360 results on '"Inguinal hernia"'
Search Results
2. A Pilot Study of Local Anesthesia for Inguinal Hernia Surgery in Older Adults
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National Institute on Aging (NIA), American Federation for Aging Research, and The John A. Hartford Foundation
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- 2024
3. No Opioids vs. Minimal Opioids Following Inguinal Hernia Repair
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Clayton Petro, Assistant Professor of Surgery Lerner College of Medicine
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- 2024
4. Self-Fixating Mesh Versus Mesh Fixation With Tissue Glue in Laparoscopic Inguinal Hernia Repair
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Adham Ashraf Maher Farid, General Surgery Assistant Lecturer
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- 2024
5. 3-point With 1-point Mesh Fixation in TAPP for Inguinal Hernia
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Guang'an People's Hospital, Pengan County People's Hospital, People's Hospital of Yilong County, Nanbu Hospital of County Chinese Medicine, Langzhong People's Hospital, and Langzhong Traditional Chinese Medicine Hospital
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- 2024
6. Bilateral vs Unilateral Totally Extraperitoneal Repair Among Patients With Unilateral Inguinal Hernia
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Dr. Bikash kumar sah, Lecture (General Surgery)
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- 2024
7. Relationship Between Acute Phase Markers and Post-operative Pain in Open Tension-free Inguinal Hernia Repair: An Observational Study
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Augusto Lauro, Associate professor
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- 2024
8. Natural History of Infants With Patent Processus Vaginalis (HxPPV)
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Nationwide Children's Hospital, C.S. Mott Children's Hospital, University of Chicago, James Whitcomb Riley Hospital for Children, American Family Children's Hospital, Children's Hospital and Health System Foundation, Wisconsin, Norton Children's Hospital, Ann & Robert H Lurie Children's Hospital of Chicago, and Shawn St. Peter, MD
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- 2024
9. Laparoscopic Inguinal and Femoral heRniA rePaIr Using Pre-shapeD 4DMESH® (4DLap)
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- 2024
10. Comparison of Laparoscopic Herniotomy and Open Herniotomy in Children (Herniotomy)
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Muhammad Sharif, PROFESSOR
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- 2024
11. Laryngeal Mask Airway in Laparoscopic Hernia Repair
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Emily Weisberg, Physican, M.D.
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- 2024
12. Open and Laparoscopic Total Extraperitoneal Repair Under Spinal Anesthesia Versus General Anesthesia
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Van Training and Research Hospital and Mehmet Eşref Ulutaş, Principal Investigator
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- 2024
13. Ilioinguinal-iliohypogastric Nerve Block Prior to Shouldice Inguinal Hernia Repair (NBSS)
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- 2024
14. Versius Or Laparoscopic TransAbdominal Inguinal Hernia REpair (VOLTAIRE)
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Joanne Turner, Academic Research Coordinator
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- 2024
15. Laparscopic Inguinal Hernia Repair - Does the Choice of Self-fixated Mesh Matter?
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Anna-Maria Thölix, MD
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- 2024
16. Clinical Performance of HISTOACRYL® LAPFIX - CANNULA for Laparoscopic Inguinal Hernia Repair (HISTOLAP)
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B.Braun Surgical SA
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- 2024
17. Can Ideal Mesh Size be Standardized in Open Inguinal Hernia Repair
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Alpaslan Şahin, principal investigator
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- 2024
18. Clinical Study of Self-gripping Mesh in TAPP Versus Lichtenstein Hernia Repair
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- 2024
19. Laparoscopic transabdominal preperitoneal repair for a patient with Laugier's and inguinal hernia.
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Yamamoto, Masaaki, Takeno, Atsushi, Toshiyama, Reishi, Tokuyama, Shinji, Kawai, Kenji, Takahashi, Yusuke, Sakai, Kenji, Hama, Naoki, Kato, Takeshi, and Hirao, Motohiro
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INGUINAL hernia ,COMPUTED tomography ,HERNIA ,ADIPOSE tissues ,SMALL intestine ,LAPAROSCOPIC surgery - Abstract
Background: Laugier's hernia is a very rare atypical femoral hernia and is challenging to diagnose preoperatively. Herein, we report a rare case of inguinal and Laugier's hernias treated with laparoscopic transabdominal preperitoneal repair. Case presentation: A 63-year-old man was admitted to our hospital with right groin swelling for 4 years. Computed tomography revealed an indirect inguinal hernia with protrusion of the small intestine. The preoperative diagnosis was right indirect inguinal hernia; Laugier's hernia was unknown. The patient underwent laparoscopic transabdominal preperitoneal repair. During the surgery, part of the perivesical adipose tissue penetrated the lacunar ligament. It was located medial to the typical site of a femoral hernia. Thus, Laugier's hernia was diagnosed. Finally, laparoscopic transabdominal preperitoneal repair was performed for Laugier's hernia and inguinal hernia. The postoperative course was good, without recurrence. Conclusions: To our knowledge, this is the first reported case of inguinal and Laugier's hernia treated with laparoscopic transabdominal preperitoneal repair. Surgeons should be mindful that inguinal hernias can occur concurrently with other types of hernias, such as femoral hernias, including atypical variants like Laugier's hernia. Additionally, they should actively consider laparoscopic approaches such as transabdominal preperitoneal for femoral hernias. These approaches are beneficial for precise diagnosis, confirming the presence of other hernias, and simultaneously treating all coexisting inguinal hernias. [ABSTRACT FROM AUTHOR]
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- 2024
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20. COMPARATIVE STUDY OF TECHNIQUE OF MESH FIXATION IN OPEN INGUINAL HERNIA REPAIR BETWEEN N-BUTYL CYANOACRYLATE GLUE AND SUTURE.
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DAULATRAM, BHATIA KAMAL, SINGHAL, AMITABH, and GUPTA, AKHIL KUMAR
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HERNIA surgery , *INGUINAL hernia , *GROIN pain , *HERNIA , *POSTOPERATIVE pain - Abstract
Introduction Inguinal hernia is the most frequently diagnosed hernia. It accounts for 75% of all abdominal wall hernias and has a lifetime incidence of 27% in males and 3% in women. Open inguinal hernia repair has long been the method of choice for most surgeons and is often recommended in contemporary literature as the optimal approach for primary unilateral inguinal hernia. Lichtenstein tension free mesh repair remains the standard criterion. It is known to be relatively simple and effective with minimal pain. Objective The aim of this study is to compare the efficacy of N-butyl cyanoacrylate glue with that of classical method of mesh fixation by suture in Lichtenstein tension free Inguinal Hernia repair in terms of chronic groin pain without increasing other complications. Methods A Prospective, Hospital based observational comparative study was planned, which includes 40 patients per group. All patients included were above 18 years of age. All the participants were divided into 2 groups mesh fixation with sutures and N-butyl cyanoacrylate glue. Total duration of the study was 3 months from the day of the surgery with 4 intervals of follow up at POD1, POD 7, Month 1 and Month 3. Results When comparing postoperative pain between the groups, it was observed that patients in the glue fixation group experienced significantly less pain than those in the suture group at various intervals: postoperative day 1 (POD1), postoperative day 2 (POD2), 1 month, and 3 months. Additionally, immediate pain was notably reduced in the glue fixation group. Furthermore, no reports of pain were recorded at 1 month and 3 months postoperatively. Moreover, the incidence of local complications was lower in the glue fixation group compared to the suture fixation group. Conclusion The use of N-butyl cyanoacrylate glue resulted in reduced immediate postoperative pain and quicker recovery times due to its less invasive nature and avoidance of tissue trauma associated with sutures. Additionally, the application of glue was found to be faster and technically easier, potentially reducing operation time with no recurrence. Conversely, traditional suture fixation, while reliable, was associated with higher postoperative discomfort and a slightly increased risk of complications such as chronic pain. [ABSTRACT FROM AUTHOR]
