bluuebunny/crossref_metadata_2025_split huggingface dataset:
EMERGENCY LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP) HERNIOPLASTY FOR GARANGEOT'S HERNIA: A CASE REPORT
Authors: Bravo-Salva A , Perez-Guitart M , Riba L , Juvany-Gómez M 
Published: May 2024

Abstract

Aims
This video presentation aims to demonstrate the successful management of a rare and challenging case of Garangeot's hernia through Emergency Laparoscopic Transabdominal Preperitoneal (TAPP) Hernioplasty. The primary objectives include highlighting the surgical technique, intraoperative findings, and postoperative outcomes in the context of this uncommon hernia presentation.

Materials and Methods
An 84-year-old female presented to the emergency department with signs of femoral hernia incarceration. Upon exploration, a Garangeot's hernia, characterized by the presence of the appendix within a femoral hernia sac, was identified. In light of the emergency and the patient's deteriorating condition, an Emergency Laparoscopic TAPP Hernioplasty was performed. The procedure involved meticulous dissection of the hernia sac, reduction of the herniated appendix and appendectomy, and subsequent mesh reinforcement of the femoral defect.

Results
The video illustrates the step-by-step approach to Emergency Laparoscopic TAPP Hernioplasty in the context of Garangeot's hernia. Intraoperative findings, including the condition of the herniated appendix and associated anatomical structures, are presented. Postoperative outcomes, including recovery, complications, and follow-up observations, are discussed to provide a comprehensive understanding of the case.

Conclusions
Emergency Laparoscopic TAPP Hernioplasty emerges as a viable and effective intervention for Garangeot's hernia, offering advantages such as reduced morbidity, quicker recovery, and minimal surgical trauma. This video contributes valuable insights into the management of this rare hernia presentation, emphasizing the role of minimally invasive techniques in achieving successful outcomes.
THE NEW ERA OF ROBOTIC SURGERY: FIRST CASE IN SPAIN OF RIGHT HEMICOLECTOMY ON HUGO RAS™ SURGICAL PLATFORM
Authors: Caruso R , Ferri V , Vicente E , Quijano Y , Duran H , Diaz E , Fabra I , Malave L , Ruiz P 
Published: May 2024

Abstract

Background
Robotic surgery has gained worldwide acceptance over the past decade, with several studies showing that this technique is safe and feasible.

Method
We describe the first robot-assisted right hemicolectomy performed with the new HugoTM RAS (Robotic assisted surgery) (Medtronic®, Minneapolis, MN, USA) in Spain.

Results
The surgical procedures were completed without conversion. No intraoperative complications or technical failures of the system were recorded. The operative time was 200 minutes, the docking time was five minutes, and the length of hospital stay was eight days.

Conclusion
Right hemicolectomy with the HugoTM RAS system is safe and feasible. This experience provides relevant data that may assist early adopters of this surgical platform.
PREAPONEUROTIC ENDOSCOPIC REPAIR (REPA) OF RECTUS DIASTASIS AND VENTRAL HERNIA
Authors: Chanci R , Ocampo A , Martinez J 
Published: May 2024

Abstract

Background
Through this video we want to present the experience in the laparoscopic management of patients with rectus diastasis and concomitant ventral hernia in the city of Medellin (Colombia).

Method
39-year-old male with surgical history of epigastric and umbilical hernia repair in 2021. Clinical complaint of abdominal pain and functional limitation. Abdominal CT with epigastric hernia M3W1, umbilical hernia M3W1 and rectus diastasis T1D2H1. Laparoscopic surgery staff decided preaponeurotic endoscopic repair of rectus diastasis and lightweight microporous polypropylene prophylactic mesh.

Results
In the outpatient follow-up, correction of the abdominal wall defect was evidenced by the physical examination. Furthermore, the patient reported the disappearance of symptoms.

