Increasing hernia size requires higher GRIP values for a biomechanically stable ventral hernia repair

Publication date: Available online 19 April 2019Source: Annals of Medicine and SurgeryAuthor(s): F. Kallinowski, D. Gutjahr, M. Vollmer, F. Harder, R. NesselAbstractBackgroundIncreasing hernia sizes lead to higher recurrence rates after ventral hernia repair. A better grip might reduce the failure rates.Material and MethodsA biomechanical model delivering dynamic intermittent strain (DIS) was used to assess grip values at various hernia orifices. The model consists of a water-filled aluminium cylinder covered with tissues derived from pig bellies which are punched with a central defect varying in diameter. DIS was applied mimicking coughs lasting for up to 2 secs with peak pressures between 180 and 220 mmHg and a plateau phase of 0.1 secs. Ventral hernia repair was simulated with hernia meshes in the sublay position secured by tacks, glue or sutures as needed to achieve certain grip values. Grip was calculated taking into account the mesh: defect area ratio and the fixation strength. Data were assessed using non-parametric statistics.ResultsUsing a mesh classified as highly stable upon DIS testing (DIS class A) a reduced overlap without fixation led to early slippage (p
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research

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ConclusionAH is a rare type of inguinal hernia usually complicated by appendicitis. Hernia reconstruction should be tailored to each patient individually according to the extent of inguinal canal inflammation.
Source: Hernia - Category: Sports Medicine Source Type: research
Abstract BACKGROUND: Abdominal wall hernias continue to be one of the most common general surgery pathologies. Patients with an elevated body mass index (BMI) are routinely counseled about weight loss before elective repair. However, a definitive BMI "cutoff" has not been established. Here, we report our experience with open retro-rectus hernia repair (ORRHR) with mesh in patients with a BMI over 40 kg/m2, and we attempt to determine if a BMI "cutoff" can be established. METHODS: Data from patients undergoing ORRHR with mesh at Geisinger Medical Center from January 1, 2014, to December 31,...
Source: The American Surgeon - Category: Surgery Authors: Tags: Am Surg Source Type: research
AbstractBackgroundBurnia is a suturless repair for inguinal hernias in girls. It is performed under laparoscopy by grabbing the sac, inverting it into the peritoneal cavity, and cauterizing. The aim of this study is to report our experience with single-site laparoscopic burnia (BURNIA) and compare them with open repair (OPEN).MethodsWith IRB approval, pediatric female patients younger than 18  years of age who underwent inguinal hernia repair between January 2015 and December 2017 were enrolled. Medical records were retrospectively reviewed. The patients were divided into two groups, BURNIA and OPEN.Results198 patient...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
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Source: Hernia - Category: Sports Medicine Source Type: research
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Source: Hernia - Category: Sports Medicine Source Type: research
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Source: Hernia - Category: Sports Medicine Source Type: research
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Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
Conclusions. In the treatment of direct inguinal hernia with R-TAPP, suturing and anchoring the transversalis fascia to the Cooper ligament are safe, feasible and recommendable in order to prevent postoperative seromas. PMID: 32936065 [PubMed - as supplied by publisher]
Source: Surgical Innovation - Category: Surgery Authors: Tags: Surg Innov Source Type: research
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Source: Hernia - Category: Sports Medicine Source Type: research
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Source: Hernia - Category: Sports Medicine Source Type: research
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