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- 2024
21. COMPARATIVE STUDY OF NERVE BLOCK V/S SPINAL ANESTHESIA IN LICHTENSTEIN TENSION FREE MESH INGUINAL HERNIA REPAIR.
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KHATRI, HITESH, GUPTA, AKHIL KUMAR, SANGAL, VIPUL, and MAURYA, A. K.
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NERVE block , *HERNIA surgery , *SURGERY , *SPINAL anesthesia , *CONDUCTION anesthesia , *INGUINAL hernia - Abstract
Introduction Inguinal hernia most frequent problem in human being adult as well as children suffer with it. Inguinal hernia repair done under “anesthesia” {such as local anesthesia, spinal anesthesia, nerve block, epidural anesthesia, & general anesthesia}, depending upon number of variables i.e. patient’s acceptance, surgeon’s preference, safety, practicality and cost effectiveness. Objectives To compare nerve block versus spinal Anesthesia in Lichtenstein tension-free mesh inguinal hernia repair Methods The Present study, conducted as a hospital-based comparative prospective study at the Department of General Surgery, Muzaffarnagar Medical College & Hospital, Muzaffarnagar, U.P., aimed to investigate the efficacy of two different anesthesia techniques in inguinal hernia repair. Over an 18-month period, 100 patients meeting the inclusion criteria. The study utilized a combination of ilioinguinal and iliohypogastric nerve blocks alongside field blocks for anesthesia administration, ensuring proper analgesia and relaxation. Cases were grouped based upon fitness for spinal anesthesia, comorbidities, and patient preference. Group A underwent mesh repair under spinal anesthesia, while Group B received nerve block via inguinal field block technique. Results In the <40 year group, Nerve Block accounts for 2.0% of cases while Spinal Anaesthesia accounts for 10.0%. In the 41-50year group, Nerve Block represents 64.0% of cases, whereas Spinal Anaesthesia represents 60.0%. In the >50 age group, Nerve Block represents 34.0% of cases, and Spinal Anesthesia represents 30.0%. On comparison of seroma occurrence between Group A and Group B revealed interesting insights. In Group A, comprising 50 cases, 45 cases (90.0%) exhibited seroma, while 5 cases (10.0%) did not. Similarly, in Group B, consisting of another 50 cases, 47 cases (94.0%) showed seroma, with 3 cases (6.0%) without it. When considering both groups collectively, out of 100 cases, 92 cases (92.0%) had seroma, while 8 cases (8.0%) did not. Conclusion We came to the conclusion that all patients with primary inguinal hernias benefit from Lichtenstein mesh repair performed under local anesthesia for a number of reasons. Simpleness, dependability, efficacy, safety, a smooth recovery period marked by easily managed pain, a prompt return to full range of activities, and high patient satisfaction are a few of these. [ABSTRACT FROM AUTHOR]
- Published
- 2024
22. Patient's Perception of the Role of Gym Activity in Abdominal Wall Herniation in Adults: A Prospective Study.
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Boruah, Prabir, Daoud, Rabbani Mahmoud ElSayed Hassan, Walsh, Dylan Viani, Kharytaniuk, Natallia, Fredericks, Salim, Ryan, James, Abdelatif, Asila, Birido, Nuha, and Walsh, Thomas Noel
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RISK assessment ,T-test (Statistics) ,DATA analysis ,CHRONIC cough ,PHYSICAL fitness centers ,HERNIA ,QUESTIONNAIRES ,FISHER exact test ,SEX distribution ,DESCRIPTIVE statistics ,MANN Whitney U Test ,CHI-squared test ,AGE distribution ,PILATES method ,LONGITUDINAL method ,ANALYSIS of variance ,STATISTICS ,ONE-way analysis of variance ,INGUINAL hernia ,DATA analysis software ,WEIGHT lifting ,PHYSICAL activity ,PATIENTS' attitudes ,CONSTIPATION ,DISEASE risk factors ,DISEASE complications ,ADULTS - Abstract
Background: Despite significant changes in healthcare, work practices, and leisure activity, the proposed precipitating factors for abdominal wall hernias have remained largely unchanged for almost two centuries. We aimed to investigate if there have been shifts in these factors over time by examining patients' perception of precipitating factors for abdominal wall hernia development. This study was conducted in the Royal College of Surgeons In Ireland Department of Surgery, Connolly Hospital, Blanchardstown, Dublin, where patients with abdominal wall hernias completed a questionnaire. Results: A total of 277 patients (mean age 55.7; 85.6% male) with abdominal wall hernia completed the questionnaire (66.1% inguinal; 10.8% umbilical; 6.9% paraumbilical; 10.5% epigastric; 3.2% incisional; 1.4% femoral, and 1.1% port-site). One hundred and twenty patients (43.3%) believed their hernia was due to lifting, 71 (25.6%) cited gym activity and 17 (6.1%) cited other sporting activities as the precipitating factor. Traditional factors – chronic cough and constipation - were cumulatively cited only by 11 patients (4.0%), while prostatic obstruction was not cited by any. Conclusion: This study suggests that fitness pursuits may be an increasing contributor to the development of abdominal wall hernia. Greater attention should be paid to the proper use of gym equipment to minimise the risk of hernia development. Key findings: Almost one quarter of patients attributed their hernia to gym activity which should be further explored in prospective studies. This potentially reflects changes in work practice and lifestyle. Traditional causes like chronic cough and constipation were rarely cited, probably reflecting improved healthcare and lifestyle practices. [ABSTRACT FROM AUTHOR]
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- 2024
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23. Short-term outcomes and inflammatory stress response following laparoscopy or robotic-assisted transabdominal preperitoneal inguinal hernia repair (TAPP): study protocol for a prospective, randomized trial (ROLAIS).
