Hernia | Page 2

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605 papers 500 to 1000 followers Abdominal Ventral Hernia
Erling Oma, Kristian K Jensen, Thue Bisgaard, Lars N Jorgensen
OBJECTIVE: To determine the optimal timing of elective repair, the primary objective of this study was to assess if parity at the time of repair and subsequent pregnancy were associated with reoperation for recurrence. The secondary objective was to examine if parity was associated with hernia formation requiring surgical repair. SUMMARY BACKGROUND DATA: Women of childbearing age constitute 18% of patients operated on for a primary ventral hernia, but consensus is lacking on the management in women who might subsequently become pregnant...
December 22, 2018: Annals of Surgery
(no author information available yet)
BACKGROUND: Closure of an abdominal stoma, a common elective operation, is associated with frequent complications; one of the commonest and impactful is incisional hernia formation. We aimed to investigate whether biological mesh (collagen tissue matrix) can safely reduce the incidence of incisional hernias at the stoma closure site. METHODS: In this randomised controlled trial (ROCSS) done in 37 hospitals across three European countries (35 UK, one Denmark, one Netherlands), patients aged 18 years or older undergoing elective ileostomy or colostomy closure were randomly assigned using a computer-based algorithm in a 1:1 ratio to either biological mesh reinforcement or closure with sutures alone (control)...
February 8, 2020: Lancet
Jenny M Shao, Yewande Alimi, Brenna K Houlihan, Anne Fabrizio, Mohammed Bayasi, Parag Bhanot
BACKGROUND: This will be the largest multi-institutional study looking at incidence of and duration to symptomatic hernia formation for major abdominal operations separated by malignant and benign disease process. METHODS: An IRB-approved retrospective study within the MedStar Hospital database was conducted, incorporating all isolated colectomy, hepatectomy, pancreatectomy, and gastrectomy procedures between the years 2002 and 2016. All patients were identified using ICD-9 and ICD-10 codes for relevant procedures, and then separated based on malignant or benign etiology...
May 2020: Journal of Surgical Research
H A Tasdelen, B Karapolat
No abstract text is available yet for this article.
April 2020: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Liza Van Kerckhoven, Gavin Lo, Koen Vermeiren, Kurt Devroe, Tim Tollens
This retrospective study reveals the results of our approach to the treatment of complex ventral hernias. A single-center, single-surgeon retrospective chart review on 68 consecutive patients who underwent abdominal wall reconstruction for incisional herniation on the midline between January 2012 and December 2016 is presented. The Bonheiden technique is based on anterior component separation in combination with preperitoneal retromuscular mesh reinforcement of the midline. Data of 68 consecutive cases of incisional midline abdominal wall defects treated electively with the mesh reinforced anterior component separation technique were analyzed...
January 3, 2020: Surgical Technology International
A Mancini, N Mougin, V Venchiarutti, Z Shen, O Risse, J Abba, C Arvieux
INTRODUCTION: Goni Moreno's procedure was described 60 years ago as a solution for giant hernias repair through the creation of a progressive preoperative pneumoperitoneum (PPP). The main objective of the present study is to assess its effectiveness in terms of primary fascial closures. The secondary objectives of this study are to explore the morbidity and mortality associated with Moreno's procedure using 40 years of data from a large cohort of patients. MATERIALS AND METHODS: This is a retrospective study of all patients who underwent PPP procedures between October 1974 and January 2019 at the digestive surgery unit at Grenoble University Hospital, France...
January 8, 2020: Hernia: the Journal of Hernias and Abdominal Wall Surgery
N A Henriksen, A Montgomery, R Kaufmann, F Berrevoet, B East, J Fischer, W Hope, D Klassen, R Lorenz, Y Renard, M A Garcia Urena, M P Simons
BACKGROUND: Umbilical and epigastric hernia repairs are frequently performed surgical procedures with an expected low complication rate. Nevertheless, the optimal method of repair with best short- and long-term outcomes remains debatable. The aim was to develop guidelines for the treatment of umbilical and epigastric hernias. METHODS: The guideline group consisted of surgeons from Europe and North America including members from the European Hernia Society and the Americas Hernia Society...
January 9, 2020: British Journal of Surgery
Karla Bernardi, Oscar A Olavarria, Mike K Liang
No abstract text is available yet for this article.
December 26, 2019: JAMA Surgery
Michael R Arnold, Angela M Kao, Javier Otero, Julia E Marx, Vedra A Augenstein, Ronald F Sing, Paul D Colavita, Kent Kercher, B Todd Heniford
BACKGROUND: A mesh-related intestinal fistula is an uncommon and challenging complication of ventral hernia repair. Optimal management is unclear owing to lack of prospective or long-term data. METHODS: We reviewed our prospective data for mesh-related intestinal fistulas from 2004 to 2017and compared suture repair versus ventral hernia repair with mesh at the time of mesh-related intestinal fistula takedown. RESULTS: Eighty-two mesh-related intestinal fistulas were treated; none of the fistulas had closed spontaneously, and all fistula persisted at the time of our treatment...
March 2020: Surgery
R Kalaiselvan, G L Carlson, S Hayes, N P Lees, I D Anderson, D A J Slade
PURPOSE: Porcine acellular dermal matrix (PADM) has been promoted as a suitable material for the reinforcement of the abdominal wall in Ventral Hernia Working Group (VHWG) Grade 3/4 wounds by Ventral Hernia Working Group et al. (Surgery 148(3):544-548). We describe our experience of, and assess the mechanisms for the failure of PADM (PermacolTM ) in intestinal and abdominal wall reconstruction (AWR) for enterocutaneous fistulation (ECF). METHODS: All patients referred to our unit who had PADM used for AWR and ECF were studied from a prospectively maintained database...
