Advantages and faults of laparoscopic operations in treatment of ventral hernias

2020 ◽  
Vol 87 (3-4) ◽  
pp. 35-39
Author(s):  
V. V. Grubnik ◽  
R. P. Nikitenko ◽  
O. M. Stepanovichus ◽  
K. O. Vorotyntseva
Keyword(s):  
Average Duration ◽  
Comparison Analysis ◽  
Hernia Defect ◽  
Method Choice ◽  
Clinical Hospital ◽  
Laparoscopic Procedures ◽  
Laparoscopic Hernioplasty ◽  
Operation Duration ◽  
Duration Of Operation ◽  
Ventral Hernias

Objective. To conduct a comparison analysis of modern open, classic laparoscopic and separation laparoscopic hernioplastic procedures in treatment of ventral and postoperative ventral hernias. Materials and methods. During 2009 - 2019 yrs on the base of Odessa Regional Clinical Hospital 193 patients, suffering ventral and postoperative ventral hernias were operated. Depending on the hernioplasty method applied all the patients were divided on two groups. In the first one 100 patients were exposed to laparoscopic hernioplasty, including 91 patients - the standard laparoscopic operations. In the second group in 93 patients open hernioplasty was performed. Results. In the first group while using a standard laparoscopic procedures of hernioplasty the average duration of operation have constituted (114.0 ± 7.4) min, recurrence was revealed in 7 patients with large hernias (W3). In the second group the operation duration have constituted (130.0 ± 6.1) min, and recurrence was revealed in 8 patients. Conclusion. The operation method choice ought to be individually adjusted, taking into account the patient general status and age, presence of concurrent pathology, as well as the hernia defect dimensions and localization, in particular.

The technical characteristics and immediate results of laparoscopy trans-peritoneal and total extra-peritoneal hernioplasty

2016 ◽  
Vol 22 (3) ◽  
pp. 125-129 ◽  
Author(s):  
Aleksandr V. Sazhin ◽  
A. D Klimiashvili ◽  
E. Kochiay
Keyword(s):  
Inguinal Hernia ◽  
Average Duration ◽  
Inguinal Hernioplasty ◽  
Internal Organs ◽  
Gerontological Research ◽  
Operational Characteristics ◽  
Post Operative Pain ◽  
Clinical Center ◽  
Laparoscopic Hernioplasty ◽  
Duration Of Operation

Over the time of recent years, in surgical treatment of inguinal hernia such revolutionary changes occurred as implementation of Lichtenstein's nonstrain prosthetic inguinal hernioplasty (1986) into surgical practice and application of laparoscopic hernioplasty (Arregui M.E., 1992; McKernan and Ferzli, 1993). The study was carried out to evaluate reliability and effectiveness of application of trans-peritoneal and total extra-peritoneal hernioplasty in case of inguinal hernia. During 2012-2015, in the municipal clinical hospital №4 and the Russian gerontological research clinical center (Moscow) 12 patients underwent 12 hernioplasties using technique of total extra-peritoneal hernioplasty and 65 patients underwent 73 hernioplasties using technique of trans-peritoneal hernioplasty (in 8 cases herniae were bilateral). The technical intra-operational characteristics of procedures were analyzed. The evaluation of intra-operational and post-operational complications during earlier post-operational period and in a year after operation was carried out. The single patient in the group of total extra-peritoneal hernioplasty inguinal hernia was relapsing after herniotomy with plasty with local tissues. All herniae were one-sided. The average duration of operation made up to 62.5 minutes. The conversion was never required. In the group of trans-peritoneal hernioplasty average duration of operation made up to 58.5 minutes. The conversion was never required too. The rate of intra-operational complications in both groups was low. The most of the patients in main group (total extra-peritoneal hernioplasty) were ready to be discharged from the hospital at second day after operation. The total rate of post-operative complications made up to 20.6%. Only in the group of trans-peritoneal hernioplasty single relapse was observed after three months after operation. According to results of study, the laparoscopic inguinal hernioplasty is the most preferable and rational treatment of most of the types of inguinal herniae. The total extra-peritoneal hernioplasty is more preferable than trans-peritoneal hernioplasty because of number of reasons i.e. the post-operative pain is less expressed; operation is performed in retroperitoneal way; the risk of damaging of internal organs and development of peritoneal commissures is minimized.

scholarly journals Анализ развития стернальной инфекции у кардиохирургических больных

