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Article ; Online: A comparison of robotic enhanced-view totally extraperitoneal approach versus trans-abdominal retro-muscular approach for midline ventral hernias.

Pacheco, Tulio Brasileiro Silva / Hakmi, Hazim / Halpern, Robert / Sohail, Amir Humza / Akerman, Meredith / Weinman, Kristen / Halpern, David K

Hernia : the journal of hernias and abdominal wall surgery

2024

Abstract: Background: The evolution of midline ventral hernia repair has progressed from the open Rives-Stoppa technique to minimally invasive robotic approaches, notably the trans-abdominal retromuscular (TARM) and enhanced-view Totally Extraperitoneal (eTEP) ... ...

Abstract	Background: The evolution of midline ventral hernia repair has progressed from the open Rives-Stoppa technique to minimally invasive robotic approaches, notably the trans-abdominal retromuscular (TARM) and enhanced-view Totally Extraperitoneal (eTEP) methods. This study compares these two robotic techniques in repairing medium-sized midline ventral hernias. Methods: A retrospective comparative study of electronic medical records from 2015 to 2021 was conducted on patients undergoing robotic TARM or eTEP at NYU Langone Hospital-Long Island. Data on demographics, comorbid conditions, surgical history, intraoperative details, hernia characteristics, and postoperative outcomes were analyzed. Results: Both eTEP and TARM groups exhibited comparable outcomes regarding operative duration, hernia defect size, and overall complications. However, notable differences were observed in patients' BMI, implanted mesh area, mesh composition, and fixation techniques across the groups. The TARM group required a longer hospital stay (median: 1 day) in contrast to the eTEP group (median: 0 days). Additionally, eTEP patients indicated reduced postoperative pain scores (median: 2) compared to TARM (median: 3), with both differences being statistically significant (p < 0.001). Conclusion: The robotic eTEP approach is associated with lower post-operative pain scores, decreased hospital length of stay, and larger areas of mesh implantation as compared to the TARM approach. Other variables are largely comparable between the two techniques. Level of evidence: Level III.
Language	English
Publishing date	2024-04-26
Publishing country	France
Document type	Journal Article
ZDB-ID	1388125-5
ISSN	1248-9204 ; 1265-4906
ISSN (online)	1248-9204
ISSN	1265-4906
DOI	10.1007/s10029-024-03042-8
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Zs.A 5390: Show issues

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Article: Laparoscopic repair of incarcerated transverse colon internal hernia in a patient with Crohn's disease.

Hakmi, Hazim / Hashmi, Hassan / Hunt, Jackson / Levine, Jun

Journal of surgical case reports

2020 Volume 2020, Issue 12, Page(s) rjaa482

Abstract: Internal hernia is a rare cause of bowel obstruction in patients with no prior surgical history. Laparoscopic repair of a transverse bowel herniation through the foramen of Winslow is the rarest type of internal hernia, with only two case reports ... ...

Abstract	Internal hernia is a rare cause of bowel obstruction in patients with no prior surgical history. Laparoscopic repair of a transverse bowel herniation through the foramen of Winslow is the rarest type of internal hernia, with only two case reports published in the literature. In a patient with a history with Crohn's disease and no prior surgical history, presenting with signs of bowel obstruction, and no inflammatory symptoms, internal hernia should be suspected as one of the causes. Minimally invasive laparoscopic repair is a feasible safe option in those patients, allowing patients to go home the next day postoperatively.
Language	English
Publishing date	2020-12-07
Publishing country	England
Document type	Case Reports
ISSN	2042-8812
ISSN	2042-8812
DOI	10.1093/jscr/rjaa482
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Article ; Online: Crossing borders to change lives: Surgical mission amidst the COVID-19 pandemic.

Hakmi, Hazim / Moreno, Johnny / Petrone, Patrizio / Sohail, Amir H / Burbano, Galo / Sbayi, Samer

Cirugia espanola

2022 Volume 101, Issue 9, Page(s) 594–598

Abstract: Introduction: During the COVID pandemic, elective global surgical missions were temporarily halted for the safety of patients and travelling healthcare providers. We discuss our experience during our first surgical mission amidst the pandemic. We report ...

