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What Are the Influencing Factors for Chronic Pain Following TAPP Inguinal Hernia Repair: an Analysis of 20,004 Patients from the Herniamed Registry
Surg Endosc and Other Interventional Techniques DOI 10.1007/s00464-017-5893-2 What are the influencing factors for chronic pain following TAPP inguinal hernia repair: an analysis of 20,004 patients from the Herniamed Registry H. Niebuhr1 · F. Wegner1 · M. Hukauf2 · M. Lechner3 · R. Fortelny4 · R. Bittner5 · C. Schug‑Pass6 · F. Köckerling6 Received: 6 July 2017 / Accepted: 13 September 2017 © The Author(s) 2017. This article is an open access publication Abstract multivariable analyses. For all patients, 1-year follow-up Background In inguinal hernia repair, chronic pain must be data were available. expected in 10–12% of cases. Around one-quarter of patients Results Multivariable analysis revealed that onset of pain (2–4%) experience severe pain requiring treatment. The risk at rest, on exertion, and requiring treatment was highly factors for chronic pain reported in the literature include significantly influenced, in each case, by younger age young age, female gender, perioperative pain, postoperative (p < 0.001), preoperative pain (p < 0.001), smaller hernia pain, recurrent hernia, open hernia repair, perioperative defect (p < 0.001), and higher BMI (p < 0.001). Other influ- complications, and penetrating mesh fixation. This present encing factors were postoperative complications (pain at rest analysis of data from the Herniamed Hernia Registry now p = 0.004 and pain on exertion p = 0.023) and penetrating investigates the influencing factors for chronic pain in male compared with glue mesh fixation techniques (pain on exer- patients after primary, unilateral inguinal hernia repair in tion p = 0.037). TAPP technique. Conclusions The indication for inguinal hernia surgery Methods In total, 20,004 patients from the Her- should be very carefully considered in a young patient with niamed Hernia Registry were included in uni- and a small hernia and preoperative pain. -
Regenerative Surgery for Inguinal Hernia Repair
Clinical Research and Trials ` Research Article ISSN: 2059-0377 Regenerative surgery for inguinal hernia repair Valerio Di Nicola1,2* and Mauro Di Pietrantonio3 1West Sussex Hospitals NHS Foundation Trust, Worthing Hospital, BN112DH, UK 2Regenerative Surgery Unit, Villa Aurora Hospital-Foligno, Italy 3Clinic of Regenerative Surgery, Rome, Italy Abstract Inguinal hernia repair is the most frequently performed operation in General Surgery. Complications such as chronic inguinal pain (12%) and recurrence rate (11%) significantly influence the surgical results. The 4 main impacting factors affecting hernia repair results are: mesh material and integration biology; mesh fixation; tissue healing and regeneration and, the surgical technique. All these factors have been analysed in this article. Then a new procedure, L-PRF-Open Mesh Repair, has been introduced with the aim of improving both short and long term results. We are presenting in a case report the feasibility of the technique. Introduction Only 57% of all inguinal hernia recurrences occurred within 10 years after the hernia operation. Some of the remaining 43% of all Statistics show that the most common hernia site is inguinal (70- recurrences happened only much later, even after more than 50 years [7]. 75% cases) [1]. A further complication after inguinal hernia repair is chronic groin Hernia symptoms include local discomfort, numbness and pain pain lasting more than 3 months, occurring in 10-12% of all patients. which, sometimes can be severe and worsen during bowel straining, Approximately 1-6% of patients have severe chronic pain with long- urination and heavy lifting [2]. Occasionally, complications such as term disability, thus requiring treatment [5,8]. -
World Guidelines for Groin Hernia Management
