Article
Surgery
Bradley S. Kushner, Saeed Arefanian, Jared McAllister, Wen Hui Tan, Matthew Grant, Robert MacGregor, Arnab Majumder, Jeffrey A. Blatnik
Summary: The study suggests that the small bite technique increases abdominal wall perfusion, potentially reducing the incidence of incisional hernias. Additionally, small bite PDS II suture has a more significant impact on tissue perfusion and inflammation compared to other closure techniques.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Pediatrics
Christina M. Bence, Ainy J. Wagner
Summary: Abdominal wall defects such as gastroschisis and omphalocele are common congenital anomalies with different clinical sequelae. Gastroschisis is often a solitary anomaly while omphalocele is frequently associated with other structural anomalies or genetic syndromes.
TRANSLATIONAL PEDIATRICS
(2021)
Article
Surgery
Eva B. Deerenberg, Nadia A. Henriksen, George A. Antoniou, Stavros A. Antoniou, Wichor M. Bramer, John P. Fischer, Rene H. Fortelny, Hakan Gok, Hobart W. Harris, William Hope, Charlotte M. Horne, Thomas K. Jensen, Ferdinand Koeckerling, Alexander Kretschmer, Manuel Lopez-Cano, Flavio Malcher, Jenny M. Shao, Juliette C. Slieker, Gijs H. J. de Smet, Cesare Stabilini, Jared Torkington, Filip E. Muysoms
Summary: An incisional hernia occurs when the muscles of the abdominal wall are weak, causing fat or organs to bulge out. This study aimed to review the latest research and provide recommendations for surgeons on how to close incisions to reduce the risk of hernia formation. The guidelines suggest using small incisions and avoiding areas of weakness, as well as using deep muscle-fascia sutures for larger incisions. Mesh augmentation may be considered for patients at higher risk. The guidelines also highlight the importance of surgical technique in preventing incisional hernia.
BRITISH JOURNAL OF SURGERY
(2022)
Review
Orthopedics
Daniel C. Kim, Bayard C. Carlson, Eiman Shafa, Amir A. Mehbod
Summary: This article reviews the use of vacuum-assisted wound closure (VAC) in the treatment of deep wound infections (DWIs) after lumbar spinal surgery. VAC, which applies negative pressure to the wound, has been shown to improve microcirculation and promote the formation of granulation tissue, making it a common strategy for treating deep postoperative wound infections after spinal surgery.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Review
Surgery
Sullivan A. Ayuso, Sharbel A. Elhage, Matthew J. Salvino, Jana M. Sacco, B. Todd Heniford
Summary: Open ventral hernia repair is a common operation for general surgeons. Patient selection and preoperative optimization are crucial for successful outcomes and prevention of recurrence. Techniques such as botulinum toxin injection and preoperative pneumoperitoneum can aid in achieving fascial closure. Component separation is performed on complex hernias to achieve tension-free closure. Other important principles include hernia sac reduction, wide mesh overlap, and management of complications. Delayed primary closure may be considered in contaminated cases. The goal is to minimize complications and improve patient quality of life.
LANGENBECKS ARCHIVES OF SURGERY
(2023)
Article
Health Care Sciences & Services
Elena Tarca, Elena Cojocaru, Laura Mihaela Trandafir, Marian George Melinte Popescu, Alina Costina Luca, Lacramioara Ionela Butnariu, Elena Hanganu, Mihaela Moscalu, Viorel Tarca, Laura Statescu, Iulian Radu, Alina Sinziana Melinte Popescu
Summary: Abdominal wall defects are serious birth defects that require long hospital stays and significant costs. Nosocomial infection may further worsen the condition of newborns with these malformations.
Article
Nanoscience & Nanotechnology
Jian Liu, Jinfei Hou, Shaokai Liu, Jialun Li, Muran Zhou, Jiaming Sun, Rongrong Wang
Summary: This study developed a double-layered nanomembrane with excellent mechanical strength and biocompatibility using a consecutive electrospun method, which successfully repaired full-thickness abdominal wall defects in rats, demonstrating promising anti-hernia and anti-adhesion effects.