Conclusion
Exploring the minimally invasive route in selected patients, associated with the use of meshes in concomitant ventral hernias larger than 1 cm or multiple hernias will allow us to develop our casuistry and thus develop clinical studies that allow to contribute to the limited evidence that currently exists.
LAPAROSCOPIC REPAIR OF RECURRENT CASES AFTER LAPAROSCOPIC HERNIA SURGERY; MESH REMOVAL AND RE-MESH REPAIR
Authors: Ertem M , Babur T 
Published: May 2024

Abstract
Problems related to mesh and fixation may continue after hernia surgery. In particular, mesh shrinkage and sliding are among the main recurrence problems. The shrinking and meshoma can cause significant pain problems as well as recurrence. The necessity of removing the mesh from deep planes can cause catastrophic consequences. Laparoscopic hernia treatment should be done one time with the correct technique.
In the EHS Guidelines, it is recommended that re-laparoscopic repair (posterior approach) should be performed by experienced surgeons for recurrences that occur after laparoscopic repair.
In this video, three male cases are presented. All three cases were presented as recurrence and also had pain and were repaired with the laparoscopic technique. Recurrence had occurred after the TEP technique in two of three cases and in one case recurrence occurred after two anterior repairs and one posterior TEP repair.
We performed the repair with the TAPP approach in 2 cases and the TEP approach in one case. In all cases, the posterior meshes that formed meshoma were removed. We used one or two Pro Tack for the Cooper’s Ligaments and glue for mesh fixation.
Patients were discharged without complications and pain after a one-day hospitalisation.
Dynamesh 3D visible 10 × 15 cm.
Liquiband FIX8 Glue.
Pro Tack.
NUCK CYSTS; THREE CASES TREATED WITH THE TEP TECHNIQUE
Authors: Ertem M , Babur T 
Published: May 2024

Abstract
The first noted case defect in the Canal of Nuck dates back to 1691 by Anton Nuck. The failure of the canal to close after birth or within the first year of life in female infants can lead to the formation of hydrocele or herniation of intra-abdominal structures through the patent Canal of Nuck. The cysts of the Canal of Nuck are also known as female hydroceles.
In this video presentation, three cases are presented. The diagnosis was made based on the patient's history and clinical examination. The diagnosis was supported by ultrasound. The patient was exhibiting painful swelling in the inguinal region or even in the labia majora.
Surgical intervention was approached with the TEP technique in all cases. Two cases had cysts on the left side and one patient had cysts on the right side. The cysts were dissected from the round ligament and were completely excised. Because of the annulus inguinalis frofundus was wide, the defect closed with mesh. The mesh is fixed with glue. In one of the cases, the peritoneal tear that occurred iatrogenic was also closed with glue. Considering that the patients were young and nulliparous, the round ligament was preserved in three patients.
Dynamesh3D visible 10 × 15 cm.
Liquiband FIX8 Glue.
ENDOSCOPIC DRAINAGE FOR THE MANAGEMENT OF INFECTED SUBCUTANEOUS COLLECTIONS FOLLOWING DIEP FLAP RECONSTRUCTION TECHNIQUE: A CASE REPORT
Authors: Fernández Rodriguez M , Muñoz Rodríguez J M , Román García de Leon L , Grillo Marín C , Gil Cidoncha L , Martin Rodrigo P , Torguet Muñoz M E , Lopez Monclus J 
Published: May 2024

Abstract

Aim
The deep inferior epigastric perforator (DIEP) flap procedure is a widely accepted method for immediate breast reconstruction following skin-sparing mastectomy in breast cancer patients. While complications are infrequent, challenges may arise, including surgical wound infection, skin necrosis, seroma, or hematoma.

Methods
We present the case of a 68-year-old woman with multifocal infiltrating carcinoma of the right breast (T1cN0M0) who underwent DIEP flap breast reconstruction one month before presenting to the emergency room. Her symptoms included a fever of 38°C, abdominal filling in the DIEP scar region, an elevated leukocyte count (23.01 × 10E3/microL), and a C-reactive protein level of 470 mg/L. Abdominal CT revealed a collection in the infraumbilical anterior abdominal wall extending through the subcutaneous cellular tissue of both iliac fossae. The patient underwent surgical intervention, including endoscopic drainage with lavage and drain placement under direct visualization.

Results
Following surgery, the patient responded positively to intravenous Meropenem, with the resolution of fever and improvement in local cellulitis. She was discharged on the 6th postoperative day with both drains, removed 10 and 15 days after surgery in an outpatient setting.

