scholarly journals Does the laparoscopic treatment of paediatric hydroceles represent a better alternative to the traditional open repair technique? A retrospective study of 1332 surgeries performed at two centres in China

Hernia ◽  
2017 ◽  
Vol 22 (4) ◽  
pp. 661-669 ◽  
Author(s):  
Y. Zhang ◽  
M. Chao ◽  
X. Zhang ◽  
Z. Wang ◽  
D. Fan ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Open Repair ◽  
Laparoscopic Treatment ◽  
Repair Technique

scholarly journals Mini-open double row gluteus medius repair provides good short-term functional outcomes

2019 ◽  
Author(s):  
Steven DeFroda ◽  
Ariel Silverman ◽  
Matthew Quinn ◽  
Ramin Tabaddor
Keyword(s):  
Open Repair ◽  
Gluteus Medius ◽  
Functional Improvement ◽  
Harris Hip Score ◽  
Visual Analogue Pain Scale ◽  
Repair Technique ◽  
Patient Reported ◽  
History Of ◽  
Anxiety Depression ◽  
Mini Open

Abstract Gluteus medius (GM) tears are recognized as a significant cause of lateral hip pain. While non-operative management can be effective, those who fail this treatment modality may be indicated for operative intervention. There is no widely agreed upon ‘gold standard’ technique with regards to open, mini-open and endoscopic repair. Our study prospectively enrolled 31 patients undergoing the authors preferred ‘mini-open’ repair technique with patients completing pre- and post-operative patient reported outcome measures (PROMs) in the form of the Modified Harris Hip Score, Visual Analogue pain Scale, Hip Outcomes Score for Activities of Daily Living and Hip Outcomes Score for Sports-Related Activities (HOS-SSS). The effect of anxiety/depression on outcomes was also examined. Patients had an average follow-up of 6 months. There was a statistically significant increase in all PROMs in the 31 patients undergoing mini-open repair. A sub-group of patients with self-reported history of anxiety/depression via patient intake paperwork experienced less improvement than those without, however this cohort still had significant improvement in all categories except HOS-SSS. Our study shows that a mini-open GM repair technique provides good patient reported outcomes at 6 months, and allows for improved cosmesis compared with traditional open techniques utilizing a larger surgical incision. It is important to counsel patients with a history of anxiety/depression that while they can expect significant functional improvement, that their improvement may be less than patients without these comorbidities.

Repair of Lacerated Tibialis Anterior Tendon using Achillon Limited open Repair Technique

2009 ◽  
Vol 30 (11) ◽  
pp. 1117-1119 ◽  
Author(s):  
Carolyn Chadwick ◽  
Amanda Wong ◽  
Mark B. Davies
Keyword(s):  
Tibialis Anterior ◽  
Open Repair ◽  
Tibialis Anterior Tendon ◽  
Repair Technique

scholarly journals Grynfeltt Hernia: A Deceptive Lumbar Mass with a Lipoma-Like Presentation

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Jonathan R. Zadeh ◽  
Jessica L. Buicko ◽  
Chetan Patel ◽  
Robert Kozol ◽  
Miguel A. Lopez-Viego
Keyword(s):  
Polypropylene Mesh ◽  
Large Study ◽  
Open Repair ◽  
Abdominal Wall Defect ◽  
Wall Defect ◽  
Mesh Placement ◽  
Repair Technique ◽  
Abdominal Hernias ◽  
Lumbar Triangle ◽  
Over Time

The Grynfeltt-Lesshaft hernia is a rare posterior abdominal wall defect that allows for the herniation of retro- and intraperitoneal structures through the upper lumbar triangle. While this hernia may initially present as a small asymptomatic bulge, the defect typically enlarges over time and can become symptomatic with potentially serious complications. In order to avoid that outcome, it is advisable to electively repair Grynfeltt hernias in patients without significant contraindications to surgery. Due to the limited number of lumbar hernioplasties performed, there has not been a large study that definitively identifies the best repair technique. It is generally accepted that abdominal hernias such as these should be repaired by tension-free methods. Both laparoscopic and open techniques are described in modern literature with unique advantages and complications for each. We present the case of an unexpected Grynfeltt hernia diagnosed following an attempted lipoma resection. We chose to perform an open repair involving a combination of fascial approximation and dual-layer polypropylene mesh placement. The patient’s recovery was uneventful and there has been no evidence of recurrence at over six months. Our goal herein is to increase awareness of upper lumbar hernias and to discuss approaches to their surgical management.

