scholarly journals Comparison of Surgical Treatment of Postoperative Abdominal Wall Hernias with and without Fixation of a Synthetic Mesh: Literature Review

2020 ◽  
Vol 19 (1-2) ◽  
pp. 20-26
Author(s):  
Gintaras Varanauskas ◽  
Gintautas Brimas
Keyword(s):  
Abdominal Wall ◽  
Mesh Fixation ◽  
Abdominal Wall Hernia ◽  
Synthetic Mesh ◽  
Cochrane Library ◽  
Sutureless Repair ◽  
The Cochrane Library ◽  
Abdominal Wall Hernia Repair ◽  
Mesh Hernioplasty

Objective. Review articles with postoperative abdominal wall repair without mesh suturing (sutureless hernioplasty). Methods. A systematic search of the literature published from 01/01/2004 to 31/12/2018 was performed using Medline, PubMed and the Cochrane Library databases. The search was performed using the keywords: postoperative hernia, incisional hernia, mesh hernioplasty, sutureless repair, sutureless hernioplasty, sutureless herniotomy. Results. For the present analysis 5 publications were identified. The quality of each study was assessed. The information about operative methods, main results, conclusions and recommendations was collected. Conclusions. According to the results and conclusions of reviewed articles, it can be stated that postoperative abdominal wall hernia repair without mesh suturing is a safe and can improve postoperative results, but there is insufficient evidence to determine if it is associated with better outcomes than hernioplasty with mesh fixation. Further clinical studies are needed to clarify whether this method is clinically important.

Synthetic Mesh Salvage after Deep Surgical Site Infection in Complex Abdominal Wall Hernia Repair

2018 ◽  
Vol 227 (4) ◽  
pp. S118
Author(s):  
Dominykas Burneikis ◽  
Luciano Tastaldi ◽  
David Krpata ◽  
Ajita S. Prabhu ◽  
Hemasat Alkhatib ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Surgical Site Infection ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Synthetic Mesh ◽  
Site Infection ◽  
Deep Surgical Site Infection ◽  
Abdominal Wall Hernia Repair

Hyperelastic characterization of synthetic mesh for abdominal wall hernia repair

MRS Advances ◽  
2019 ◽  
Vol 4 (57-58) ◽  
pp. 3181-3185
Author(s):  
Javier Ortiz Ortiz ◽  
Georgina Carbajal de la Torre ◽  
Miguel Villagómez Galindo ◽  
Marco Antonio Espinosa Medina ◽  
Hilda Aguilar Rodriguez
Keyword(s):  
Hernia Repair ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Tensile Tests ◽  
Synthetic Mesh ◽  
Uniaxial Tensile ◽  
Marquardt Algorithm ◽  
Hyperelastic Model ◽  
Abdominal Wall Hernia Repair

ABSTRACTHernia is defined as the protrusion of one or several internal organs through an opening in the cavity that contains them due to a tissue defect, abdominal wall surgery by means of synthetic meshes is the most common method used for hernia repair, however, postsurgical effects can range from some discomfort, to chronic pain and even the reappearance of the hernia due to a poor mechanical adaptability between the synthetic tissue and the host tissue. The knowledge of the mechanical properties of the materials involved in hernia repair is fundamental in the understanding and subsequent solution of this type of problems. In this work, experimental data were obtained by means of uniaxial tensile tests in two perpendicular directions of commercial meshes used in hernia repair. The tests were carried out on the UniVert® machine of the CellScale® brand. Anisotropic mechanical behavior is observed due to the structure of the mesh and the interaction between each of the yarns that make it up. The data found vary with respect to the direction of traction and also has non-linear hyperelastic behavior, so the adjustment of curves was made through a hyperelastic model in the COMSOL Multiphysics® software through the Levenberg-Marquardt Algorithm for the characterization of these materials.

What Can Complex Abdominal Wall Hernia Surgeons Learn About Quality of Life From Ancient Greek Philosophers?

