew Kroh
Obesity is a risk factor for abdominal wall hernia development and hernia recurrence. The management of these two pathologies is complex and often entwined. Bariatric and ventral hernia surgery require careful consideration of physiologic and technical components for optimal outcomes. In this review, a multidisciplinary group of Society of American Gastrointestinal and Endoscopic Surgeons' bariatric and hernia surgeons present the various weight loss modalities available for the pre-operative optimization of patients with severe obesity and concurrent hernias...
September 2023: Surgical Endoscopy
Samuel Frey, Adrien Beauvais, Marc Soler, Mathieu Beck, Timothée Dugué, Xavier Pavis d'Escurac, André Dabrowski, Florent Jurczak, Jean-François Gillion
BACKGROUND: The objective was to compare the outcomes of open mesh repair versus suture repair for small (≤1 cm in diameter) umbilical hernia. The primary endpoint was the 30-day outcomes including pain, and secondary endpoints were the 2-year outcomes including recurrences and patient-reported outcomes. METHODS: This propensity-matched, multicenter study was carried out on data collected prospectively in the Hernia-Club database between 2011 and 2021...
September 2023: Surgery
2023-07-08 15:10:10
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