OBJECTIVE To study the long-term recurrence rate and other complications after conventional and laparoscopic inguinal hernia repair. SUMMARY BACKGROUND DATA Reliable long-term follow-up of patients with inguinal hernias treated by laparoscopic repair techniques is lacking. METHODS The authors performed a randomized, multicenter trial in which 487 patients with inguinal hernia were treated b...

In cases in which renal repair through conventional in situ surgery is not possible, we have proceeded to remove the organ outside of the human body and placed in on a work bench where exsitu repair is aided by microsurgery, x-ray films, and image amplifiers. In most cases the damaged kidney has recovered its function and a grave problem has been solved. Extracorporeal surgery means a new tacti...

Purpose: Femoral hernia is a kind of ventral hernia that surgeons commonly encounter, second in frequency only to inguinal hernia. Femoral hernias often require emergency surgery because of incarceration or strangulation of the intestine. In addition, intestinal resection may need to be considered based on intestinal viability. Definitive preoperative diagnosis and strategic planning for surger...

BACKGROUND Formation of aortic aneurysm late after surgical repair of coarctation carries a significant risk of rupture and lethal outcome, and repeat surgery is associated with a 14% in-hospital mortality rate and morbidity from paraplegia, injury to the central nervous system, or from bleeding. The potential of nonsurgical endovascular repair by the use of stent-grafts in lieu of repeat surge...

Severe primary mitral regurgitation (MR) has a poor outcome if left uncorrected. Successful mitral valve repair has the unique potential to restore normal life expectancy and is superior to valve replacement. Despite this, mitral repair is performed relatively infrequently and many patients with potentially reparable valves have a replacement instead, subjecting them to unnecessary risk. Surger...

Hypospadias is treated surgically and different methods can useable for this way. Due to involuntary erections during adolescence later, neourethra seems at risk until wound healing complete. Erections following penile surgery are painful affect the process negatively, because stitches may not withstand a strong erection. Therefore, prevention of erection management pain extremely important aft...

The objective of this video is to describe steps for improved efficiency with vaginal laparoscopy hysterectomy and native tissue apical suspension. This highlights tips success via the vNOTES (vaginal natural orifice transluminal endoscopic surgery) procedure. Common challenges including ring placement, exposure, suture management are identified overcoming these obstacles outlined. We provide d...

Intruduction: Esophageal atresia (EA) is a congenital anomaly treated by surgical reconstruction. Some early postoperative complications may be encountered we assessed complications following EA repair in a large number of neonates with EA / TEF. methods: 243 patients with EA / TEF that were treated operatively in Sarvar Children’s Hospital from 2002 to 2010 were studied. Early post-operat...

BUMC PROCEEDINGS 2003;16:152–156 Some nerve injuries require repair in order to regain sensory or motor function. Although this article focuses primarily on trigeminal nerve (TN) injuries and repairs, the facts presented may apply to any peripheral nerve repair. The primary indications for nerve repair or grafting are 1) an injury or continuity defect in a nerve, as a result of trauma, patholog...

BACKGROUND There are no randomized trials comparing outcomes after mitral valve (MV) repair and replacement. Propensity scoring is a powerful tool that has the potential to reduce selection bias in nonrandomized studies. METHODS From the BC Cardiac Registries, 2,060 patients presented for MV surgery, with or without CABG between 1991 and 2000. We then identified 322 MV repairs who were then m...