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Your search keyword '"Ellis, Ryan C."' showing total 16 results
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5. The association of permanent versus absorbable fixation on developing chronic post-herniorrhaphy groin pain in patients undergoing laparoscopic inguinal hernia repair

Author

Woo, Kimberly P., Ellis, Ryan C., Maskal, Sara M., Remulla, Daphne, Shukla, Priya, Rosen, Alexandra J., Wetzka, Isabella, Osei-Koomson, Wilhemina, Phillips, Sharon, Miller, Benjamin T., Beffa, Lucas R., Petro, Clayton C., Krpata, David M., Prabhu, Ajita S., Menzo, Emanuele Lo, and Rosen, Michael J.

Published
2024
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14. Corrigendum to: Open retromuscular keyhole compared with Sugarbaker mesh for parastomal hernia repair: Early results of a randomized clinical trial ‘175(3):813-821.’

Author

Maskal, Sara M., primary, Thomas, Jonah D., additional, Miller, Benjamin T., additional, Fafaj, Aldo, additional, Zolin, Samuel J., additional, Montelione, Katie, additional, Ellis, Ryan C., additional, Prabhu, Ajita S., additional, Krpata, David M., additional, Beffa, Lucas R.A., additional, Costanzo, Adele, additional, Zheng, Xinyan, additional, Rosenblatt, Steven, additional, Rosen, Michael J., additional, and Petro, Clayton C., additional

Published
2024
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15. Abdominal Wall Tension and Early Outcomes after Posterior Component Separation with Transversus Abdominis Release: Does a "Tension-Free" Closure Really Matter?

Author

Miller, Benjamin T., Ellis, Ryan C., Maskal, Sara M., Petro, Clayton C., Krpata, David M., Prabhu, Ajita S., Beffa, Lucas R. A., Chao Tu, and Rosen, Michael J.

Subjects
*HEMORRHAGE risk factors, *ABDOMINAL surgery, *HERNIA surgery, *RISK assessment, *CONTINUING education units, *DATA analysis, *SECONDARY analysis, *PATIENT readmissions, *LOGISTIC regression analysis, *TREATMENT effectiveness, *DESCRIPTIVE statistics, *SURGICAL complications, *LUNG diseases, *STATISTICS, *TRANSVERSUS abdominis muscle, *WOUND care, *SURGICAL site infections, *BOWEL obstructions, *DISEASE risk factors
Abstract

BACKGROUND: Ventral hernias result in fibrosis of the lateral abdominal wall muscles, increasing tension on fascial closure. Little is known about the effect of abdominal wall tension on outcomes after abdominal wall reconstruction. We aimed to identify an association between abdominal wall tension and early postoperative outcomes in patients who underwent posterior component separation (PCS) with transversus abdominis release (TAR). STUDY DESIGN: Using a proprietary, sterilizable tensiometer, the tension needed to bring the anterior fascial elements to the midline of the abdominal wall during PCS with TAR was recorded. Tensiometer measurements, in pounds (lb), were calibrated by accounting for the acceleration of Earth's gravity. Baseline fascial tension, change in fascial tension, and fascial tension at closure were evaluated with respect to 30-day outcomes, including wound morbidity, hospital readmission, reoperation, ileus, bleeding, and pulmonary complications. RESULTS: A total of 100 patients underwent bilateral abdominal wall tensiometry, for a total of 200 measurements (left and right side for each patient). Mean baseline anterior fascial tension was 6.78 lb (SD 4.55) on each side. At abdominal closure, the mean anterior fascial tension was 3.12 (SD 3.21) lb on each side. Baseline fascial tension and fascial tension after PCS with TAR at abdominal closure were not associated with surgical site infection, surgical site occurrence, readmission, ileus, and bleeding requiring transfusion. The event rates for all other complications were too infrequent for statistical analysis. CONCLUSIONS: Baseline and residual fascial tension of the anterior abdominal wall do not correlate with early postoperative morbidity in patients undergoing PCS with TAR. Further work is needed to determine if abdominal wall tension in this context is associated with long-term outcomes, such as hernia recurrence. [ABSTRACT FROM AUTHOR]

Published
2024
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