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Jean-françois Gillion - One of the best experts on this subject based on the ideXlab platform.
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Risk Factors for Incarceration in Patients with Primary Abdominal Wall and Incisional Hernias: A Prospective Study in 4472 Patients
World Journal of Surgery, 2019Co-Authors: Dimitri Sneiders, L. F. Kroese, Yagmur Yurtkap, Gert-jan Kleinrensink, Johan F. Lange, Jean-françois GillionAbstract:BackgroundIncarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia.MethodsA registry-based prospective study was performed of all consecutive patients undergoing hernia surgery between September 2011 and February 2016. Multivariate logistic regression was performed to identify risk factors for incarceration.ResultsIn total, 83 (3.5%) of 2352 primary hernias and 79 (3.7%) of 2120 incisional hernias had a non-reducible incarceration. For primary hernias, a defect width of 3–4 cm compared to defects of 0–1 cm was significantly associated with an incarcerated hernia (OR 2.85, 95% CI 1.57–5.18, p = 0.0006). For incisional hernias, a defect width of 3–4 cm compared to defects of 0–2 cm was significantly associated with an incarceration (OR 2.14, 95% CI 1.07–4.31, p = 0.0324). For primary hernias, defects in the peri- and infra-Umbilical Region portrayed a significantly increased odds for incarceration as compared to supra-Umbilical defects (OR 1.98, 95% CI 1.02–3.85, p = 0.043). Additionally, in primary hernias age, BMI, and constipation were associated with incarceration. In incisional hernias age, BMI, female sex, diabetes mellitus and ASA classification were associated with incarceration.ConclusionFor primary and incisional hernias, mainly defects of 3–4 cm were associated with incarceration. For primary hernias, mainly defects located in the peri- and infra-Umbilical Region were associated with incarceration. Based on patient and hernia characteristics, patients with increased odds for incarceration may be selected and these patients may benefit from elective surgical treatment.
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Risk Factors for Incarceration in Patients with Primary Abdominal Wall and Incisional Hernias: A Prospective Study in 4472 Patients.
World Journal of Surgery, 2019Co-Authors: Dimitri Sneiders, L. F. Kroese, Yagmur Yurtkap, Gert-jan Kleinrensink, Johan F. Lange, Jean-françois GillionAbstract:Incarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia. A registry-based prospective study was performed of all consecutive patients undergoing hernia surgery between September 2011 and February 2016. Multivariate logistic regression was performed to identify risk factors for incarceration. In total, 83 (3.5%) of 2352 primary hernias and 79 (3.7%) of 2120 incisional hernias had a non-reducible incarceration. For primary hernias, a defect width of 3–4 cm compared to defects of 0–1 cm was significantly associated with an incarcerated hernia (OR 2.85, 95% CI 1.57–5.18, p = 0.0006). For incisional hernias, a defect width of 3–4 cm compared to defects of 0–2 cm was significantly associated with an incarceration (OR 2.14, 95% CI 1.07–4.31, p = 0.0324). For primary hernias, defects in the peri- and infra-Umbilical Region portrayed a significantly increased odds for incarceration as compared to supra-Umbilical defects (OR 1.98, 95% CI 1.02–3.85, p = 0.043). Additionally, in primary hernias age, BMI, and constipation were associated with incarceration. In incisional hernias age, BMI, female sex, diabetes mellitus and ASA classification were associated with incarceration. For primary and incisional hernias, mainly defects of 3–4 cm were associated with incarceration. For primary hernias, mainly defects located in the peri- and infra-Umbilical Region were associated with incarceration. Based on patient and hernia characteristics, patients with increased odds for incarceration may be selected and these patients may benefit from elective surgical treatment.
Dimitri Sneiders - One of the best experts on this subject based on the ideXlab platform.