Abstract	Introduction: During the COVID pandemic, elective global surgical missions were temporarily halted for the safety of patients and travelling healthcare providers. We discuss our experience during our first surgical mission amidst the pandemic. We report a safe and successful treatment of the patients, detailing our precautionary steps and outcomes. Methods: Retrospective manual chart review and data collection of patients' charts was conducted after IRB approval. We entail our experience and safety steps followed during screening, operating and postoperative care to minimize exposure and improve outcomes during a surgical mission in an outpatient setting during the pandemic. The surgical mission was from February 8 to February 12, 2022. Results: A total of 60 patients who were screened. 33 patients underwent surgical intervention. One patient required postoperative hospitalization for a biliary duct leak. No patient or healthcare provider tested positive for COVID at the end of the mission. The average age of patients was 46.9 years. The average operative time was 116 min, and all patients had local nerve blocks. It included 45 health work providers. Conclusions: It is safe to perform outpatient international surgery during the pandemic while following pre-selected precautions.
MeSH term(s)	Humans ; Middle Aged ; COVID-19 ; Pandemics/prevention & control ; Medical Missions ; Retrospective Studies ; Elective Surgical Procedures
Language	English
Publishing date	2022-11-21
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2022.11.004
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Article ; Online: Cardiac tamponade in COVID-19 patients: Management and outcomes.

Hakmi, Hazim / Sohail, Amir / Brathwaite, Collin / Ray, Beevash / Abrol, Sunil

Journal of cardiac surgery

2020 Volume 35, Issue 11, Page(s) 3183–3190

Abstract: Importance: Cardiac tamponade requiring emergent intervention is a possible complication of coronavirus disease 2019 (COVID-19) infection. Favorable clinical outcomes are possible if timely management and drainage are performed unless ventricular ... ...

Abstract	Importance: Cardiac tamponade requiring emergent intervention is a possible complication of coronavirus disease 2019 (COVID-19) infection. Favorable clinical outcomes are possible if timely management and drainage are performed unless ventricular failure develops. Observation: Cardiac tamponade in COVID-19, based on the limited reported cases, seems to be more common among middle-aged men with observed complications in black and ethnic minorities. Prognosis is worse amongst patients with concomitant ventricular failure. Design and methods: This is a case series of three COVID-19 patients complicated by cardiac tamponade, requiring surgical intervention at a single institution in New York. Intervention: Pericardial window, Pericardiocentesis. Outcome: One patient had recurrence of cardiac tamponade with hemorrhagic component but fully recovered and was discharged home. Two patients developed cardiac tamponade with concomitant biventricular failure, resulting in death. Conclusion and relevance: Cardiac tamponade with possible concomitant biventricular failure can develop in COVID-19 patients; incidence seems to be highest at the point of marked inflammatory response. Concomitant ventricular failure seems to be a predictor of poor prognosis.
MeSH term(s)	COVID-19/complications ; Cardiac Tamponade/therapy ; Cardiac Tamponade/virology ; Drainage ; Extracorporeal Membrane Oxygenation ; Fatal Outcome ; Heart Arrest/etiology ; Humans ; Male ; Middle Aged ; Obesity/complications ; Pericardial Effusion/therapy ; Pericardial Effusion/virology ; Pericardiocentesis
Keywords	covid19
Language	English
Publishing date	2020-08-13
Publishing country	United States
Document type	Case Reports
ZDB-ID	639059-6
ISSN	1540-8191 ; 0886-0440
ISSN (online)	1540-8191
ISSN	0886-0440
DOI	10.1111/jocs.14925
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Zs.A 2221: Show issues

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Article ; Online: Herniation Through Defects in the Broad Ligament.

