A5084547575- Hernia repair and management
- Pelvic and Acetabular Injuries
- Anesthesia and Pain Management
- Pain Management and Opioid Use
- Abdominal Surgery and Complications
- Opioid Use Disorder Treatment
- Social Media in Health Education
- Stoma care and complications
- Health Literacy and Information Accessibility
- Pain Management and Placebo Effect
- Spinal Hematomas and Complications
- Bone and Joint Diseases
- Tracheal and airway disorders
- Intestinal and Peritoneal Adhesions
- Peripheral Nerve Disorders
- Surgical site infection prevention
- Spine and Intervertebral Disc Pathology
- Case Reports on Hematomas
Hernia Center
2020-2022
University of California, Los Angeles
2018-2019
Social media can influence public perception in health care. By 2016, social discussion against the use of transvaginal mesh influenced changes Food and Drug Administration (FDA) regulations. We propose that fate hernia will follow mesh. Thus, we compare trend Posts on Twitter Facebook groups were tracked for keywords “hernia,” “hernia mesh,” “pelvic/vaginal mesh.” categorized based sentiment. On Facebook, 16 with 14 526 members expressed negative sentiments 95% their 750 daily posts....
In our practice, we have noticed an increased number of patients requiring mesh removal due to a systemic reaction their implant. We present experience in diagnosing and treating subpopulation who require possible implant illness (MII). All underwent for indication were captured from hernia database. Data extraction focused on the patients’ predisposing medical conditions, presenting symptoms suggestive illness, types implants which occurred, postoperative outcome after removal. Over almost...
Currently, over half of drug overdose deaths are due to opioids. Opioid alternatives may be prescribed help curb the opioid epidemic. However, little is known about their efficacy for acute postoperative pain.We studied patients who underwent low-risk outpatient surgery. Perioperatively, all were started on an anti-inflammatory bundle consisting multimodal pain remedies. Opioids available postoperatively. Pain scores and use recorded.Over 18 months, 120 surgery used bundle. All had a...
Background The opioid crisis demands novel solutions for postoperative pain control. Traditional Chinese medicine (TCM) has used herbs the treatment of thousands years. We studied whether a synergistic multimodal TCM supplement could reduce need conventional pills low risk surgical procedures. Methods In Phase I/II, prospective, double-blind, placebo-controlled, randomized clinical trial (PRCT), 93 patients were to either or placebo oral medication low-risk outpatient Study medications began...
Abstract Aim EHS consensus recommends mesh implantation for all incisional hernia (IH) repairs, regardless of size. We propose considering abdominoplasty in the algorithm IH repairs wherein plicated fascia functions as a permanent autologous biologic onlay repair over primary IH. Materials & Methods Four patients with midline IHs underwent abdominoplasty. Their were first closed primarily #2–0 suture. Next, two-layer anterior plication overlying was performed No implanted. Patients...
Abstract Aim Inguinal hernias (IH) can be repaired via open, laparoscopic, and robotic approaches, with or without mesh. We aim to understand the changing trends in IH repair that may serve as a guideline toward tailored approach for hernia repair. Materials & Methods All patients undergoing primary from 2009–2021 by single surgeon at specialty center were included. Temporal differences evaluated using Chi-squared, Fisher's exact test, logistic linear regression. Results Over 12 years,...
Abstract Aim Synthetic non-absorbable mesh repair is considered standard of care for most hernias in the United States (US). The introduction biologic absorbable 2000’s has changed this practice and now novel synthetic hybrid meshes are available. We aim to describe US trends use. Material Methods surveyed Abdominal Core Health Quality Collaborative database all repairs using from 2012 2021. Mesh types indications were analysed. Results Among 47,555 patients who underwent hernia with mesh,...