Conclusions
In cases where immediate percutaneous drainage is not feasible, endoscopic drainage emerges as an effective strategy for managing extensive infectious collections. This technique, involving lavage, debridement, and drain placement under direct vision, eliminates the need to reopen substantial surgical wounds. Notably, this approach aids early recovery in patients undergoing active chemotherapy, preventing delays in chemotherapy administration.
FINDING OF CHYLOUS ASCITES SECONDARY TO MESENTERIC COMPRESSION DUE TO GIANT INGUINAL HERNIA: TAPP APPROACH
Authors: Fernández Rodriguez M , Muñoz Rodríguez J M , Román García de Leon L , Grillo Marín C , Gil Cidoncha L , Martin Rodrigo P , Torguet Muñoz M E , Lopez Monclus J 
Published: May 2024

Abstract

Aim
Chylous ascites is an infrequent pathology with an incidence of less than 1%.
We present the case of a patient with chylous ascites in the context of mesenteric compression due to a giant right inguinal hernia.

Material and Methods
We present the case of a 74-year-old woman with a personal history of a heart transplant in 2004 due to cardiomyopathy and a right inguinal hernia that had been going on for years. A CT scan identifies “Right inguinal hernia containing sigmoid and distal ileum”.

Results
During the surgical intervention, a giant right inguinal hernia was reduced with abundant chylous ascites, probably secondary to mesenteric compression.
The patient was discharged on the 1st postoperative day without complications, with dietary recommendations.
In the 1st month review, no signs of recurrence or seroma were identified.

Conclussions
Chylous ascites is defined as the presence of more than 200 mg/dl of triglycerides in the ascitic fluid.
In adults, the most frequent causes are due to cirrhosis and malignant diseases. Another less common cause is post-surgical and traumatic, such as the case we describe, where we relate mesenteric compression and torsion to the development of chylous ascites.
The gold standard imaging test is lymphoscintigraphy. The definitive diagnosis is obtained through evacuative paracentesis.
Management is based on the combination of a diet rich in protein and low in fat, with medium chain triglycerides. In refractory cases, drugs such as Octreotide and Somatostatin can be used. Surgery should be used as a last measure.
ROBOTIC RIVES-STOPPA eTEP LOWER APPROACH FOR THE TREATMENT OF MULTIPLE VENTRAL INCISIONAL HERNIAS IN OBESE PATIENTS
Authors: Friedova P , Acosta Rodríguez A , Rodríguez Valenzuela N , Sánchez González J , Pérez Saborido B 
Published: May 2024

Abstract

Objectives
To demonstrate the benefit of robotic extraperitoneal endoscopic approach for the treatment of ventral incisional hernia in obese patients.

Materials and Methods
Descriptive video of the eTEP endoscopic technique using a lower approach for the treatment of multiple incisional hernias in obese patients. Utilizing a PLP mesh with silver ions.

Results
The postoperative period without complications, discharge 24 hours after surgery, first follow-up at 10 days post-intervention; the patient only required continuous analgesia for the first 72 hours. Three months after surgery, the patient reported no pain, physical examination showed no recurrence and excellent aesthetic results.

Conclusions
The repair of Ventral incisional hernia using the robotic Rives-Stoppa eTEP preperitoneal endoscopic eTEP Rives-Stoppa technique is a feasible and reproducible technique approach. It meets the same criteria as open surgery (broad sublay mesh and tension-free closure) and is safe for obese patients. Additionally, it offers advantages such as less postoperative pain, reduced need for analgesia, promotes rapid recovery, early resumption of work and daily activities and daily in safe manner, and excellent aesthetic result.
ROBOTIC TRANSABDOMINAL PREPERITONEAL DIAPHRAGMATIC HERNIA REPAIR (MORGAGNI HERNIA)
Authors: Gröger C , Kundel L , Adam U , Köckerling F , Riediger H 
Published: May 2024

Abstract

Background
Morgagni hernia is a rare form of diaphragmatic hernia with a low incidence. Robotic surgery offers an interesting technique for sac reduction and extraperitoneal mesh placement.

Method
We present a case of a symptomatic Morgagni hernia, which was repaired utilizing the robotic transabdominal preperitoneal repair (rTAPP) approach.

Results
A 62-year-old female patient (157 cm, 80 kg, BMI 33 kg/m) presented with a symptomatic diaphragmatic hernia (Morgagni hernia). The defect size was 7 to 3 cm with a transverse colon inside the hernia sac and consecutive mediastinal shift. The hernia was repaired by using a robotic assisted minimal invasive approach. After preperitoneal dissection, using the monopolar scissor starting at the falciform ligament the hernia sac was reduced step by step. The defect was closed using barbed sutures. An uncoated 15 × 10 cm polypropylene mesh was placed in the preperitoneal space. Finally, the peritoneal incision was closed with a barbed suture. Posterior defects were closed conscientiously. Operation time was 138 min. Hospital stay was 4 days. There were no complications.

