Current opinions about laparoscopic incisional hernia repair: a survey of practicing surgeons.

Abstract:

BACKGROUND:Incisional hernias are common. Optimal repair is one of the most analyzed and debated topics; however, there is no consensus as to the appropriate surgical technique. METHODS:An Institutional Review Board-approved protocol was designed using an Internet-based survey site (www.surveymonkey.com) to assess practices and opinions regarding incisional hernia repair. RESULTS:Of 766 surgeons, 204 (27%) responded. Most respondents practice in an academic, urban hospital, and 85% to 96% perform basic laparoscopic procedures. The median percentage of laparoscopic versus total hernia repair was <10%. Use of the laparoscopic technique was associated with a higher volume of hernia repair (r(Spearman's) = .315, P = .001), concurrent advanced laparoscopic experience (z(Wilcoxon rank sum) = -2.348, P = .019), and completion of a laparoscopic fellowship (z(Wilcoxon rank sum) = -3.317, P = .001). When asked how many would start to perform laparoscopic hernia repair, 81% indicated "no." In that group, 52% indicated that a lack of improved results was the main reason, followed by risk of enterotomy > operative time > cost > experience. Those who would start indicated that the main reason was patient request (54%). Among those that use the laparoscopic technique, 85% indicated that they would perform more of these surgeries. The main reason for this was a lower recurrence rate (42%). CONCLUSIONS:There continues to be a lack of consensus on the most appropriate method of repairing incisional hernias. Surgeons having experience with advanced laparoscopic techniques, laparoscopic fellowship training, and higher volume of hernia repair are more likely to use the laparoscopic approach.

journal_name

Am J Surg

authors

Alder AC,Alder SC,Livingston EH,Bellows CF

doi

10.1016/j.amjsurg.2007.08.002

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

659-62

issue

5

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(07)00632-0

journal_volume

194

pub_type

杂志文章
  • Plasma expanders. An update.

    abstract::This review of the literature has revealed that isotonic fluids, such as 0.9 percent sodium chloride and Ringer's lactate, are effective plasma volume expanders. Despite the continued use of a variety of colloid solutions in resuscitation, there is no good evidence to document a benefit of these solutions over the cry...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0002-9610(88)80106-5

    authors: Moss GS,Gould SA

    更新日期:1988-03-01 00:00:00

  • Pediatric magnet ingestions: the dark side of the force.

    abstract:BACKGROUND:Pediatric magnet ingestions are increasing. Commercial availability of rare-earth magnets poses a serious health risk. This study defines incidence, characteristics, and management of ingestions over time. METHODS:Cases were identified by searching radiology reports from June 2002 to December 2012 at a chil...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2013.12.028

    authors: Brown JC,Otjen JP,Drugas GT

    更新日期:2014-05-01 00:00:00

  • Factors influencing patency of femoropopliteal artery bypass grafts.

    abstract::An analysis of 276 femoropopliteal bypass procedures performed in 264 patients at the Columbia-Presbyterian Medical Center over the past two decades showed a direct relationship of graft patency to preoperative popliteal artery runoff. Fuctional results were better than patency results. Sympathectomy and anticoagulati...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(76)90279-8

    authors: Buda JA,Weber CJ,McAllister FF,Voorhees AB Jr

    更新日期:1976-07-01 00:00:00

  • Pancreatic pseudocyst. Changing concepts in management.

    abstract::One hundred seven patients with pseudocyst managed during the past decade were reviewed. The mortality rate of 11.2 percent compares favorably with the rates in other recent series. Twenty-two percent of the patients were managed conservatively, and 76 underwent exploration. None of the nonoperative patients died from...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(81)90052-0

    authors: Sandy JT,Taylor RH,Christensen RM,Scudamore C,Leckie P

    更新日期:1981-05-01 00:00:00

  • The ongoing challenge of retroperitoneal vascular injuries.

    abstract:BACKGROUND:Retroperitoneal vascular injury remains one of the most frequent causes of death following abdominal trauma. A risk analysis of the association between potential outcome predictors and mortality following abdominal aorta and inferior vena cava injuries was performed. METHODS:Eighty-nine patients sustaining ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/S0002-9610(96)00231-0

    authors: Coimbra R,Hoyt D,Winchell R,Simons R,Fortlage D,Garcia J

    更新日期:1996-11-01 00:00:00

  • Dressings and wound infection.