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Valorenzos, Alexandros Valsamidis, Nielsen, Kristian Als, Kaiser, Karsten, Helligsø, Per, Ellebæk, Mark Bremholm, Dorfelt, Allan, Petersen, Sofie Ronja, Pedersen, Andreas Kristian, and Nielsen, Michael Festersen
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HERNIA surgery , *INGUINAL hernia , *SURGICAL complications , *OPERATIVE surgery , *POSTOPERATIVE pain - Abstract
Background: Inguinal hernia repair is a frequently performed surgical procedure, with laparoscopic repair emerging as the preferred approach due to its lower complication rate and faster recovery compared to open repair. Mesh-based tension-free repair is the gold standard for both methods. In recent years, robotic hernia repair has been introduced as an alternative to laparoscopic repair, offering advantages such as decreased postoperative pain and improved ergonomics. This study aims to compare the short- and long-term outcomes, including the surgical stress response, postoperative complications, quality of life, and sexual function, between robotic-assisted transabdominal preperitoneal (rTAPP) and laparoscopic TAPP inguinal hernia repairs. Methods: This randomized controlled trial will involve 150 patients from the Surgical Department of the University Hospital of Southern Denmark, randomized to undergo either rTAPP or laparoscopic TAPP. Surgical stress will be quantified by measuring C-reactive protein (CRP) and cytokine levels. Secondary outcomes include complication rates, quality of life, sexual function, and operative times. Data analysis will adhere to the intention-to-treat principle and will be conducted once all patient data are collected, with outcomes assessed at various postoperative intervals. Discussion: This study holds significance in evaluating the potential advantages of robotic-assisted surgery in the context of inguinal hernia repairs. It is hypothesized that rTAPP will result in a lower surgical stress response and potentially lower the risk of postoperative complications compared to conventional laparoscopic TAPP. The implications of this research could influence future surgical practices and guidelines, with a focus on patient recovery and healthcare costs. The findings of this study will contribute to the ongoing discourse surrounding the utilization of robotic systems in surgery, potentially advocating for their broader implementation if the benefits are substantiated. Trial registration: ClinicalTrials.gov NCT05839587. Retrospectively registered on 28 February 2023. [ABSTRACT FROM AUTHOR]
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- 2024
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24. A rare presentation of inguinal mass in postmenopausal women: leiomyoma of round ligament mimicking an irreducible inguinal hernia.
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Alshuqayfi, Hind A, Alotaibi, Abdulaziz F, Alkhaldi, May S, Alghazwi, Abdulaziz A, Alghazwi, Mohammed A, Ibrahim, Arwa H, and Alsolami, Sana S
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INGUINAL hernia , *IRREDUCIBLE polynomials , *BENIGN tumors , *SURGICAL clinics , *POSTMENOPAUSE - Abstract
Tumors of the round ligament rarely happen; leiomyomas are considered the most common. Round ligament leiomyomas are benign tumors mimicking inguinal hernia, lymph nodes, or other inguinal masses. They are usually asymptomatic and take place in premenopausal female patients. This paper will present a case of a postmenopausal female patient who presented to our outpatient surgical clinic complaining of a right groin mass for 3 months. She was clinically diagnosed as a case of an irreducible inguinal hernia. After investigations, it turned out to be a round ligament leiomyoma, confirmed by the histopathological examination. There are broad differential diagnoses of inguinal masses. Although imaging exams could help diagnose leiomyomas, surgical excision followed by histopathological assessment is the best to confirm the diagnoses. [ABSTRACT FROM AUTHOR]
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- 2024
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25. Surgical outreach for the Americas: a self-sustainable model for partnership and education.
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Eltahir, Ahmed A., Oduyale, Oluseye K., Frisella, Margaret M., and Matthews, Brent D.
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NONPROFIT organizations , *CURRICULUM , *WORK , *INTERPROFESSIONAL relations , *PHILOSOPHY of education , *INDEPENDENT living , *HEALTH facility administration , *ANATOMY , *MEDICAL care , *GLOBAL burden of disease , *PATIENT care , *OPERATIVE surgery , *SIMULATION methods in education , *INGUINAL hernia , *HERNIA surgery , *UMBILICAL hernia , *PERIOPERATIVE care , *ANESTHESIA , *EXPERIENTIAL learning - Abstract
Introduction: It is estimated that up to 28% of global disease burden is surgical with hernias representing a unique challenge as the only definitive treatment is surgery. Surgical Outreach for the Americas (SOfA) is a nongovernmental organization focused primarily on alleviating the disease burden of inguinal and umbilical hernias in Central America. We present the experience of SOfA, a model focused on partnership and education. Methods: SOfA was established in 2009 to help individuals recover from ailments that are obstacles to working and independent living. Over the past 15 years, SOfA has partnered with local healthcare providers in the Dominican Republic, El Salvador, Honduras, and Belize. The SOfA team consists of surgeons, surgery residents, triage physicians, an anesthesiologist, anesthetists, operating room nurses, recovery nurses, a pediatric critical care physician, sterile processing technicians, interpreters, and a team coordinator. Critical partnerships required include the CMO, internal medicine, general surgery, nursing, rural health coordinators and surgical training programs at public hospitals. Results: SOfA has completed 24 trips, performing 2074 procedures on 1792 patients. 71.4% of procedures were hernia repairs. To enhance sustainability of healthcare delivery, SOfA has partnered with the local facilities through capital improvements to include OR tables, OR lights, anesthesia machines, monitors, hospital beds, stretchers, sterilizers, air conditioning units, and electrosurgical generators. A lecture series and curriculum on perioperative care, anesthesia, anatomy, and operative technique is delivered. Local surgery residents and medical students participated in patient care, learning alongside SOfA teammates. Recently, SOfA has partnered with SAGES Global Affairs Committee to implement a virtual Global Laparoscopic Advancement Program, a simulation-based laparoscopic training curriculum for surgeons in El Salvador. Conclusion: A sustainable partnership to facilitate surgical care in low resource settings requires longitudinal, collaborative relationships, and investments in capital improvements, education, and partnership with local healthcare providers, institutions, and training programs. [ABSTRACT FROM AUTHOR]
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- 2024
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26. Indirect inguinal herniation of the urinary bladder in a Shetland pony foal.
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Buyck, Camille, Robert, Mickaël, Tricaud, Cyril, and Cousty, Matthieu
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FOALS , *HERNIA , *PONIES , *INGUINAL hernia , *GROIN , *CASTRATION , *BLADDER - Abstract
Summary: A 6‐week‐old male Shetland pony was presented with pollakiuria and a scrotal mass. The diagnostic procedures conducted included a thorough clinical examination, external palpation, a scrotal ultrasonographic examination and urinary catheterisation. These revealed an indirect herniation of the urinary bladder into the tunica vaginalis. Subsequently, the case was managed surgically with a partial cystectomy through an inguinal approach. Bilateral castration was performed with an additional closure of the superficial inguinal ring. Five months post‐surgery, a routine telephone questionnaire highlighted no postoperative concerns. Gross examination of the inguinal region revealed no abnormalities and the foal was maturing as expected. [ABSTRACT FROM AUTHOR]
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- 2024
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27. Lichtenstein technique for inguinal hernia repair: ten recommendations to optimize surgical outcomes.