Conclusion
Robotic transabdominal preperitoneal repair (rTAPP) offers an excellent option for repairing of Morgagni hernia. The advantages of the use of a robotic system is the easy-to-manage dissection and the consecutive extraperitoneal/preperitoneal mesh placement without extensive fixation.
FALSE INGUINAL HERNIA
Authors: Hernández O´Reilly M , Ferrero Celemín E , Gajda Escudero J , Vaquero Perez M A , Sánchez López D , García Sancho L , Martínez Alegre J , Rodríguez Haro C , Mellado Sánchez I , Peck García C , Picardo Nieto A L 
Published: May 2024

Abstract

Aim
The case of a patient with fistulizing salpingitis in the inguinal region, simulating an inguinal hernia, is presented.

Material and Methods
Description of a clinical case.

Results
A 61-year-old woman, who had undergone tubal ligation in Cuba over twenty years ago, presented to medical consultation with an abdominal computed tomography (CT) scan suggesting a possible right tubo-ovarian inguinal hernia with an adjacent collection infiltrating the abdominal wall. She was included in surgical list for laparoscopic surgery. Fifteen days later, she came to the emergency department with abdominal pain and suppuration in the right inguinal region. Blood analysis showed no abnormalities, and an urgent abdominal CT scan revealed a collection in the right hemipelvis extending from the right fallopian tube to the subcutaneous region of the right iliac fossa, with gas bubbles suggesting cutaneous fistulization.
An urgent laparoscopic surgical intervention was decided, where the right fallopian tube and ovary with inflammatory appearance were visualized adhered from the theoretical location of the clip used for tubal ligation, to the parietal peritoneum in the inguinal region. The right fallopian tube and ovaries were dissected from the wall and sectioned. The patient was discharged without incidents with follow-up in outpatient clinics.

Conclusions
Tubo-ovarian inguinal hernias are uncommon, occurring in only 3% of all inguinal hernias, and require special care in premenopausal women as they can compromise fertility. This is an unusual case of fistulizing salpingitis in a postmenopausal woman simulating a tubo-ovarian inguinal hernia.
USE OF BIOLOGIC GLUE IN TAPP. TRICKS AND CHALLENGES
Authors: Kochylas N , Papaeleftheriou S , Mpikas K , Magganas D 
Published: May 2024

Abstract

Aim
The fixation of the mesh in transabdominal preperitoneal inguinal hernia repair (TAPP) and the closing of the peritoneal flap are key parts of the operation. This is accomplished with sutures or tackers. The use of biologic glue is an acceptable alternative with the possible advantages of being safer and less painful than the other options. Its use however poses its own set of challenges.

Materials and Methods
24 patients underwent TAPP repair for inguinal hernia, using biologic glue to fix the mesh and close the peritoneal flap. The practical challenges of its use were studied.

Results
No problems were encountered in the fixation of the mesh. In the closing of the peritoneal flap, tackers were used as an adjunct in the first 10 cases. After that, the operation was completed only using glue.

Conclusions
Various conclusions were drawn from the use of glue. First, it works best in a dry environment and with a lightweight microporous mesh, so that the glue can seep through the pores. Second it will not “fix” large creases of the mesh, although this also means a suboptimal positioning of the mesh. Third, it requires gentle moves during withdrawal, as the tip can stick to the tissues, and appliance of a wet gauze after every use, as the clotted glue can block the tip. All in all, after a learning curve period, it can be a safe and effective alternative to sutures and tackers in TAPP.
LUMBAR INCISIONAL HERNIA REPAIR-PREPERITONEAL PLACING OF MESH-THE IMPORTANCE OF CT EVALUATION
Authors: Kostic I , Trifunovic Z , Aleksic A , Lazic B 
Published: May 2024

Abstract

Background
Lumbar hernias can be congenital (primary) or aquired (postoperative and posttraumatic). The margins are well-known: the iliac crest, 12th rib, the erector spinae and the external oblique muscle. The most number of lumbar incisional hernias occur after nephrectomy.

Objective
To show the results in treatment of lumbar incisional hernias in district General hospital and to review the importance of CT evaluation before and after treatment of lumbar incisional hernias (specially for W3 = the width of hernia defect ≥ 10 cm ≈ large hernias).

