IPEG's 25Th Annual Congress Forendosurgery in Children
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December Highlights January Feb
m IS a “Honoring Tradition, Celebrating Diversity, and Building a Jewish Future” UD form J form rE on for for on I Un E h t HIGHLIGHTS r of of r Supper and Cinema BE Saturday, December 1 at 6:30 pm in the Beit Midrash, plus an early peek at the Gift Shop’s m E Chanukah Bazaar decorations and gifts. a m a IS Chanukah Bazaar Sunday, December 2 from 11:00 am to 3:00 pm in the Social Hall. Chanukah goodies, special family program, plus a latke lunch and gourmet coffee bar. th El El th E Chanukah Celebrations on B I December 8 to 15. Holiday recipes and website resources are available on pages 6, 16 and 17. Also included are descriptions of services and other events such as members’ open houses. gat E Chavurah Kick-off Party Sunday, December 9 from 3:00 pm to 5:00 pm in the Beit Midrash. Sign up for one of these small Congr groups that foster community in a more intimate setting. See page 17. DECEMBER Chanukah Latkefest Friday, December 14 in the Social Hall. Cost is $10 in advance, $15 at the door. The evening begins with music by Isaac Zones at 5:30 pm. See page 16. January 4 and 5 – Scholar-in-Residence Professor Melila Hellner-Eshed of Hebrew University of Jerusalem will conduct several Torah study sessions at Beth El during Shabbat. Pages 2 and 16 have the details. Monday, January 7 – Oral and Written History program for Beth Elders (55 and Better!) with four sessions and a professional consultant. -
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. -
Guidelines on Paediatric Urology S
Guidelines on Paediatric Urology S. Tekgül (Chair), H.S. Dogan, E. Erdem (Guidelines Associate), P. Hoebeke, R. Ko˘cvara, J.M. Nijman (Vice-chair), C. Radmayr, M.S. Silay (Guidelines Associate), R. Stein, S. Undre (Guidelines Associate) European Society for Paediatric Urology © European Association of Urology 2015 TABLE OF CONTENTS PAGE 1. INTRODUCTION 7 1.1 Aim 7 1.2 Publication history 7 2. METHODS 8 3. THE GUIDELINE 8 3A PHIMOSIS 8 3A.1 Epidemiology, aetiology and pathophysiology 8 3A.2 Classification systems 8 3A.3 Diagnostic evaluation 8 3A.4 Disease management 8 3A.5 Follow-up 9 3A.6 Conclusions and recommendations on phimosis 9 3B CRYPTORCHIDISM 9 3B.1 Epidemiology, aetiology and pathophysiology 9 3B.2 Classification systems 9 3B.3 Diagnostic evaluation 10 3B.4 Disease management 10 3B.4.1 Medical therapy 10 3B.4.2 Surgery 10 3B.5 Follow-up 11 3B.6 Recommendations for cryptorchidism 11 3C HYDROCELE 12 3C.1 Epidemiology, aetiology and pathophysiology 12 3C.2 Diagnostic evaluation 12 3C.3 Disease management 12 3C.4 Recommendations for the management of hydrocele 12 3D ACUTE SCROTUM IN CHILDREN 13 3D.1 Epidemiology, aetiology and pathophysiology 13 3D.2 Diagnostic evaluation 13 3D.3 Disease management 14 3D.3.1 Epididymitis 14 3D.3.2 Testicular torsion 14 3D.3.3 Surgical treatment 14 3D.4 Follow-up 14 3D.4.1 Fertility 14 3D.4.2 Subfertility 14 3D.4.3 Androgen levels 15 3D.4.4 Testicular cancer 15 3D.5 Recommendations for the treatment of acute scrotum in children 15 3E HYPOSPADIAS 15 3E.1 Epidemiology, aetiology and pathophysiology -
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]. -
Guidelines of Hypertension – 2020 Barroso Et Al
Brazilian Guidelines of Hypertension – 2020 Barroso et al. Guidelines Brazilian Guidelines of Hypertension – 2020 Development: Department of Hypertension of the Brazilian Society of Cardiology (DHA-SBC), Brazilian Society of Hypertension (SBH), Brazilian Society of Nephrology (SBN) Norms and Guidelines Council (2020-2021): Brivaldo Markman Filho, Antonio Carlos Sobral Sousa, Aurora Felice Castro Issa, Bruno Ramos Nascimento, Harry Correa Filho, Marcelo Luiz Campos Vieira Norms and Guidelines Coordinator (2020-2021): Brivaldo Markman Filho General Coordinator: Weimar Kunz Sebba Barroso Coordination Work Group: Weimar Kunz Sebba Barroso, Cibele Saad Rodrigues, Luiz Aparecido Bortolotto, Marco Antônio Mota-Gomes Guideline Authors: Weimar Kunz Sebba