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Risk Factors for Incarceration in Patients with Primary Abdominal Wall and Incisional Hernias: A Prospective Study in 4472 Patients
World Journal of Surgery, 2019Co-Authors: Dimitri Sneiders, L. F. Kroese, Yagmur Yurtkap, Gert-jan Kleinrensink, Johan F. Lange, Jean-françois GillionAbstract:BackgroundIncarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia.MethodsA registry-based prospective study was performed of all consecutive patients undergoing hernia surgery between September 2011 and February 2016. Multivariate logistic regression was performed to identify risk factors for incarceration.ResultsIn total, 83 (3.5%) of 2352 primary hernias and 79 (3.7%) of 2120 incisional hernias had a non-reducible incarceration. For primary hernias, a defect width of 3–4 cm compared to defects of 0–1 cm was significantly associated with an incarcerated hernia (OR 2.85, 95% CI 1.57–5.18, p = 0.0006). For incisional hernias, a defect width of 3–4 cm compared to defects of 0–2 cm was significantly associated with an incarceration (OR 2.14, 95% CI 1.07–4.31, p = 0.0324). For primary hernias, defects in the peri- and infra-Umbilical Region portrayed a significantly increased odds for incarceration as compared to supra-Umbilical defects (OR 1.98, 95% CI 1.02–3.85, p = 0.043). Additionally, in primary hernias age, BMI, and constipation were associated with incarceration. In incisional hernias age, BMI, female sex, diabetes mellitus and ASA classification were associated with incarceration.ConclusionFor primary and incisional hernias, mainly defects of 3–4 cm were associated with incarceration. For primary hernias, mainly defects located in the peri- and infra-Umbilical Region were associated with incarceration. Based on patient and hernia characteristics, patients with increased odds for incarceration may be selected and these patients may benefit from elective surgical treatment.
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Risk Factors for Incarceration in Patients with Primary Abdominal Wall and Incisional Hernias: A Prospective Study in 4472 Patients.
World Journal of Surgery, 2019Co-Authors: Dimitri Sneiders, L. F. Kroese, Yagmur Yurtkap, Gert-jan Kleinrensink, Johan F. Lange, Jean-françois GillionAbstract:Incarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia. A registry-based prospective study was performed of all consecutive patients undergoing hernia surgery between September 2011 and February 2016. Multivariate logistic regression was performed to identify risk factors for incarceration. In total, 83 (3.5%) of 2352 primary hernias and 79 (3.7%) of 2120 incisional hernias had a non-reducible incarceration. For primary hernias, a defect width of 3–4 cm compared to defects of 0–1 cm was significantly associated with an incarcerated hernia (OR 2.85, 95% CI 1.57–5.18, p = 0.0006). For incisional hernias, a defect width of 3–4 cm compared to defects of 0–2 cm was significantly associated with an incarceration (OR 2.14, 95% CI 1.07–4.31, p = 0.0324). For primary hernias, defects in the peri- and infra-Umbilical Region portrayed a significantly increased odds for incarceration as compared to supra-Umbilical defects (OR 1.98, 95% CI 1.02–3.85, p = 0.043). Additionally, in primary hernias age, BMI, and constipation were associated with incarceration. In incisional hernias age, BMI, female sex, diabetes mellitus and ASA classification were associated with incarceration. For primary and incisional hernias, mainly defects of 3–4 cm were associated with incarceration. For primary hernias, mainly defects located in the peri- and infra-Umbilical Region were associated with incarceration. Based on patient and hernia characteristics, patients with increased odds for incarceration may be selected and these patients may benefit from elective surgical treatment.
Nobuo Yaegashi - One of the best experts on this subject based on the ideXlab platform.
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Changes of blood flow volume in the superior mesenteric artery and brachial artery with abdominal thermal stimulation.
Evidence-based Complementary and Alternative Medicine, 2011Co-Authors: Shin Takayama, Takashi Seki, M. Watanabe, Shigeru Takashima, Norihiro Sugita, Satoshi Konno, Takashi Takeda, Tomoyuki Yambe, Hiroyuki Arai, Nobuo YaegashiAbstract:In traditional Chinese medicine, moxibustion is a local thermal therapy that is used for several conditions. Quantifying the effects of moxibustion therapy has been difficult because the treatment temperature depends on the physician's experience, and the temperature distribution in the target area is not uniform. This prospective observational study aims to quantify the effect of local thermal stimulation to the abdomen. We developed a heat transfer control device (HTCD) for local thermal stimulation. Twenty-four healthy subjects were enrolled and they underwent abdominal thermal stimulation to the para-Umbilical Region with the device for 20 min. Blood flow volume in the superior mesenteric artery (SMA) and brachial artery (BA), the heart rate and the blood pressure were measured at rest, 15 min after starting thermal stimulation and 10, 20, 30 and 40 min after completing thermal stimulation. Blood flow parameters were measured by high-resolution ultrasound. In the SMA, blood flow volume was significantly increased during thermal stimulation (P < .01), as well as at 10 min (P < .01) and 20 min (P < .05) after stimulation. In the BA, blood flow volume decreased at 40 min after stimulation (P < .01). In conclusion we could quantify the effect of local thermal stimulation with an HTCD and high-resolution ultrasound. Thermal stimulation of the para-Umbilical Region increased blood flow in the SMA 20 min after stimulation in healthy subjects.
