Phasix Mesh Use in Complex Open Ventral Hernias Study
Condition: Ventral Hernia Interventions: Procedure: Repair of ventral hernia using biologic mesh; Procedure: Repair of ventral hernia using suture repair or synthetic mesh Sponsor: The University of Texas Health Science Center, Houston Not yet recruiting
ConclusionA review of patient outcomes after hybrid AWR highlights a trend towards shorter length of stay, lower hospital cost, and fewer complications without significant addition to operative time. Long-term studies on a larger number of patients are definitively needed to characterize the comprehensive benefits of this approach.
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
CONCLUSIONS: Post-esophagectomy paraconduit hernia is more common following totally minimally invasive esophagectomy compared with open or hybrid techniques. One-third are symptomatic and the remainder detected only radiographically. Repair of asymptomatic hernias should take into consideration the patient's cancer prognosis. PMID: 33031780 [PubMed - as supplied by publisher]
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.
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.
Ventral hernias significantly impair patient ’s quality of life and are commonly repaired. Optimal technique for repair remains controversial. While the onlay method is a technically easier approach, recent studies have argued that sublay technique has the lowest surgical site (SSI) rate and recurrence rate. We hypothesize that one can achie ve similar, favorable rates of SSI and recurrence while using an onlay technique.
This study evaluates the induced fibrogenesis between five techniques of treatment in order to determine the superiority of the retrorectus technique in comparison with the others, specifying the tensiometric characteristics and adhesions formation related to the phenomenon of fibroplasia.
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.