    abstract::Wounds will readily acquire bacteria, unless protective measures are taken. The bacterial protection afforded by conventional absorbent cellulose dressings has been shown to be limited, particularly in the presence of serous exudate that may compromise dressing integrity. In addition, dressings may shed particles that...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/0002-9610(94)90006-x

    authors: Lawrence JC

    更新日期:1994-01-01 00:00:00

  • Combined coronary artery bypass grafting and abdominal aortic aneurysm repair.

    abstract:BACKGROUND:We report here the results of combined coronary artery bypass grafting (CABG) and abdominal aortic aneurysm (AAA) repair and the factors associated with higher mortality following this procedure. METHODS:The authors performed a retrospective chart review of 26 patients who underwent combined CABG and AAA re...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(98)00164-0

    authors: Gade PV,Ascher E,Cunningham JN,Kallakuri S,Scheinman M,Scherer H,Robertazzi R,Hingorani A

    更新日期:1998-08-01 00:00:00

  • Validation study of a modern treatment algorithm for nipple discharge.

    abstract:BACKGROUND:Nipple discharge occurs in 2% to 5% of women. We evaluated the effectiveness of a previously proposed treatment algorithm for these patients. METHODS:Patients with pathologic nipple discharge and a negative mammogram and subareolar ultrasound were offered follow-up from 2005 to 2011 according to the algorit...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2013.12.035

    authors: Ashfaq A,Senior D,Pockaj BA,Wasif N,Pizzitola VJ,Giurescu ME,Gray RJ

    更新日期:2014-08-01 00:00:00

  • Effect of metatarsal head resection for diabetic foot ulcers on the dynamic plantar pressure distribution.

    abstract::Diabetic neuropathic ulcers are thought to arise from repetitive injury during normal walking in areas of high plantar pressures. It has been suggested that metatarsal head (MTH) resection alleviates elevated pressures at the site of the ulcer and, thus, expedites healing and prevents recurrence. We investigated the e...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(94)90203-8

    authors: Patel VG,Wieman TJ

    更新日期:1994-03-01 00:00:00

  • The effect of sociodemographic factors on outcomes and time to discharge after bariatric operations.

    abstract:INTRODUCTION:Bariatric surgery is an effective treatment for obesity resulting in both sustained weight loss and reduction in obesity-related comorbidities. It is uncertain how sociodemographic factors affect postoperative outcomes. METHODS:The National Inpatient Sample was queried for patients undergoing Roux-en-Y ga...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2020.02.046

    authors: Guerra ME,Jean RA,Chiu AS,Johnson DC

    更新日期:2020-04-01 00:00:00

  • A safe and reliable technique for visualization of the laryngeal recurrent nerves in the neck.

    abstract:BACKGROUND:The risk of an injury of the laryngeal recurrent nerve is an important issue during any surgical procedure in the lower neck. METHODS:Based on our experience with the transcervical-subxiphoid bilateral videothoracoscopic maximal thymectomies, we developed an original technique of visualization for both of t...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2004.08.064

    authors: Zieliński M,Kuzdzał J,Szlubowski A,Soja J

    更新日期:2005-02-01 00:00:00

  • Jejunoileal bypass. Late metabolic sequelae and weight gain.

    abstract::Of 101 patients originally operated on, the status of 98 is known. Given the mortality and reanastomosis rates, the operation must be considered an absolute failure in 28 percent of the patients. Given the other complications that appear (or persist) late postoperatively, only 18 percent of the entire series of patien...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90165-8

    authors: Halverson JD,Scheff RJ,Gentry K,Alpers DH

    更新日期:1980-09-01 00:00:00

  • Prevention and management of venous thromboembolism in the surgical patient: options by surgery type and individual patient risk factors.

    abstract:BACKGROUND:Current evidence-based guidelines provide recommendations for prophylaxis and treatment of venous thromboembolism (VTE) in a variety of surgical patients. DATA SOURCES:A systematic Ovid Medline search (from 1950 to the present) was conducted for relevant articles using the following search terms: "venous th...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.amjsurg.2009.10.007

    authors: Muntz JE,Michota FA

    更新日期:2010-01-01 00:00:00

  • Gallstone ileus. Review of 112 patients in the Japanese literature.

