Comments to “PRevention of INCisional hernia after liver transplantation (PRINC trial): study protocol for a randomized controlled trial.”

AbstractProphylactic augmentation of the wound with mesh proposed by Kniepeiss et al is the world's first attempt to significantly reduce the risk of postoperative hernia in liver transplantation. Similar technique have been described 17 years ago in bariatric patients and confirmed by many studies in various clinical settings. The results of mesh hernia repair in patients on immunosuppressive therapy are not inferior from the data obtained from non- transplant surgery registers.To reduce the risk of using the mesh in patients scheduled for liver transplantation authors chose absorbable mesh, that maintains the mechanical strength of the wound for up to 18 months. Half of the incisional hernias have been diagnoses more than 3 years from the original procedure.For prevention of incisional hernias, there is no evidence to support the use of biologic/biosynthetic meshes.
Source: Trials - Category: Research Source Type: clinical trials

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Single-stage repair of incisional hernias in contaminated fields has a high rate of surgical site infection (30 –42%) when biologic grafts are used for repair. In an attempt to decrease this risk, a novel graft...
Source: BMC Surgery - Category: Surgery Authors: Tags: Research article Source Type: research
Incisional hernias are a frequent complication after abdominal surgeries. The aim of this study is to investigate the impact of incisional hernia repair on health related quality of life.
Source: American Journal of Surgery - Category: Surgery Authors: Source Type: research
DR JOHN SCOTT ROTH (Lexington, KY): The authors address a challenging and controversial area in the field of hernia by analyzing their experiences with hernia repair in clean-contaminated, contaminated, and infected hernias. These decisions have an impact on both patient outcomes and economic implications in hernia repair due to the increased risk of surgical site infection and hernia recurrence relative to clean hernia repair.
Source: Journal of the American College of Surgeons - Category: Surgery Tags: Southern surgical association article Source Type: research
ConclusionsInitial experiences with this technique show that the TES procedure is safe and reliable, requires no specific instruments, and is highly reproducible. There is no need for an expensive anti-adhesion mesh or fixation device, making it cost-effective.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Authors: Nikolian VC, Coleman NL, Podolsky D, Novitsky YW Abstract Ventral hernia repair is one of the most common operations performed by surgeons worldwide. The widespread adoption of laparoscopic surgery has significantly reduced complications related to traditional open approaches. The most common approach in laparoscopic ventral hernia repair is the intraperitoneal onlay mesh (IPOM) approach. This technique, though simple to perform, has limitations, including bridging mesh, intraperitoneal positioning of mesh, transfascial fixation, circumferential mesh fixation, and the use of more expensive composite mesh m...
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research
Source: Hernia - Category: Sports Medicine Source Type: research
Objective: Impact of inguinal hernia defect size as stratified by the European Hernia Society (EHS) classification I to III on the rate of chronic postoperative inguinal pain (CPIP). Background: CPIP is the most important complication after inguinal hernia repair. The impact of hernia defect size according to the EHS classification on CPIP is unknown. Methods: In total, 57,999 male patients from the Herniamed registry undergoing primary unilateral inguinal hernia repair including a 1-year follow-up were selected between September 1, 2009 and November 30, 2016. Using multivariable analysis, the impact of EHS inguina...
Source: Annals of Surgery - Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research
AbstractPurposeA retrospective analysis was carried out to compare the results of patch repair using ready-made, synthetic mesh (PR) and sutured repair (SR) based on standard protocols. The accumulated recurrence rate was accepted as the primary outcome. Pain at rest and during exercise, cosmetic effect and treatment satisfaction were chosen as the secondary endpoints.MethodsAdult patients after elective, open surgical repair of a single, primary umbilical hernia
Source: Hernia - Category: Sports Medicine Source Type: research
The use of the robotic platform for primary inguinal hernia repair has been a controversial topic. In this issue of JAMA Surgery, the multicenter, pilot clinical trial by Prabhu et al is, to our knowledge, the first of its kind to compare outcomes of laparoscopic and robotic transabdominal preperitoneal inguinal hernia repair. The study showed no differences in postoperative outcomes between the 2 techniques, with the robotic approach incurring significantly greater operative times, total costs, and surgeon frustration. Despite the limitations of the small sample size and potential variations in the proficiency of the part...
Source: JAMA Surgery - Category: Sports Medicine Source Type: research
This article highlights all aspects of a robotic transabdominal preperitoneal (rTAPP) inguinal hernia repair with mesh, starting with preoperative planning and patient selection, key technical steps, and common postoperative complications and recovery. The most recent published data on robotic inguinal hernia repair are comprehensively reviewed, confirming that rTAPP is a safe and effective option for the repair of unilateral and bilateral inguinal hernias. PMID: 32169186 [PubMed - as supplied by publisher]
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Surg Clin North Am Source Type: research
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