2020 ◽  
pp. 51-54
Keyword(s):  
Risk Factor ◽  
Soft Tissues ◽  
Average Duration ◽  
Pulmonary Ventilation ◽  
Chronic Obstructive ◽  
Sternal Infection ◽  
Group A ◽  
Artificial Pulmonary Ventilation ◽  
Operation Duration ◽  
Duration Of Operation

A clinical study including 68 patients of a cardiac profile who developed sternal infection in the postoperative period was conducted. Patients were divided into two groups: 1 group – 42 patients with a sternal infection of soft tissues and the 2nd group – the 26th patient with a sternal infection of a breast. The received results were processed statistically. The received data confirmed that patients of both groups had an accompanying pathology: diabetes mellitus and chronic obstructive diseases of lungs. The risk factor for infection development during sternotomy were an average duration of operation that in the 1st group was 280,9 minutes and in the 2nd group the operation duration was 270,4 minutes. Another risk factor was duration of use of the device of artificial blood-flow; cardiac support was used for 24nd group. A prolonged artificial pulmonary ventilation was used in 39 (92,9 %) patients of the 1st group and 22 (84,6 %) patients of the 2nd group.

scholarly journals EXPERIENCE OF ERAS PROTOCOL IMPLEMENTATION IN THE SURGICAL PRACTICE FOR THE TREATMENT OF POSTOPERATIVE VENTRAL HERNIA

2019 ◽  
pp. 98-100
Author(s):  
T. V. Tarasiuk ◽  
R. P. Yuzkiv
Keyword(s):  
Surgical Treatment ◽  
Enhanced Recovery ◽  
Anterior Abdominal Wall ◽  
Enhanced Recovery After Surgery ◽  
Average Duration ◽  
Control Group ◽  
Study Group ◽  
Laparoscopic Hernioplasty ◽  
Eras Protocol ◽  
Ventral Hernias

Aim: to study the experience of introducing elements of the protocol for enhanced recovery after surgery (ERAS) in the surgical treatment of postoperative ventral hernias. Materials and methods: This article presents the results of surgical treatment of 122 patients with postoperative ventral hernias, in whom in 24 (20%) cases operations on the anterior abdominal wall were performed laparoscopically (study group), in 98 (80%) - by “open” method (control group). Results: The average duration of the “open” operations was 135 ± 45 min., laparoscopic one - 120 ± 30 min. After laparoscopic hernioplasty patients became active within 1.5-2 hours after extubation. After the operation according to the sublay method, in 61.2% of cases the patient was verticalized and became active within the chamber after 5-6 hours, and in 38.7% of cases- during the first days after operation. Postoperative stay in hospital among patients in the control group after “open” hernioplasty was 7.3 ± 1.5, after laparoscopic surgery - 2.6 ± 1.2. Conclusions: Based on the analysis of the obtained results, it is possible to argue about the feasibility of introducing elements of the ERAS protocol for the surgical treatment of postoperative ventral hernias, especially when performing laparoscopic hernioplasty.

scholarly journals An Assessment of Snail-Farm Systems Based on Land Use and Farm Components

Animals ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 272
Author(s):  
Konstantinos Apostolou ◽  
Alexandra Staikou ◽  
Smaragda Sotiraki ◽  
Marianthi Hatziioannou
Keyword(s):  
Open Field ◽  
Geographical Location ◽  
Farming Systems ◽  
Annual Production ◽  
Categorical Variables ◽  
Mixed System ◽  
Continuous Variables ◽  
Sustainable Food ◽  
Operation Duration ◽  
Duration Of Operation

In this study, the structural and management characteristics of snail farms in Greece were analyzed to maximize sustainable food production. Objectives, such as the classification of farming systems and assessing the effects of various annual production parameters, were investigated. Data were collected (2017) via a questionnaire, and sampling was conducted in 29 snail farms dispersed in six different regions (Thrace, Central Macedonia, West Macedonia, Thessaly, Western Greece, and the Attica Islands). Descriptive statistics for continuous variables and frequencies for categorical variables were calculated. The similarity between farms was analyzed using nonmetric multidimensional scaling (nMDS). The average farm operation duration exceeded eight months and the mean annual production was 1597 kg of fresh, live snails. Results recorded five farming systems: elevated sections (7%), net-covered greenhouse (38%), a mixed system with a net-covered greenhouse (10%), open field (38%), and mixed system with an open field (7%). Snail farms differ in the type of substrate, available facilities, and equipment (60% similarity between most of the open field farms). The geographical location of a farms’ settlement affects productivity but also influences the duration of operation, especially in open field farms, due to their operation under a wide assortment of climatic types.

scholarly journals Do we have a limit for retrograde intrarenal surgery for solitary kidney stone?

