Prospective Case Series Evaluating a Large Fenestrated Bovine Acellular Dermal Matrix in Patients Undergoing Complex Abdominal Hernia Repair
Large complicated ventral hernias (LCVH) are challenging, with recurrence rates as high as 30%. Despite the widespread use of bioprosthetic meshes, there remains a substantial concern for associated complications, leading to the continued mesh modifications such as the inclusion of fenestrated platforms that allow flow and more rapid tissue integration. However, there is an absence of high-quality prospective studies analyzing such meshes. Our objective was to evaluate the effectiveness of a bovine acellular dermal tissue matrix with perforations for abdominal wall reinforcement in patients with LCVH.
ConclusionIn our hands, a significantly higher recurrence rate exists for children undergoing the PIRS method over LICPV techniques when treating inguinal hernias.
AbstractIntroductionMagnetic sphincter augmentation (MSA) is a safe and effective treatment for patients with gastroesophageal reflux disease (GERD). MSA was initially indicated for patients with GERD and concomitant hiatal hernias 2 cm) on videoesophagram or endoscopy.ResultsSeventy-nine patients (53% female) with a median age of 65.56 (58.42 –69.80) years were included. Median follow up was 2.98 (interquartile range 1.90–3.32) years. Median DeMeester scores decreased from 42.45 (29.12–60.73) to 9.10 (3.05–24.30) (p
Robotic-assisted laparoscopic surgery (RALS) is evolving as an important surgical approach in the field of general surgery. We aimed to evaluate the learning curve for RALS procedures involving repair of hiatal hernias.
Early adopters of robotic hernia repair have commonly approached small hernias for repair as comfort increased on the platform. We aim to investigate the early temporal outcomes of the robot assisted hernia repairs.
Based on the Markov Monte Carlo decision analytic model, watchful waiting is recommended for asymptomatic/minimally symptomatic paraesophageal hernias (PEH) in patients age ≥65 years, unless the mortality rate for elective repair were to reach ≤0.5%, at which point, operation would become the optimal treatment. We hypothesized that, with advances in surgery and perioperative care, that mortality threshold has been reached. However, the safety net would decrease as age increases, particularly in octogenarians.
US surgeons repair more than 200,000 umbilical hernias annually, so even small improvements in perioperative outcomes can have large effects on public health. We hypothesized that using local instead of general anesthesia for umbilical hernia repair would decrease complications and operative time, with older adults deriving the most benefit from avoiding general anesthesia compared with younger adults.
This study reviews treatment recommendations and patient compliance at a multi-surgeon bariatric clinic.
This study aimed to evaluate the acute pain, chronic pain, and recurrence rate between these two fixation methods.MethodsAfter reviewing all patients in our prospective hernia repair database from February 2008 to December 2017, we identified 583 patients who underwent TEP with tack mesh fixation and 70 patients with glue fixation by a single surgeon. Acute post-operative pain and activity level were evaluated using a Visual Analog Score (VAS) and the modified Medical Outcome Study (MOS) score. The primary endpoint was chronic pain 6 months after TEP. The secondary endpoints were acute pain, activity level, complications, ...
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.
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,...