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Messias, Bruno Amantini, Nicastro, Rafael Gonçalves, Mocchetti, Erica Rossi, Waisberg, Jaques, Roll, Sergio, and Junior, Marcelo Augusto Fontenelle Ribeiro
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INGUINAL hernia , *HERNIA surgery , *CHRONIC pain , *OPERATIVE surgery , *DIGITAL libraries - Abstract
Purpose: Approximately 20 million individuals worldwide undergo inguinal hernia surgery annually. The Lichtenstein technique is the most commonly used surgical procedure in this setting. The objective of this study was to revisit this technique and present ten recommendations based on the best practices. Methods: PubMed and Scientific Electronic Library Online were used to systematically search for articles about the Lichtenstein technique and its modifications. Literature regarding this technique and surgical strategies to prevent chronic pain were the basis for formulating ten recommendations for best practices during Lichtenstein surgery. Results: Ten recommendations were proposed based on best practices in the Lichtenstein technique: neuroanatomical assessment, chronic pain prevention, pragmatic neurectomy, spermatic cord structure management, femoral canal assessment, hernia sac management, mesh characteristics, fixation, recurrence prevention, and surgical convalescence. Conclusion: The ten recommendations are practical ways to achieve a safe and successful procedure. We fell that following these recommendations can improve surgical outcomes using the Lichtenstein technique. [ABSTRACT FROM AUTHOR]
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- 2024
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28. Machine learning, deep learning and hernia surgery. Are we pushing the limits of abdominal core health? A qualitative systematic review.
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Lima, D. L., Kasakewitch, J., Nguyen, D. Q., Nogueira, R., Cavazzola, L. T., Heniford, B. T., and Malcher, F.
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MACHINE learning , *DEEP learning , *HERNIA surgery , *ARTIFICIAL intelligence , *INGUINAL hernia - Abstract
Introduction: This systematic review aims to evaluate the use of machine learning and artificial intelligence in hernia surgery. Methods: The PRISMA guidelines were followed throughout this systematic review. The ROBINS—I and Rob 2 tools were used to perform qualitative assessment of all studies included in this review. Recommendations were then summarized for the following pre-defined key items: protocol, research question, search strategy, study eligibility, data extraction, study design, risk of bias, publication bias, and statistical analysis. Results: A total of 13 articles were ultimately included for this review, describing the use of machine learning and deep learning for hernia surgery. All studies were published from 2020 to 2023. Articles varied regarding the population studied, type of machine learning or Deep Learning Model (DLM) used, and hernia type. Of the thirteen included studies, all included either inguinal, ventral, or incisional hernias. Four studies evaluated recognition of surgical steps during inguinal hernia repair videos. Two studies predicted outcomes using image-based DMLs. Seven studies developed and validated deep learning algorithms to predict outcomes and identify factors associated with postoperative complications. Conclusion: The use of ML for abdominal wall reconstruction has been shown to be a promising tool for predicting outcomes and identifying factors that could lead to postoperative complications. [ABSTRACT FROM AUTHOR]
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- 2024
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29. Learning and implementation of TransREctus sheath PrePeritoneal procedure for inguinal hernia repair.
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Zwols, T. L. R., van der Bilt, A. R. M., Veeger, N. J. G. M., Möllers, M. J. W., Hess, D. A., Brandsma, H. T., Jutte, E., Veldman, P. H. J. M., Eker, H. H., Koning, G. G., and Pierie, J. P. E. N.
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LEARNING curve , *INGUINAL hernia , *HERNIA surgery , *SURGICAL complications , *POSTOPERATIVE pain - Abstract
Purpose: The TransREctus sheath PrePeritoneal procedure (TREPP) was introduced as an alternative open and preperitoneal technique for inguinal hernia mesh repair, demonstrating safety and efficacy in retro- and prospective studies. However, little is known about the technique's inherent learning curve. In this study, we aimed to determine TREPP learning curve effects after its implementation in high-volume surgical practice. Methods: All primary, unilateral TREPP procedures performed in the first three years after implementation (between January 2016 and December 2018) were included out of a large preconstructed regional inguinal hernia database. Data were analyzed on outcome (i.e., surgical complications, hernia recurrences, postoperative pain). Learning curve effects were analyzed by assessing outcome in relation to surgeon experience. Results: In total, 422 primary, unilateral TREPP procedures were performed in 419 patients. In three patients a unilateral TREPP procedure was performed on both sides separated in time. A total of 99 surgical complications were registered in 83 procedures (19.6% of all procedures), most commonly inguinal postoperative pain (8%) and bleeding complications (7%). Hernia recurrences were observed in 17 patients (4%). No statistically significant differences on outcome were found between different surgeon experience (< 40 procedures, 40–80 procedures, > 80 procedures). Conclusion: Implementation of TREPP seems not to be associated with a notable increase of adverse events. We were not able to detect a clear learning curve limit, potentially suggesting a relatively short learning curve among already experienced hernia surgeons compared to other guideline techniques. [ABSTRACT FROM AUTHOR]
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- 2024
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30. Obesity and abdominal hernia in ambulatory patients, 2018–2023.
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Zelicha, H., Bell, D. S., Chen, D., Chen, Y., and Livingston, E. H.
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VENTRAL hernia , *DIAPHRAGMATIC hernia , *HERNIA , *INGUINAL hernia , *MORBID obesity - Abstract
Purpose: To determine the relationship between abdominal hernia and obesity. Although obesity is frequently cited as a risk factor for abdominal hernia, few studies have confirmed this association (Menzo et al. Surg Obes Relat Dis 14:1221–1232. 10.1016/j.soard.2018.07.005, 2018). Methods: A cross-sectional study of primary care ambulatory patients aged older than 16 years treated at UCLA Health from 01/01/2018 to 06/06/2023. Abdominal hernia was identified by clinic encounter ICD-10 codes (K40–K46). Results: There were 41,703 hernias identified among 1,362,440 patients (306.1 per10,000) with a mean age of 62.5 ± 16.1 years, and 57.6% were men. Nearly half (44.7%) of all abdominal hernias were diaphragmatic. There was an approximately equal distribution of the ventral (28.7%) and inguinal (24.3%) hernia. Each hernia type had a different relationship with obesity: The odds of having a ventral hernia increased with BMI in both sexes: BMI 25–29.9 kg/m2 odds ratio (OR) = 1.65, (CI 1.56–1.74); BMI 30–39.9 kg/m2 OR = 2.42 (CI 2.29–2.56), BMI 40–49.9 kg/m2 OR = 2.28 (CI 2.05–2.54) and BMI > = 50 kg/m2 OR = 2.54 (CI 2.03–3.17) all relative to normal BMI. In contrast, the odds of having an inguinal hernia decreased with obesity relative to normal weight [obesity (BMI 30–39.9 kg/m2): OR = 0.60 (CI 0.56–0.65)], morbid obesity (BMI 40–49.9 kg/m2): OR = 0.29 (CI 0.23–0.37). The OR for diaphragmatic hernia peaks with obesity in women and overweight status in men but was found to decrease with morbid obesity [OR = 1.18 (CI 1.07–1.30)]. There was no significant difference between men and women in the prevalence of femoral hernia (men: 0.7/per10,000, women: 0.9/per10,000, p = 0.19). Conclusions: The relationship between hernia and obesity is complex with some hernias decreasing in prevalence as obesity increases. Further research is needed to better understand this paradoxical relationship. [ABSTRACT FROM AUTHOR]
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- 2024
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31. Transabdominal preperitoneal (TAPP) repair for emergency groin hernia: a systematic review.
