Journal of Abdominal Wall Surgery最新文献_第2页

Descriptive Anatomy of the Porcine Ventral Abdominal Wall as a Basis for Training Ventral Hernia Repair Techniques 作为腹股沟疝气修复技术培训基础的猪腹壁描述性解剖学

Journal of Abdominal Wall Surgery Pub Date : 2024-03-18 DOI: 10.3389/jaws.2024.12359

M. Vierstraete, Nicky Van Der Vekens, Roel Beckers, Yohann Renard, Filip E. Muysoms

{"title":"Descriptive Anatomy of the Porcine Ventral Abdominal Wall as a Basis for Training Ventral Hernia Repair Techniques","authors":"M. Vierstraete, Nicky Van Der Vekens, Roel Beckers, Yohann Renard, Filip E. Muysoms","doi":"10.3389/jaws.2024.12359","DOIUrl":"https://doi.org/10.3389/jaws.2024.12359","url":null,"abstract":"Background: In recent times there has been a surge in innovative techniques concerning complex abdominal wall surgery. The availability of simulation models for comprehensive training and skill set development remains limited.Methods: Cadaveric dissections of the porcine abdominal wall were conducted to assess the suitability of anesthetized porcine models for training in both minimally invasive and open surgical procedures.Results: The panniculus carnosus, a typical muscular layer in mammals, is the outermost layer covering the anterolateral abdominal wall. Beneath it, there are four main pairs of abdominal wall muscles, mirroring the human anatomy. The rectus abdominis muscle runs straight along the linea alba and is surrounded by the rectus sheath, which is formed by the fusion of the lateral abdominal wall muscles and differs along the different regions of abdominal wall. The orientation of the muscle fibers in the lateral abdominal wall muscles, i.e., musculus obliquus externus, internus and transversus, is comparable to human anatomy. Although the transition lines between their muscular and aponeurotic part differ to some extent. Relevant for the adoption of surgical techniques, the transversus abdominis muscle is well-developed and resembles a bell curve shape as it transitions from its muscular to aponeurotic part.Conclusion: Despite minor differences in abdominal wall anatomy between pigs and humans, the porcine model provides a high level of fidelity in terms of both anatomical features and the development of skill sets relevant to hernia surgery.","PeriodicalId":502716,"journal":{"name":"Journal of Abdominal Wall Surgery","volume":"48 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231458","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

Robotic Platform: What It Does and Does Not Offer in Hernia Surgery 机器人平台：它在疝气手术中的作用和不足

Journal of Abdominal Wall Surgery Pub Date : 2024-02-14 DOI: 10.3389/jaws.2024.12701

Davide Lomanto, Lydia Tan, Sean Lee, S. Wijerathne

引用次数: 0

Robotic Platform: What It Does and Does Not Offer in Hernia Surgery 机器人平台：它在疝气手术中的作用和不足

Journal of Abdominal Wall Surgery Pub Date : 2024-02-14 DOI: 10.3389/jaws.2024.12701

Davide Lomanto, Lydia Tan, Sean Lee, S. Wijerathne

引用次数: 0

No Reason to Use Mesh in Groin Hernia Repair in Adolescents 青少年腹股沟疝气修复术中没有理由使用网片

Journal of Abdominal Wall Surgery Pub Date : 2024-01-11 DOI: 10.3389/jaws.2023.12336

