Table of Contents

Giant Adult-onset Juvenile Xanthogranuloma in an Unusual Location

Published on: 7th July, 2025

We report the case of a 29-year-old male referred to our surgical department for evaluation of two progressively enlarging lumbar masses with an eight-month history.
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Surgical Technique of Medial Collateral Ligament Repair of the Knee with Bioinductive Membrane Augmentation

Published on: 5th August, 2025

Introduction: The medial collateral ligament (MCL), a primary stabilizer against valgus forces, often requires surgical intervention in severe injuries, especially when associated with anterior cruciate ligament (ACL) tears. However, MCL repair or reconstruction is typically reserved for patients who continue to experience persistent valgus instability after nonoperative management has failed. The use of synthetic and biological implants is increasingly popular to augment these procedures, providing both biomechanical reinforcement and promoting natural healing. BioBrace, a biocomposite of collagen and bioabsorbable microfilaments, provides structural support and enhances tissue healing. This article explores the surgical treatment of high-grade medial collateral ligament (MCL) injuries of the knee using BioBrace augmentation through a case series.Methods: Cohort of patients who underwent MCL repair surgery with a bioinductive membrane augmentation (BioBrace) between December 2023 and February 2024. This article presents surgical techniques, indications, and clinical outcomes from a case series, highlighting the benefits of BioBrace augmentation in improving stability and functional recovery. Results: A total of 4 patients underwent MCL repair surgery with BioBrace. Results show that patients experienced reduced instability, faster rehabilitation, and favorable outcomes without significant postoperative complications. Conclusion: This method offers a promising alternative for patients with complex knee injuries, especially athletes, by facilitating early rehabilitation and improving joint stability. Further research is recommended to evaluate long-term efficacy and optimize the surgical approach.
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Mesh-reinforced Anterior Component Separation for Repair of Large Ventral Hernia: Ten-year Experience in Multiple Centers

Published on: 12th August, 2025

Background: Repair of a large ventral hernia is a challenge for surgeons. Component Separation Technique (CST) is a novel technique for closure of the midline with live tissues without undue tension. This can further be reinforced by a prosthesis. We wanted to see the outcome of mesh-reinforced open Anterior Component Separation (ACS) for large complex ventral hernia repair. We aimed to see the duration of surgery, hospital stay, Surgical Site Occurrence (SSO), and recurrence within the first year after surgery.Materials and methods: We analyzed data of patients operated from January 2014 to January 2024 for a period of 10 years in three centers. There were 13 patients with divarication of recti without any previous surgery. Rest 44 patients had either incisional hernia or port site hernia. All patients had defect sizes more than 8 cm. Open bilateral anterior component separations were done to achieve midline closure. Medium-pore soft Prolene mesh was used to reinforce the midline closure by an on-lay technique. Patients were followed up to 1 year after surgery to assess efficacy and complications of the procedure.Results: The average operating time was 73 ± 12 min. Hospital stay was 3 to 7 days, mean was 5.3 days. Surgical site occurrence was 14%. These include seroma formation, major wound infection, and abscess formation. There was no flap necrosis nor mesh removal. There was no recurrence within one year of follow-up after surgery. Conclusion: Open mesh Anterior Component Separation (mACS) is an easy and effective way of treating large and complex ventral hernia. Operating time is substantially less than posterior component separation. Reinforcement with mesh reduces recurrence.
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