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Answer to the Letter to the Editor of X. Luo, et al. concerning "A new hernia blocking system to prevent recurrent lumbar disc herniation: surgical technique, intraoperative findings and six-months post-operative outcomes" by O. Godino et al. (Eur Spine J [2024]: doi.org/10.1007/s00586-024- 08595-x).
Eur Spine J
January 2025
Neurosurgery Department, Hospital Universitari Bellvitge, Barcelona, Spain.
Deep Learning for Lumbar Disc Herniation Diagnosis and Treatment Decision Making Using MRI Images: A Retrospective Study.
World Neurosurg
January 2025
Department of Spine Surgery, The Affiliated Taizhou People's Hospital of Nanjing Medical University.
Background: Lumbar disc herniation (LDH) is a common cause of back and leg pain. Diagnosis relies on clinical history, physical exam, and imaging, with magnetic resonance imaging (MRI) being an important reference standard. While artificial intelligence (AI) has been explored for MRI image recognition in LDH, existing methods often focus solely on disc herniation presence.
View Article and Find Full Text PDFUtilizing Preoperative Rectus Sheath Blocks to Decrease Opioid Administration During Pediatric Umbilical Hernia Repair.
J Pediatr Surg
January 2025
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Division of Pediatric Surgery, Arkansas Children's Hospital, Little Rock, AR, USA.
Introduction: Regional anesthetic blocks are an adjunct to decrease pediatric opioid utilization and improve perioperative pain control. We compared opioid use in patients who underwent umbilical hernia repair (UHR) with or without preoperative bilateral rectus sheath block (BRSB).
Methods: We conducted a single-center retrospective cohort study evaluating opioid use in patients <18 years who underwent an UHR.
Introduction: Iatrogenic injury to the ilioinguinal nerve and its branches during anterior inguinal hernia repair is a cause of chronic inguinal pain in up to 12 % of patients undergoing this operation. The risk of nerve injury is high, given the nerves' relatively small caliber and strictly-confined space through which they pass. In the current report, we describe using a novel fluorescence imaging system developed to detect nerve autofluorescence in a 66-year-old man who presented with a left-sided Type II inguinal hernia and underwent inguinal hernioplasty.
View Article and Find Full Text PDFIs Minimally Invasive Surgery the Standard of Care for Ventral Hernia Repair?
Rambam Maimonides Med J
January 2025
Associate Professor, Department of Surgery, Mata Gujri Memorial Medical College and LSK Hospital, Kishanganj, Bihar, India.
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