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Correia de Sá, T., Jácome, F., Basto, T., Costa, M., Gonçalves, Á., Teixeira, N., Castro Neves, L., and Barros da Silva, J.
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HERNIA surgery , *PERITONEUM , *SURGICAL complications , *GROIN , *HERNIA , *GROIN pain - Abstract
Purpose: Laparoscopic groin hernia repair has evolved and gained popularity and laparoscopic transabdominal preperitoneal (TAPP) procedure provides an opportunity to evaluate the peritoneal cavity and both inguinal areas without the need for additional dissection. There is still a paucity of evidence to support TAPP repair in the emergency setting. In this systematic review, we aim to evaluate the feasibility and safety of TAPP repair for incarcerated and strangulated groin hernias. Methods: PRISMA guidelines were followed for literature search and established inclusion and exclusion criteria were applied. Data were extracted and analyzed for the outcomes of interest. Results: Overall, 8 studies were included in the review, comprising 316 patients. Patients characteristics and outcomes were limitedly reported. Only 3 cases of conversion to open approach were reported and 2 recurrences were diagnosed. Postoperative complications are inconsistently reported but mostly refer to minor complications. There were no mortality cases. Visceral resections were performed in 25 cases due to ischemia, mostly extracorporeally. Conclusion: Laparoscopy is a game changer and TAPP approach is a feasible, safe, and effective technique for the emergent repair of groin hernias. Further studies and prospective randomized data are needed to establish its role in the emergent groin hernia management. [ABSTRACT FROM AUTHOR]
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- 2024
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32. A new groin hernia classification with clinical relevance.
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Yang, George, Tung, K. L. M., Tumtavitikul, S., and Li, M. K. W.
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INGUINAL hernia , *LITERATURE reviews , *HERNIA , *GROIN , *TASK forces - Abstract
Introduction: Groin hernia is one of the most commonly managed surgical diseases around the world. The typical question asked by patients is "Does my hernia require urgent surgery?". The currently available classifications are insufficient to stratify patients into different groups. We propose a new classification that incorporates diverse clinical elements together with anatomical and other vital information, which allows us to stratify patients into different groups. Method: A task force was formed by the Hong Kong Hernia Society, working with international expert hernia surgeons. The framework of the classification system was formulated. Clinical elements that are important in groin disease stratification were identified. A comprehensive literature review was conducted using PubMed. Those which dictate the severity of the disease were selected and compiled to form the new proposed classification. Application of this classification model to a single hernia surgeon's registry in The Hong Kong Adventist Hospital Hernia Centre was done for initial evaluation. Result: This new classification incorporates important clinical characteristics forming a total of nine grades of differentiation, together with the anatomical details and special information. This comprehensive system allows the stratification of patients into different groups based on disease severity. It also enables more accurate data collection for future audits, comparisons of disease progression over time, and the effect of different management strategies for different-stage patients. Conclusion: This is the first classification system which incorporates essential clinical parameters, which allows the stratification of groin hernia into different stages. Further studies and validation should be performed to evaluate the usefulness and value of this classification in groin hernia management. [ABSTRACT FROM AUTHOR]
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- 2024
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33. Incidentally found obturator hernias during totally extraperitoneal (TEP) inguinal hernia repair: a single-center experience.
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Bialecki, Jacek, Antkowiak, Ryszard, Adamiecki, Marcin, EngD, Anna Kasperczuk, Antkowiak, Lukasz, Szmit, Mateusz, and Domoslawski, Pawel
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HERNIA surgery , *INGUINAL hernia , *DISEASE risk factors , *SYMPTOMS , *HERNIA - Abstract
Purpose: This study aimed to determine the occurrence of incidental obturator hernia and clinical risk factors of their appearance in patients undergoing totally extraperitoneal (TEP) inguinal hernioplasty. Methods: Data were collected retrospectively from patients who underwent TEP inguinal hernioplasty between June 2020 and December 2022. Results: A total of 251 patients were included in the study. Obturator hernias were found in 21 patients (8.4%). At admission, no patient presented clinical signs of an obturator hernia. There was a significant predominance of women in the obturator hernia compared to the non-obturator hernia group (28.6% vs. 10.9%, respectively, p=0.018). There was no correlation between age (p=0.479) and BMI (p=0.771) and the occurrence of obturator hernia. Additional obturator hernia repair within the TEP inguinal hernioplasty procedure did not influence the overall length of the surgery (60.86 minutes) compared to the standard TEP inguinal hernioplasty (61.09 minutes, p=0.876). Conclusions: The TEP inguinal hernioplasty allows the detection and repair of incidental obturator hernia. Through thorough inspection of the obturator canal, an asymptomatic obturator hernia can be detected and adequately treated within the same procedure, without the impact on the surgery duration, when performed by an experienced hernia surgeon. [ABSTRACT FROM AUTHOR]
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- 2024
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34. The Addition of Hydromorphone to Local Anesthetics for the Repair of Inguinal Hernias in Elderly Patients
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- 2024
35. Methocarbamol in Ventral and Inguinal HR
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- 2024
36. A Clinical Study to Evaluate the Clinical Performance and Safety of LiquiBand FIX8® Versus AbsorbaTack™ for Hernia Mesh Fixation and Peritoneal Closure in Groin Hernia Repair
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- 2024
37. Self Fixating Versus Stapled Mesh for Laparoscopic Inguinal Hernia Repair
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- 2024
38. Nephroptosis and ureteroinguinal incarcerated hernia mimicking acute appendicitis.
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Gergel, Michal, Brychta, Ivan, Lancz-Klikacova, Anita, and Mayer, Alexander
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APPENDICITIS ,INGUINAL hernia ,HERNIA ,URETERIC obstruction ,SYMPTOMS ,POSTOPERATIVE period ,APPENDECTOMY - Abstract
The involvement of kidney, perirenal fat, and ureter is a rare variant of inguinal hernia. We report a case of a 78-year-old man presenting with typical clinical signs of acute appendicitis. Ultrasonography and CT scan revealed ptosis of the right kidney with a major part of the perirenal capsule involved in a large right sided inguinal hernia with acute obstruction of the ureter and urostasis. Acute surgery was performed, involving resection of perirenal fat, liberation, resection, and neoimplantation of the ureter, and hernioplasty. The postoperative period was uneventful. This case illustrates diagnostic unpredictability of acute appendicitis as well as anatomic variety of inguinal hernias. [ABSTRACT FROM AUTHOR]
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- 2024
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39. How Well Fitness and Sports Fans Comprehend Inguinal Hernias.
