Outcome of incisional hernia repair in patients 80 years and older: results from the Herniamed-Registry.

Introduction: More and more often complex abdominal surgeries are performed in the elderly. Together with the ageing population these patients are at risk for incisional hernias. We aimed on assessing outcomes following incisional hernia surgery in patients 80 years and older.

Anatomy of the neural fibers at the superior mesenteric artery-a cadaver study.

Purpose: Most surgeons perform right-sided semicircular clearance of the superior mesenteric artery (SMA) nerve plexus for pancreatic head carcinoma, presuming a linear course of the SMA nerve fibers. The hypothesis was that the SMA nerve plexus fibers follow a non-linear course, and the goal of the present study was to assess the neural fibers distribution along the SMA.

Methods: The course of neural fibers along the retropancreatic and suprapancreatic SMA was assessed in 7 cadavers.

Extended lymph node resection versus standard resection for pancreatic and periampullary adenocarcinoma.

Background: Pancreatic and periampullary adenocarcinomas account for some of the most aggressive malignancies, and the leading causes of cancer-related mortalities. Partial pancreaticoduodenectomy (PD) with negative resection margins is the only potentially curative therapy. The high prevalence of lymph node metastases has led to the hypothesis that wider excision with the removal of more lymphatic tissue could result in an improvement of survival, and higher rates of negative resection margins.