Long-term results of hiatal hernia mesh repair and antireflux laparoscopic surgery

2009 ◽  
Vol 23 (11) ◽  
pp. 2499-2504 ◽  
Author(s):  
E. Soricelli ◽  
N. Basso ◽  
A. Genco ◽  
M. Cipriano

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Odd Langbach ◽  
Stein Harald Holmedal ◽  
Ole Jacob Grandal ◽  
Ola Røkke

Aim. The aim of the present study was to perform MRI in patients after ventral hernia mesh repair, in order to evaluate MRI’s ability to detect intra-abdominal adhesions.Materials and Methods. Single-center long term follow-up study of 155 patients operated for ventral hernia with laparoscopic (LVHR) or open mesh repair (OVHR), including analyzing medical records, clinical investigation with patient-reported pain (VAS-scale), and MRI. MRI was performed in 124 patients: 114 patients (74%) after follow-up, and 10 patients referred for late complaints after ventral mesh repair. To verify the MRI-diagnosis of adhesions, laparoscopy was performed after MRI in a cohort of 20 patients.Results. MRI detected adhesions between bowel and abdominal wall/mesh in 60% of the patients and mesh shrinkage in 20–50%. Adhesions were demonstrated to all types of meshes after both LVHR and OVHR with a sensitivity of 70%, specificity of 75%, positive predictive value of 78%, and negative predictive value of 67%. Independent predictors for formation of adhesions were mesh area as determined by MRI and Charlson index. The presence of adhesions was not associated with more pain.Conclusion. MRI can detect adhesions between bowel and abdominal wall in a fair reliable way. Adhesions are formed both after open and laparoscopic hernia mesh repair and are not associated with chronic pain.



Hernia ◽  
2020 ◽  
Vol 24 (4) ◽  
pp. 695-705 ◽  
Author(s):  
A. Sandø ◽  
M. J. Rosen ◽  
B. T. Heniford ◽  
T. Bisgaard


2016 ◽  
Vol 30 (11) ◽  
pp. 5023-5033 ◽  
Author(s):  
Odd Langbach ◽  
Ida Bukholm ◽  
Jūratė Šaltytė Benth ◽  
Ola Røkke


2014 ◽  
Vol 29 (11) ◽  
pp. 1536 ◽  
Author(s):  
Min-Hyun Baek ◽  
Shin-Wha Lee ◽  
Jeong-Yeol Park ◽  
Daeyeon Kim ◽  
Jong-Hyeok Kim ◽  
...  


Author(s):  
Davide Lomanto ◽  
Hrishikesh P. Salgaonkar


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Jesse Yu Tajima ◽  
Nobuhisa Matsuhashi ◽  
Takao Takahashi ◽  
Chika Mizutani ◽  
Yoshinori Iwata ◽  
...  

Abstract Purpose Malignant large-bowel obstruction (MLBO) is a highly urgent condition in colorectal cancer with high complication rates. Self-expandable metal stent (SEMS) placement in MLBO is a new decompression treatment in Japan. Preoperative stent placement (bridge to surgery: BTS) avoids emergency surgery, but oncological influences of stent placement and post-BTS surgical approach remain unclear. We examined short- and long-term results of surgery for MLBO after SEMS placement in our hospital. Methods We retrospectively reviewed 75 patients with MLBO who underwent resection after SEMS placement at our hospital from June 2013 to December 2018. Postoperative morbidity and mortality were evaluated by comparison with the surgical approach. Results Tumor location was significantly higher in the left-side colon and rectum (n = 59, 78.7%) than right-side colon (n = 16, 21.3%). Technical and clinical success rates for SEMS placement were 97.3% and 96.0%, respectively. Laparoscopic surgery was performed in 54 patients (69.0%), and one-stage anastomosis was performed in 73 (97.3%). Postoperative complications were similar in the open surgery (open) group (n = 5, 23.8%) and laparoscopic surgery (lap) group (n = 7, 13.0%), with no severe complications requiring reoperation. Three-year overall survival (OS) and relapse-free survival (RFS) rates were not significantly different in the lap vs open group (67.5% vs 66.4%; 82.2% vs 62.5%). Conclusion Preoperative stent treatment avoids stoma construction but allows anastomosis. One-time surgery was performed safely contributing to minimally invasive treatment and acceptable short- and long-term results.



Hernia ◽  
2016 ◽  
Vol 21 (2) ◽  
pp. 291-298 ◽  
Author(s):  
P. Priego ◽  
J. Perez de Oteyza ◽  
J. Galindo ◽  
P. Carda ◽  
F. García-Moreno ◽  
...  


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