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Title of Journal: Hernia

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Abbravation: Hernia

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Springer-Verlag

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DOI

10.1007/s003970050158

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1248-9204

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What happens to the rectus abdominus fascia after

Authors: K R Van Sickle M Baghai S G Mattar S P Bowers A Ramaswamy V Swafford C D Smith B J Ramshaw
Publish Date: 2005/08/05
Volume: 9, Issue: 4, Pages: 358-362
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Abstract

Background One criticism of laparoscopic ventral hernia repair LVH is that the rectus muscles are not reapproximated to the midline and the effect of LVH repair on the fascial edges is unclear Progressive migration of the fascial edges toward the midline has been observed anecdotally but objective evidence remains limited The purpose of this study is to observe the effect of LVH repair on the rectus abdominus fascia Methods Patients undergoing LVH repair with defects 10 cm in horizontal diameter were identified prospectively and enrolled All were repaired laparoscopically with intraperitoneal placement of mesh DualMesh WL Gore and Associates using a standard approach Radioopaque clips were placed at the fascial edges intraoperatively to mark the defect and plain abdominal films were taken postoperatively Time 1 to establish the initial distance between clips measured in cm A subsequent followup film was taken Time 2 and the difference in clip distance per patient was recorded Results were analyzed using a chisquared test Results Twelve patients qualified for analysis and their results were compared Mean fascial defect size was 151 cm range 83–220 With respect to change in clip distance from Times 1 to 2 three events were observed 1 Diminished ie medialized 2 Enlarged or 3 No Change Ten patients 83 medialized one patient enlarged and one patient showed no change χ2 df=2 917 p00023 Conclusions Medialization of the rectus abdominus fascia occurs in the majority of patients undergoing LVH repair Causes for this phenomenon are unclear however eliminating intrabdominal pressure with intraperitoneal mesh placement likely plays a role


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  1. Classification of groin hernia: Milestones
  2. Modified laparoscopic intraperitoneal onlay mesh in complicated inguinal hernia surgery
  3. A comparison of Progrip ® and Adhesix ® self-adhering hernia meshes in an onlay model in the rat
  4. Comparison of Permacol™ and Strattice™ for the repair of abdominal wall defects
  5. Archaic terms and dogmas impeding care of abdominal and pelvic herniation
  6. Laparoscopic management of urachal cyst associated with umbilical hernia
  7. Inguinal hernia is a common complication in lower midline incision surgery
  8. Incisional hernia in patients at risk: can it be prevented?
  9. Groin hernia repair in young males: mesh or sutured repair?
  10. Two-port totally extraperitoneal inguinal hernia repair: a 10-year experience
  11. Use of dynamic wound closure system in conjunction with vacuum-assisted closure therapy in delayed closure of open abdomen
  12. Relationship between body mass index and the incidence of inguinal hernia repairs: a population-based study in Olmsted County, MN
  13. An enigma of spontaneous combined transdiaphragmatic, intercostal and abdominal wall hernia
  14. De Garengeot’s hernia: the importance of early diagnosis and its complications
  15. Late bilateral diaphragmatic rupture: Challenging diagnostic and surgical repair
  16. Genetic analysis of the TBX2 gene promoter in indirect inguinal hernia
  17. Prognostic value of age for chronic postoperative inguinal pain
  18. Operation Hernia to Ghana
  19. Schley’s inguinal hernia repair: a single unit’s experience of a forgotten technique
  20. Commentary on: low-cost mesh for inguinal hernia repair in resource-limited settings
  21. Incisional pubic hernia: treatment of a case with congenital malformation of the pelvis
  22. Proper mesh overlap is a key determinant in hernia recurrence following laparoscopic ventral and incisional hernia repair
  23. Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data
  24. One-year results of a prospective, randomised clinical trial comparing four meshes in laparoscopic inguinal hernia repair (TAPP)
  25. An evaluation of hernia education in surgical residency programs
  26. Irreducible inguinal hernia due to crossed testicular ectopia in an infant
  27. New Editor-in-Chief
  28. New Editor-in-Chief
  29. Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients
  30. Tissue expanders: early experience of a novel treatment option for perineal herniation
  31. Abdominoscrotal hydrocele in a 9-month old infant
  32. Creation of a novel risk score for surgical site infection and occurrence after ventral hernia repair
  33. Are there any predictive factors of metachronous inguinal hernias in children with unilateral inguinal hernia?
  34. Letter to the editor
  35. Watchful waiting as a treatment strategy for patients with a ventral hernia appears to be safe
  36. Use of porcine dermal collagen graft (Permacol) for hernia repair in contaminated fields
  37. Epigastric hernia and its etiology
  38. Quality of life and outcomes for femoral hernia repair: does laparoscopy have an advantage?
  39. Evaluation of crosslinked and non-crosslinked biologic prostheses for abdominal hernia repair

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