The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform
Thue Bisgaard - One of the best experts on this subject based on the ideXlab platform.
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the prevalence of umbilical and Epigastric Hernia repair a nationwide epidemiologic study
Hernia, 2015Co-Authors: Jakob Burcharth, Thue Bisgaard, Michael Skaarup Pedersen, Hanschristian Pommergaard, Carsten Bocker Pedersen, Jacob RosenbergAbstract:Purpose Umbilical and Epigastric Hernia repair are common surgical procedures; however, the nationwide gender and age-specific prevalence of these repairs is unknown, and this knowledge could form the basis for new studies.
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randomized clinical trial on the postoperative use of an abdominal binder after laparoscopic umbilical and Epigastric Hernia repair
Hernia, 2015Co-Authors: Mette Christoffersen, Jacob Rosenberg, B H Olsen, Thue BisgaardAbstract:Purpose Application of an abdominal binder is often part of a standard postoperative regimen after ventral Hernia repair to reduce pain and seroma formation. However, there is lack of evidence of the clinical effects. The aim of the present study was to investigate the pain- and seroma-reducing effect of an abdominal binder in patients undergoing laparoscopic umbilical or Epigastric Hernia repair.
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Chronic complaints after simple sutured repair for umbilical or Epigastric Hernias may be related to recurrence
Langenbeck's archives of surgery, 2013Co-Authors: Mikkel Westen, Lars N Jorgensen, Mette Christoffersen, Trine Stigaard, Thue BisgaardAbstract:Purpose Umbilical and Epigastric Hernia repairs are minor, but are commonly conducted surgical procedures. Long-term results have only been sparsely investigated. Our objective was to investigate the risk of chronic complaints after a simple sutured repair for small umbilical and Epigastric Hernias.
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Lower Reoperation Rate for Recurrence after Mesh versus Sutured Elective Repair in Small Umbilical and Epigastric Hernias. A Nationwide Register Study
World journal of surgery, 2013Co-Authors: M. W. Christoffersen, Frederik Helgstrand, Jacob Rosenberg, Henrik Kehlet, Thue BisgaardAbstract:Background Repair for a small (≤2 cm) umbilical and Epigastric Hernia is a minor surgical procedure. The most common surgical repair techniques are a sutured repair or a repair with mesh reinforcement. However, the optimal repair technique with regard to risk of reoperation for recurrence is not well documented. The aim of the present study was in a nationwide setup to investigate the reoperation rate for recurrence after small open umbilical and Epigastric Hernia repairs using either sutured or mesh repair.
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nationwide prospective study on readmission after umbilical or Epigastric Hernia repair
Hernia, 2013Co-Authors: Frederik Helgstrand, Lars N Jorgensen, Jacob Rosenberg, Henrik Kehlet, Thue BisgaardAbstract:Purpose The primary aim of the present study was to investigate risk factors for readmission after elective umbilical and Epigastric Hernia repair and secondarily to evaluate causes for readmission.
Simon W. Nienhuijs - One of the best experts on this subject based on the ideXlab platform.
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mesh or patch for Hernia on Epigastric and umbilical sites morpheus trial the complete two year follow up
Annals of Surgery, 2019Co-Authors: Jeroen E. H. Ponten, Wouter K G Leclercq, Tanja Lettinga, Jeroen Heemskerk, J L Konsten, Nicole D Bouvy, Simon W. NienhuijsAbstract:Objective The objective of this trial was to identify a superior method for umbilical and Epigastric Hernia repair in terms of complications. Complications such as an extended operation duration, additional use of painkillers, reoperation, infection, seroma, extended wound care, extended hospitalization, and early recurrence were reported according to the Clavien-Dindo grading system. Summary background data Over the years mesh repair is proven the gold standard for umbilical and Epigastric Hernias. The question remains, which mesh should be used? Methods In this randomized controlled, multicenter trial, all patients ≥ 18 years with a single, symptomatic, and primary small umbilical or Epigastric Hernia qualified for inclusion. Flat preperitoneal polypropylene mesh repair was compared with patch repair (PROCEED Ventral Patch) (PVP). Results A total of 352 patients were randomized; 348 patients received the intervention (n = 177 PVP vs n = 171 mesh). One out of 4 suffered from any kind of complication within 2 years postoperative (27.6%). A significant difference in complications was seen, in favor of polypropylene mesh repair (P = 0.044, 22.1% mesh vs 32.5% PVP). Reoperation was performed in 19 PVP operated patients (10.7%) versus 7 patients with polypropylene mesh repair (4.0%, P = 0.021).No significant differences were seen in recurrences (n = 13, 8.4% PVP vs n = 6, 4.1% mesh, P = 0.127). Conclusions In small Epigastric and small umbilical Hernia repair a flat polypropylene mesh repair was associated with a lower complication rate than PVP repair. No differences in recurrence rates were seen. Combining all complications, the preperitoneal positioned flat polypropylene mesh performed better.