Sajan, Abin / Hakmi, Hazim / Griepp, Daniel W / Sohail, Amir H / Liu, Helen / Halpern, David

JSLS : Journal of the Society of Laparoendoscopic Surgeons

2021 Volume 25, Issue 2

Abstract: Background: We sought to assess hernia characteristics and classification through comprehensive review of the literature involving broad ligament herniation.: Methods: A literature search via MEDLINE and Embase databases was conducted to identify and ...

Abstract	Background: We sought to assess hernia characteristics and classification through comprehensive review of the literature involving broad ligament herniation. Methods: A literature search via MEDLINE and Embase databases was conducted to identify and select broad ligament herniation studies published between January 1, 2000 and September 30, 2020. Extracted data included previous surgical history, previous obstetric history, diagnostic imaging, herniated organ, hernia classification, and repair performed. The reported data has been compared to a unique case of broad ligament herniation that presented to our institution. Results: A total of 44 articles with 49 cases were identified for the study. Eighteen (36.7%) patients had a history of previous abdominal surgery while 29 (59.2%) had a history of previous childbirth. Type I (51.0%) and Type II (18.4%) defects were most commonly reported with most patients reporting only one defect (85.7%) using the Cilley classification. Twenty-nine patients underwent primary laparoscopic repair of the defect while 19 patients underwent exploratory laparotomy. Conclusions: The analysis of previously reported cases adds to the limited literature on broad ligament hernias and highlights the surgical management of this uncommon pathology. It also highlights the need for a broad differential diagnosis when female patients present with pelvic pain or symptoms of small bowel obstruction. The broad ligament should be fully inspected when mesenteric defects are suspected as multiple defects can be present as evidenced by the attached case study.
MeSH term(s)	Adult ; Broad Ligament/pathology ; Broad Ligament/surgery ; Diagnosis, Differential ; Female ; Hernia/diagnosis ; Hernia/pathology ; Herniorrhaphy/methods ; Humans ; Intestinal Obstruction/diagnosis ; Intestine, Small/pathology ; Laparoscopy/methods ; Laparotomy/methods ; Middle Aged ; Pelvic Pain/diagnosis ; Pelvic Pain/pathology
Language	English
Publishing date	2021-05-10
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2011211-7
ISSN	1938-3797 ; 1086-8089
ISSN (online)	1938-3797
ISSN	1086-8089
DOI	10.4293/JSLS.2020.00112
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Zs.A 5183: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 310: Show issues

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Article ; Online: Morel-Lavallée Lesion in a 35-year Female.

Sohail, Amir Humza / Liaquat, Muhammad Talha / Sohail, Mohammed Sachal / Khan, Muhammad Salman / Hakmi, Hazim

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

2021 Volume 31, Issue 3, Page(s) 342–345

Abstract: Morel-Lavallée lesion is a post-traumatic degloving cyst, usually filled with blood, lymph or necrotic tissue, which mostly develops in the area around greater trochanter. Early diagnosis and prompt treatment is essential to prevent further complications, ...

Abstract	Morel-Lavallée lesion is a post-traumatic degloving cyst, usually filled with blood, lymph or necrotic tissue, which mostly develops in the area around greater trochanter. Early diagnosis and prompt treatment is essential to prevent further complications, such as compression of surrounding structures. X-rays have limited use and magnetic resonance imaging (MRI) is the modality of choice in diagnosing the lesion. We report a case of a 35-year female presenting with left thigh pain after a fall from motorcycle almost 21/2 years ago. Ultrasound and MRI confirmed the presence of Morel-Lavallée lesion involving the left pelvis and upper thigh. Given the chronicity of lesion and extensive tissue involvement, the patient underwent surgical excision of the lesion with favourable long-term outcomes. In this case report and literature review, we discuss the pathophysiology, clinical presentation, radiological findings and management options for Morel-Lavallée lesion. Key Words: Morel-Lavallée lesion, Post-traumatic cyst, Degloving Injury, Tangential cyst.
MeSH term(s)	Female ; Humans ; Magnetic Resonance Imaging ; Pelvis ; Radiography ; Soft Tissue Injuries/diagnostic imaging ; Soft Tissue Injuries/surgery ; Thigh
Language	English
Publishing date	2021-04-20
Publishing country	Pakistan
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	2276646-7
ISSN	1681-7168 ; 1022-386X
ISSN (online)	1681-7168
ISSN	1022-386X
DOI	10.29271/jcpsp.2021.03.342
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Zs.A 6532: Show issues

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Article ; Online: Improved Morbidity, Mortality, and Cost with Minimally Invasive Colon Resection Compared to Open Surgery.