2021 ◽  
Vol 93 (3) ◽  
pp. 318-322
Author(s):  
Bulent Kati ◽  
Eyyup Sabri Pelit ◽  
Mehmet Demir ◽  
Ismail Yagmur ◽  
Adem Tuncekin ◽  
...  
Keyword(s):  
Kidney Stone ◽  
Surgical Complication ◽  
Operation Time ◽  
Patient Characteristics ◽  
Solitary Kidney ◽  
Retrograde Intrarenal Surgery ◽  
Stone Size ◽  
Operation Duration ◽  
The Mean ◽  
Duration Of Operation

Objective: The management of urolithiasis in patients with a solitary kidney is challenging for urologists. This study aimed to evaluate the safety of retrograde intrarenal surgery (RIRS) in the treatment of stones in patients with solitary kidney and to reply to the question if there is any limit for this surgery. Methods: Between January 2016 and December 2019, we enrolled 52 patients who had a solitary kidney and underwent RIRS. We collected data on preoperative patient characteristics, stone dimensions, and postoperative outcomes. Stone size, duration of operation, duration of fluoroscopy, type of anesthesia, and degree of surgical complication were evaluated retrospectively. Surgeries performed in less and more than 60 minutes and with and without complications were compared. Results: A total of 52 patients with a kidney stone and a solitary kidney were evaluated. The mean stone size was 14 ± 0.4 cm and surgical success rate was 87.3%. In our study, 13 patients (24.5%) had grade 1 minor complications, and none required a blood transfusion. The mean operation time was 51.9 ± 17.3 minutes. The postoperative creatinine value increased in 6 patients. The duration of operation in the group with complications was significantly higher than that in the group without complications. In patients who underwent an operation lasting ≥ 60 minutes, stone size, fluoroscopy time, and complication rate were significantly higher than in patients who underwent an operation lasting ≤ 60 minutes. Conclusion: Our opinion is to be careful in patients with a solitary kidney with a big stone and we recommend assigning these procedure to experienced hands for not exceeding 60 minutes in one session.

scholarly journals Subcutaneous Onlay Laparoscopic Approach (SCOLA) for Umbilical Hernia with Diastasis of Rectus Abdominis Muscle: A Case Report

2021 ◽  
Author(s):  
Halil Afsin Tasdelen
Keyword(s):  
Umbilical Hernia ◽  
Video Clip ◽  
Laparoscopic Approach ◽  
Rectus Abdominis ◽  
High Recurrence Rate ◽  
Anatomical Landmarks ◽  
Rectus Abdominis Muscle ◽  
Hernia Defect ◽  
Diastasis Recti ◽  
Ventral Hernias

Abstract Diastasis of the rectus abdominis muscles (DRAM) is a common pathology, usually associated with midline abdominal wall hernias. The midline ventral hernias with diastasis have a significantly high recurrence rate, so repairing the hernia defect and the diastasis should be considered. Claus et al. previously described the subcutaneous onlay laparoscopic approach (SCOLA). We report a case of diastasis recti associated with umbilical hernia repaired with SCOLA technique. A 46-year-old male patient presented with a disturbing bulge in the upper midline and painful umbilical swelling. The CT scan followed by physical examination revealed 28 mm. umbilical hernia and 35 mm. diastasis recti. We aimed to introduce the SCOLA technique using a narrated video clip and showed all the critical steps and anatomical landmarks in the video. The postoperative period was uneventful, and the patient was discharged on the second postoperative day. The SCOLA technique is a feasible and reproducible alternative for the repair of midline hernias associated with DRAM.

A STUDY ON PREVALENT FACTORS BEHIND EFFICIENCY DETERIORATION OF A TYPICAL LOW POWER SOLAR PANEL

2013 ◽  
Vol 2013 (1) ◽  
pp. 000384-000388
Author(s):  
V. Ganescu ◽  
A. Pascu
Keyword(s):  
Low Power ◽  
Operating Conditions ◽  
Extreme Temperatures ◽  
Solar Panels ◽  
Cycle Number ◽  
Solar Noon ◽  
Operation Duration ◽  
Outdoor Behavior ◽  
Duration Of Operation ◽  
Daylight Exposure

