International Journal of Abdominal Wall and Hernia Surgery最新文献_第8页

A novel hybrid approach to the repair of flank hernias 一种新的混合入路修复侧腹疝

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2022-04-01 DOI: 10.4103/ijawhs.ijawhs_76_21

Brendan P. Chou, Karalyn Bentley, K. LeBlanc

{"title":"A novel hybrid approach to the repair of flank hernias","authors":"Brendan P. Chou, Karalyn Bentley, K. LeBlanc","doi":"10.4103/ijawhs.ijawhs_76_21","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_76_21","url":null,"abstract":"Background: Flank hernias are uncommon and challenging to repair. Discussion of flank hernia repair is scarce in the literature. We present a novel approach to repair flank incisional, traumatic, and denervation hernias with a “hybrid” approach using an open repair in conjunction with the robotic platform for laparoscopic intraperitoneal mesh fixation. Materials and Methods: A retrospective analysis was conducted on all patients who received a “hybrid” repair from April 2014 through January 2020 by a single surgeon. Patient and hernia characteristics, operative techniques, and outcomes were evaluated. Each patient underwent a similar operation with an intraperitoneal mesh as well as an onlay mesh. Minor technique changes including quilting and wound vac placement were developed and compared. Results: Twenty-five patients were included in the study. Outcomes analyzed included wound infection (8.0%), seroma formation (16.0%), hematoma formation (12.0%), mesh infection (0.0%), weight gain (16.0%), hernia recurrence (4.0%), reoperation (12.0%), and chronic pain (25.0%). Compared to the drain placement group, quilting of the subcutaneous tissue was more likely to result in seroma (17.6% vs. 12.5%, P = 0.618) and hematoma (17.6% vs. 0.0%, P = 0.296). Use of negative pressure incisional wound vac did not impact the incidence of wound infection (12.5% vs. 6.2%, P = 0.565), seroma (12.5% vs. 17.6%, P = 0.618), or hematoma formation (12.5% vs. 11.8%, P = 0.704). Conclusion: The “hybrid” repair represents a novel approach to flank hernias. Improved visualization of the intraperitoneal portions of the operation using the robotic platform allows for accurate mesh fixation. In experienced hands, this approach provides safe and satisfactory outcomes similar to a purely open repair.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"15 4","pages":"53 - 58"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72609939","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

Outcomes after laparoscopic transabdominal preperitoneal (TAPP) hernia repair in the emergency: A matched case-control study 急诊腹腔镜经腹腹膜前疝修补术的结果:一项匹配的病例对照研究

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2022-04-01 DOI: 10.4103/ijawhs.ijawhs_3_22

A. Olivero, M. Casas, C. Angeramo, F. Schlottmann, E. Sadava

{"title":"Outcomes after laparoscopic transabdominal preperitoneal (TAPP) hernia repair in the emergency: A matched case-control study","authors":"A. Olivero, M. Casas, C. Angeramo, F. Schlottmann, E. Sadava","doi":"10.4103/ijawhs.ijawhs_3_22","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_3_22","url":null,"abstract":"Introduction: Laparoscopic repair of groin hernia (LRGH) is widely accepted for elective cases, but its use in emergency cases remains controversial. We aimed to compare postoperative outcomes between elective and emergent transabdominal preperitoneal (TAPP) repairs. Materials and Methods: Patients undergoing emergent LRGH (EM-LR) using a TAPP technique between June 2014 and December 2019 were included for analysis. A case-control cohort of patients undergoing elective LRGH (EL-LR) in the same period was identified and matched (1:3) on gender, age, body mass index (BMI), American Society of Anesthesiologists (ASA) score, active smoking, and hypertension. Preoperative variables and postoperative outcomes were compared between both groups. Results: A total of 15 EM-LR were matched with 45 EL-LR. In patients undergoing EM-LR, the median time from onset of symptoms to surgery was 12 (1–168) h. No differences were found regarding the operative time (EM-LR: 107 min vs. EL-LR: 117 min, P = 0.37) and hernia defect size (EM-LR: 3.6 cm vs. EL-LR: 4.1 cm, P = 0.48). Although small bowel obstruction was observed in all emergent cases, no patients required enterectomy. Emergent cases were performed more frequently by specialist surgeons (EM-LR: 87% vs. EL-LR: 24%, P < 0.001). Mean hospital stay was 3.1 and 0.3 days after EM-LR and EL-LR, respectively (P < 0.001). Overall 30-day morbidity was similar between groups (EM-LR: 6.6% vs. EL-LR: 4.4%, P = 0.43). After a mean follow-up of 28.2 months, no recurrence was observed. Conclusion: EM-LR had similar overall morbidity and recurrence rates than elective repairs. Prompted surgical exploration and use of laparoscopy should be encouraged for the management of complicated inguinal hernias.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"4 1","pages":"77 - 82"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86942840","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: 3