December 6, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Bárbara Pérez-Köhler, Selma Benito-Martínez, Francisca García-Moreno, Marta Rodríguez, Gemma Pascual, Juan M Bellón
BACKGROUND: In hernia surgery, soaking of meshes in antibiotics before implantation is a prophylactic strategy for minimizing the risk of infection while providing minimal, local, drug doses. This study describes the development and application of an antibacterial mesh coating comprising a carboxymethylcellulose gel loaded with rifampicin in a preclinical model of Staphylococcus aureus and S. epidermidis infection in rabbits. METHODS: Antibacterial activity and cytocompatibility (with fibroblasts) of unloaded carboxymethylcellulose gel and 0...
March 2020: Surgery
Helber V G Lima, Roberto Rasslan, Fernando C F Novo, Tibério M A Lima, Sérgio H B Damous, Celso O Bernini, Edna F S Montero, Edivaldo M Utiyama
BACKGROUND: Fascial dehiscence (FD) occurs in up to 14.9% of high-risk patients undergoing emergency laparotomy. Although prophylactic mesh can prevent FD, its use in emergency operations remains controversial. STUDY DESIGN: A prospective randomized clinical trial was conducted at the Hospital das Clínicas from Faculdade de Medicina da Universidade de São Paulo in Brazil. It was performed among high-risk patients, defined according to Rotterdam risk model, undergoing midline emergency laparotomy...
January 2020: Journal of the American College of Surgeons
H Liu, S van Steensel, M Gielen, T Vercoulen, J Melenhorst, B Winkens, N D Bouvy
PURPOSE: Laparoscopic intraperitoneal onlay mesh in hernia repair can result in adhesions leading to intestinal obstruction and fistulation. The aim of this systematic review is to compare the effects of mesh coatings reducing the tissue-to-mesh adhesion in animal studies. METHODS: Pubmed and Embase were systematically searched. Animal experiments comparing intraperitoneally placed meshes with coatings were eligible for inclusion. Only studies with comparable follow-up, measurements, and species were included for data pooling and subsequent meta-analysis...
October 28, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
A S W Jacombs, A Karatassas, B Klosterhalfen, K Richter, P Patiniott, C Hensman
PURPOSE: The purpose of this paper is to communicate two new concepts with the potential to cause major morbidity in hernia repair, effective porosity and biofilm. These 2 concepts are interrelated and have the potential to result in mesh-related complications. Effective porosity is a term well described in the textile industry. It is best defined as the changes to pore morphology after implantation of mesh in situ. It is heavily dependent on mesh construct and repair technique and has the potential to impact hernia repair by reducing mesh tissue integration and promoting fibrosis...
October 31, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Alice Gori, Henry Ferland, Laura Manuela Otalvaro Acosta, Salomone Di Saverio, George Velmahos
No abstract text is available yet for this article.
October 24, 2019: ANZ Journal of Surgery
F A Burns, E G Heywood, C P Challand, Matthew J Lee
BACKGROUND: Incisional hernias are a common complication of emergency laparotomy and are associated with significant morbidity. Recent studies have found a reduction in incisional hernias when mesh is placed prophylactically during abdominal closure in elective laparotomies. This systematic review will assess the safety and efficacy of prophylactic mesh placement in emergency laparotomy. METHODS: A systematic review was performed according to the PROSPERO registered protocol (CRD42018109283)...
June 2020: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Caroline E Reinke, Brent D Matthews
Management of incarcerated hernias is a common issue facing general surgeons across the USA. When hernias are not able to be reduced, surgeons must make decisions in a short time frame with limited options for patient optimization. In this article, we review assessment and management options for incarcerated ventral and inguinal hernias.
January 2020: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
G Campanelli
No abstract text is available yet for this article.
October 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Dimitri Sneiders, An P Jairam, Gijs H J de Smet, Imro Dawson, Lien H A van Eeghem, Wietske W Vrijland, Gert-Jan Kleinrensink, Johan F Lange
BACKGROUND: Incisional hernia (IH) is one of the most frequent complications after abdominal surgery. Follow-up with regard to IH remains challenging. Physical examination and imaging to diagnose IH are time-consuming and costly, require devotion of both the physician and patient, and are often not prioritized. Therefore, a patient-reported diagnostic questionnaire for the diagnosis of IH was developed. Objective of this study was to validate this questionnaire in a consecutive sample of patients...
October 1, 2019: Journal of Surgical Research
C Stabilini, G Cavallaro, P Dolce, S Capoccia Giovannini, F Corcione, M Frascio, M Sodo, G Merola, U Bracale
PURPOSE: Primary (PVHs) and incisional (IHs) ventral hernias represent a common indication for surgery. Nevertheless, most of the papers presented in literature analyze both types of defect together, thus potentially introducing a bias in the results of interpretation. The purpose of this systematic review and meta-analysis is to highlight the differences between these two entities. METHODS: Methods MEDLINE, Scopus, and Web of Science databases were reviewed to identify studies evaluating the outcomes of both open and laparoscopic repair with mesh of PVHs vs IHs...
October 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
2019-10-19 02:12:11
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