    abstract::A survey was made of 112 cases of gallstone ileus reported in the Japanese literature, including 3 of our cases. The ratio of males to females was 1 to 1.1, the age range was 13 to 87 years, and biliary-enteric fistulas were demonstrated in 81 percent of the patients. Although cholecystoduodenal fistula was most commo...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90185-3

    authors: Kasahara Y,Umemura H,Shiraha S,Kuyama T,Sakata K,Kubota H

    更新日期:1980-09-01 00:00:00

  • Role of surgery in multimodality therapy for gastrointestinal lymphoma.

    abstract::Between 1973 and 1989, 49 patients with gastrointestinal lymphomas were treated at the Virginia Mason Medical Center, Seattle, Washington, and followed in the tumor registry. The purpose of this review was to determine the influence of treatment on long-term survival of these patients. The mean age was 63 years (range...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(91)90902-p

    authors: Rackner VL,Thirlby RC,Ryan JA Jr

    更新日期:1991-05-01 00:00:00

  • Laparoscopic cholecystectomy in geriatric patients.

    abstract:BACKGROUND:The results and advantages of laparoscopic cholecystectomy in the geriatric population have received minimal attention. Several early reports related high conversion rates complications and mortality. This case series review is focused on the results of laparoscopic cholecystectomy in the geriatric populatio...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2003.11.031

    authors: Majeski J

    更新日期:2004-06-01 00:00:00

  • Alternatives to splenectomy in adults after trauma. Repair, partial resection, and reimplantation of splenic tissue.

    abstract::Splenectomy results in a lifelong risk of overwhelming infection in the adult as well as the child. This has prompted our current enthusiasm for splenic salvage in trauma patients. A number of alternatives to total splenectomy exist; however, the complications that result from splenic salvage must not exceed the risk ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(82)90556-6

    authors: Millikan JS,Moore EE,Moore GE,Stevens RE

    更新日期:1982-12-01 00:00:00

  • Surgical debridement and intralesional steroid injection in the treatment of idiopathic AIDS-related anal ulcerations.

    abstract:BACKGROUND:The treatment of idiopathic anal ulcerations in AIDS patients is still evolving. These patients suffer with severe incapacitating anal pain. PATIENTS AND METHODS:Relief of pain was achieved with the use of intralesional steroid injections. Twenty-one patients from 1990 to 1993 presented with severe anal pai...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(97)00117-7

    authors: Modesto VL,Gottesman L

    更新日期:1997-10-01 00:00:00

  • A prospective randomized trial demonstrating valved implantable ports have fewer complications and lower overall cost than nonvalved implantable ports.

    abstract:BACKGROUND:The purpose of the current study was to evaluate whether a totally implanted valved subcutaneous port system would have fewer complications as compared to a standard nonvalved port. METHODS:Study subjects requiring port placement were randomized to receive a valved port (PASV; Boston Scientific, Natick, MA)...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.amjsurg.2004.08.041

    authors: Carlo JT,Lamont JP,McCarty TM,Livingston S,Kuhn JA

    更新日期:2004-12-01 00:00:00

  • Surgeon-performed ultrasound reliably predicts skin spacing and may decrease the rate of MammoSite balloon catheter explantation in patients undergoing brachytherapy for breast cancer.

    abstract:OBJECTIVE:The purpose of this study was to determine if the distance from the skin to the seroma cavity, as measured with ultrasound (US) before catheter placement, correlated with the distance from skin to MammoSite balloon catheter as measured on computerized axial tomography (CAT) after catheter placement. METHODS:...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2007.11.012

    authors: Wilkinson JB,Boyle T,Song J,Kilbride K,Miltenburg D

    更新日期:2008-08-01 00:00:00

  • Achieving vascular access success in the quality outcomes era.

    abstract:BACKGROUND:In 1997 the National Kidney Foundation put forth guidelines for hemoaccess through its Dialysis Outcomes Quality Initiative (DOQI). Some centers have been able to meet these standards; most have not. METHODS:A retrospective review was made of our database of more than 3,500 hemoaccess procedures from 1986 t...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2004.01.018

    authors: Schuman E,Standage BA,Ragsdale JW,Heinl P

    更新日期:2004-05-01 00:00:00

  • Is there a gender bias in milestones evaluations in general surgery residency training?

    abstract:BACKGROUND:Studies of gender disparity in surgical training have yielded conflicting results. We hypothesize that there is no influence of gender on resident self-evaluation Milestone (SEM) scores and those assigned by the Clinical Competency Committee (CCC). METHODS:42 residents (25 male & 17 female) and faculty comp...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2020.12.020

    authors: Kwasny L,Shebrain S,Munene G,Sawyer R

    更新日期:2020-12-13 00:00:00

  • Regulation of gastric acid secretion by secretin and serotonin.

