Robotic retromuscular hernia repair optimizes short-term outcomes in higher risk patients.

Background: Smoking, obesity, diabetes mellitus, and COPD are known risk factors for surgical site occurrences (SSO) following open ventral hernia repair. However, little evidence exists on whether these factors also significantly impact SSO after robotic hernia repair. This is a particularly important distinction because robotic approaches have been associated with fewer wound complications.

Left anterior paraduodenal hernia: a rare observation and clinical implications.

Paraduodenal hernias account for ~53% of internal hernias due to embryological anomalies in intestinal rotation. While left paraduodenal hernias are the most common type, the anterior left variant is exceptionally rare. It involves herniation of the small intestine in front of the duodenum through a mesenteric defect.

Incarcerated lateral inguinal hernia following ilioinguinal lymph node dissection: an unusual case.

Penile squamous cell carcinoma (SCC) spreads predictably from primary tumour to inguinal lymph nodes then pelvic nodes and finally, to distant sites. Inguinal dissection involves resection of all femoral and inguinal nodes and is part of the recommended management. Femoral hernias are a commonly reported consequence of these extensive dissections.

Rectus Abdominis Repair Compared to Posterior Wall Mesh Reinforcement in Athletes With Sportsman's Hernia: A Systematic Review.

Athletic pubalgia is a relatively uncommon injury that is not fully understood. There are few high-level studies comparing treatments of athletic pubalgia, and this investigation seeks to utilize original articles to compare two common techniques for treatment of athletic pubalgia. The purpose of this study is to compare two prominent procedures, i.

Internal Hernia: A Rare Cause of Bowel Ischemia and Infarction.

Internal abdominal hernias are uncommon causes of intestinal obstruction and are difficult to detect preoperatively due to their imprecise clinical manifestations and complicated anatomic appearance. Paraduodenal hernias represent the most common subset of all internal hernias (IHs). The symptoms are nonspecific and range from persistent abdominal discomfort to acute abdomen.

Distant metastasis in the right inguinal area from gastric cancer: A case report.

Background: Gastric cancer is the fifth most common cancer and the fourth leading cause of death worldwide. Most cases of newly diagnosed gastric cancer involve not only locally advanced tumor growth and regional lymph node metastases but also distant metastases. We report a rare case finding of a mass in the right inguinal area which is derived from gastric cancer.

Critical Considerations in Emergency Repair of Giant Bilateral Inguinoscrotal Hernias.

This article examines the emergency surgical management of giant bilateral inguinoscrotal hernias through a representative case report. In this case, surgical intervention was required due to an associated cecal volvulus. While acute complications such as bowel strangulation are rare in hernias of this size, delayed presentation and the lack of timely surgical consultation permit significant inguinoscrotal hernia growth.

The serum IL-17A levels in patients with traumatic bowel rupture post-surgery and its predictive value for patient prognosis.

Objective: This study aimed to investigate the serum levels of interleukin (IL)-17A in patients with traumatic bowel rupture and its clinical significance, particularly its correlation with inflammatory cytokines, preoperative severity, and postoperative prognosis.

Methods: A total of 104 patients with traumatic bowel rupture admitted to Ruian People's Hospital between February 2021 and June 2024 were included in this prospective observational study. All patients underwent standard surgical treatment for traumatic bowel rupture at our hospital.

Mini-invasive surgery for diastasis recti: an overview on different approaches.

Diastasis recti abdominis (DRA) is an acquired condition defined by a widening of the linea alba exceeding 2 cm and the subsequent separation between the two medial margins of the rectus muscles, accompanied by a laxity of the ventral abdominal muscles, and often by ventral midline hernias. It is a quite common problem in women after pregnancy. In addition to the aesthetic implications resulting from the swelling of the anterior abdominal wall in the case of increased pressure within the abdominal cavity, DRA leads to several physical functional disorders, including muscle weakness, prolapses of the pelvic organs, urinary and fecal incontinence, low back and pelvic pain and sexual dysfunction.

Incidence and Outcomes of Diaphragmatic Hernia After Living Donor Hepatectomy: The Significance of Bipolar Irrigated Sealer Use.

Background: Acquired diaphragmatic hernia (DH) is a rare and potentially fatal complication after living donor hepatectomy (LDH). This study aimed to assess the incidence and clinical outcomes of DH after LDH.

Methods: Four thousand fourteen living donors who underwent LDH at Asan Medical Center, Seoul, between September 2013 and August 2023 were retrospectively reviewed.

[Clinical effect analysis of endoscopic radical thyroidectomy via three-port gasless intermuscular approach].

To explore the clinical effect of endoscopic radical thyroidectomy via three-port gasless intermuscular approach. This is a retrospective cohort study. The data of 148 patients who underwent radical thyroidectomy at the Fourth General Surgery Department of the Second Affiliated Hospital of Harbin Medical University from January to June 2024 were retrospectively analyzed.

[Ten-year development and prospects of robotic thyroid surgery in China].

The robotic surgical system is a comprehensive system integrating multiple modern high technologies. Its application has ushered in a new era of intelligent, precise and minimally invasive surgery. In China, after 10 years of continuous practice and research, robotic surgeons have proven that robotic thyroid surgery is comparable to traditional open surgery in terms of surgical safety and tumor radicality, and has better cosmetic effects.

Intestinal obstruction in a patient with congenital transverse mesocolic defect with internal hernia: A case report.

