Pain management after cardiac surgery via median sternotomy: A systematic review with procedure-specific postoperative pain management (PROSPECT) recommendations.

Background: Pain after cardiac surgery via median sternotomy can be difficult to treat, and if inadequately managed can lead to respiratory complications, prolonged hospital stays and chronic pain.

Objectives: To evaluate available literature and develop recommendations for optimal pain management after cardiac surgery via median sternotomy.

Design: A systematic review using PROcedure-SPECific Pain Management (PROSPECT) methodology.

Prospective, single center, single surgeon's experience with an atraumatic self-adhering mesh in 100 consecutive patients.

The purpose of this study was to show the short- and long-term results of a lightweight self-adhering mesh, Adhesix®. Between February 2011 and April 2013, we prospectively collected data of 100 consecutive patients who underwent incisional or inguinal hernia repair. Mean follow-up time was 23 months (range 7-33 months).