Barroso,1,2 Cibele Isaac Saad Rodrigues,3 Luiz Aparecido Bortolotto,4 Marco Antônio Mota-Gomes,5 Andréa Araujo Brandão,6 Audes Diógenes de Magalhães Feitosa,7,8 Carlos Alberto Machado,9 Carlos Eduardo Poli-de-Figueiredo,10 Celso Amodeo,11 Décio Mion Júnior,12 Eduardo Costa Duarte Barbosa,13 Fernando Nobre,14,15 Isabel Cristina Britto Guimarães,16 José Fernando Vilela- Martin,17 Juan Carlos Yugar-Toledo,17 Maria Eliane Campos Magalhães,18 Mário Fritsch Toros Neves,6 Paulo César Brandão Veiga Jardim,2,19 Roberto Dischinger Miranda,11 Rui Manuel dos Santos Póvoa,11 Sandra C. Fuchs,20 Alexandre Alessi,21 Alexandre Jorge Gomes de Lucena,22 Alvaro Avezum,23 Ana Luiza Lima Sousa,1,2 Andrea Pio-Abreu,24 Andrei Carvalho Sposito,25 Angela Maria Geraldo Pierin,24 Annelise Machado Gomes de Paiva,5 Antonio -
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. -
Would Curb Arms Expense by JANE FODERARO Pared
Question Suspec1 t in Somef.. t Point SlayingJ ~s SEE STORY BELOW Sunny, Warmer Sunny and warmer today. THEDAILY FINAL Clear and mild tonight; Sun- Red Bank, Freehold ny, warmer again'tomorrow. Long Branch EDITION (Set, Details, Page 2), Monmouth County's Home Newspaper for 90 Years VOC 91, NO. 242 RED BANK, N. J., FRIDAY, JUNE 6, 1969 28 PAGES 10 CENTS Diiiiiiiiiiniiigiiiiiibiiiiiiiiiiiigiiiiiuiiiiii iiiiiiiiiiiniiiiiniiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii Harsha Drafts 'Tough' Watchdog Bill Would Curb Arms Expense By JANE FODERARO pared. "The congressman has Introduction of the bill documented accounts of al- Latta, and Col. Jacob B. A spokesman in the How- WASHINGTON, D.C. - it before him now," he said. would climax Rep. Harsha's leged irregularities in Army Cooperhouse, director of pro- ard office said yesterday that Legislation to crack down on "He's checking legal details three-week attack on the De- procurement procedures, cit- curement and production. Gen. Latta hoped to see Rep. military spending will be pro- — really just dotting the i's. fense Department, an attack, ing five specific cases at Ft. (Gen. Latta took command Harsha in person "in order to posed in the House early next "It's a very tough bill," the that has focused mainly on Monmouth. The congressman in 1965. Col. Cooperhouse as- answer each and every week by Eep. William H. spokesman continued. "It's ECOM. In floor statements, claims that, by . eliminating sumed his post nine, months charge." He said that when Harsha (R-Ohio) who has designed to put an end to the he has accused the Army of competition, ECOM wasted ago.) Mr. -
The Short Esophagus—Lengthening Techniques
10 Review Article Page 1 of 10 The short esophagus—lengthening techniques Reginald C. W. Bell, Katherine Freeman Institute of Esophageal and Reflux Surgery, Englewood, CO, USA Contributions: (I) Conception and design: RCW Bell; (II) Administrative support: RCW Bell; (III) Provision of the article study materials or patients: RCW Bell; (IV) Collection and assembly of data: RCW Bell; (V) Data analysis and interpretation: RCW Bell; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Reginald C. W. Bell. Institute of Esophageal and Reflux Surgery, 499 E Hampden Ave., Suite 400, Englewood, CO 80113, USA. Email: [email protected]. Abstract: Conditions resulting in esophageal damage and hiatal hernia may pull the esophagogastric junction up into the mediastinum. During surgery to treat gastroesophageal reflux or hiatal hernia, routine mobilization of the esophagus may not bring the esophagogastric junction sufficiently below the diaphragm to provide adequate repair of the hernia or to enable adequate control of gastroesophageal reflux. This ‘short esophagus’ was first described in 1900, gained attention in the 1950 where various methods to treat it were developed, and remains a potential challenge for the contemporary foregut surgeon. Despite frequent discussion in current literature of the need to obtain ‘3 or more centimeters of intra-abdominal esophageal length’, the normal anatomy of the phrenoesophageal membrane, the manner in which length of the mobilized esophagus is measured, as well as the degree to which additional length is required by the bulk of an antireflux procedure are rarely discussed. Understanding of these issues as well as the extent to which esophageal shortening is due to factors such as congenital abnormality, transmural fibrosis, fibrosis limited to the esophageal adventitia, and mediastinal fixation are needed to apply precise surgical technique. -