Hakmi, Hazim / Amodu, Leo / Petrone, Patrizio / Islam, Shahidul / Sohail, Amir H / Bourgoin, Michael / Sonoda, Toyooki / Brathwaite, Collin E M

JSLS : Journal of the Society of Laparoendoscopic Surgeons

2022 Volume 26, Issue 2

Abstract: Background and objectives: Despite the growth of minimally invasive surgery (MIS) in many specialties, open colon surgery is still routinely performed. The purpose of this study was to compare outcomes and costs between open colon and minimally invasive ...

Abstract	Background and objectives: Despite the growth of minimally invasive surgery (MIS) in many specialties, open colon surgery is still routinely performed. The purpose of this study was to compare outcomes and costs between open colon and minimally invasive colon resections. Methods: We analyzed outcomes between January 1, 2016 and December31, 2018 using the Vizient® clinical database. Demographics, hospital length of stay, readmissions, complications, mortality, and costs were compared between patients undergoing elective open and minimally invasive colon resections. For bivariate analysis, Wilcoxon rank-sum test was used for continuous variables and χ Results: A total of 88,405 elective colon resections (open: 56,599; minimally invasive: 31,806) were reviewed. A significantly larger proportion of patients undergoing minimally invasive surgery were obese (body mass index > 30) compared to those undergoing open surgery (71.4% vs. 59.6%; p < 0.0001). As compared to minimally invasive colectomy, open colectomy patients had: a longer median length of stay [median (range): 7 (4-13) days vs. 4 (3 - 6) days, p < 0.0001], higher 30-day readmission rate [n = 8557 (15.1%) vs. 2815 (8.9%), p < 0.0001], higher mortality [n = 2590 (4.4%) vs. 107 (0.34%), p < 0.0001], and a higher total direct cost [median (range): $13,582 (9041-23,094) vs. $9013 (6748 - 12,649), p < 0.0001]. Multivariable models confirmed these findings. Conclusion: Minimally invasive colon surgery has clear benefits in terms of length of stay, readmission rate, mortality and cost, and the routine use of open colon resection should be revaluated.
MeSH term(s)	Colectomy ; Colon ; Elective Surgical Procedures ; Humans ; Laparoscopy ; Length of Stay ; Minimally Invasive Surgical Procedures ; Morbidity ; Postoperative Complications/epidemiology ; Retrospective Studies
Language	English
Publishing date	2022-06-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2011211-7
ISSN	1938-3797 ; 1086-8089
ISSN (online)	1938-3797
ISSN	1086-8089
DOI	10.4293/JSLS.2021.00092
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Zs.A 5183: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Predictors of Length of Hospital Stay After Reduction of Internal Hernia in Patients With a History of Roux-en-Y Gastric Bypass.

Sohail, Amir H / Hurwitz, Joshua C / Silverstein, Jeffrey / Hakmi, Hazim / Sajan, Abin / Ye, Ivan B / Pacheco, Tulio Brasileiro Silva / Zielinski, Gregory R / Gangwani, Manesh Kumar / Petrone, Patrizio / Levine, Jun / Kella, Venkata / Brathwaite, Collin E M / Goparaju, Anirudha

The American surgeon

2024 , Page(s) 31348241227215

Abstract: Background: Postoperative internal hernias after Roux-en-Y gastric bypass (RYGB) have an incidence of 2%-9% and are a surgical emergency. Evidence on factors associated with length of stay (LOS) after emergent internal hernia reduction in RYGB patients ... ...