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Changes of blood flow volume in the superior mesenteric artery and brachial artery with abdominal thermal stimulation
European Journal of Integrative Medicine, 2009Co-Authors: Shin Takayama, Takashi Seki, M. Watanabe, Shigeru Takashima, Norihiro Sugita, Satoshi Konno, Takashi Takeda, Nobuo Yaegashi, Tomoyuki Yambe, Makoto YoshizawaAbstract:Background In traditional Chinese medicine, moxibustion is a local thermal therapy that is used for several conditions. Quantifying the effects of moxibustion therapy has been difficult because the treatment temperature depends on the physician's experience, and the temperature distribution in the target area is not uniform. Aims This prospective observational study aims to quantify the effect of local thermal stimulation to the abdomen. Methods We developed a heat transfer control device (HTCD) for local thermal stimulation. Twenty-four healthy subjects were enrolled and they underwent abdominal thermal stimulation to the para-Umbilical Region with the device for 20 min. Blood flow volume in the superior mesenteric artery (SMA) and brachial artery, the heart rate, and the blood pressure were measured at rest, 15 min after starting thermal stimulation, and 10, 20, 30, and 40 min after completing thermal stimulation. Blood flow parameters were measured by high-resolution ultrasound. Results In the SMA, blood flow volume was significantly increased during thermal stimulation ( p p p p Conclusions We could quantify the effect of local thermal stimulation with an HTCD and high-resolution ultrasound. Thermal stimulation of the para-Umbilical Region increased blood flow in the SMA 20 min after stimulation in healthy subjects.
Shin Takayama - One of the best experts on this subject based on the ideXlab platform.
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Changes of blood flow volume in the superior mesenteric artery and brachial artery with abdominal thermal stimulation.
Evidence-based Complementary and Alternative Medicine, 2011Co-Authors: Shin Takayama, Takashi Seki, M. Watanabe, Shigeru Takashima, Norihiro Sugita, Satoshi Konno, Takashi Takeda, Tomoyuki Yambe, Hiroyuki Arai, Nobuo YaegashiAbstract:In traditional Chinese medicine, moxibustion is a local thermal therapy that is used for several conditions. Quantifying the effects of moxibustion therapy has been difficult because the treatment temperature depends on the physician's experience, and the temperature distribution in the target area is not uniform. This prospective observational study aims to quantify the effect of local thermal stimulation to the abdomen. We developed a heat transfer control device (HTCD) for local thermal stimulation. Twenty-four healthy subjects were enrolled and they underwent abdominal thermal stimulation to the para-Umbilical Region with the device for 20 min. Blood flow volume in the superior mesenteric artery (SMA) and brachial artery (BA), the heart rate and the blood pressure were measured at rest, 15 min after starting thermal stimulation and 10, 20, 30 and 40 min after completing thermal stimulation. Blood flow parameters were measured by high-resolution ultrasound. In the SMA, blood flow volume was significantly increased during thermal stimulation (P < .01), as well as at 10 min (P < .01) and 20 min (P < .05) after stimulation. In the BA, blood flow volume decreased at 40 min after stimulation (P < .01). In conclusion we could quantify the effect of local thermal stimulation with an HTCD and high-resolution ultrasound. Thermal stimulation of the para-Umbilical Region increased blood flow in the SMA 20 min after stimulation in healthy subjects.
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Changes of blood flow volume in the superior mesenteric artery and brachial artery with abdominal thermal stimulation
European Journal of Integrative Medicine, 2009Co-Authors: Shin Takayama, Takashi Seki, M. Watanabe, Shigeru Takashima, Norihiro Sugita, Satoshi Konno, Takashi Takeda, Nobuo Yaegashi, Tomoyuki Yambe, Makoto YoshizawaAbstract:Background In traditional Chinese medicine, moxibustion is a local thermal therapy that is used for several conditions. Quantifying the effects of moxibustion therapy has been difficult because the treatment temperature depends on the physician's experience, and the temperature distribution in the target area is not uniform. Aims This prospective observational study aims to quantify the effect of local thermal stimulation to the abdomen. Methods We developed a heat transfer control device (HTCD) for local thermal stimulation. Twenty-four healthy subjects were enrolled and they underwent abdominal thermal stimulation to the para-Umbilical Region with the device for 20 min. Blood flow volume in the superior mesenteric artery (SMA) and brachial artery, the heart rate, and the blood pressure were measured at rest, 15 min after starting thermal stimulation, and 10, 20, 30, and 40 min after completing thermal stimulation. Blood flow parameters were measured by high-resolution ultrasound. Results In the SMA, blood flow volume was significantly increased during thermal stimulation ( p p p p Conclusions We could quantify the effect of local thermal stimulation with an HTCD and high-resolution ultrasound. Thermal stimulation of the para-Umbilical Region increased blood flow in the SMA 20 min after stimulation in healthy subjects.