Guidelines World Guidelines for Groin Hernia Management The HerniaSurge Group Key Questions, Statements and Recommendations (Key Statements for the Consensus vote in yellow) Endorsed by: 1 Members of the HerniaSurge Group Steering Committee: M.P. Simons (coordinator) M. Smietanski (European Hernia Society) Treasurer. H.J. Bonjer (European Association for Endoscopic Surgery) R. Bittner (International Endo Hernia Society) M. Miserez (Editor Hernia) Th.J. Aufenacker (Statistical expert) R.J. Fitzgibbons (Americas Hernia Society) P.K. Chowbey (Asia Pacific Hernia Society) H.M. Tran (Australasian Hernia Society) R. Sani (Afro Middle East Hernia Society) Working Group Th.J. Aufenacker Arnhem the Netherlands F. Berrevoet Ghent Belgium J. Bingener Rochester USA T. Bisgaard Copenhagen Denmark R. Bittner Stuttgart Germany H.J. Bonjer Amsterdam the Netherlands K. Bury Gdansk Poland G. Campanelli Milan Italy D.C. Chen Los Angeles USA P.K. Chowbey New Delhi India J. Conze Műnchen Germany D. Cuccurullo Naples Italy A.C. de Beaux Edinburgh United Kingdom H.H. Eker Amsterdam the Netherlands R.J. Fitzgibbons Creighton USA R.H. Fortelny Vienna Austria J.F. Gillion Antony France B.J. van den Heuvel Amsterdam the Netherlands W.W. Hope Wilmington USA L.N. Jorgensen Copenhagen Denmark U. Klinge Aachen Germany F. Köckerling Berlin Germany J.F. Kukleta Zurich Switserland I. Konate Saint Louis Senegal A.L. Liem Utrecht the Netherlands D. Lomanto Singapore Singapore M.J.A. Loos Veldhoven the Netherlands 2 M. Lopez-Cano Barcelona Spain M. Miserez Leuven Belgium M.C. Misra New Delhi India A. Montgomery Malmö Sweden S. Morales-Conde Sevilla Spain F.E. Muysoms Ghent Belgium H. -
IPEG's 25Th Annual Congress Forendosurgery in Children
IPEG’s 25th Annual Congress for Endosurgery in Children Held in conjunction with JSPS, AAPS, and WOFAPS May 24-28, 2016 Fukuoka, Japan HELD AT THE HILTON FUKUOKA SEA HAWK FINAL PROGRAM 2016 LY 3m ON m s ® s e d’ a rl le o r W YOU ASKED… JustRight Surgical delivered W r o e r l ld p ’s ta O s NL mm Y classic 5 IPEG…. Now it’s your turn RIGHT Come try these instruments in the Hands-On Lab: SIZE. High Fidelity Neonatal Course RIGHT for the Advanced Learner Tuesday May 24, 2016 FIT. 2:00pm - 6:00pm RIGHT 357 S. McCaslin, #120 | Louisville, CO 80027 CHOICE. 720-287-7130 | 866-683-1743 | www.justrightsurgical.com th IPEG’s 25 Annual Congress Welcome Message for Endosurgery in Children Dear Colleagues, May 24-28, 2016 Fukuoka, Japan On behalf of our IPEG family, I have the privilege to welcome you all to the 25th Congress of the THE HILTON FUKUOKA SEA HAWK International Pediatric Endosurgery Group (IPEG) in 810-8650, Fukuoka-shi, 2-2-3 Jigyohama, Fukuoka, Japan in May of 2016. Chuo-ku, Japan T: +81-92-844 8111 F: +81-92-844 7887 This will be a special Congress for IPEG. We have paired up with the Pacific Association of Pediatric Surgeons International Pediatric Endosurgery Group (IPEG) and the Japanese Society of Pediatric Surgeons to hold 11300 W. Olympic Blvd, Suite 600 a combined meeting that will add to our always-exciting Los Angeles, CA 90064 IPEG sessions a fantastic opportunity to interact and T: +1 310.437.0553 F: +1 310.437.0585 learn from the members of those two surgical societies. -
Amyandls Hernia-A Vermiform Appendix Presenting in an Inguinal
Psarras et al. Journal of Medical Case Reports 2011, 5:463 JOURNAL OF MEDICAL http://www.jmedicalcasereports.com/content/5/1/463 CASE REPORTS CASEREPORT Open Access Amyand’s hernia-a vermiform appendix presenting in an inguinal hernia: a case series Kyriakos Psarras, Miltiadis Lalountas*, Minas Baltatzis, Efstathios Pavlidis, Anastasios Tsitlakidis, Nikolaos Symeonidis, Konstantinos Ballas, Theodoros Pavlidis and Athanassios Sakantamis Abstract Introduction: A vermiform appendix in an inguinal hernia, inflamed or not, is known as Amyand’s hernia. Here we present a case series of four men with Amyand’s hernia. Case presentations: We retrospectively studied 963 Caucasian patients with inguinal hernia who were admitted to our surgical department over a 12-year period. Four patients presented with Amyand’s hernia (0.4%). A 32-year-old Caucasian man had an inflamed vermiform appendix in his hernial sac (acute appendicitis), presenting as an incarcerated right groin hernia, and underwent simultaneous appendectomy and Bassini suture hernia repair. Two patients, Caucasian men aged 36 and 43 years old, had normal appendices in their sacs, which clinically appeared as non-incarcerated right groin hernias. Both underwent a plug-mesh hernia repair without appendectomy. The fourth patient, a 25-year-old Caucasian man with a large but not inflamed appendix in his sac, had a plug-mesh hernia repair with appendectomy. Conclusion: A hernia surgeon may encounter unexpected intraoperative findings, such as Amyand’s hernia. It is important to be prepared and apply the appropriate treatment. Introduction often pose technical dilemmas, even for the experienced A vermiform appendix in an inguinal hernia sac, with or surgeon [2]. -
