Factors affecting salvage rate of infected prosthetic mesh
Prosthetic mesh infection (PMI) is a challenging complication of ventral hernia repair (VHR). The sparsity of data leaves only experience and judgment to guide surgical decision-making.
Conclusions: Among patients undergoing elective LVHR, the fascial defect should be closed. This is the first RCT demonstrating that PFC with LVHR significantly improves patient QoL. Trial Registration: This trial was registered with clinicaltrials.gov (NCT02363790)
Condition: Inguinal Hernia Intervention: Sponsor: Konya Training and Research Hospital Not yet recruiting
AbstractIntroductionThe proportion of recurrent repairs in the total collective of inguinal hernia repairs among men is 11.3 –14.3% and among women 7.0–7.4%. The rate of re-recurrences is reported to be 2.9–9.2%. To date, no case series has been published on second and ≥ third recurrences and their treatment outcomes. Only case reports are available.Materials and methodsIn an analysis of data from the Herniamed Registry the perioperative and 1-year follow-up outcomes of 16,206 distinct patients who had undergone first recurrent (n = 14,172; 87.4%), second recurrent (n&thinsp...
ConclusionThe case highlights a rare but serious complication associated with a ventral hernia repair. It also addresses key aspects with regards to the possible mechanisms involved in the occurrence of an enterocutaneous fistula following a hernia repair with the use of a synthetic mesh.
ConclusionPre-peritoneal drainage is clinically safe in laparoscopic totally extra-peritoneal hernioplasty and can effectively reduce the size and incidence of seroma. The seroma formation can be further reduced by appropriate use of monopolar energy as preferred dissection approach in lap TEP. Due to limitation in measuring the actual energy time, the result should be further validated by randomized multi-centers trial on its potential benefit in hernia repair by a more accurate measuring device on energy used.
Condition: Inguinal Hernia Intervention: Drug: Bupivacaine Hydrochloride Sponsor: Ataturk University Recruiting
Publication date: Available online 14 February 2020Source: Journal of Visceral SurgeryAuthor(s): M. Neuberg, M.C. Blanchet, V. Frering, B. Darnis, B. Gignoux
Conditions: General Surgery; Inguinal Hernia; Ventral Hernia Intervention: Procedure: Comparison of normal and small size mesh in open inguinal hernia repair: Multicenter Prospective Randomized Controlled Trial. Sponsor: Konya Training and Research Hospital Not yet recruiting