L. F. Kroese - One of the best experts on this subject based on the ideXlab platform.
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Risk Factors for Incarceration in Patients with Primary Abdominal Wall and Incisional Hernias: A Prospective Study in 4472 Patients
World Journal of Surgery, 2019Co-Authors: Dimitri Sneiders, L. F. Kroese, Yagmur Yurtkap, Gert-jan Kleinrensink, Johan F. Lange, Jean-françois GillionAbstract:BackgroundIncarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia.MethodsA registry-based prospective study was performed of all consecutive patients undergoing hernia surgery between September 2011 and February 2016. Multivariate logistic regression was performed to identify risk factors for incarceration.ResultsIn total, 83 (3.5%) of 2352 primary hernias and 79 (3.7%) of 2120 incisional hernias had a non-reducible incarceration. For primary hernias, a defect width of 3–4 cm compared to defects of 0–1 cm was significantly associated with an incarcerated hernia (OR 2.85, 95% CI 1.57–5.18, p = 0.0006). For incisional hernias, a defect width of 3–4 cm compared to defects of 0–2 cm was significantly associated with an incarceration (OR 2.14, 95% CI 1.07–4.31, p = 0.0324). For primary hernias, defects in the peri- and infra-Umbilical Region portrayed a significantly increased odds for incarceration as compared to supra-Umbilical defects (OR 1.98, 95% CI 1.02–3.85, p = 0.043). Additionally, in primary hernias age, BMI, and constipation were associated with incarceration. In incisional hernias age, BMI, female sex, diabetes mellitus and ASA classification were associated with incarceration.ConclusionFor primary and incisional hernias, mainly defects of 3–4 cm were associated with incarceration. For primary hernias, mainly defects located in the peri- and infra-Umbilical Region were associated with incarceration. Based on patient and hernia characteristics, patients with increased odds for incarceration may be selected and these patients may benefit from elective surgical treatment.
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Risk Factors for Incarceration in Patients with Primary Abdominal Wall and Incisional Hernias: A Prospective Study in 4472 Patients.
World Journal of Surgery, 2019Co-Authors: Dimitri Sneiders, L. F. Kroese, Yagmur Yurtkap, Gert-jan Kleinrensink, Johan F. Lange, Jean-françois GillionAbstract:Incarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia. A registry-based prospective study was performed of all consecutive patients undergoing hernia surgery between September 2011 and February 2016. Multivariate logistic regression was performed to identify risk factors for incarceration. In total, 83 (3.5%) of 2352 primary hernias and 79 (3.7%) of 2120 incisional hernias had a non-reducible incarceration. For primary hernias, a defect width of 3–4 cm compared to defects of 0–1 cm was significantly associated with an incarcerated hernia (OR 2.85, 95% CI 1.57–5.18, p = 0.0006). For incisional hernias, a defect width of 3–4 cm compared to defects of 0–2 cm was significantly associated with an incarceration (OR 2.14, 95% CI 1.07–4.31, p = 0.0324). For primary hernias, defects in the peri- and infra-Umbilical Region portrayed a significantly increased odds for incarceration as compared to supra-Umbilical defects (OR 1.98, 95% CI 1.02–3.85, p = 0.043). Additionally, in primary hernias age, BMI, and constipation were associated with incarceration. In incisional hernias age, BMI, female sex, diabetes mellitus and ASA classification were associated with incarceration. For primary and incisional hernias, mainly defects of 3–4 cm were associated with incarceration. For primary hernias, mainly defects located in the peri- and infra-Umbilical Region were associated with incarceration. Based on patient and hernia characteristics, patients with increased odds for incarceration may be selected and these patients may benefit from elective surgical treatment.