Viable Ovarian Pregnancy: Case Report
MOJ Women’s Health Case Report Open Access Viable ovarian pregnancy: case report Abstract Volume 4 Issue 1 - 2017 Ovarian pregnancy is a rare variable of ectopic pregnancy with an incidence is 1-3% 1,2 1 of all ectopic pregnancies. It still remains a diagnostic challenge. As the ovarian Ahmed Altraigey, Wael Naeem, Omar 1 2 3 pregnancy clinical presentation is similar to that of tubal one, and an accurate Khaled, Mufareh Asiri, Abdullah Asiri, ultrasound diagnosis is someway controversial, the surgical diagnosis is frequently Mohammed Hussein2 made and confirmed by histo-pathological examination. We are presenting the data of 1Department of Obstetrics and Gynecology, Benha University, two cases of viable ovarian pregnancies presented with hemodynamic instability that Egypt required immediate laparotomies. Both cases needed unilateral salpingo-oophrectomy. 2Department of Obstetrics and Gynecology, Armed Forces These clinical scenarios stresses on the necessity of starting early antenatal care and Hospitals Southern Region, Saudi Arabia having a routine transvaginal first trimester ultrasound. Also clear evidence based 3Department of Obstetrics and Gynecology, King Khalid guideline for ovarian pregnancy management should be initiated using the best University, Saudi Arabia available data on the literature. Correspondence: Ahmed Altraigey, Department of Obstetrics Keywords: ectopic pregnancy; ovarian pregnancy; laparotomy and Gynecology, King Faisal Military City, base villa 9, Khamis Mushayt, 61961, Kingdom of Saudi Arabia - 43 Benha-Zagazig Street, Mansheyet Elnoor, Benha, 13511, Arab Republic of Egypt, Egypt, Tel +966544854232, +201060885050, Email [email protected]; ahmed.abdelfattah@fmed. bu.edu.eg Received: December 18, 2016 | Published: January 03, 2017 Introduction hemoglobin (Hb) of 10.5gm/dl. -
Chronic Pain As an Outcome of Surgery
Anesthesiology 2000; 93:1123–33 © 2000 American Society of Anesthesiologists, Inc. Lippincott Williams & Wilkins, Inc. Chronic Pain as an Outcome of Surgery A Review of Predictive Factors Frederick M. Perkins, M.D.,* Henrik Kehlet, M.D., Ph.D.† ONE potential adverse outcome from surgery is chronic ogies, Wolters Kluwer, Amsterdam, The Netherlands). pain. Analysis of predictive and pathologic factors is The search was performed on the entire database in important to develop rational strategies to prevent this January 1999 and covered 1966 through most of 1998. problem. Additionally, the natural history of patients Additional articles published during the review process with and without persistent pain after surgery provides have also been included. Terms were used in their “ex- an opportunity to improve the understanding of the ploded” format. The term “pain” was combined with the physiology and psychology of chronic pain. other appropriate term (e.g., “cholecystectomy”); also Ideally, studies of chronic postoperative pain should the text words associated with the pain syndromes were include (1) sufficient preoperative data (assessment of pain, searched, resulting in more than 1,700 citations. Letters physiologic and psychologic risk factors for chronic pain); to the editor were not reviewed. Additionally, articles (2) detailed descriptions of the operative approaches known to the authors but not found in the search were used (location and length of incisions, handling of nerves used. If the article contained data about persistent pain and muscles); (3) the intensity and character of acute (12 weeks or more after surgery), it was considered for postoperative pain and its management; and (4) fol- inclusion in this review. -
Laparoscopic Approach After Laparoscopic Inguinal Hernia Recurrence