INTERNATIONAL JOURNAL OF NANOMEDICINE
(2021)
Article
Surgery
David J. Morrell, Eric M. Pauli, Jerome R. Lyn-Sue, Randy S. Haluck, Ann M. Rogers
Summary: The study found that laparoscopic sleeve gastrectomy can be successfully performed in patients with complex abdominal wall hernias and severe obesity, with outcomes similar to typical patients undergoing LSG. At follow-up, there was a significant decrease in mean BMI. Further research with larger cohorts is needed to better understand complication rates and long-term outcomes in this population.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Dermatology
Xiao Liu, Xiaoyu Zhao, Guoliang Shen, Shuwen Fan, Jun Xu, Zhaojun Fan, Ke Li
Summary: This study aimed to investigate the effect of sinus removal combined with vacuum-assisted closure in the treatment of sacrococcygeal pilonidal sinus. The results showed that compared with simple sinus resection and suture, sinus resection combined with closed negative pressure drainage significantly reduced surgery time, hospital stay, and return time. This approach effectively relieved postoperative pain, reduced the occurrence of postoperative complications, resulted in smaller postoperative scars, and yielded better aesthetic outcomes and higher patient satisfaction.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Dermatology
Mingze Xu, Yuchong Wang, Xinyi Ma, Yanjun Liu, Chunyu Xue, Haiying Dai
Summary: This study evaluated the application of a simplified modified Limberg flap combined with vacuum-assisted closure for treating Pilonidal sinus disease (PSD). The results showed that this method has a low recurrence rate and rapid recovery.
INTERNATIONAL WOUND JOURNAL
(2023)
Review
Surgery
Laura T. Reed, Scott R. Echternacht, Kumaran Shanmugarajah, Roberto Hernandez, Howard N. Langstein, Jonathan Leckenby
Summary: Abdominal wall allotransplantation is an important reconstructive option when abdominal wall closure is challenging and should be considered in combination with visceral organ allotransplantations. Neurotizing the abdominal wall allotransplant may have potential functional benefits, and future studies should aim to include functional outcomes.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Surgery
S. Maskal, J. Chang, R. Ellis, N. Messer, M. Melland-Smith, C. Tu, B. Miller, C. Petro, R. Simon, A. Prabhu, M. Rosen, L. Beffa
Summary: This study retrospectively analyzed the surgical management and long-term outcomes following radical resection of abdominal wall tumors. The results showed a high rate of postoperative complications and the majority of patients required additional surgeries. Mesh implantation was not associated with these complications.
Article
Dermatology
Sharifah A. Othman, Tarek M. ElSharkawy, Doaa Alfaifi, Yasser Aljehani
Summary: Tuberculosis is endemic to certain geographic areas and can present with diverse symptoms affecting almost every organ in the body. A rare form of TB is empyema necessitans, which was successfully managed with negative-pressure wound therapy in a reported case. This treatment showed good outcomes and patient satisfaction compared to traditional surgical options.
ADVANCES IN SKIN & WOUND CARE
(2021)
Article
Pediatrics
Raluca-Alina Mocanu, Catalin Cirstoveanu, Mihaela Bizubac, Ionut Fernando Secheli, Nicolae Sebastian Ionescu
Summary: The main goal of surgical treatment for gastroschisis and omphalocele is to reduce the viscera in the abdominal cavity and close the abdomen without increasing intraabdominal pressure. A retrospective study was conducted on patients admitted for these conditions, and the presence of postoperative abdominal compartment syndrome was highlighted. Based on the results, the measurement of intraabdominal pressure was implemented to prevent the development of abdominal compartment syndrome during closure.
Article
Surgery
Bryana Baginski, Regan Van Metre, Quinn Elliott, Jeremy A. Warren, J. Alex Ewing, William S. Cobb, Alfredo M. Carbonell
Summary: This study found that using a layered skin closure technique, including subcuticular closure and adhesive, can reduce the risk of surgical site infection after open abdominal wall reconstruction. This suggests that changing the skin closure technique may be a method to prevent surgical site infections.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)