scholarly journals PO 18150 - Comparison between the open and minimally invasive repair techniques in acute Achilles tendon injuries

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. S32
Author(s):  
João Paulo Primo de Araujo ◽  
Marcus Vinicius Mota Garcia Moreno ◽  
Janice De Souza Guimarães ◽  
Marilton Jorge Torres Gomes ◽  
Túlio Eduardo Marçal Vieira ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Functional Outcomes ◽  
Tendon Rupture ◽  
Open Repair ◽  
Achilles Tendon Rupture ◽  
Invasive Technique ◽  
Repair Technique ◽  
Repair Techniques

Objective: Our study compares the functional outcomes of patients who underwent open repair of the Achilles tendon with those of patients treated with the minimally invasive technique using the percutaneous Achilles repair system (PARS) over a 1-year minimum follow-up period and presents the complication rates for the 2 techniques. Methods: Between 2011 and 2016, 31 patients were reviewed; of these, 20 were included in the study (10 PARS X 10 open repair technique). Patients with chronic Achilles tendon rupture, insertional or bilateral, and patients with a history of surgery or previous ankle pathology that could mask functional outcomes were excluded from the study. The open repair technique was performed via a posteromedial incision to the ankle to repair the tendon and was combined with myotendinous transfer of the flexor hallucis longus tendon, which was fixed with a Biotenodesis screw. The minimally invasive technique was performed using the PARS of the company Arthrex through a small transverse incision at the site of the Achilles tendon rupture. Functional outcomes and complications were collected after at least 1 year of follow-up. Results: Both groups had similar American Orthopedic Foot and Ankle Society (AOFAS) scores (PARS: 95.3±5.1, open: 96.5±5.1; p=0.604), demonstrating similar functional outcomes. The PARS group had a higher number of complications than the open repair group (PARS: 20% x open: 10%), but the difference was not significant (p=0.383). Conclusion: For the treatment of acute Achilles tendon injuries, the PARS and open repair techniques had similar functional outcomes after 1 year of follow-up.

scholarly journals Laparoscopic vs. Open Repair Surgery for the Treatment of Communicating Hydrocele in Children: A Retrospective Study From a Single Center

2021 ◽  
Vol 8 ◽  
Author(s):  
Jie Liu ◽  
Rui Tang ◽  
Xiao Wang ◽  
Bangzhi Sui ◽  
Zhiyuan Jin ◽  
...  
Keyword(s):  
Open Surgery ◽  
Open Repair ◽  
Operation Time ◽  
Postoperative Recurrence ◽  
Laparoscopic Treatment ◽  
Medical College ◽  
Significant Difference ◽  
Scrotal Swelling ◽  
Surgery Department

Purpose: This study evaluated the outcomes of laparoscopic repair (LR) and open repair (OR) surgery for communicating hydrocele in children.Patients and Methods: We collected the clinical data and follow-up data of all boys (<14 years) who underwent communicating hydrocele surgery in the pediatric surgery department at Yijishan Hospital of Wannan Medical College from January 2017 to December 2018 and retrospectively analyzed the data.Results: In this study, 155 patients were retrospectively enrolled, including 90 patients in the OR group and 65 patients in the LR group. There were significant differences in operation time and the recurrence of hydrocele between the two groups. The persistence of scrotal swelling in the LR group was significantly lower than that in the OR group. There was no significant difference in postoperative hospitalization time or incision infection rate between the two groups.Conclusion: In conclusion, this study shows that laparoscopic treatment of children with communicating hydrocele has the advantages of a hidden incision, a shortened operation time, and a reduced postoperative recurrence rate and can be used as the preferred surgical method. However, laparoscopic treatment should be selected according to the specific condition of each child and cannot completely replace traditional open surgery.

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