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Alotaibi, Abdulrahman, Alshamrani, Alwaleed, Alharbi, Lamyaa, Felemban, Aseel, abdalwahab, Zahra, Alalwan, Mohammed, Aljohani, Lian, Alharthi, Faisal, Alalawi, Saud, Alsalhi, Karim, and Alzahrani, Khames
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INGUINAL hernia , *SPORTS spectators , *MARRIED men , *MEDICAL personnel , *HERNIA - Abstract
Background: It is important to determine how well-informed sports fans are about inguinal hernias and what variables put them at risk for getting one. Methodology: Study conducted from August 2023 to December 2023. The approved online survey was distributed on social media platforms throughout Saudi Arabia. Results: Of the 459 people who took part in our study, 52.1% were men and 44.9% were between the ages of 20 and 30. The distribution of participants with high, average, and poor knowledge and awareness yielded 11%, 56%, and 33%, respectively. Unmarried women under the age of 40 exhibit a higher and average understanding of hernia compared to married men over the age of 40, with a comparison rate of 73. % vs. 56%, p=.001, 77% vs. 57%, p=.001, 69.6% vs. 60.3%, p=.001, respectively. Conclusion: There is sufficient understanding, familiarity, and knowledge regarding hernias and the factors that put individuals at risk among those involved in sports and fitness. It is advisable for married men aged 40 and above to acquire knowledge regarding hernias and the various factors that contribute to their susceptibility. Healthcare providers should give priority to this specific population when providing education on inguinal hernias to patients [ABSTRACT FROM AUTHOR]
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- 2024
40. Laparoscopic totally extraperitoneal repair for recurrent inguinal bladder hernia: A case report.
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Kitano, Yuto, Okamoto, Koji, Aoki, Tatsuya, Watanabe, Kazuhide, Takehara, Akira, and Shibahara, Kazushige
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INGUINAL hernia , *HERNIA surgery , *COMPUTED tomography , *LAPAROSCOPIC surgery , *HERNIA , *BLADDER , *CYSTOTOMY - Abstract
We present a case of a recurrent inguinal bladder hernia that was previously unsuccessfully operated on three times and was repaired using totally extraperitoneal repair (TEP). A 79‐year‐old man presented with a right inguinal swelling that had been treated three times on the same side with anterior approaches. Computed tomography confirmed a recurrent inguinal bladder hernia. TEP was performed after identifying the bladder hernia preoperatively, with previous surgeries that used a plug‐and‐patch technique through an anterior approach. The extraperitoneal approach allowed the bladder to be reduced without injury and the hernia to be safely repaired using a 3D Max® Light Mesh. The postoperative recovery was uneventful, with no recurrence after 1 year. TEP facilitates the diagnosis and repair of bladder hernias, emphasizing the importance of preoperative diagnosis and the efficacy of endoscopic procedures in bladder hernia repair, even in recurrent cases. [ABSTRACT FROM AUTHOR]
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- 2024
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41. High peritoneal incision approach in endoscopic transabdominal preperitoneal patch plasty (TAPP) for inguinal hernia after radical prostatectomy.
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Yamamoto, Tetsu, Hyakudomi, Ryoji, Takai, Kiyoe, Uchida, Yuki, Ishitobi, Kazunari, Hirahara, Noriyuki, and Tajima, Yoshitsugu
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INGUINAL hernia , *RADICAL prostatectomy , *HERNIA , *RETROPUBIC prostatectomy , *TRANSURETHRAL prostatectomy - Abstract
Background: Inguinal hernia develops as one of the common complications after robotic or laparoscopic radical prostatectomy (RP). Transabdominal preperitoneal patch plasty (TAPP) for an inguinal hernia after RP is difficult to perform due to postoperative severe adhesions in the preperitoneal cavity. We have introduced a high peritoneal incision approach (HPIA) in TAPP for inguinal hernia patients in whom peritoneal dissection is difficult due to severe adhesions after RP. We evaluate the safety and efficacy of TAPP with a HPIA for patients with an inguinal hernia after robot‐assisted RP (RARP). Methods: Patients characteristics and surgical outcome were evaluated by a retrospective analysis. Results: From January 2014 to December 2017, 21 consecutive patients underwent TAPP for an inguinal hernia after RARP. Twenty‐four lesions were the type 3b and three were type 3a according to the Nyhus classification. A circular incision TAPP was performed for 10 hernia lesions in eight patients and TAPP with HPIA was utilized for 17 lesions in 13 patients. The mean operation time for the unilateral hernia in the HPIA (137.8 ± 20.7 min) was significantly shorter than that (182.2 ± 42.0 min) in the circular incision TAPP (p =.038). The HPIA was complete in all patients, while the circular incision TAPP was converted to intraperitoneal onlay mesh (IPOM)intraperitoneal onlay mesh in five patients (55.6%, p =.008) due to dense adhesions with difficult dissection. No recurrent was observed after follow‐up period of 48 months in both groups. Conclusions: The TAPP with HPIA is feasible and a safe and reliable treatment of choice in patients with an inguinal hernia after RARP. [ABSTRACT FROM AUTHOR]
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- 2024
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42. Laparoscopically treated bowel obstruction secondary to a lesser omental hernia resulting from a previous laparoscopic total colectomy for ulcerative colitis: A report of two cases.
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Makutani, Yusuke, Iwamoto, Masayoshi, Daito, Koji, Tokoro, Tadao, Kawamura, Junichiro, and Ueda, Kazuki
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BOWEL obstructions , *ULCERATIVE colitis , *COLECTOMY , *HERNIA , *LAPAROSCOPIC surgery , *INGUINAL hernia - Abstract
Lesser omental hernias are rare; however, they should be considered in symptomatic bowel obstruction subsequent to a subtotal or total colectomy. This report describes two cases of recurrent bowel obstruction secondary to lesser omental hernias after laparoscopic total colectomies for ulcerative colitis. Initially, these patients had been treated conservatively; however, due to symptom recurrence, surgical intervention was decided on. In both cases, laparoscopic surgery revealed lesser omental hernias. The small bowel, which had entered from the dorsal aspect of the stomach, was returned to the original position, and the lesser omentum was closed. The patients were discharged uneventfully, with no recurrent bowel obstruction during the follow‐up period. These cases highlight the importance of including internal hernias in the differential diagnosis relative to recurrent bowel obstruction, in patient subpopulations with a prior history of a subtotal or total colectomy. Confirmation by computed tomography is preferable. [ABSTRACT FROM AUTHOR]
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- 2024
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43. Laparoscopic repair of concurrent direct and indirect inguinal, femoral, and obturator hernias on the same side: A case report.
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Fujita, Masahiro, Nakauchi, Masaya, Iida, Masamoto, Koide, Keisuke, Inoue, Seiji, Goto, Ai, Suzuki, Kazumitsu, Umeki, Yusuke, Serizawa, Akiko, Akimoto, Shingo, Watanabe, Yusuke, Tanaka, Tsuyoshi, Shibasaki, Susumu, Inaba, Kazuki, Uyama, Ichiro, and Suda, Koichi
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INGUINAL hernia , *HERNIA , *LAPAROSCOPIC surgery , *COMPUTED tomography , *HOSPITAL admission & discharge , *HYDROCELE - Abstract
Concurrent direct and indirect inguinal, femoral, and obturator hernias are rare. This case report describes a rare case treated using the laparoscopic approach. A 68‐year‐old female patient presented with a moving left inguinal lump and pain. Physical examination and abdominal computed tomography scan revealed the coexistence of a left inguinal hernia or Nuck canal hydrocele and a left femoral hernia. The patient underwent laparoscopic transabdominal preperitoneal repair, and all four orifices were covered with one mesh. The patient was discharged on the second postoperative day without any complications. The concurrent presence of four hernias on the same side is rare and has not been previously reported. The laparoscopic approach is useful in such cases because it allows visualization of multiple hernia orifices from the intra‐abdominal cavity. [ABSTRACT FROM AUTHOR]
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- 2024
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44. Diagnostic impact of using the semi-erect position in the evaluation of inguinal hernia with superficial sonography.