    abstract::We have tested the interaction between serotonin and secretin in pentagastrin-induced gastric acid secretion in six dogs prepared with Thomas gastric and duodenal cannulas. We further examined the effect of methysergide, a serotonin antagonist, on gastric acid secretion. The intravenous administration of serotonin or ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(85)80007-6

    authors: Mate L,Sakamoto T,Greeley GH Jr,Thompson JC

    更新日期:1985-01-01 00:00:00

  • Implementation of the acute care surgery model provides benefits in the surgical treatment of the acute appendicitis.

    abstract:BACKGROUND:Several reports have indicated the benefits of the acute care surgery (ACS) model in surgical outcomes. We tried to delineate the impact of the ACS model on surgical efficiency and quality. METHODS:Before the ACS model was implemented, abdominal surgical emergencies were evaluated by an on-call nontrauma ge...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2013.04.016

    authors: Fu CY,Huang HC,Chen RJ,Tsuo HC,Tung HJ

    更新日期:2014-11-01 00:00:00

  • The cost of injury: hospital charges for pregnant trauma patients, 1999 to 2003.

    abstract:BACKGROUND:Traumatic injuries during pregnancy are the leading cause of nonobstetric maternal mortality. We aimed to determine hospital charges for trauma activations during pregnancy. METHODS:We used the Illinois State Trauma Registry data from 1999 to 2003. Using STATA for bivariate and regression analyses, we compa...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2013.10.018

    authors: Periyanayagam U,Crandall M

    更新日期:2014-07-01 00:00:00

  • Debridement pancreatectomy for pancreatic abscess.

    abstract::Experience with seven cases of pancreatic abscess is reviewed. All patients were treated with radical pancreatic debridement, large sump drainage with postoperative irrigation, gastrointestinal defunctionalization, antibiotic therapy and nutritional support. One patient died, for a mortality rate of 14 percent. We fee...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(81)90307-x

    authors: Chang FC,Van Houden CE

    更新日期:1981-12-01 00:00:00

  • Therapeutic significance of noncurative gastrectomy for gastric cancer with liver metastasis.

    abstract::The therapeutic significance of noncurative gastrectomy for gastric cancer with liver metastasis was evaluated and the histologic characteristics of such cancer examined. The mean postoperative survival time of patients with liver metastasis limited to one lobe or a few scattered metastases to both lobes without perit...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90167-1

    authors: Koga S,Kawaguchi H,Kishimoto H,Tanaka K,Miyano Y,Kimura O,Takeda R,Nishidoi H

    更新日期:1980-09-01 00:00:00

  • Patient satisfaction and quality of life after MammoSite breast brachytherapy.

    abstract:PURPOSE:To perform a satisfaction/quality-of-life (QOL) survey of patients undergoing MammoSite brachytherapy (MBT; Hologic, Inc, Marlborough, MA). METHODS:We asked patients 15 questions regarding treatment decision-making, and experience on-therapy/post-treatment. RESULTS:A total of 52 patients responded (median fol...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2008.06.014

    authors: Dragun AE,Harper JL,Taylor CE,Jenrette JM

    更新日期:2008-10-01 00:00:00

  • Edema volume, not timing, is the key to success in lymphedema treatment.

    abstract:BACKGROUND:There are currently between 1 and 2 million breast cancer survivors in the United States. Is the advocated, early intervention the key to successful treatment, or are there other, more important factors? METHODS:Responses to combined decongestive therapy (CDT) for 69 women were analyzed with regard to durat...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(99)00185-3

    authors: Ramos SM,O'Donnell LS,Knight G

    更新日期:1999-10-01 00:00:00

  • Squamous cell carcinoma of the tongue: a comparison of the anterior two thirds of the tongue with its base.

    abstract::A retrospective analysis of 176 patients with squamous cell carcinoma of the tongue has been reported. The tongue base and mobile tongue, believed to behave as two clinically distinct anatomic areas, have been compared and contrasted. Women comprised 25 percent of the patients with tumors of the base of the tongue and...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90230-1

    authors: Ildstad ST,Bigelow ME,Remensnyder JP

    更新日期:1983-10-01 00:00:00