International Journal of Abdominal Wall and Hernia Surgery最新文献_第7页

Some Additional Data That Might Be Useful for Diastasis Recti Assessment. 对腹股沟评估有用的其他一些数据。

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2023-02-02 eCollection Date: 2023-01-01 DOI: 10.3389/jaws.2023.10923

P Ngo, J-P Cossa, S Gueroult, D Blum, E Pélissier

{"title":"Some Additional Data That Might Be Useful for Diastasis Recti Assessment.","authors":"P Ngo, J-P Cossa, S Gueroult, D Blum, E Pélissier","doi":"10.3389/jaws.2023.10923","DOIUrl":"10.3389/jaws.2023.10923","url":null,"abstract":"Background: Diastasis recti (DR) is characterized by separation of both rectus muscles and protrusion of the median bulging, but besides median bulging DR can also entail global abdominal bulging. On other note, DR classification is based on the width of divarication, but measurement values are different at rest and at effort due to muscle contraction. Aim of the study is to provide additional features concerning the type of bulging and the width of divarication. Methods: Findings were retrospectively drawn from the data prospectively collected in the records of a continuous cohort of 105 patients (89 females, 16 males) referred for diastasis and concomitant ventral hernia repair. Results: There was a median bulging alone in 45 (42.9%) cases, a global bulging alone in 18 (17.1%) cases, both types combined in 37 (35.2%) cases and no bulging in 5 (4.8%). On 55 patients with a global bulging, 51 were females. Tape measurements values of DR width were closer to the values measured on the CT scan at leg raise than at rest. The differences were significant at rest as well as at leg raise. Though the difference at rest was highly significant (p = 0.000), the difference at effort was not far from being not significant (p = 0.049). Conclusion: Besides median bulging, presence or absence of the global bulging should be included in DR assessment. The difference between width of divarication at rest and on exertion raises the question of which value should be used for DR classification. The question is worth being debated.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10831680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74542488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

If Evidence is in Favor of Incisional Hernia Prevention With Mesh, why is it not Implemented? 如果有证据表明使用网片预防切口疝气是可行的，为什么没有实施？

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2023-02-01 eCollection Date: 2023-01-01 DOI: 10.3389/jaws.2023.11000

Breanna Durbin, Aparajita Spencer, Amanda Briese, Colston Edgerton, William W Hope

引用次数: 0

Patients With Systemic Reaction to Their Hernia Mesh: An Introduction to Mesh Implant Illness. 疝气网片全身反应患者：网片植入疾病简介。

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2023-01-30 eCollection Date: 2023-01-01 DOI: 10.3389/jaws.2023.10983

Negin Fadaee, Desmond Huynh, Zayan Khanmohammed, Laura Mazer, Isabel Capati, Shirin Towfigh

{"title":"Patients With Systemic Reaction to Their Hernia Mesh: An Introduction to Mesh Implant Illness.","authors":"Negin Fadaee, Desmond Huynh, Zayan Khanmohammed, Laura Mazer, Isabel Capati, Shirin Towfigh","doi":"10.3389/jaws.2023.10983","DOIUrl":"10.3389/jaws.2023.10983","url":null,"abstract":"In our practice, we have noticed an increased number of patients requiring mesh removal due to a systemic reaction to their implant. We present our experience in diagnosing and treating a subpopulation of patients who require mesh removal due to a possible mesh implant illness (MII). All patients who underwent mesh removal for indication of mesh reaction were captured from a hernia database. Data extraction focused on the patients' predisposing medical conditions, presenting symptoms suggestive of mesh implant illness, types of implants to which reaction occurred, and postoperative outcome after mesh removal. Over almost 7 years, 165 patients had mesh removed. Indication for mesh removal was probable MII in 28 (17%). Most were in females (60%), average age was 46 years, with average pre-operative pain score 5.4/10. All patients underwent complete mesh removal. Sixteen (57%) required tissue repair of their hernia; 4 (14%) had hybrid mesh implanted. Nineteen (68%) had improvement and/or resolution of their MII symptoms within the first month after removal. We present insight into a unique but rising incidence of patients who suffer from systemic reaction following mesh implantation. Predisposing factors include female sex, history of autoimmune disorder, and multiple medical and environmental allergies and sensitivities. Presenting symptoms included spontaneous rashes, erythema and edema over the area of implant, arthralgia, headaches, and chronic fatigue. Long-term follow up after mesh removal confirmed resolution of symptoms after mesh removal. We hope this provides greater attention to patients who present with vague, non-specific but debilitating symptoms after mesh implantation.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10831643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86414162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simultaneous Treatment of Complex Incisional Hernia and Stoma Reversal. 同时治疗复杂切口疝和造口翻转术