Methods
This is retrospective case-study analysis from June 2005 till November 2021.The mean follow-up for all patients was 36 months.

Results
From 15 June 2005. to 15 November 2021 we operated 18 patients with diagnosis: Lumbar incisional hernia. 16 patients were operated due to principles of sublay-preperitoneal placing of MESH (all by the same surgeon).
In our evaluation we divided the patients in 3 groups according to the width (size) of hernia defect – W1, W2 and W3.
For the patients with “large hernias” (W3) – 5 patients, we perform CT of abdomen 3 times (before operation, a few months after operation and 2 or 3 years after operation).
All other patients have CT of abdomen before operation-only certain proof for diagnosis.
We do not have recurrences and none of our patients need analgetics more than two weeks after surgery. Laparoscopic incisional hernia surgery is not performed routine in our hospital yet.

Conclusion
Lumbar incisional hernias should be treated with sublay (preperitoneal placing of MESH) whenever is possible. CT evaluation before and after surgery is always usefull for large hernias, with big level of recommendence.
LAPAROSCOPIC-ASSISTED ROBOTIC REPAIR OF RIGHT PARADUODENAL HERNIA
Authors: Kumbhar U 
Published: May 2024

Abstract

Introduction
Paraduodenal hernias (PDH) are internal hernias with right-sided PDHs are often more challenging. Diagnosis is usually incidental in asymptomatic patients, or patients may present with intermittent midabdominal discomfort as well as acute intestinal obstruction or strangulation. The preoperative diagnosis of PDH can be established only via cross-sectional imaging. In cases of uncertainty, diagnostic laparoscopy or laparotomy can be helpful. The surgical principles require reduction of the herniated contents, thorough assessment for viability, and closure of the hernia defect. There are case reports with laparoscopic management of paediatric PDH. However, there are no case reports of robotic repair of the adult PDH.

Method
A 31-year-old male patient presented to the emergency department with upper abdominal pain, distension, and bilious vomiting for two days. He had three similar episodes in the past year and was treated with conservative management. The patient was haemodynamically stable. X-ray abdomen was suggestive of small bowel obstruction. The patient was treated conservatively. CECT abdomen was done and showed closed-loop obstruction with both afferent and efferent loops trapped with a mesenteric pedicle. There was an abnormal course of the jejunal arterial branches and venous tributaries and a collection of small bowel loops in the mid-abdomen, suggesting right-sided PDH. The patient was treated electively with Robotic repair of the Right PDH.

Results
The intraoperative and postoperative periods were uneventful. The patient was discharged on the second postoperative day. The patient is asymptomatic at six-month follow-up.

Conclusion
Robotic paraduodenal hernia repair is a feasible and safe procedure.
MINIMALLY INVASIVE APPROACH TO GRYNFELT HERNIA (L4)
Authors: Licardie E , Moreno-Suero F , Navarro-Morales L , Gómez-Menchero J , Morales-Conde S 
Published: May 2024

Abstract

Aims
Lumbar hernias are defects occurring in the posterolateral wall of the abdomen, at the level of the upper Grynfelt’s triangle and a lower triangle (Petit triangle). The minimally invasive approach provides advantages in comparison to the conventional approach and the possibility of placing a preperitoneal mesh, avoiding contact with bowel.

Methods
We present the case of a 28-year-old man with a history of urological intervention in childhood for congenital defects in both kidneys through bilateral lumbotomy. The patient complained of discomfort at the site of the lumbar hernia for a year. On examination, a soft, reducible lump was palpated in the left posterolateral region of the abdominal wall. Computed tomography scan confirmed the lumbar hernia through the upper Grynfelt’s triangle of 35 mm (hernia type L4, EHS).

Results
Patient underwent surgery by transabdominal laparoscopic approach, placing three trocars in left clavicular midline. Right parietocolic groove is opened and a peritoneum is dissected to access Grynfelt’s triangle. After the reduction of the hernial content (fatty tissue), direct closure of the hernial defect is performed with non-absorbable barbed suture and a tailored PVDF mesh is placed intraperitoneally. Then peritoneal flap is closed with absorbable barbed suture. Patient was discharged on first postoperative day. At one-year follow-up complications or recurrence did not occur.

Conclusions
Laparoscopic approach to lumbar hernias is feasible providing the advantages of minimally invasive surgery, and in addition the possibility to explore the entire abdominal cavity. More studies with larger numbers of patients are needed to draw definitive conclusions.