A single surgeon’s experience of 1000 consecutive transabdominal preperitoneal repair cases and measures to prevent recurrence 一位外科医生连续1000例经腹腹膜前修复的经验及预防复发的措施

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2022-04-01 DOI: 10.4103/IJAWhs.IJAWHS_80_21

Tatsuya Tazaki, M. Sasaki, M. Kohyama, Y. Sugiyama, T. Yamaguchi, Shinya Takahashi, A. Nakamitsu

{"title":"A single surgeon’s experience of 1000 consecutive transabdominal preperitoneal repair cases and measures to prevent recurrence","authors":"Tatsuya Tazaki, M. Sasaki, M. Kohyama, Y. Sugiyama, T. Yamaguchi, Shinya Takahashi, A. Nakamitsu","doi":"10.4103/IJAWhs.IJAWHS_80_21","DOIUrl":"https://doi.org/10.4103/IJAWhs.IJAWHS_80_21","url":null,"abstract":"PURPOSE: In laparoscopic transabdominal preperitoneal repair (TAPP), the use of a larger mesh has been shown to reduce the rate of recurrence of hernia. However, recurrence may still be observed occasionally, especially in procedures performed by inexperienced surgeons. The purpose of this study was to clarify the learning curve of TAPP and to establish a procedure that precluded the possibility of recurrence. MATERIALS AND METHODS: We analyzed the learning curve based on operative time, recurrence, and complication in a single surgeon’s experience of 1,000 consecutive TAPP. In addition, by examining cases showing recurrence, techniques necessary to prevent recurrence were clarified. RESULTS: The operative time stabilized after 60 cases and continued to reduce thereafter. Recurrence of nine hernias in eight patients within 1 year of surgery was observed up to the 482nd case. Recurrence or intraoperative complication was not confirmed since then. Recurrence after primary inguinal hernia repair presented as indirect hernia-type recurrence. The causes of recurrence were incomplete parietalization in indirect sliding hernia, insufficient dissection of the lateral dorsal side, and up-rolling mesh placement with the lateral dorsal side. CONCLUSION: Recurrence can be prevented by sufficiently dissecting the preperitoneal space on the lateral dorsal side and taking care to avoid up-rolling of the mesh while it is being placed.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"38 1","pages":"69 - 76"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91295395","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

The open perforator sparing anterior component separation 开放的穿支保留前构件分离

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2022-01-01 DOI: 10.4103/ijawhs.ijawhs_52_21

