Biofilms and effective porosity of hernia mesh: are they silent assassins?
ConclusionsWe discuss the two concepts of effective porosity and biofilm and propose potential measures to reduce mesh-related complications. This includes choosing mesh with superior mesh construct and technical nuances in implanting mesh to improve effective porosity. Furthermore, measures to reduce bacterial biofilm and its consequences are suggested.
ConclusionsThe current study shows a favorable response to reinforced biologics, which were associated with an initial inflammatory response, resolving by later time points, followed by active remodeling, and the formation of new morphologically functional collagen.
CONCLUSION: Closure of the fascial defect in laparoscopic umbilical hernia IPOM repair significantly reduced early seroma formation and long-term recurrence without inducing side-effects such as pain, or other early or late PROMs. Registration number: NCT01962480 ( https://www.clinicaltrials.gov). PMID: 31971616 [PubMed - in process]
AbstractBackgroundIncisional hernia repair requires detailed anatomic knowledge. Regarding median subxiphoidal hernias, the proper preparation of the fatty triangle is challenging. To foster proficiency-based training, a cost-efficient model for open median retromuscular mesh repair resembling the human body was developed, including the main anatomical structures related to the procedure. The aim is to create and validate a high-fidelity model on open retromuscular mesh repair suitable for"training before doing".Materials and methodsDifferent types of fabrics for imitation of connective tissue and 2-component sil...
CONCLUSIONS: Early-onset hernia mesh infection is mostly caused by St.aureus through exogenous contamination, whereas its late-onset counterpart might be a result of hematogenous or contact spread of intestinal flora. PMID: 31690215 [PubMed - as supplied by publisher]
ConclusionDirect defect closure has proven to be effective in reducing recurrence and seroma formation post-operatively in patients undergoing laparoscopic inguinal hernia repair. Randomized controlled trials will be required to further evaluate these outcomes.
Conditions: Hernia; Inguinal Hernia; Femoral Hernia; Groin Hernia Interventions: Device: LiquiBand FIX8®; Device: AbsorbaTack™ Sponsor: Advanced Medical Solutions Ltd. Not yet recruiting
This article describes the role of imaging in diagnosis of complications in general ventral hernia surgery setting.