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mesh versus patch repair for Epigastric and umbilical Hernia morpheus trial one year results of a randomized controlled trial
World Journal of Surgery, 2018Co-Authors: Jeroen E. H. Ponten, B. J. M. Leenders, Wouter K G Leclercq, Tanja Lettinga, Jeroen Heemskerk, J L Konsten, P S S Castelijns, Simon W. NienhuijsAbstract:This trial is a randomized controlled, patient-blinded, multicentre, superiority trial. All patients ≥18 years with a single, symptomatic and primary umbilical or Epigastric Hernia (<2 fingers) qualified for participation in the study. Flat polypropylene mesh repair was compared to patch repair (PROCEED® Ventral Patch) (PVP). The objective of this trial was to identify a superior method for umbilical and Epigastric Hernia repair in terms of complication rates. A total of 352 patients were randomized in this trial; 348 patients received the intervention (n = 177 PVP vs. n = 171 mesh). No peri-operative complications occurred. PVP placement was significantly faster compared to mesh placement (30 min, SD 11 vs. 35 min, SD 11) and was scored as an easier procedure. At 1-month follow-up, 76 patients suffered any kind of complication. There was no significant difference in the proportion of complications (24.9% for PVP and 18.7% for mesh, p = 0.195). A significant difference was seen in re-operation rate within 1 month, significantly less early re-operations in the mesh group (0.0 vs. 2.8%, p = 0.027). After 1-year follow-up, no significant differences are seen in recurrence rates (n = 13, 7.8% PVP vs. n = 5, 3.3% mesh, p = 0.08). Both mesh and PVP had a comparable amount of reported complications. There was a significantly higher incidence of early re-operations due to early complications in the PVP group. No differences were seen in infection rates and the need for antibiotic treatment. No significant difference was seen in the recurrence rates. This trial was registered in the Dutch Trail Registry (NTR) NTR2514NL33995.060.10. [12].
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A Collective Review on Mesh-Based Repair of Umbilical and Epigastric Hernias
Indian Journal of Surgery, 2014Co-Authors: Jeroen E. H. Ponten, Irene Thomassen, Simon W. NienhuijsAbstract:In accordance with the tension-free principles for other Hernias, umbilical and Epigastric Hernia repair should probably be mesh-based. The number of randomized studies is increasing, most of them showing significantly less recurrences with the use of a mesh. Different devices are available and are applicable by several approaches. The objective of this review was to evaluate recent literature for the different types of mesh for umbilical and Epigastric Hernia repair and recurrences after mesh repair. A multi-database search was conducted to reveal relevant studies since 2001 reporting mesh-based repair of primary umbilical/Epigastric Hernia and their outcomes in adult patients. A total of 20 studies were included, 15 of them solely involved umbilical Hernias, whereas the remaining studies included Epigastric Hernias as well. A median of 124 patients (range, 17–384) was investigated per study. Three quarters of the included studies had a follow-up of at least 2 years. Six studies described the results of laparoscopic approach, of which one reported a recurrence rate of 2.7 %; in the remaining studies, no recurrences occurred. Two comparative studies reported a lower incidence of complications and postoperative pain after laparoscopic repair compared to open repair. Seventeen studies reported results of open techniques, of which seven studies showed no recurrence. Other studies reported recurrence rates up to 3.1 %. A wide range of complication rates were reported (0–33 %). This collective review showed acceptable recurrence rates for mesh-based umbilical and Epigastric Hernia repair. A wide range of devices was investigated. A tendency toward more complications after laparoscopic repair was found compared to open repair.