M. Mughal, D. Ross, D. Ross

{"title":"The open perforator sparing anterior component separation","authors":"M. Mughal, D. Ross, D. Ross","doi":"10.4103/ijawhs.ijawhs_52_21","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_52_21","url":null,"abstract":"Hernia surgery, and intra-abdominal surgery in general, have been accompanied by an increased risk of complications, largely due to a combination of operative complexity and obesity. Advances in care following major abdominal trauma, infections and complex abdominal procedures has led to the advent of several techniques that can allow dependable closure of these wider, more difficult defects. Anterior component separation (ACS) is a well-established technique used to achieve fascial closure in complex abdominal wall reconstruction (AWR). Wound related complications in the traditional ACS procedure have been reported to occur in 24%-50% of cases. In a quest to reduce complications and improve wound healing rates, methods have evolved in order to limit the anatomical injury caused by lateral elevation of flaps in the conventional techniques. These techniques involve preservation of the abdominal wall perforators. Thus ensuring appropriate perfusion of the overlying skin flaps. Perforator-sparing techniques have become increasingly important as they reflect greater understanding of how pre-operative planning can aid reduction of surgical risk, wound infection and improve wound healing in patients with complex abdominal wall hernias.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"58 1","pages":"21 - 25"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73664482","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

Progressive pneumoperitoneum: Where do we stand in 2021? 进行性气腹:我们在2021年处于什么位置?

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2022-01-01 DOI: 10.4103/ijawhs.ijawhs_56_21

M. Allaeys, G. V. van Ramshorst, F. Berrevoet

{"title":"Progressive pneumoperitoneum: Where do we stand in 2021?","authors":"M. Allaeys, G. V. van Ramshorst, F. Berrevoet","doi":"10.4103/ijawhs.ijawhs_56_21","DOIUrl":"https://doi.org/10.4103/ijawhs.ijawhs_56_21","url":null,"abstract":"Progressive pneumoperitoneum (PPP) is a technique in which the abdomen is artificially and gradually insufflated over a period of time. The technique was first applied in hernia repair in the 1940s and is now regarded as a useful adjunct in the treatment of complex or giant hernias and those associated with “loss of domain” (LOD). With gradual insufflation, the abdomen becomes progressively distended, promoting soft tissue elongation and preparing it for the post-repair surplus volume of the herniated content. PPP also helps with preoperative pulmonary stabilization and preparation, and it induces pneumatic lysis of intestinal adhesions. In contrast to the longevity of the technique, the heterogeneity in indications and technical variations is remarkable. Indications vary greatly in literature, being either based on clinical judgment or different volumetric cut-off values. Neither is there any consensus on which gas should be used, what volume should be injected, in what frequency, and for how long the pneumoperitoneum should be maintained. There is a clear need for an international consensus concerning LOD hernias and how they are defined. As setting up randomized controlled trials on PPP is not feasible, further research should rely on high-quality observational studies. For reviews and meta-analysis to have any meaningful conclusions, these studies should follow, and adhere to, clear guidelines on the manner of reporting. However, PPP remains a very powerful adjunct in the treatment of large and complex hernias with LOD and has proven its value over time.","PeriodicalId":34200,"journal":{"name":"International Journal of Abdominal Wall and Hernia Surgery","volume":"19 1","pages":"36 - 41"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80089577","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: 1

Erratum: Laparoscopic transversus abdominis release for the treatment of complex ventral hernia 更正:腹腔镜腹侧松解术治疗复杂腹疝

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2022-01-01 DOI: 10.4103/2589-8736.338066

引用次数: 0

Open transversus abdominis release

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2022-01-01 DOI: 10.4103/ijawhs.ijawhs_45_21

K. Tunder, Y. Novitsky

引用次数: 1

Erratum: Prevention of seroma formation after laparoscopic inguinoscrotal indirect hernia repair by a new surgical technique: A preliminary report 一种新的手术技术预防腹腔镜腹股沟-阴囊间接疝修补术后血清肿的形成:初步报告

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2022-01-01 DOI: 10.4103/2589-8736.338065

引用次数: 0

Endoscopic anterior component separation: How we do it? 内镜前组件分离:我们如何做?

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2022-01-01 DOI: 10.4103/ijawhs.ijawhs_51_21

L. Jørgensen, K. Jensen

引用次数: 0

Expanding your surgical tools for large ventral and incisonal hernias 扩大你的手术工具为大腹疝和切口疝

International Journal of Abdominal Wall and Hernia Surgery Pub Date : 2022-01-01 DOI: 10.4103/ijawhs.ijawhs_4_22

F. Berrevoet

引用次数: 0