Journal of Surgery Open Access Volume 2019, Issue 01 Research Article: RD-SUR-10003 Laparoscopic Approach After Laparoscopic Inguinal Hernia Recurrence. Single Center Experience Dr. Khaled Elgazwi1*, Dr. Akrem Alshiakhy1, Dr. Mohamed Benkhadoura2 Aljalla university hospital Benghazi Libya, Benghazi Medical University, Benghazi, Libya Department of Surgery, Faculty of Medicine, Benghazi University, Benghazi, Libya *Corresponding Author: Dr. Khaled Elgazwi, Head of surgical Department Aljalla university hospital Benghazi-Libya, Telephone: 00218925939703; Email: [email protected] Citation: Elgazwi K, Alshiakhy A, Johnson JW, Benkhadoura M (2019) Laparoscopic Approach After Laparoscopic Inguinal Hernia Recurrence. Single Center Experience. Journal of Surgery Open Access | ReDelve: RD-SUR-10003. Received Date: 7 January 2019; Acceptance Date: 18 January 2019; Published Date: 23rd January 2019 ___________________________________________________________________________ Abstract Objective: Recurrent inguinal hernia has occurred after endoscopic inguinal hernia repair, although far less frequently than after conventional repair. (In the literature between 0,1 -1,5 %), the aim of this study was to evaluate whether these recurrences can be repaired by means of the laparoscopic approach with acceptable complication and recurrence rates. Methods: From April 2010 to May 2017, about 682 inguinal hernia Patients with 741 hernia were operated endoscopically in our institution,644 were males and 38 females. Their age at surgery ranged from 20-71 years. 26 patients with recurrent inguinal hernias at physical examination underwent surgery at our institutions. All the recurrences occurred following endoscopic inguinal hernia repair with mesh prostheses. The recurrences were repaired endoscopically using a transabdominal approach. Depending on the size of the defect, a new polypropylene mesh was used. Results: Mean surgery time was 48 min. -
Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3Rd Ed
Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3rd ed. Thomas F. Baskett Index More Information Index abdominal palpation in pregnancy, American Birth Control League, 365 The Anatomy of the Human Gravid 322–3 American College of Obstetricians and Uterus (William Hunter), 198 Leopold’s manoeuvres, 238–9 Gynecologists, 191, 332 Anatomy of the Nervous System abdominal surgery American College of Surgeons, 61 (Klumpke), 222 Cherney incision, 81 American Gynecological Society, 33, Andrews, Charles James, 56 Maylard incision, 267–8 73, 109, 114, 121, 177, 195, 218, Andrews, Mason, 57 Penrose drain, 315–16 263, 297–8, 314, 357, 363, 391–2, Andrews, William, 57 Pfannenstiel incision, 318 397, 426, 450 androblastoma, 380 Smead–Jones suture, 393 American Journal of Obstetrics,22 antenatal care, 20–1 Aberdeen Maternity and Neonatal American Journal of Obstetrics and antenatal corticosteroids and neonatal Databank, 17 Gynecology, 120, 297 respiratory distress, 241–3 abortion, 17 American Medical Association, 121, Antenatal Pathology and Hygiene: The backstreet abortion, 365 210, 391 Embryo and Foetus (Ballantyne), habitual abortion in the second American registries of 20 trimester, 385–6 chorionepithelioma and rare antepartum haemorrhage, 252–3 therapeutic abortion, 50–1, 202 ovarian tumors, 298 causes, 342–4 Abrégé de L’art des accouchemens American Roentgenological anterior asynclitism, 248 (Le Boursier du Coudray), 98 Association, 67 anterior pituitary necrosis, 383–4 abruptio placentae, 100, 114, -
Self-Gripping Mesh Versus Fibrin Glue Fixation in Laparoscopic Inguinal Hernia Repair: a Randomized Prospective Clinical Trial in Young and Elderly Patients
Open Med. 2016; 11: 497-508 Research Article Open Access Alessia Ferrarese*, Marco Bindi, Matteo Rivelli, Mario Solej, Stefano Enrico, Valter Martino Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients DOI 10.1515/med-2016-0087 Abbreviations and acronyms: TAPP = Transabdominal received August 12, 2016; accepted August 19, 2016 Pre-Peritoneal, ASA = American Society of Anesthesio- logy, BMI= Body Max Index, PM Group = Polypropyle- Abstract: Laparoscopic transabdominal preperitoneal ne-Mesh Group, SGM Group = Self-Gripping Mesh Group, inguinal hernia repair is a safe and effective technique. SD = Standard Deviation In this study we tested the hypothesis that self-gripping mesh used with the laparoscopic approach is comparable to polypropylene mesh in terms of perioperative compli- cations, against a lower overall cost of the procedure. We carried