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Karatay, Emrah, Eren, Abdulkadir, and Javadov, Mirkhalig
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SUPINE position , *INGUINAL hernia , *ULTRASONIC imaging , *HERNIA , *GROIN pain , *DIAGNOSIS - Abstract
Introduction: The main cause of groin pain is inguinal hernia (IH). The most commonly used imaging test for diagnosis is sonography, which is also useful in distinguishing between indirect and direct hernias. Aim: In this study, measurements were made with sonography in the semi-erect position (45°) in addition to the supine position and the effectiveness of this position in detecting the defect was investigated. Material and methods: The IH cases diagnosed by ultrasound between March 2019 and October 2023 were evaluated retrospectively. According to the diameter of the defect in the supine position, the cases were divided into three groups: Group A (≤1.5 cm), Group B (1.5–3 cm), and Group C (≥3 cm). A total of 252 patients with unilateral IH were identified. Results: For Group A, the mean value was 1.09 ±0.23 (0.64–1.48) cm in the supine position and 1.28 ±0.26 (0.67) cm in the semi- -erect position (p<0.001). For Group B, the mean value was 2.29 ±0.29 (1.57–2.82) cm in the supine position and 2.41 ±0.31 (1.65–2.94) cm in the semi-erect position (p<0.001). For Group C, the mean value was 3.57 ±0.23 (3.28–4.05) cm in the supine position and 3.62 ±0.24 (3.32–4.10) cm in the semi-erect position (p<0.05). Conclusions: Superficial ultrasound, which provides reliable results in the diagnosis of IH, is an easily accessible modality. Unlike previous studies, this study was the first to examine the semi-erect position in IH patients. It showed that it is effective in determining the optimal diameter of the defect. [ABSTRACT FROM AUTHOR]
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- 2024
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45. Trocar‐site incisional hernia after 8‐mm robotic trocar placement: A prospective study.
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Cianfarani, Agnese, Mongelli, Francesco, Iaquinandi, Fabiano, Xhepa, Genti, Pini, Ramon, Gaffuri, Paolo, and La Regina, Davide
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HERNIA , *PATIENT satisfaction , *LONGITUDINAL method , *ABDOMINAL wall , *ABDOMINAL surgery , *VENTRAL hernia , *MYRINGOPLASTY - Abstract
Background: The current literature supports the closure of trocar sites ≥10‐mm for the risk of developing incisional hernias, while there is no need to suture the abdominal fascia when using 5‐mm trocars. To date, evidence regarding the closure of 8‐mm trocars that are use by new robotic systems is weak. The aim of our study was to investigate the incidence of incisional hernia for 8‐mm trocars. Methods: We prospectively collected data on all patients undergoing robotic‐assisted abdominal wall surgery from 2020 to 2023, in whom the abdominal fascia of all 8‐mm trocars was not closed. The enrolled patients underwent a follow‐up visit during which we conducted clinical and sonographic evaluations of all 8‐mm trocars, in addition to assessing the satisfaction levels of the patients. The primary outcome was the incidence of port‐site hernia. Results: We enrolled 166 patients, 155 men and 11 women, for a total of 513 trocars accessed. Mean age was 61.1 ± 14.0 years, and mean BMI was 27.0 ± 3.9 kg/m2. The follow‐up visits were carried out after a median follow‐up of 14.5 (9.0–23.2) months. Only one case developed an asymptomatic 1 × 1 cm supra‐umbilical hernia that was not treated. Patient reported a satisfaction regarding the 8‐mm trocars and skin sutures of 9.8 ± 0.5 out of 10 points. Conclusions: The occurrence of a trocar‐site hernia after 8‐mm robotic access is extremely low. Hence, the fascia closure may not be necessary. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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46. Laparoscopic transection and partial resection of hernia sac in the treatment of indirect inguinal hernia: A preliminary observation.
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Jinyu Dai, Jian Li, and Xiaobing Sun
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INGUINAL hernia , *SUSTAINABLE fashion , *VAS deferens , *SURGICAL instruments , *HERNIA - Abstract
Introduction: This study aimed to investigate the feasibility of applying laparoscopic transection and partial resection of hernia sac in the treatment of indirect inguinal hernia in children. Patients and Methods: From December 2017 to November 2018, we recruited 20 children, who were aged 1–6 years old, with indirect inguinal hernia. At the time of admission, the participants had already developed an indirect inguinal hernia for 6 months to 1 year. A simple transection and partial resection of hernia sac was performed at the internal ring on each of the recruited children. The procedure was conducted under laparoscopy. Two 5‑mm trocars were placed on either side of the umbilicus, one for the camera and the other for a surgical instrument. Another trocar was placed on the right abdomen. Laparoscopic camera curved forceps, and scissors were placed. Along the unclosed internal ring, the peritoneum was cut in a circular fashion to transect the hernia sac and dissociate it from the distal end. About 1–2 cm of the hernia sac was resected. Results: The operation was successfully completed in all 20 cases, who did not experience any complications, such as the absence of spermatic cord, vas deferens injury, scrotal swelling and incision infection. The children were discharged 1 day after the operation. In the post‑operative follow‑up for the first 3–4 years, recurrence and testicular atrophy did not occur in the study participants. Conclusion: The short-term results obtained from this study showed that the application of laparoscopic transection and partial resection of hernia sac in the treatment of indirect inguinal hernia is feasible. Long-term results and further observation are needed for validation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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47. Predictors of Length of Hospital Stay After Reduction of Internal Hernia in Patients With a History of Roux-en-Y Gastric Bypass.
- Author
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Sohail, Amir H., Hurwitz, Joshua C., Silverstein, Jeffrey, Hakmi, Hazim, Sajan, Abin, Ye, Ivan B., Pacheco, Tulio Brasileiro Silva, Zielinski, Gregory R., Gangwani, Manesh Kumar, Petrone, Patrizio, Levine, Jun, Kella, Venkata, Brathwaite, Collin E. M., and Goparaju, Anirudha
- Subjects
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GASTRIC bypass , *LENGTH of stay in hospitals , *HERNIA , *SURGICAL emergencies , *SMALL intestine , *RACE , *MORBID obesity , *INGUINAL hernia - Abstract
Background: Postoperative internal hernias after Roux-en-Y gastric bypass (RYGB) have an incidence of 2%-9% and are a surgical emergency. Evidence on factors associated with length of stay (LOS) after emergent internal hernia reduction in RYGB patients is limited. Methods: This is a retrospective review of patients who underwent internal hernia reduction after RYGB at our tertiary care center over a 5 year period from 2015 to 2020. Demographics, comorbidities, and intra- and postoperative hospital course were collected. Univariate and multivariate linear regressions were used to investigate factors associated with LOS. Results: We identified 38 patients with internal hernia after RYGB. These patients with mean age 44.1 years were majority female (71.1%) and white race (60.5%). Of the 24 patients where the RYGB was done at our institution, the mean RYGB to IH interval was 43 months. Petersen's defect (57.8%) followed by jejuno-jejunal mesenteric defect (31.6%) were the most common locations for IH. Both Petersen's and jejuno-jejunal mesenteric hernias were found in 4 cases (10.5%). Revision of bypass and small bowel resection were required in 13.2% and 5.3% of cases, respectively. The median (interquartile range) length of stay (LOS) was 2 days. On the multivariate analysis, male sex (P =.019), conversion to exploratory laparotomy (P =.005), and resection of small bowel (P <.001) were independent risk factors for increased LOS. Conclusion: The most common location of IH after RYGB is Petersen's defect, followed by jejuno-jejunal mesenteric defect. LOS was significantly associated with male sex, exploratory laparotomy, and resection of small bowel. [ABSTRACT FROM AUTHOR]
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- 2024
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48. Comparison of three-dimensional mesh (3D mesh) without fixation versus polypropylene mesh with fixation in patients of inguinal hernia undergoing totally extraperitoneal repair.
