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Title of Journal: Hernia

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Abbravation: Hernia

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Springer Paris

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DOI

10.1016/0167-4889(85)90047-3

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1248-9204

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Tissue expanders early experience of a novel trea

Authors: J M Ali A Stabler N R Hall M Irwin R Miller N S Fearnhead
Publish Date: 2012/06/28
Volume: 17, Issue: 4, Pages: 545-549
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Abstract

Acquired perineal hernias through the reconstructed pelvic floor can complicate radical pelvic operations including abdominoperineal resection of rectum Operative intervention is indicated for symptomatic hernias There is a lack of consensus as to the best operative technique Here we present a novel method for repairing perineal herniation using salinefilled tissue expandersPerineal hernia repair may be affected either via an abdominal or via a perineal approach After adhesiolysis to remove small bowel from the pelvis a Natrelle™ 150SH tissue expander Allergan Inc California USA or Siltex™ Round Becker Mentor Medical Systems Holland of appropriate size is inserted in the pelvis and the button placed in a subcutaneous pocket in the perineal skin The tissue expander is then filled with saline until it fills the true anatomical pelvis without bladder compression The volume may be increased or decreased postoperatively by accessing the subcutaneous buttonWe have performed this procedure in three patients with some success all of whom have experienced symptomatic relief The tissue expander may subsequently be removed without recurrence of symptoms due to the fibrous capsule which forms One patient required reoperation to elevate a herniating tissue expander The tissue expander was removed earlier than anticipated to avoid deep pelvic infection in another


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Other Papers In This Journal:

  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. What happens to the rectus abdominus fascia after laparoscopic ventral hernia repair?
  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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