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]. -
Quality and Health Outcomes Committee AGENDA
Oregon Health Authority Quality and Health Outcomes Committee AGENDA MEETING INFORMATION Meeting Date: March 13, 2017 Location: HSB Building Room 137A‐D, Salem, OR Parking: Map ◦ Phone: 503‐378‐5090 x0 Call in information: Toll free dial‐in: 888‐278‐0296 Participant Code: 310477 All meeting materials are posted on the QHOC website. Clinical Director Workgroup Time Topic Owner Materials -Speaker’s Contact Sheet (2) Welcome / -January Meeting Notes (2 – 12) 9:00 a.m. Mark Bradshaw Announcements -PH Update (13 – 14) -BH Directors Meeting Minutes (15 – 17) 9:10 a.m. Legislative Update Brian Nieubuurt -CCO and OHP Bills (18 – 20) Safina Koreishi 9:20 a.m. PH Modernization -Presentation (21 – 27) Cara Biddlecom 9:40 a.m. QHOC Planning Mark Bradshaw -Charter (28 – 29) 10:00 a.m. HERC Update Cat Livingston -HERC Materials (30 – 78) -Letter to FFS Providers re: Back Line Changes (79 – LARC and Back 80) 10:30 a.m. Implementation Check- Kim Wentz -Tapering Resource Guide (81 – 82) in -LARC Letter to Hospitals (83 – 84) -LARC Billing Tips (85) 10:45 a.m. BREAK Learning Collaborative -Agenda (86) -Panelist Bios (87) 11:00 a.m. OHIT: EDIE/PreManage -Presentations (88 – 114) -BH Care Coordination Process (115) 12:30 p.m. LUNCH Quality and Performance Improvement Session Jennifer QPI Update – 1:00 p.m. Johnstun Lisa Introductions Bui -Pre-Survey (116 - 118) 1:10 p.m. Measurement Training Colleen Reuland -Presentation (117 – 143) Transition to Small 2:10 p.m. All Table exercise 2:15 p.m. Small table Exercise All 2:45 p.m. -
Ultrasonographic and Radiographic Diagnosis of Ectopic Ureter in a Dog
Acta Scientiae Veterinariae, 2021. 49(Suppl 1): 613. CASE REPORT ISSN 1679-9216 Pub. 613 Ultrasonographic and Radiographic Diagnosis of Ectopic Ureter in a Dog Carmen Vládia Soares de Sousa, Caroline Coelho Rocha, Roberto Sávio Bessa da Silva, Araceli Alves Dutra, Brizza Zorayd Luz Lopes Rocha, Thays Ribeiro Pacó & João Marcelo Azevedo de Paula Antunes ABSTRACT Background: Ureteral ectopia (or ectopic ureter) is a congenital anomaly of the urinary system in which the ureter inserts anywhere other than the vesical trigone. This anatomical change may have unilateral or bilateral involvement. The most evident clinical sign, occurring mostly in females, is urinary incontinence, however in some cases the condition may progress to nephritis and dilation of the renal pelvis. The diagnosis is established through imaging, and definitive treatment requires surgical approach. The present study reports a case of ureteral ectopia in a dog which was diagnosed by ultrasound and contrast radiography (excretory urography) and successfully treated by neoureterostomy. Case: A 10-month-old female American Pit Bull Terrier was attended at the Veterinary Hospital of the Federal Rural Uni- versity of the Semi-Arid (UFERSA), in Mossoró, RN. Her owner reported incontinence of dark, malodorous urine since birth as the chief complaint. After clinical examination, cystitis was suspected, and a complete blood count, urinalysis, and abdominal ultrasound was requested. The blood count and creatinine were within the reference values. The presence of struvite crystals were found on urinalysis. Ultrasound examination revealed a tortuous, dilated right ureter from the renal pelvis to the urinary bladder; no uroliths were identified as a cause of potential obstruction, but the ipsilateral kidney showed increased cortical echogenicity, loss of corticomedullary definition, and moderate pelvic dilation. -
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.