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Modified rives-stoppa repair for abdominal incisional hernias

Health 2010年第2期2卷 162-169页

作者： peter nau Clancy J. Clark Mason Fisher Gregory Walker Bradley J. Needleman E. Christopher Ellison peter Muscarella 不详

Incisional hernias are a prevalent problem in abdominal surgery and occur in 11% of patients who undergo laparotomy. Primary suture clo-sure of incisional hernias results in a 31%-58% chance of recurrence. The addition of a pros-thetic mesh implant decreases recurrence rates to 8%-10%. Popularized in Europe by Rives and Stoppa, the sublay technique has proven to be very effective, with low recurrence rates (0%-23%) and minimal complications. The pur-pose of the study was to evaluate the experi-ence of a single surgeon at a large tertiary care center performing a modified Rives-Stoppa re-pair for abdominal incisional hernias. To do this, the records of all patients undergoing a modi-fied Rives-Stoppa incisional hernia repair be-tween January 2000 and August 2003 were ret-rospectively reviewed. Outpatient clinic notes, discharge summaries, operative reports, and laboratory data were reviewed for patient demographics, surgical data and postoperative complications. Univariate analysis was per-formed in order to identify predictors for recur-rence. During the study period, 83 patients un-derwent a modified Rives-Stoppa incisional hernia repair. Nineteen patients were excluded due to incomplete medical records. No patients required postoperative exploration for an in-tra-abdominal catastrophe. Twenty-five percent (n=16) of patients had a complication as a result of the hernia repair. Only two patients (3.1%) developed recurrent incisional hernias. History of diabetes (p=0.007) and benign prostatic hy-perplasia (p=0.000) were the only significant predictors for recurrence. The results presented here confirm that the modified Rives-Stoppa retromuscular repair is an effective method for the repair of incisional hernias. The complica-tion and recurrence rates compare favorably to results for currently popular alternative tech-niques.

关键词： Incisional Hernia Repair Mesh Rives-Stoppa Repair Abdominal Wall Defects

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Therapeutic resistance training:proposal for an algorithm-based approach

Translational Exercise Biomedicine

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Translational Exercise Biomedicine 2024年第1期1卷 89-101页

作者： Frank Weber Christina Stark Wilhelm Bloch Jonas Böcker Michael Drey Sebastian Gehlert Björn Maier Kirsten peters Ludwig Sachs Benedikt Schoser Eckhard Schönau Rolf Schröder Henning Wackerhage peter Young Jörn Rittweger German Air Force Center of Aerospace Medicine CologneGermany Department of Neurology Medical Faculty and University HospitalUniversity of CologneCologneGermany Section Molecular and Cellular Sports Medicine German Sports University CologneCologneGermany Institute of Aerospace Medicine German Aerospace CenterCologneGermanyLinder Höhe51147 Department of Internal Medicine IV Ludwig-Maximilians-University of MunichMunichGermany Department for Biosciences of Sports Institute of Sports ScienceUniversity of HildesheimHildesheimGermany Duale Hochschule Baden Württemberg MannheimGermany Rijnstate Hospital Arnhemthe Netherlands Psychotherapie Praxis Sachs Prien a.ChiemseeGermany Friedrich-Baur-Institute Ludwig-Maximilians-UniversityMunichGermany Department of Pediatrics Medical Faculty and University HospitalUniversity of CologneCologneGermanyD-50937 Institute of Neuropathology Friedrich-Alexander UniversityErlangenGermany Department of Sport and Health Sciences Technical University MunichMunichGermany Medical Park Bad Feilnbach Bad FeilnbachGermany

Background Ageing,immobilization,sepsis or cachexia reduce muscle mass and *** age-related loss,***,contributes to frailty and results in a loss of mobility and autonomy in aging and *** individuals are often socially isolated,have a greater risk of metabolic disorders and psychosomatic *** a result,quality of life and life expectancy are *** and lack of adequate stimuli to the skeletal muscle seem to play a central part in these *** overcome them,resistance training(i.e.,weightlifting)is an effective *** of the problem Despite the efficacy of resistance training for increasing muscle mass and function,this treatment is underused in clinical *** argue that this is due to a lack of a generally applicable *** and framework To address this and related problems,we have formed the Network of Expertise for Immobilization-induced Muscle Disorders(KNIMS)to develop a potential algorithm for treating sarcopenia and other immobilization-related muscle *** important aspect of the proposed method is that it is defined as a formal algorithm that consists of two *** A aims to recover bed-ridden patients’ability to stand by applying vibration-tilt table *** B aims at rehabilitating compromised gait,using a combination of squats,lunges and single leg *** is anticipated that this algorithm-based approach will enhance the ability for standardization and documentation,whilst reducing resource efforts at the same time,which will be equally useful to clinical practice and to clinical research.

关键词： muscle training sarcopenia falls mobility immobilization physiotherapy muscle

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SHui, an EU-Chinese cooperative project to optimize soil and water management in agricultural areas in the ⅩⅪ century

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International Soil and Water Conservation Research 2020年第1期8卷 1-14页

作者： José A.Gómez Alon Ben-Gal Juan J.Alarcón Gabrielle De Lannoy Shannon de Roos Tomá(s)Dostál Elias Fereres Diego S.Intrigliolo Josef Krása Andreas Klik Gunther Liebhard Reinhard Nolz Aviva Peeters Elke Plaas John N.Quinton Rui Miao peter Strauss Weifeng Xu Zhiqiang Zhang Funing Zhong David Zumr Ian C.Dodd Institute for Sustainable Agriculture IASCSICAvda Menendez Pidal S/NCordobaSpain Agricultural Research Organization Gilat Research CenterIsrael Centro de Edafología y Biología Aplicada Del Segura(CSIC) Dept.RiegoMurciaSpain Department of Earth and Environmental Sciences KU LeuvenHeverleeBelgium Czech Technical University in Prague Faculty of Civil Engineering.CVUTPragueCzech Republic Agronomy Department University of CordobaCordobaSpain University of Agricultural Sciences Vienna(BOKU) ViennaAustria TerraVision Lab Midreshet Ben-GurionIsrael Georg-August-Universitat Gottingen Germany Centre for Sustainable Agriculture Lancaster Environment CentreLancaster UniversityUK Center for Plant Water-Use and Nutrition Regulation and College of Life Sciences Joint International Research Laboratory of Water and Nutrient in CropsFujian Agriculture and Forestry UniversityFuzhouChina Institute for Land and Water Management Research Federal Agency for Water ManagementPetzenkirchenAustria College of Soil and Water Conservation Beijing Forestry UniversityBeijingChina College of Economics and Management Nanjing Agricultural UniversityNAUNanjingChina

This article outlines the major scientific objectives of the SHui project that seeks to optimize soil and water use in agricultural systems in the EU and China,by considering major current scientific challenges in this ***(for Soil Hydrology research platform underpinning innovation to manage water scarcity in European and Chinese cropping systems)is large cooperative project that aims to provide significant advances through transdisciplinary research at multiple scales(plot,field,catchment and region).This paper explains our research platform of long-term experiments established at plot scale,approaches taken to integrate crop and hydrological models at field scale;coupled crop models and satellite-based observations at regional scales;decision support systems for specific farming situations;and the integration of these technologies to provide policy recommendations through socio-economic analysis of the impact of soil and water saving *** also outlines the training of stake-holders to develop a basic common curriculum despite the subject being distributed across different disciplines and *** such,this article provides a review of major challenges for improving soil and water use in EU and China as well as information about the potential to access information made available by SHui,and to allow others to engage with the project.

关键词： Yield Sustainability Cropping Cooperation

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