scholarly journals The Role of the Composite and Biologic Meshes in the Trocar Site Hernia Repair Following Laparoscopic Surgery

2018 ◽  
Vol 55 (2) ◽  
pp. 146-148
Author(s):  
Bogdan Socea ◽  
Alexandru Carap ◽  
Ovidiu Gabriel Bratu ◽  
Camelia Cristina Diaconu ◽  
Mihai Dimitriu ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Retrospective Study ◽  
Hernia Repair ◽  
Tissue Repair ◽  
Surgical Repair ◽  
Closure Technique ◽  
Trocar Site ◽  
Trocar Hernia ◽  
Mesh Rejection

The increasing proportion of laparoscopic interventions in the surgical centers has, also, determined an increased incidence of specific complications, such as trocar hernia. Nowadays, there is no unanimously agreed concensus regarding the optimal closure technique of the trocar incision, wether it should include the suture of the aponeurosis or not at the 10 mm ports. There is, also, no consensus regarding the proper surgical technique for the trocar hernia repair- alloplastic or tissue repair technique.The purpose of the study is to present our experience on the alloplastic repair of the trocar hernias. It is a retrospective study that analyzes the results obtained by our clinicalteam regarding the alloplastic repair of the trocar hernias, over a five-year period, between January 2011 and December 2015. The recurrence and the occurrence rates of different complications (seroma, neuroma with postoperative pain, parietal infiltration, infections and mesh rejection), depending on the type of mesh used for the surgical repair,are studied.

scholarly journals Management of the uncomplicated primary inguinal hernia in 2019: the practice amongst members of the British Hernia Society

2020 ◽  
Vol 102 (3) ◽  
pp. 191-193
Author(s):  
D Light ◽  
BM Stephenson ◽  
DL Sanders ◽  
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Female Patient ◽  
Tissue Repair ◽  
Current Practice ◽  
Response Rate ◽  
Lichtenstein Repair ◽  
The Past

Introduction The aim of this study was to survey the current practice of UK-based hernia surgeons in elective inguinal hernia repair. Materials and methods A questionnaire was created using SurveyMonkey™ and sent electronically to registered members of the British Hernia Society. Results A total of 368 responses were obtained (a response rate of 55%); 83% were consultant surgeons, 91% were male and 91% stated that they had an interest in laparoscopic surgery. For an uncomplicated inguinal hernia in a male patient, 60% would perform an open Lichtenstein repair, 20% trans-abdominal pre-peritoneal repair and 20% totally extra-peritoneal repair. In a female patient, 54% would perform an open Lichtenstein repair, 25% trans-abdominal pre-peritoneal repair and 21% totally extra-peritoneal repair. 90% always use mesh in inguinal hernia repair. 93% of surgeons rarely or never perform a tissue repair. Conclusions Despite recent controversy, UK surgeons support the use of mesh in the repair of inguinal hernias with an open Lichtenstein repair being the most common choice. There has only been a modest increase in the use of laparoscopic surgery over the past 20 years.

Low risk of trocar site hernia repair 12 years after primary laparoscopic surgery

2011 ◽  
Vol 25 (11) ◽  
pp. 3678-3682 ◽  
Author(s):  
Frederik Helgstrand ◽  
Jacob Rosenberg ◽  
Henrik Kehlet ◽  
Thue Bisgaard
Keyword(s):  
Laparoscopic Surgery ◽  
Hernia Repair ◽  
Low Risk ◽  
Trocar Site ◽  
Trocar Site Hernia

scholarly journals Retrospective study of inguinal hernia repair without drainage

2018 ◽  
Vol 5 (4) ◽  
pp. 1519 ◽  
Author(s):  
Jayeshkumar S. Jadav ◽  
Shubham R. Kotwal
Keyword(s):  
Inguinal Hernia ◽  
Retrospective Study ◽  
Hernia Repair ◽  
Selection Criteria ◽  
Surgical Repair ◽  
Hernia Surgery ◽  
Medical College ◽  
Inguinal Hernia Surgery ◽  
Operative Drainage

Background: A common method for treatment of inguinal hernia is surgical repair using prosthesis. Aim of this study is to evaluate that whether there is need for post-operative drainage of hernia wound or not and various complications of putting drain into hernia wound.Methods: A case study of 50 patients with predominant complain of inguinal swelling fulfilling the required selection criteria which were admitted in Guru Govind Singh Hospital, M P Shah Medical College, Jamnagar, during period of 2014 to 2016 are studied retrospectively. Drain were not put in any of the patient and findings were recorded.Results: It is found that most of patient recover well, only 8%of patients had wound infection and 2 patients having seroma.Conclusions: It reflects that there is no need to put drain routinely in inguinal hernia surgery.