Efficiencies for a number of different low power (10W MAX) consumer grade PV solar panels were studied in this research. Outdoor behavior was contrasted with lab environment simulations. The authors focused on four parameters: extreme temperatures of operation, duration of operation per “on” cycle, number of “on – off” cycles and overall period of “on” operation for a 365 days interval. Standard environmental operating conditions were taken into account for the lab environment, where constant solar noon was simulated for 70% of the equivalent daylight exposure time. No CPV or lenses were used. Additionally, a comparison surrounding the estimated life expectancy and efficiency decrease pattern of the panels was targeted and presented in this study.

scholarly journals A Study of Early post-operative wound complications of spina bifida aperta repair “Incidence and Risk Factors”

2018 ◽  
Vol 60 (2) ◽  
pp. 89-92
Author(s):  
Ali K. AL-Shalchy ◽  
Wameedh Q. Abdul-hussein
Keyword(s):  
Risk Factors ◽  
Wound Complications ◽  
Spina Bifida Aperta ◽  
Csf Leakage ◽  
High Incidence ◽  
Operation Duration ◽  
The Third World ◽  
Duration Of Operation ◽  
Type Of Delivery ◽  
Early Wound

Background: Myelomeningocele is the single most common congenital anomaly that affects the CNSand vertebral column. The third world countries having a higher incidence. The management is usuallysurgical with relative high incidence of complications.Objectives: to evaluate the possible risk factors that may predispose to early wound complications ofmyelomeningocele.Methods: This prospective study was carried out in the Surgical Specialization Hospital in Medical CityComplex - Baghdad from 2009-2012. 147 cases were included in the study. Requested data weregestational age, type of delivery, gender, age at operation, type of suturing of the wound, tension ofsuturing, duration of operation, site of the lesion, ruptured vs non ruptured myelomeningocele, associatedshunting, peri-operative stay in hospital and associated jaundice.Result: Forty four (44 %) of the total developed complications. All premature infants developedcomplications. Hydrocephalic cases was associated with higher rate of complication (86%). Type ofdelivery, age at operation, duration of operation, ruptured cases and site of the lesion were not associatedwith complications.Conclusion: Myelomeningocele was predominantly affecting female. Most of the complications werewound infection with or without dehiscence, CSF leakage or seroma.

scholarly journals Features of laparoscopic hernioplasty of paracolostomy hernias in patients with combined abdominal pathology

2020 ◽  
Vol 24 (4) ◽  
pp. 600-603
Author(s):  
K. Yu. Parkhomenko
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Average Length ◽  
Abdominal Cavity ◽  
Surgical Interventions ◽  
Surgical Department ◽  
Inguinal Hernias ◽  
Laparoscopic Hernioplasty ◽  
Commercial Enterprise ◽  
Laparoscopic Techniques ◽  
Ventral Hernias

Annotation. The aim of the study is to study the technological features and results of simultaneous laparoscopic hernioplasty of paracolostomy hernias in the presence of combined abdominal pathology. We analyzed the results of surgical treatment of 11 patients with paracolostomy hernias who were treated in the surgical department of the Municipal non-commercial enterprise of the Kharkov regional council “Regional Clinical Hospital” from 2016 to 2020, of whom – women – 4 (36%), men – 7 (64%), aged from 42 to 69 years old. Clinical, anamnestical and instrumental data for the prolongation of cancer were not identified in all patients. Out of 11 patients, in addition to paracolostomy hernia, 3 (27%) had inguinal hernias, 8 (73%) had postoperative ventral hernias. 3 (27%) patients with hernias also had cholecystolithiasis. All patients underwent laparoscopic hernioalloplasty of paracolostomy hernia. 3 patients underwent simultaneous TAPP for inguinal hernias, and 1 patient underwent laparoscopic cholecystectomy and TAPP. 6 patients with incisional ventral hernias underwent simultaneous IPOM according to the standard method, and 2 – according to the own method. Of the above, 2 patients suffering from cholecystolithiasis, in addition to hernioalloplasty, underwent laparoscopic cholecystectomy. In 4 (36%) patients, viscerolysis was additionally performed due to the presence of an adhesive process in the abdominal cavity. Simultaneous hernioalloplasty TAPP and IPOM, as well as laparoscopic cholecystectomy, had no significant effect on the development of complications and the duration of hospitalization. The average length of inpatient treatment was 9.2 bed-days. The study proves the expediency of widespread simultaneous surgical interventions for hernias of the anterior abdominal wall, as well as the preference for laparoscopic techniques.

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