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A consecutive series of 235 Epigastric Hernias
Hernia : the journal of hernias and abdominal wall surgery, 2014Co-Authors: J. E. H. Ponten, B. J. M. Leenders, J. A. Charbon, Simon W. NienhuijsAbstract:Background Epigastric Herniation is a common, though not always symptomatic condition. It is likely, that in accordance to the tension-free principles for other Hernias, Epigastric Hernia repair should be mesh based.
O. J. Muensterer - One of the best experts on this subject based on the ideXlab platform.
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Single-incision pediatric endosurgical Epigastric Hernia repair.
Hernia : the journal of hernias and abdominal wall surgery, 2014Co-Authors: A. A. Babsail, J. S. Abelson, D. Liska, O. J. MuenstererAbstract:Purpose Epigastric Hernias represent about 4 % of all abdominal Hernias in children and require surgical repair. Traditionally, these Hernias are repaired by an open surgical technique. More recently, laparoscopic Epigastric Hernia repairs have been described using two trocars in the upper abdomen. In this paper, we describe a novel single-incision pediatric endosurgical (SIPES) technique.
Frederik Helgstrand - One of the best experts on this subject based on the ideXlab platform.
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Watchful waiting as a treatment strategy for patients with a ventral Hernia appears to be safe
Hernia : the journal of hernias and abdominal wall surgery, 2016Co-Authors: Dunja Kokotovic, H. Sjølander, Ismail Gögenur, Frederik HelgstrandAbstract:Due to risks of postoperative morbidity and recurrence some patients with a ventral Hernia are not offered surgical repair. There is limited data on the rate and consequences of a watchful waiting (WW) strategy for these patients. The objective of this cohort study was to analyse outcomes for patients with a ventral Hernia who underwent watchful waiting, in terms of later requirement for Hernia repair. All patients (≥18 years) electively referred to our out-patient clinic from 1 January 2009 to 1 July 2014 with incisional, umbilical or Epigastric Hernia were included. Information on patient characteristics and whether patients underwent WW or surgery was obtained from hospital files and the Danish National Patient Register. A 100 % follow-up was obtained. The analyses comprised 569 patients with incisional Hernia (WW = 58.1 %) and 789 patients with umbilical/Epigastric Hernia (WW = 43.2 %). Kaplan–Meier analyses estimated that the probability for patients who underwent watchful waiting to receive later surgical repair was 19 % for incisional Hernias and 16 % for umbilical/Epigastric Hernias after 5 years. The probability of requiring emergency repair when in the WW group was 4 % for both incisional and umbilical/Epigastric Hernias after 5 years. There were no significant differences in 30-day readmission, reoperation or mortality rates between the WW patients who later underwent elective Hernia repair and patients who were initially offered surgery (p > 0.05), for both incisional and umbilical/Epigastric Hernias. Watchful waiting appears to be a safe strategy in the treatment of incisional, umbilical and Epigastric Hernias.
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Lower Reoperation Rate for Recurrence after Mesh versus Sutured Elective Repair in Small Umbilical and Epigastric Hernias. A Nationwide Register Study
World journal of surgery, 2013Co-Authors: M. W. Christoffersen, Frederik Helgstrand, Jacob Rosenberg, Henrik Kehlet, Thue BisgaardAbstract:Background Repair for a small (≤2 cm) umbilical and Epigastric Hernia is a minor surgical procedure. The most common surgical repair techniques are a sutured repair or a repair with mesh reinforcement. However, the optimal repair technique with regard to risk of reoperation for recurrence is not well documented. The aim of the present study was in a nationwide setup to investigate the reoperation rate for recurrence after small open umbilical and Epigastric Hernia repairs using either sutured or mesh repair.