Abstract	Background: Postoperative internal hernias after Roux-en-Y gastric bypass (RYGB) have an incidence of 2%-9% and are a surgical emergency. Evidence on factors associated with length of stay (LOS) after emergent internal hernia reduction in RYGB patients is limited. Methods: This is a retrospective review of patients who underwent internal hernia reduction after RYGB at our tertiary care center over a 5 year period from 2015 to 2020. Demographics, comorbidities, and intra- and postoperative hospital course were collected. Univariate and multivariate linear regressions were used to investigate factors associated with LOS. Results: We identified 38 patients with internal hernia after RYGB. These patients with mean age 44.1 years were majority female (71.1%) and white race (60.5%). Of the 24 patients where the RYGB was done at our institution, the mean RYGB to IH interval was 43 months. Petersen's defect (57.8%) followed by jejuno-jejunal mesenteric defect (31.6%) were the most common locations for IH. Both Petersen's and jejuno-jejunal mesenteric hernias were found in 4 cases (10.5%). Revision of bypass and small bowel resection were required in 13.2% and 5.3% of cases, respectively. The median (interquartile range) length of stay (LOS) was 2 days. On the multivariate analysis, male sex ( Conclusion: The most common location of IH after RYGB is Petersen's defect, followed by jejuno-jejunal mesenteric defect. LOS was significantly associated with male sex, exploratory laparotomy, and resection of small bowel.
Language	English
Publishing date	2024-01-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
DOI	10.1177/00031348241227215
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Uk I Zs.106: Show issues

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Article: Sinking skin flap syndrome in the multi-trauma patient: a paradoxical management to TBI post craniectomy.

Hakmi, Hazim / Joseph, D'Andrea K / Sohail, Amir / Tessler, Lee / Baltazar, Gerard / Stright, Adam

Journal of surgical case reports

2020 Volume 2020, Issue 6, Page(s) rjaa172

Abstract: Sinking skin flap syndrome is a rare syndrome leading to increased intracranial pressure, known to neurosurgeons, yet uncommon and hardly ever reported in trauma patients. In a hospitalized trauma patient with declining neurological status, rarely do we ... ...

Abstract	Sinking skin flap syndrome is a rare syndrome leading to increased intracranial pressure, known to neurosurgeons, yet uncommon and hardly ever reported in trauma patients. In a hospitalized trauma patient with declining neurological status, rarely do we encounter further deterioration by elevating the patients' head, diuresis and hyperventilation. However, after craniectomy for trauma, a partially boneless cranium may be compressed by the higher atmospheric pressure, that intracranial pressure rises to dangerous levels. For such cases, paradoxical supportive management with intravenous fluid infusion, and reverse Trendelenburg positioning, is used to counteract the higher atmospheric pressure, as a bridge to definitive treatment with cranioplasty. These steps constitute an urgent and easily applied intervention to reduce further neurological deterioration, of which every trauma healthcare provider should be aware.
Language	English
Publishing date	2020-06-19
Publishing country	England
Document type	Case Reports
ISSN	2042-8812
ISSN	2042-8812
DOI	10.1093/jscr/rjaa172
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Article: Single-Incision Laparoscopic Cholecystectomy Using the Marionette Transumbilical Approach Is Safe and Efficient with Careful Patient Selection: A Comparative Analysis with Conventional Multiport Laparoscopic Cholecystectomy.

Sohail, Amir H / Silverstein, Jeffrey / Hakmi, Hazim / Pacheco, Tulio Brasileiro Silva / Hadi, Yousaf B / Gangwani, Manesh Kumar / Aziz, Muhammad / Ajouz, Hana / Shin, David

Surgery journal (New York, N.Y.)

2023 Volume 9, Issue 1, Page(s) e13–e17

Abstract: ... ...

Abstract	Objectives
Language	English
Publishing date	2023-04-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2864275-2
ISSN	2378-5136 ; 2378-5128
ISSN (online)	2378-5136
ISSN	2378-5128
DOI	10.1055/s-0042-1759772
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