H. Reistrup, S. Fonnes, Jacob Rosenberg

{"title":"No Reason to Use Mesh in Groin Hernia Repair in Adolescents","authors":"H. Reistrup, S. Fonnes, Jacob Rosenberg","doi":"10.3389/jaws.2023.12336","DOIUrl":"https://doi.org/10.3389/jaws.2023.12336","url":null,"abstract":"Groin hernias are common and hernia repair is one of the most frequent surgical procedures performed worldwide. Despite this, there is no international guideline on the management of groin hernias in adolescents. Mesh reinforcement is used for repair in adults but not in young children. Adolescents, positioned between these age groups, pose unique challenges for surgeons due to their varying growth patterns. Placing a synthetic mesh in growing patients is a concern, particularly in relation to chronic pain. Traditionally, the hernia literature has defined adults as individuals aged 18 years and above. Considering that growth can continue until age 19, this review proposes a revised definition of adolescence for patients with groin hernias encompassing ages 10 to 19. Symptomatic groin hernias in adolescents should be repaired with an open non-mesh technique because of acceptable recurrence rates and the desire to avoid introducing synthetic foreign materials into young patients with ongoing growth potential. Watchful waiting is suggested for asymptomatic groin hernias, postponing repair until the adolescent has become a fully grown adult and symptoms from the hernia develop. Most groin hernias in adolescents are lateral hernias, but before pursuing a watchful waiting strategy in females, an ultrasound or magnetic resonance imaging scan is suggested to rule out the presence of a femoral hernia that may need repair.","PeriodicalId":502716,"journal":{"name":"Journal of Abdominal Wall Surgery","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139626316","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

EIT Ambivium, Linea Semilunaris, and Fulcrum Abdominalis EIT Ambivium、Linea Semilunaris 和 Fulcrum Abdominalis

Journal of Abdominal Wall Surgery Pub Date : 2023-12-22 DOI: 10.3389/jaws.2023.12217

M. Vierstraete, J. A. Pereira Rodríguez, Yohann Renard, Filip Muysoms

引用次数: 0

Robotic Retromuscular (Recurrent) Parastomal Hernia Repair (r-Pauli-Repair) With Synthetically Reinforced Biological Mesh; Technique, Early Experience, and Short-Term Follow-Up 使用合成增强生物网片的机器人再肌性（复发性）腹股沟旁疝修补术（r-Pauli-Repair）；技术、早期经验和短期随访

Journal of Abdominal Wall Surgery Pub Date : 2023-12-13 DOI: 10.3389/jaws.2023.12059

A. L. A. Bloemendaal

{"title":"Robotic Retromuscular (Recurrent) Parastomal Hernia Repair (r-Pauli-Repair) With Synthetically Reinforced Biological Mesh; Technique, Early Experience, and Short-Term Follow-Up","authors":"A. L. A. Bloemendaal","doi":"10.3389/jaws.2023.12059","DOIUrl":"https://doi.org/10.3389/jaws.2023.12059","url":null,"abstract":"Introduction: Parastomal hernia repair remains a challenge. We describe a robotic retromuscular non-keyhole mesh repair using a synthetically reinforced biological mesh (Ovitex) for the repair of complex and/or recurrent parastomal hernia and technical modifications we made along the way to improve our technique.Methods: All patients underwent the described retromuscular parastomal hernia repair. Data was collected in a database and a retrospective analysis was performed on direct postoperative results and early follow-up.Results: Eleven patients underwent the operation. Median follow-up was 12 months. Median LOS was 6 days. Two recurrences occurred. One patient suffered postoperative hematoma and skin necrosis, which healed completely, but did lead to a recurrence. One patient had a significant seroma, which subsided without intervention. Both recurrences were reoperated, and a local repair was performed.Conclusion: This paper is the first to describe a modified robotic Pauli repair for complex and recurrent parastomal hernia, using a synthetically reinforced biological mesh. Results are satisfying so far, especially considering the complexity of the cases.","PeriodicalId":502716,"journal":{"name":"Journal of Abdominal Wall Surgery","volume":"42 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139181068","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

Education in Robotic Hernia Surgery—Current Situation 机器人疝气手术教育--现状

Journal of Abdominal Wall Surgery Pub Date : 2023-11-30 DOI: 10.3389/jaws.2023.12418

Sergio Roll, Eduardo Rullo Maranhão Dias

引用次数: 0

Transforming Abdominal Wall Surgery With Generative Artificial Intelligence 用生成式人工智能改变腹壁手术

Journal of Abdominal Wall Surgery Pub Date : 2023-11-27 DOI: 10.3389/jaws.2023.12419

Julio Mayol

引用次数: 0

Editorial: Inguinal Hernia Emergency 社论：腹股沟疝气急诊

Journal of Abdominal Wall Surgery Pub Date : 2023-09-19 DOI: 10.3389/jaws.2023.12013

P. Hernández-Granados

引用次数: 0