Introduction And Importance: Internal hernias (IH) account for 5.8 % of all cases of intestinal obstruction. Intestinal obstruction due to congenital transverse mesocolic defects is a rare but significant clinical challenge that requires prompt recognition and surgical intervention.

Exploration of laparoscopic day surgery mode for pediatric inguinal hernia: a large cohort study.

The pediatric day surgery has experienced a rapid development in recent years. This study aims to investigate the prospects of day surgery in pediatric hospitals. A total of 17,549 pediatric patients with inguinal hernia (IH) treated between July 2018 and August 2023 were included.

Difficult diagnosis of tetanus in a sedated patient after ileal resection.

Background: We report a case of tetanus developed after inguinal hernia repair without traumatic wounds, which was difficult to be diagnosed under sedation with mechanical ventilation for pneumonia and anaphylactic shock.

Case Presentation: The 67-year-old Japanese male underwent inguinal hernia repair with ileal resection. On postoperative day (POD) 9, he was admitted to the ICU due to dyspnea and worsening oxygenation.

Enhancing donor outcomes: simultaneous laparoscopic living donor nephrectomy and concomitant surgical procedures.

Background: Laparoscopic living donor nephrectomy (LLDN) has become the gold standard for renal transplantation. However, performing LLDN concurrently with other surgical procedures remains scarcely reported. This study evaluates the safety and feasibility of simultaneous LLDN with additional laparoscopic surgeries.

Morgagni's Hernia and Duodenal Stenosis Found to Co-Exist in Children with Down's Syndrome: A Case Report.

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Factors associated with scoliosis development in patients with congenital diaphragmatic hernia: A single-center retrospective study.

Background: Scoliosis is the most frequent complication of musculoskeletal abnormalities in patients with congenital diaphragmatic hernia, but the factors that related to its development and severity remain largely unknown. This study aimed to investigate the clinical factors associated with the development and severity of scoliosis in patients with congenital diaphragmatic hernia.

Methods: Thirty-two patients admitted to the neonatal intensive care unit for congenital diaphragmatic hernia at the University of the Ryukyus Hospital between 2004 and 2019 were retrospectively analyzed, particularly those who were discharged alive and had available chest radiographs at 4-5 years of age from medical records.

Small bowel obstruction secondary to strangulated obturator hernia with transected ileal segment: A case report.

Introduction And Importance: Obturator hernia is a rare abdominal wall hernia (<1 % incidence) that occurs through the obturator foramen, often in elderly, emaciated women. Contrast-enhanced computed tomography (CECT) of the abdomen and pelvis is the diagnostic modality of choice, with a high accuracy of 78 %-100 %.

Case Presentation: An 84-year-old frail woman with COPD presented with generalized abdominal pain, abdominal distention, vomiting, and right thigh pain.

Complications associated with abdominal incisional wound vacuum assisted closure following deep inferior epigastric perforator flap harvest for breast reconstruction: A single institution retrospective study.

Background: The deep inferior epigastric perforator (DIEP) free flap reconstruction is a preferred breast reconstruction technique due to its muscle-sparing approach and patient satisfaction. However, donor-site complications, particularly wound dehiscence, remain a concern. Closed incision negative pressure wound therapy using wound vacuum assisted closure (VAC) systems may reduce these complications by enhancing perfusion and minimizing edema.

Comparison of gallbladder extraction via the subxiphoid port and the supraumbilical port during laparoscopic cholecystectomy: a prospective randomized clinical trial.

Background: Postoperative pain after laparoscopic cholecystectomy (LC) is the most frequent postoperative complaint. To date, gallbladder extraction via the subxiphoid port (SXP) versus the supraumbilical port (SUP) is still controversial. Thus, the authors performed this randomized controlled trial to compare postoperative pain between the SXP and SUP for LC.

Does quality of life improve after complex incisional hernia repair? A systematic review.

Introduction: Health-related quality of life (QoL) is an essential patient-reported outcome in abdominal wall surgery. The aim of this systematic review was to evaluate short term outcome of QoL after complex incisional hernia repair (IHR), focusing on open surgery.

Methods: A multi-database systematic search was performed on patients treated for complex IHR.

Robotic parastomal hernia repair: an updated systematic review.

Introduction: Parastomal hernias (PSH) are a frequent complication following ostomy surgery, often requiring surgical intervention. Robotic surgery offers potential advantages in PSH repair, but evidence on its efficacy remains limited. This systematic review evaluates the outcomes of different robotic PSH repair techniques.

Fluorescence intensity of parathyroid glands in thyroid and parathyroid surgery: a near-infrared autofluorescence study.

Objective: Near-infrared autofluorescence (NIRAF) imaging shows promise in identifying parathyroid gland (PG) during surgery. However, the clinical application of NIRAF faces challenges due to the heterogeneous fluorescence intensity (FI) of PGs observed in different thyroid and parathyroid diseases. This study aimed to evaluate the effectiveness of NIRAF in PG detection and to analyze the FI of PGs in patients with various thyroid and parathyroid diseases.

Are "European" Scrotal Hernias Repairable With the Minimal Open Pre-Peritoneal Technique?

Background: Minimally invasive open preperitoneal techniques are an alternative in groin hernia repair. Scrotal hernias (SH) are frequently difficult to repair laparoscopically, resulting in a significant conversion rate.

Methods: The aim of this exploratory monocentric retrospective study, based on data prospectively collected in the "Club-Hernie" registry, was to assess the feasibility, effectiveness and safety of the MOPP technique in SH repair compared with non-SH repair.