out a prospective randomized trial compar- 1 Introduction ing a group of 30 patients who underwent laparoscopic inguinal hernia repair with self-gripping mesh versus a Inguinal hernia is one of the most common diseases, with group of 30 patients who received polypropylene mesh an incidence of 700,000 cases each year in the United with fibrin glue fixation. States and a male-to-female preponderance of 9 to 1 [1,2]. Hernia repair is one of the most frequently performed There were no statistically significant differences general surgical procedures in the world [1]. between the two groups with regard to intraoperative var- Laparoscopic transabdominal hernia repair was first iables, early or late intraoperative complications, chronic performed in the early 1990s by F. -
Contents More Information
Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3rd ed. Thomas F. Baskett Table of Contents More Information Contents Image Credits xv About the Author xvii Preface xix Acknowledgements xx Aburel, Eugen Bogdan 1 Bandl, Ludwig 21 Continuous Epidural Analgesia Bandl’s Contraction Ring Alcock, Benjamin 2 Barcroft, Joseph 22 Alcock’s (Pudendal) Canal Fetal Physiology Aldridge, Albert Herman 2 Bard, Samuel 23 Aldridge Sling First American Obstetric Text Allen, Edgar and Doisy, Edward Adelbert 4 Barker, David James Purslove 24 Oestrogen Barker Hypothesis Apgar, Virginia 5 Barnes, Robert and Neville, Apgar Score William 26 Barnes–Neville Forceps Arias-Stella, Javier 7 Arias-Stella Reaction Barr, Murray Llewellyn 28 Barr Body (Sex Chromatin) Aschheim, Selmar and Zondek, Bernhard 8 Bartholin, Caspar 29 Aschheim–Zondek Pregnancy Test Bartholin’s Glands Asherman, Joseph 10 Barton, Lyman Guy 30 Asherman’s Syndrome Barton’s Forceps Aveling, James Hobson 11 Basset, Antoine 32 Aveling’s Repositor Radical Vulvectomy Ayre, James Ernest 12 Battey, Robert 33 Ayre’s Spatula Battey’s Operation Baer, Karl Ernst Ritter von 14 Baudelocque, Jean-Louis 34 Human Ovum/Germ Layer Theory Baudelocque’s Diameter Baillie, Matthew 15 Behçet, Hulusi 35 Ovarian Dermoid Cyst Behçet’s Syndrome Baird, Dugald 16 Bennewitz, Heinrich Gottleib 36 Birth Control/Perinatal Epidemiology Diabetes in Pregnancy Baldy, John Montgomery and Webster, John Bevis, Douglas Charles Aitchison 38 Clarence 18 Amniocentesis in Rhesus Baldy–Webster Uterine Ventrosuspension Isoimmunisation Ballantyne, John William 20 Bird, Geoffrey Colin 39 Vacuum Extraction Antenatal Care v © in this web service Cambridge University Press www.cambridge.org Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3rd ed. -
International Guidelines for Prevention and Management of Post-Operative Chronic Pain Following Inguinal Hernia Surgery
Hernia (2011) 15:239–249 DOI 10.1007/s10029-011-0798-9 EDITORIAL International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery S. Alfieri • P. K. Amid • G. Campanelli • G. Izard • H. Kehlet • A. R. Wijsmuller • D. Di Miceli • G. B. Doglietto Received: 18 October 2010 / Accepted: 28 January 2011 / Published online: 2 March 2011 Ó Springer-Verlag 2011 Abstract Results A consensus was reached regarding a definition Purpose To provide uniform terminology and definition of chronic groin pain. The recommendation was to of post-herniorrhaphy groin chronic pain. To give guide- identify and preserve all three inguinal nerves during lines to the scientific community concerning the prevention open inguinal hernia repair to reduce the risk of chronic and the treatment of chronic groin and testicular pain. groin pain. Likewise, elective resection of a suspected Methods A group of nine experts in hernia surgery was injured nerve was recommended. There was no recom- created in 2007. The group set up six clinical questions and mendation for a procedure on the resected nerve ending continued to work on the answers, according to evidence- andnorecommendationforusing glue during hernia based literature. In 2008, an International Consensus Con- repair. ference was held in Rome with the working group, with an Surgical treatment (including all three nerves) should be audience of 200 participants, with a view to reaching a con- suggested for patients who do not respond to no-surgery sensus for each question. pain-management treatment; it is advisable to wait at least 1 year from the previous herniorraphy.