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2023-01-27 eCollection Date: 2023-01-01 DOI: 10.3389/jaws.2023.11093

Carles Olona, Ricard Sales, Aleidis Caro-Tarragó, Beatriz Espina, Raquel Casanova, Rosa Jorba

{"title":"Simultaneous Treatment of Complex Incisional Hernia and Stoma Reversal.","authors":"Carles Olona, Ricard Sales, Aleidis Caro-Tarragó, Beatriz Espina, Raquel Casanova, Rosa Jorba","doi":"10.3389/jaws.2023.11093","DOIUrl":"10.3389/jaws.2023.11093","url":null,"abstract":"Purpose: The simultaneous repair of incisional hernias (IH) and the reconstruction of the intestinal transit may pose a challenge for many surgeons. Collaboration between units specialized in abdominal wall and colorectal surgery can favor simultaneous treatment. Methods: Descriptive study of patients undergoing simultaneous surgery of complex IH repair and intestinal transit reconstruction from the start of treatment in a joint team. All interventions were performed electively and with the collaboration of surgeons experts in abdominal wall and colorectal surgery. Results: 23 patients are included. 11 end colostomies, 1 loop colostomy, 6 end ileostomies and 5 loop ileostomies. Seven (30%) patients presented with a medial laparotomy incisional hernia, 3 (13%) with a parastomal incisional hernia, and 13 (56%) with a medial and parastomal incisional hernia. Closure of the hernial defect was achieved in 100% of cases, and reconstruction of the intestinal tract was achieved in 22 (95%). Component separation was required in 17 patients (74%), which were 11 (48%) posterior and 6 (26%) anterior. In-hospital morbidity was 9%, and only two patients presented Clavien-Dindo morbidity > III when requiring reoperation, one due to hemorrhage of the surgical bed and another due to dehiscence of the coloproctostomy. The mean follow-up was 11 months, with 20 (87%) patients having no complications. Mesh had to be removed in one patient with anastomotic dehiscence, no mesh had to be removed due to surgical site infection.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10831652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78936440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Critical Appraisal of the Chronic Pain Rate After Inguinal Hernia Repair. 腹股沟疝气修复术后慢性疼痛率的批判性评估。

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2023-01-19 eCollection Date: 2023-01-01 DOI: 10.3389/jaws.2023.10972

Anders Gram-Hanssen, Stina Öberg, Jacob Rosenberg

{"title":"A Critical Appraisal of the Chronic Pain Rate After Inguinal Hernia Repair.","authors":"Anders Gram-Hanssen, Stina Öberg, Jacob Rosenberg","doi":"10.3389/jaws.2023.10972","DOIUrl":"10.3389/jaws.2023.10972","url":null,"abstract":"Purpose: To critically appraise highly cited studies reporting on the rate of chronic pain after inguinal hernia repair. Methods: Google Scholar was searched on 23 May 2022. We only included publications with more than 10 citations per year since publication and more than 100 citations in total. Both reports of original data and systematic reviews were included. Risk of bias and quality of the included studies were assessed with either the Joanna Briggs Institute Checklist for Prevalence Studies or the AMSTAR 2 depending on study design. Results: Twenty studies were included and evaluated. The rate of chronic postoperative inguinal pain of any degree ranged from 10%-63%, and the rate of moderate-to-severe pain ranged from 1%-18%. All studies reported the rate of pain of any degree, and most studies reported the rate of moderate-to-severe pain influencing daily activities. Studies used different temporal definitions of chronic pain, but most studies defined it as pain persisting either three or six months postoperatively. Ten studies used unvalidated questionnaires or significantly modified versions of validated questionnaires. Eleven studies primarily included patients receiving open repair. Included studies had median 21 citations per year (range 10-39) and median 387 citations in total (range 127-788). Conclusion: The rates of chronic postoperative inguinal pain reported in the included highly cited studies are possibly inaccurate, excessive, and outdated. New prospective studies based on uniform definitions and standards of measurement are warranted to better assess a contemporary chronic pain rate after inguinal hernia repair.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10831660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86180637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia: A prospective randomized study 评价轻重量大孔网与重重量小孔网在腹股沟疝全腹膜外修复中的应用:一项前瞻性随机研究

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2023-01-01 DOI: 10.4103/ijawhs.ijawhs_1_23

