Significance of measurements of herniary area and volume and abdominal cavity volume in the treatment of incisional hernia: Application of CT 3D reconstruction in 17 cases

2011 ◽  
Vol 17 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Sheng Yao ◽  
Ji-ye Li ◽  
Fei-de Liu ◽  
Li-juan Pei
2007 ◽  
Vol 3 (1) ◽  
pp. 89-113
Author(s):  
Zoltán Gillay ◽  
László Fenyvesi

There was a method developed that generates the three-dimensional model of not axisymmetric produce, based on an arbitrary number of photos. The model can serve as a basis for calculating the surface area and the volume of produce. The efficiency of the reconstruction was tested on bell peppers and artificial shapes. In case of bell peppers 3-dimensional reconstruction was created from 4 images rotated in 45° angle intervals. The surface area and the volume were estimated on the basis of the reconstructed area. Furthermore, a new and simple reference method was devised to give precise results for the surface area of bell pepper. The results show that this 3D reconstruction-based surface area and volume calculation method is suitable to determine the surface area and volume of definite bell peppers with an acceptable error.


2016 ◽  
Vol 27 (03) ◽  
pp. 274-279
Author(s):  
Koji Fukumoto ◽  
Masaya Yamoto ◽  
Hiroshi Nouso ◽  
Masakatsu Kaneshiro ◽  
Mariko Koyama ◽  
...  

Purpose Patients with asplenia syndrome (AS) are likely to have upper gastrointestinal tract malformations such as hiatal hernia. This report discusses the treatment of such conditions. Methods Seventy-five patients with AS underwent initial palliation in our institution between 1997 and 2013. Of these, 10 patients had hiatal hernia. Of the patients with hiatal hernia, 6 had brachyesophagus and 7 had microgastria. Results Of the 10 patients with hiatal hernia, 9 underwent surgery in infancy (7 before Glenn operation, 2 after Glenn operation). Two underwent typical Toupet fundoplication, and the other 7 underwent atypical repair including reduction of the stomach. Two patients with atypical repair showed recurrence of hernia and required reoperation. Three patients required reoperation due to duodenal obstruction. Duodenal obstruction occurred due to preduodenal portal vein or abnormal vessels compressing the duodenum. Obstructive symptoms were not seen in any cases preoperatively. Conclusions In patients with hiatal hernia, typical fundoplication is often difficult because most have concomitant brachyesophagus, microgastria, and hypoplasia of the esophageal hiatus. However, we should at least reduce the stomach to the abdominal cavity as early as possible to increase thoracic cavity volume and allow good feeding. Increasing the volume of the thoracic cavity thus makes Glenn and Fontan circulations more stable. Duodenal obstruction secondary to vascular anomalies is also common, so the anatomy in the area near the duodenum should be evaluated pre- and intraoperatively.


2016 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Sudhir Dnyandeo Bhamre ◽  
Nitin Devidas Pingale

<strong>Background:</strong> Incisional Hernias are common complication of andominal surgery. Depending on the risk factors Incisional Hernia can occure in 10 - 20 % of patients subjected to abdominal operations. <strong>Aims and Objective:</strong> A clinical study on risk factors, clinical prentations, management and post oprattive complications in patient with Incisional Hernia. <strong>Setting:</strong> Department of Surgery of a Tertiary Health Care Centre with an attached medical college. Material and Methods: A total of 43 patients of Incisional Hernia were studied and postoperative complications were evaluated in our institute. <strong>Results:</strong> Incidence of incisional hernia is more common in females than males and the overall M:F ratio is 1:2, 55.9 % of patients presented with swelling and pain. Incisional hernia incidence is high in lower abdominal incisions. <strong>Conclusions:</strong> The use of midline incision should be restricted to operations in which unlimited access to the abdominal cavity is necessary. Use of suction drain reducess post-oparative complication.


2007 ◽  
Vol 73 (7) ◽  
pp. 722-724 ◽  
Author(s):  
Paul A. Lucha ◽  
Crystal Briscoe ◽  
Harpreet Brar ◽  
James J. Schneider ◽  
Ralph E. Butler ◽  
...  

Incisional hernias occur in up to 11 per cent of patients undergoing abdominal surgery. Up to 50 per cent of these patients with hernias will require repeat operative procedures. Management of these hernias have focused primarily on tensile strength of the mesh material, have not addressed currently used materials, and have not compared the strength of these repairs with each other. Forty-nine adult Sprague–Dawley rats had an incisional hernia created by removing a portion of their abdominal wall that was then repaired primarily, using either a composite mesh, Dual mesh (Gore-Tex), or polypropylene mesh. Six weeks after the repair, the rats were euthanized. Hydrostatic distension of the abdominal cavity was performed to compare bursting strength of each repair. Wound tensile strength was assessed and compared. Tissue samples were also taken to compare repair types for incorporation of prosthetic materials. The gross weight of the animals subjected to hydrostatic distention was equivalent between groups, as was the volume required prior to failure of the repair. There was a trend toward improved tensile strength of the Prolene mesh repair, which had a lower average inflammatory and fibrosis score on histology. Overall, the type of mesh used for repair does not seem to impact significantly the strength of the repair when assessed 6 weeks postoperatively. Choice of prosthetic material to repair the hernia should be made based on economics and handling characteristics alone. Prolene mesh has satisfactory strength with the least amount of inflammation and fibrosis.


2017 ◽  
Vol 6 (1) ◽  
pp. 115-120 ◽  
Author(s):  
S. G. Shapoval'yants ◽  
◽  
A. I. Mikhalev ◽  
L. M. Mikhaleva ◽  
T. G. Dzavaryan ◽  
...  

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Kodai Tomioka ◽  
Toshihiro Fujioka ◽  
Tohru Satoh ◽  
Hidetoshi Makita ◽  
Rika Tsukui ◽  
...  

Abstract The occurrence of late-onset mesh infection and mesh invasion into the intestine after abdominal incisional hernia repair is extremely rare. Herein, we describe the first case of late-onset mesh infection and mesh penetrating the transverse colon and small intestine 5 years after incisional hernia repair using an expanded polytetrafluoroethylene mesh. The symptom was drainage from the reddish wound, and computed tomography scan revealed intestinal prolapse with local wall thickening. The mesh removal and small intestine and colon resection were conducted because the small intestine and transverse colon formed a mass containing the mesh inside. The events were caused by the lack of mesh fixation, and the dislodged mesh penetrating the intestinal tract caused the infection. For mesh infections in which conservative treatment is not effective, mesh removal and organ excision should not be delayed regardless whether there is a strong adhesion of the abdominal cavity.


2017 ◽  
Vol 33 (4) ◽  
Author(s):  
Wenxian Guan ◽  
Xuefeng Xia ◽  
Xiaofeng Lu ◽  
Xing Kang ◽  
Ji Miao ◽  
...  

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