Press

Novel use of Bromelain in Management of Chronic Rectus Sheath Hematoma: A Case Report

Ernest Cheng; Amit Sarkar; Suhrid Lodh; Sarah J Valle; David L Morris

   Rectus sheath haematomas are uncommon causes of abdominal pain resulting from bleeding into the rectus sheath. We report a case of a 67-year-old female with a symptomatic, non-resolved chronic abdominal haematoma successfully treated with Bromelain. A 14-French pigtail drain was inserted into her haematoma allowing Bromelain administration and subsequent haematoma extraction. We demonstrated symptomatic improvement with minimal side effects and significant reduction in haematoma size.


Laparoscopic Versus Open Mesh Repair for Ventral Hernia - A Population Based Matched Case Control Study

Darkahi B; Wollert S; Ljungdahl M; Graf W*

    Objective: Laparoscopic repair of a ventral hernia is a feasible alternative to conventional surgery but it is not known whether there are definite advantages with this approach. The present study was performed to compare laparoscopic Intraperitoneal Onlay Mesh repair (IPOM) with Open Mesh Repair (OMR).


Robotic vs Laparoscopic vs Open IncisionalHernia Repair: A Single-Institution Analysis of 145 Consecutive Robotic Cases

Zachary T Holtzapple; Jeremy J Heffner*

    Purpose: Incisional hernias are commonly known to occur as a complication of abdominal procedures. This potentially leads to increased healthcare costs and decreased favorable patient outcomes. This study is a retrospective data analysis to compare incisional hernia repairs performed robotically to historical trends in open and laparoscopic surgeries.


Structural Alterations of Hernioplasty Prostheses in Humans: Correlation between X-Ray Micro-Computed Tomography Observations and Histological Investigations

Gabrielle Voisard; Andreas Malekos; Alessandra Patera; Stephan Carl; Stefan Hartmann; Michele Griffa; Edoardo Mazza; Dominique Derome; Ze Zhang; Gaetan Brochu; Robert Guidoin*

    Background: After implantation, prostheses for hernia repair become encapsulated tissue as the result of foreign body reaction possibly causing structural deformations. The aim of this study is to use X-ray microtomography to obtain three-dimensional characterisation of pristine devices to serve as references for explanted prostheses harvested at reoperation and preserved in a solution of formalin...


Right Sided Congenital Diaphragmatic Hernia

Alaoui Othmane*; Mahmoudi Abdelhalim; Khattala Khalid; Bouabdallah Youssef

    Congenital diaphragmatic hernia is a rare condition that affects approximately 1 in 2500-5000 births and has been classified as posterolateral, anterior or central.
The posterolateral defect occurs on the left side (85%), although it may involve the right side (13%) or be bilateral (2%). Equivalent survival has been reported for left-sided versus right-sided congenital diaphragmatic hernias, although the latter have been associated with a high incidence of pulmonary complications...


Abdominal Wall Hernia Repair with Composite Meshes: Systematic Review and Meta-Analysis of Mesh-Related Complications

Montori Giulia*; Rosati Samanta; Ortenzi Monica; Mazzarolo Giorgio; Licitra Edelweiss; Dal Borgo Andrea; Balestra Gabriella; Podda Mauro; Sartori Alberto; Botteri Emanuele; Procida Giuseppa; Salemi Michelangelo; Agresta Ferdinando

    Umbilical and epigastric hernias are frequent clinical conditions with expected low complications. This systematic review and meta-analysis aimed to analized the complications associated to the intraperitoneal bicomponent meshes as Ventralex. Bard Composix Kugel. / FLaPp. / CMC. produced respectively by Bard and Dipromed SRL. These prostheses are the most frequently used composite meshes.


The Utilisation of the Small Bite Closure Technique in Emergency Laparotomy – A Pilot Study

Hazim A Eltyeb*; Dorothy Wintrip; Amnah Khan; Frederick Dowker; D Light

    In this study, we investigate the effect of small bite closure compared to a cohort of mass closure in emergency abdominal surgery. Our primary outcomes are wound dehiscence and wound infection, and our secondary outcome is 30-day mortality.


Surgeons Beware: The Ergonomics of Robotic & Laparoscopic Hernia Repair

Brian Wca Tian*; Graziano Ceccarelli

    Minimally invasive techniques are gaining traction in the discipline of hernia repair. However, there still remains a significant learning curve, especially when repairing complicated hernias laparoscopically. At times, many surgeons find themselves contorting their hands and bodies in abnormal postures to perform certain segments of the operation.


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