2020 ◽  
Vol 03 (03) ◽  
Author(s):  
Olivia Smith ◽  
Miriam Isaac ◽  
Thomas Elanjithara ◽  
Praminthra Chitsabesan ◽  
Srinivas Chintapatla
Keyword(s):  
Quality Of Life ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Ancient Greek

scholarly journals Lumbar Roll Usage While Sitting Reduces the Forward Head Posture in Healthy Individuals: A Systematic Review with Meta-Analysis

2021 ◽  
Vol 18 (10) ◽  
pp. 5171
Author(s):  
Yusuke Handa ◽  
Kenya Okada ◽  
Hiroshi Takasaki
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Grade System ◽  
Cochrane Library ◽  
Forward Head Posture ◽  
Quality Of Evidence ◽  
Head Posture ◽  
Head Extension ◽  
The Cochrane Library

This systematic review and meta-analysis investigated whether the use of a lumbar roll reduced forward head posture (FHP) while sitting among individuals with or without musculoskeletal disorders. EMBASE, MEDLINE, and the Cochrane Library were systematically searched from their inception to August 2020. The quality of evidence for variables used in the meta-analysis was determined using the GRADE system. Five studies satisfied the criteria for data analysis. All studies included individuals without any spinal symptoms. Data from five studies on neck angle showed a statistically significant (p = 0.02) overall effect (standardized mean difference (SMD) = 0.77), indicating a lesser neck flexion angle while sitting with a lumbar roll than without it. Data from two studies on head angle showed a statistically significant (p = 0.04) overall effect (SMD = 0.47), indicating a lesser head extension angle while sitting with a lumbar roll than without it. In each meta-analysis, the quality of evidence was very low in the GRADE system. The use of a lumbar roll while sitting reduced FHP among individuals without spinal symptoms.

scholarly journals Traditional Chinese Herb Combined with Surgery versus Surgery for Varicocele Infertility: A Systematic Review and Meta-Analysis

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Rong-liang Dun ◽  
Min Yao ◽  
Long Yang ◽  
Xue-jun Cui ◽  
Jian-min Mao ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Chinese Herb ◽  
Chinese Herbs ◽  
Cochrane Library ◽  
Dichotomous Data ◽  
Surgery Group ◽  
Traditional Chinese Herb ◽  
The Cochrane Library

Objective. The objective of this study was to conduct a systematic review to assess the effectiveness and safety of traditional Chinese herb combined with surgery for male varicocele infertility compared to surgery.Methods. Randomized controlled trials (RCTs) data of traditional Chinese herbs combined with surgery for male varicocele fertility versus surgery were collected by searching the Cochrane Library, Embase, PubMed, and Chinese databases. The risk of bias was assessed using Cochrane Handbook. Study outcomes were presented as risk ratios (RRs) for dichotomous data.Results. Seventeen of 72 potentially relevant trials met the inclusion criteria. The methodological qualities of the RCTs were low. Compared with the surgery group, the traditional Chinese herb combined with surgery group had superiority in pregnancy rate at 3-month (RR=1.76, andP=0.008), 6-month (RR=1.58, andP=0.0005), and 2-year (RR=1.58, andP=0.0005) follow-ups. No RCT was found to describe the side effects.Conclusion. On considering the low methodological quality of RCTs, there was no enough evidence on traditional Chinese herb with surgery for male varicocele infertility, and more high-quality RCTs of large sample sizes are required.

scholarly journals Commentary: Evidence for Replacement of an Infected Synthetic by a Biological Mesh in Abdominal Wall Hernia Repair

2017 ◽  
Vol 4 ◽  
Author(s):  
Ekaterini Christina Tampaki ◽  
Athanasios Tampakis ◽  
Konstantinos Kontzoglou ◽  
Gregory Kouraklis
Keyword(s):  
Hernia Repair ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Biological Mesh ◽  
Abdominal Wall Hernia Repair
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