Sarabjit Singh, Kiranjot Rana, B. Walia, V. Pahuja, Pankaj Dugg

{"title":"Evaluation of light weight large pore mesh versus heavy weight small pore mesh in total extraperitoneal repair of inguinal hernia: A prospective randomized study","authors":"Sarabjit Singh, Kiranjot Rana, B. Walia, V. Pahuja, Pankaj Dugg","doi":"10.4103/ijawhs.ijawhs_1_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_1_23","url":null,"abstract":"BACKGROUND: The type of mesh to be used in laparoscopic groin hernia repair has always been debatable whether to use lightweight (LW) or heavyweight (HW) mesh. The study compares the lightweight large pore mesh with HW small pore mesh in total extraperitoneal groin (TEP) hernia repair and its outcome. MATERIALS AND METHODS: A total of 50 patients, who met the inclusion criteria, were randomized in the two groups. In group I (n = 25) LW large pore mesh (pore size 1 mm) was used whereas in group II (n = 25) HW small pore mesh (pore size < 0.65 mm) was used. Outcomes were observed with respect to complications, recurrence, and patient satisfaction. Statistical analysis was performed using χ2 test and student t test. RESULTS: Mean age of the patients group I was 45 ± 18.52 while in group II it was 48.88 ± 20.529 years. The complication rates were comparable between the two groups. However, seroma formation was higher in group II. The occurrence of groin pain and foreign body sensation between the two groups was comparable after 6-month follow-up. No recurrence was reported in either of the groups. CONCLUSION: Although there was no significant difference between the two groups, but the present study showed some advantage of LW mesh over HW weight mesh in TEP with respect to complications and patient satisfaction.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82292106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Seroma-prevention strategies in minimally invasive inguinal hernia repair: A systematic review and meta-analysis 微创腹股沟疝修补术中的血清瘤预防策略:系统回顾和荟萃分析

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2023-01-01 DOI: 10.4103/ijawhs.ijawhs_5_23

T. Ng, Brandon Loo, C. Chia

{"title":"Seroma-prevention strategies in minimally invasive inguinal hernia repair: A systematic review and meta-analysis","authors":"T. Ng, Brandon Loo, C. Chia","doi":"10.4103/ijawhs.ijawhs_5_23","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_5_23","url":null,"abstract":"BACKGROUND: The rise of minimally invasive inguinal hernia repair has seen both the laparoscopic and robotic approaches increase in popularity in recent years. Despite this, seroma formation remains a common complication, and the aim of this study is to evaluate the current evidence on seroma-prevention strategies in minimally invasive inguinal hernia repair. MATERIALS AND METHODS: Four databases (PubMed, Scopus, Embase, and Cochrane Library) were searched from inception to November 15, 2021. All studies describing the use of intraoperative adjuncts to reduce postoperative seroma formation in patients undergoing laparoscopic or robotic inguinal and inguinoscrotal hernia repair were included. Meta-analyses were performed using Review Manager (Version 5.4). RESULTS: 2,382 articles were identified in the initial database search, and 40 articles were included in the final analysis. In this analysis, there was a significantly lower incidence of seroma formation in the drain group when compared to the no-drain group (P < 0.00001). Other strategies aimed at reducing the dead space involving the transversalis fascia (TF) and hernia sac such as TF inversion with tacking, Endoloop closure of TF, barbed suture closure of TF, distal sac fixation, and complete dissection of the sac have shown promising results as well. CONCLUSIONS: While there is currently insufficient evidence to recommend the routine use of any one of the interventions analyzed, the use of drains, the management of the TF, and the hernia sac have showed potential in reducing seroma formation.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90151181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Morgagni hernia presenting as constipation in the postsurgical patient: A case report 术后患者Morgagni疝表现为便秘:1例报告

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2023-01-01 DOI: 10.4103/ijawhs.ijawhs_51_22

T. Cartwright, Patherica Charoenmins, Cole Nelson, Josiah Faustino, Shaan J Akhtar

引用次数: 0

What is new in parastomal hernia repair: An overview 造口旁疝修补术的新进展:综述

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2023-01-01 DOI: 10.4103/ijawhs.ijawhs_65_22

H. Hoffmann, D. Nowakowski, P. Kirchhoff

引用次数: 0

Enterocutaneous fistula from a mesh eroding the small bowel after incisional hernia repair: A case report 切口疝修补后网状物侵蚀小肠形成肠皮瘘1例

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2023-01-01 DOI: 10.4103/ijawhs.ijawhs_2_23

M. Lorentziadis, Moustafa Nafady Hego, Fatma Al Nasser

引用次数: 0