A study of short and long term complications of prolene hernia system

Background: Prolene hernia system was introduced in 1999, and was thought to be a revolutionary type of mesh in preventing recurrence. But studies regarding long term results and complications were sparse. Our study is one such type which sheds light into the complications of prolene hernia system and its significance in Indian scenario.Methods: 30 patients with inguinal hernia in Karnataka institute of medical sciences, Hubli, were included in the study. All of them were operated with prolene hernia system. Patients were assessed in the post-operative period and during follow-up for any complications. Appropriate statistical tests were applied.Results: 1 (3.3%) patient each had seroma and superficial surgical site infection in the post-operative period. 2 (6.7%) patients had chronic groin pain symptoms and none of them had recurrence till date.Conclusions: Based on the observations, we conclude that PHS is an effective method for open inguinal hernia repair with minimal complications. It has comparable results with lichenstein repair and other types of repairs available.

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Anatomical and Symptomatic Outcomes in Patients With Le Fort Colpocleisis

10.21203/rs.3.rs-1005385/v1 ◽

2021 ◽

Author(s):

Mehmet Ferdi KINCI ◽

Burak SEZGİN ◽

Mehmet Onur ARSLANER ◽

Deniz AKIN GÖKBEL ◽

İsmail GÖKBEL ◽

...

Keyword(s):

Elderly Women ◽

Uterine Prolapse ◽

Pelvic Organ ◽

Long Term Results ◽

Le Fort ◽

Case Evaluation ◽

Post Operative Period ◽

Pain Symptoms ◽

Anatomical Success

Abstract Background: We aimed to evaluate the short term anatomical and symptomatic results of elderly patients on whom Le Fort colpocleisis operation was performed due to pelvic organ prolapse (POP) in our clinic. Methods: Medical records of fifty-nine sexually inactive and ≥65 aged women with stage 2 or higher vaginal or uterine prolapse who underwent Le Fort colpocleisis operation were prospectively analysed. Pre-operative and 12 months post-operative data were recorded. Turkish validated Global Pelvic Floor Bother Questionnaire (GPFBQ) were also evaluated at pre-operative and 12 months post-operative period in all patients. Anatomical success was determined as no prolapse of any POP-Q point at or below 1 cm above the hymen. Results: A total of 59 patients were conducted in this study. The average age of the patients was 71.67±7.01 (years). The mean BMI was 27.1±9.52 kg/m2. POP-Q point C as well as, Gh and TVL measurements were significantly higher after surgery than those at preoperative period (p<0.01, p<0.01, p<0.01, respectively). There was no recurrence in any case. Evaluation of complications at the pre-operative and post-operative 12th month revealed significant differences for SUI, urinary frequency, nocturia, and pelvic pain symptoms during post-operative period (p:0.007, p<0.001, p:0.01, p<0.001; respectively). Conclusions: Le Fort colpocleisis is a simple and effective procedure that has been found to provide successful anatomical and symptomatic outcomes in sexually inactive and elderly women for POP. However long-term results of this procedure needs further investigation.

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Characterization of TAPE-Gelatin as a Potential Bioadhesive

Key Engineering Materials ◽

10.4028/www.scientific.net/kem.833.189 ◽

2020 ◽

Vol 833 ◽

pp. 189-193

Author(s):

Angelica Aira A. Ayalin ◽

Bernell Merwyn S. Go ◽

Gail Edselle S. Reyes ◽

Terence Tumolva

Keyword(s):

Inguinal Hernia ◽

Production Cost ◽

Long Term Results ◽

Medical Field ◽

Hernia Sac ◽

New Class ◽

New Material ◽

Medical Adhesive

Bioadhesives have much potential in the medical field as an alternative to sutures in internal surgery. They are easier to use and have better long-term results. Improvement of a new class of adhesives, tannic acid-polyethylene glycol (TAPE), was done by mixing it with gelatin, since it was found that TAPE alone could not be applied to certain internal applications like in inguinal hernia. It failed to close a fresh inguinal hernia sac. Characterization tests were done on the new material, TAPE-gelatin, which proved to have a tissue adhesion strength of 0.41 MPa which is 5 times greater than fibrin glue, good blood biocompatibility with blood clotting index of 97.46%, burst pressure strength that can withstand 1000 mL that is 10 times more than the volume in the peritoneal cavity, and cheaper, with a production cost of Php28.50, than commercially available bioadhesives, which can reach up to Php2,000 – Php30,000 per application. With its desirable properties, cheaper production cost, and large potential for scalability, TAPE-gelatin as a new candidate for medical adhesive was established.