The role of endosonography in a rare submucosal tumor's laparoscopic surgery

2015 ◽  
Vol 53 (05) ◽  
Author(s):  
R Takács ◽  
G Benedek ◽  
Z Bányász ◽  
J Hamvas
Keyword(s):  
Laparoscopic Surgery

Surgical Repair of Acute Gracilis Muscle Rupture in the Racing Greyhound

1992 ◽  
Vol 05 (01) ◽  
pp. 18-21 ◽  
Author(s):  
R. Eaton-Wells
Keyword(s):  
Retrospective Study ◽  
Surgical Technique ◽  
Surgical Repair ◽  
Gracilis Muscle ◽  
Back Muscle ◽  
Suture Materials ◽  
Muscle Rupture

A retrospective study of the surgical repair of 27 cases of acute gracilis muscle rupture ("dropped back muscle") in 23 racing greyhounds was conducted.All of the dogs suffered the injury while racing or training. Suture materials and surgical technique are described. The dogs ability to resume racing was assessed.

scholarly journals Prognostic significance of peritoneal cytology in low-risk endometrial cancer: comparison of laparoscopic surgery and laparotomy

2021 ◽  
Author(s):  
Satoe Fujiwara ◽  
Ruri Nishie ◽  
Shoko Ueda ◽  
Syunsuke Miyamoto ◽  
Shinichi Terada ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Laparoscopic Surgery ◽  
Retrospective Study ◽  
Prognostic Significance ◽  
Low Risk ◽  
Peritoneal Cytology ◽  
Chi Square ◽  
Significant Difference ◽  
Chi Square Test ◽  
Positive Peritoneal Cytology

Abstract Background There is uncertainty surrounding the prognostic value of peritoneal cytology in low-risk endometrial cancer, especially in laparoscopic surgery. The objective of this retrospective study is to determine the prognostic significance of positive peritoneal cytology among patients with low-risk endometrial cancer and to compare it between laparoscopic surgery and conventional laparotomy. Methods From August 2008 to December 2019, all cases of pathologically confirmed stage IA grade 1 or 2 endometrial cancer were reviewed at Osaka Medical College. Statistical analyses used the Chi-square test and the Kaplan–Meier log rank. Results A total of 478 patients were identified: 438 with negative peritoneal cytology (232 who underwent laparotomy and 206 who undertook laparoscopic surgery) and 40 with positive peritoneal cytology (20 who underwent laparotomy and 20 who received laparoscopic surgery). Survival was significantly worse among patients with positive peritoneal cytology compared to patients with negative peritoneal cytology. However, there was no significant difference among patients with negative or positive peritoneal cytology between laparoscopic surgery and laparotomy. Conclusion This retrospective study suggests that, while peritoneal cytology is an independent risk factor in patients with low-risk endometrial cancer, laparoscopic surgery does not influence the survival outcome when compared to laparotomy.

scholarly journals Role of MSCT in the diagnosis of perforated gall bladder (a retrospective study)

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Mohamed M. Harraz ◽  
Ahmed H. Abouissa
Keyword(s):  
Computed Tomography ◽  
Retrospective Study ◽  
Gall Bladder ◽  
Acute Cholecystitis ◽  
Acute Diverticulitis ◽  
Wall Thickening ◽  
Free Fluid ◽  
Iodinated Contrast ◽  
Contrast Enhanced

Abstract Background Although gall bladder perforation (GBP) is not common, it is considered a life-threating condition, and the possibility of occurrence in cases of acute cholecystitis must be considered. The aim of this study was to assess the role of multi-slice computed tomography (MSCT) in the assessment of GBP. Results It is a retrospective study including 19 patients that had GBP out of 147, there were 11 females (57.8%) and 8 males (42.1%), aged 42 to 79 year (mean age 60) presented with acute abdomen or acute cholecystitis. All patients were examined with abdominal ultrasonography and contrast-enhanced abdominal MSCT after written informed consent was obtained from the patients. This study was between January and December 2018. Patients with contraindications to contrast-enhanced computed tomography (CT) (pregnancy, acute kidney failure, or allergy to iodinated contrast agents) who underwent US only were excluded. Patients with other diagnoses, such as acute diverticulitis of the right-sided colon or acute appendicitis, were excluded. The radiological findings were evaluated such as GB distention; stones; wall thickening, enhancement, and defect; pericholecystic free fluid or collection; enhancement of liver parenchyma; and air in the wall or lumen. All CT findings are compared with the surgical results. Our results revealed that the most important and diagnostic MSCT finding in GBP is a mural defect. Nineteen patients were proved surgically to have GBP. Conclusion GBP is a rare but very serious condition and should be diagnosed and treated as soon as possible to decrease morbidity and mortality. The most accurate diagnostic tool is the CT, MSCT findings most specific and sensitive for the detection of GBP and its complications.

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