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Omarov, Nail, Huseynov, Elnur, and Özocak, Ayşegül Bahar
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INGUINAL hernia , *POLYPROPYLENE , *LAPAROSCOPIC surgery , *DISEASE relapse , *GROIN pain - Abstract
Introduction: We aimed to compare the results of patients who underwent inguinal hernia repair with nonfixation pre-shaped three-dimensional (3D) mesh and fixation with polypropylene meshes (PPM) using the totally extraperitoneal (TEP) method. Materials and Methods: A total of 96 patients who underwent laparoscopic hernia repair with the diagnosis of inguinal hernia between April 2019 and September 2023 were retrospectively analyzed. The patients were divided into two groups according to the mesh type used: staple fixation (SF) group (n=52), in which lightweight PPM was used, and non-staple fixation (NSF) group (n=44), in which pre-shaped 3D mesh was used. Patients’ age, sex, body mass index (BMI), ASA score, comorbidities, hernia type, Visual Analog Scale (VAS) score at rest (VAS-rest) and while in motion (VAS-act), and chronic groin pain (CGP) were recorded. Postoperative follow-ups were performed at one, four weeks and three, and 12 months. Results: The surgical time was found to be shorter in NSF group patients than in the SF group (p=0.011). In the SF group, four patients developed seroma, one patient developed urinary retention, and two patients developed hematoma. In the NSF group, seroma developed in three patients, urinary retention developed in two patients, and one hematoma was observed. Recurrence was observed in two patients in the SF group at 10 and 14 months, and in one patient in the NSF group at eight months. In the NSF group, groin pain was found less frequently on Day 1 and at Week 1 than in the SF group, indicating a statistically significant difference (p<0.001 and p<0.001, respectively). Conclusion: Applying pre-shaped 3D mesh without any fixation is a safe and applicable method in inguinal hernia surgery. We recommend this method, as CGP is less than the polypropylene mesh fixation method and does not increase recurrence. This method can be performed by experienced surgeons with low complication rates. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
49. Patient-Reported Abdominal Morbidity Following Abdomen-Based Breast Reconstruction.
- Author
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Maus, Jacob and Pestana, Ivo A.
- Subjects
- *
MUSCULOCUTANEOUS flaps , *MAMMAPLASTY , *ABDOMINAL wall , *BODY mass index , *INGUINAL hernia , *HERNIA , *SATISFACTION , *WELL-being , *VENTRAL hernia - Abstract
Background Abdominal wall morbidity occurs with increased frequency following flap harvest in the obese abdomen. Its impact on patient-reported outcomes (PROs) in breast reconstruction has been poorly characterized. Methods A retrospective review of obese patients undergoing abdominal-based free autologous breast reconstruction was conducted over 15 years. Patient operative characteristics were recorded and outcomes were analyzed. PROs were assessed using the BREAST-Q abdominal survey. Results In total, 75 women (108 flaps) with the mean body mass index (BMI) of 33.2 were included. Flaps included deep inferior epigastric artery perforator (24%), muscle-sparing (43%), and free transverse rectus abdominis myocutaneous flaps (f-TRAM; 33%). World Health Organization (WHO) obesity class, BMI, and flap type did not affect flap failure (1%) or complication rates. Hernia developed in 7%; all necessitated repair. Eight percent developed abdominal bulge; one was repaired. Hernia formation was associated with increased patient age (p < 0.05). Bulge formation occurred more often in f-TRAM donor sites (p = 0.005). BMI, WHO class, flap type, and mesh use were not related to hernia or bulge occurrence in either univariate or multivariate analysis. The survey response rate was 63%. Abdominal Physical Well-Being (proxy for abdominal wall function) and Satisfaction with Abdomen (patient-perceived cosmesis) were similar across flap types, age, and WHO classification groups. Patients with postoperative bulge reported higher abdominal physical well-being scores, regardless of flap type (p < 0.01). Bulge was correlated with lower satisfaction (p < 0.05). Conclusion The incidence of abdominal wall morbidity following abdominal free-tissue transfer for breast reconstruction was acceptably low in our population of obese patients. Hernia was a clinically significant complication, warranting surgical repair. Bulge was primarily a cosmetic concern and did not detract from patient-reported abdominal wall function. Age may represent an independent risk factor for hernia formation in this population. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
50. Laparoscopic surgery for De Garengeot's hernia in a man after inguinal hernia surgery with a mesh plug: a case report and review of literature.
- Author
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Fujihata, Shiro, Kuzuya, Hiromasa, Kurimoto, Masaaki, Shibata, Tadashi, Sawai, Hirozumi, and Takiguchi, Shuji
- Subjects
HERNIA surgery ,INGUINAL hernia ,LAPAROSCOPIC surgery ,LITERATURE reviews ,HERNIA ,MINIMALLY invasive procedures - Abstract
Background: De Garengeot's hernia is a rare case of a femoral hernia that contains the appendix. Here we report a case of De Garengeot's hernia that occurred in a male patient who had a history of inguinal hernia surgery using a mesh plug. There were no reports of De Garengeot's hernia with a history of surgery for inguinal hernia, and the surgical question was whether we could successfully treat a patient with minimally invasive laparoscopic surgery using a mesh. Case presentation: This case involved 75-year-old man with a history of right indirect inguinal hernia surgery using a mesh plug without on-lay mesh, who presented with a 5-day history of a right groin lump. Abdominal CT revealed an incarcerated appendix within the right femoral hernia and fluid collection around the appendix. Laparoscopic surgery was initiated and the incarcerated appendix was released with traction. There was no contamination around the appendix or the femoral ring, the appendix was removed, and the femoral hernia was repaired using mesh. Laparoscopic surgery was useful in first evaluating the inflammatory status of the appendix. As it was determined that there was little inflammation around the appendix and femoral ring, it was possible to repair the hernia using mesh. Conclusions: De Garengeot's hernias are rare and there is currently no standardized approach. Even if it is a recurrent hernia in the groin, laparoscopic surgery can be useful for diagnosis and treatment, but the use of mesh requires further careful consideration. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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