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Long-Term Results of Orbital Roof Repair with Titanium Mesh in a Case of Traumatic Intraorbital Encephalocele: A Case Report and Review of Literature

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0036-1581064 ◽

2016 ◽

Vol 9 (3) ◽

pp. 255-259 ◽

Cited By ~ 3

Author(s):

Erhan Arslan ◽

Selçuk Arslan ◽

Selçuk Kalkısım ◽

Ahmet Arslan ◽

Kayhan Kuzeyli

Keyword(s):

Case Report ◽

Maxillofacial Trauma ◽

Long Term Results ◽

Titanium Mesh ◽

Review Of Literature ◽

Orbital Roof ◽

Period 2 ◽

Child Patient ◽

Orbital Roof Fractures

Orbital roof fractures associated with cranial and maxillofacial trauma are rarely encountered. Traumatic intraorbital encephaloceles due to orbital roof fractures developing in the early posttraumatic period are even rarer. A variety of materials, such as alloplastic implants or autogenous materials, have been used for the reconstruction of orbital roof, but data regarding the long-term results of these materials are very limited. We report a case of intraorbital encephalocele developing in the early posttraumatic period (2 days) in a child patient and the long-term results of titanium mesh used for the reconstruction of the orbital roof. The case is presented with a pertinent review of literature.

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Arthroscopic Lift, Drill, Fill and Fix (LDFF) for Talar OCDs Stands the Test of Time: Mean 5 year Follow-Up Results in 25 Patients

Foot & Ankle Orthopaedics ◽

10.1177/2473011419s00264 ◽

2019 ◽

Vol 4 (4) ◽

pp. 2473011419S0026

Author(s):

Kaj Lambers ◽

Nienke Altink ◽

Jari Dahmen ◽

Sjoerd Stufkens ◽

Gino Kerkhoffs

Keyword(s):

Rating Scales ◽

Bone Ingrowth ◽

Distal Tibia ◽

Clinical Results ◽

Long Term Results ◽

Arthroscopic Fixation ◽

Pain Symptoms ◽

Pain At Rest

Category: Ankle, Arthroscopy Introduction/Purpose: The purpose of this study was to describe the long-term clinical and radiological outcome of a new arthroscopic fixation technique for primary osteochondral talar defects: Lift, Drill, Fill and Fix (LDFF). Methods: Twenty-five patients underwent an arthroscopic LDFF surgery for osteochondral talar defects. Two of these patients underwent surgery on both ankles. During the LDFF technique, the OCD was identified after which an osteochondral flap was created and lifted (lift-phase). The bone flake of the OCD as well as the osteosclerotic area of the bed was drilled (drill phase). Cancellous bone was harvested from the distal tibia and transported into the defect until there was sufficient substantial filling (fill phase). Finally, the osteochondral flap was fixed with an absorbable biocompression screw (fix phase). The mean follow-up was 63 months (SD 9.2). Pre- and postoperative clinical assessment included the Foot and Ankle Outcome Score (FAOS) and the numeric rating scales (NRS) of pain at rest and during walking. Remodeling and bone ingrowth after LDFF were analyzed on computed tomography scans during follow-up at one year after the surgery. Results: All patients were available for final follow-up. At final follow-up, LDFF led to a significant improvement of the NRS of pain during rest and the NRS of pain during walking in all patients. The FAOS significantly improved on all 5 subscales: pain, symptoms, activities of daily living, sport and recreation and quality of life. The NRS of pain at rest significantly improved from 2.3 to 1.0 (p = 0.01), and pain with walking significantly improved from 5.7 to 1.6 (p < 0.001). In total 24 out of 25 patients, and 26 out of 27 ankles, showed remodeling and bone ingrowth on CT scans 1 year after the arthroscopic fixation procedure. No complications occurred. Conclusion: Arthroscopic LDFF of an osteochondral talar defect shows good long-term results at 5 year follow-up after surgery. Although the radiological results at 1-year follow-up and the long-term clinical results are encouraging, more patients and long- term radiological follow-up is necessary in order to identify prognostic factors on outcomes.

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