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nationwide prospective study on readmission after umbilical or Epigastric Hernia repair
Hernia, 2013Co-Authors: Frederik Helgstrand, Lars N Jorgensen, Jacob Rosenberg, Henrik Kehlet, Thue BisgaardAbstract:Purpose The primary aim of the present study was to investigate risk factors for readmission after elective umbilical and Epigastric Hernia repair and secondarily to evaluate causes for readmission.
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Long-term complaints after elective repair for small umbilical or Epigastric Hernias.
Hernia : the journal of hernias and abdominal wall surgery, 2012Co-Authors: L. Erritzøe-jervild, Frederik Helgstrand, M. W. Christoffersen, Thue BisgaardAbstract:Purpose Elective repair for umbilical or Epigastric Hernia is a frequent minor surgical procedure. Several studies have demonstrated chronic pain after groin Hernia repair but long-term complaints have been only scarcely studied. This study was undertaken to investigate long-term pain and discomfort after open repair for small umbilical or Epigastric Hernias.
Jacob Rosenberg - One of the best experts on this subject based on the ideXlab platform.
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the prevalence of umbilical and Epigastric Hernia repair a nationwide epidemiologic study
Hernia, 2015Co-Authors: Jakob Burcharth, Thue Bisgaard, Michael Skaarup Pedersen, Hanschristian Pommergaard, Carsten Bocker Pedersen, Jacob RosenbergAbstract:Purpose Umbilical and Epigastric Hernia repair are common surgical procedures; however, the nationwide gender and age-specific prevalence of these repairs is unknown, and this knowledge could form the basis for new studies.
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randomized clinical trial on the postoperative use of an abdominal binder after laparoscopic umbilical and Epigastric Hernia repair
Hernia, 2015Co-Authors: Mette Christoffersen, Jacob Rosenberg, B H Olsen, Thue BisgaardAbstract:Purpose Application of an abdominal binder is often part of a standard postoperative regimen after ventral Hernia repair to reduce pain and seroma formation. However, there is lack of evidence of the clinical effects. The aim of the present study was to investigate the pain- and seroma-reducing effect of an abdominal binder in patients undergoing laparoscopic umbilical or Epigastric Hernia repair.
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Lower Reoperation Rate for Recurrence after Mesh versus Sutured Elective Repair in Small Umbilical and Epigastric Hernias. A Nationwide Register Study
World journal of surgery, 2013Co-Authors: M. W. Christoffersen, Frederik Helgstrand, Jacob Rosenberg, Henrik Kehlet, Thue BisgaardAbstract:Background Repair for a small (≤2 cm) umbilical and Epigastric Hernia is a minor surgical procedure. The most common surgical repair techniques are a sutured repair or a repair with mesh reinforcement. However, the optimal repair technique with regard to risk of reoperation for recurrence is not well documented. The aim of the present study was in a nationwide setup to investigate the reoperation rate for recurrence after small open umbilical and Epigastric Hernia repairs using either sutured or mesh repair.
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nationwide prospective study on readmission after umbilical or Epigastric Hernia repair
Hernia, 2013Co-Authors: Frederik Helgstrand, Lars N Jorgensen, Jacob Rosenberg, Henrik Kehlet, Thue BisgaardAbstract:Purpose The primary aim of the present study was to investigate risk factors for readmission after elective umbilical and Epigastric Hernia repair and secondarily to evaluate causes for readmission.
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a nationwide study on readmission morbidity and mortality after umbilical and Epigastric Hernia repair
Hernia, 2011Co-Authors: Thue Bisgaard, Jacob Rosenberg, Henrik Kehlet, Morten Baynielsen, Maria Gerding Iversen, Lars N JorgensenAbstract:Background Repair for umbilical and Epigastric Hernia is a minor and common surgical procedure. Early outcomes are not well documented.