Value Analysis of Methods of Inguinal Hernia Repair
Conclusions: Use of higher cost technology to repair inguinal hernias reduces value. Incremental health benefits must be realized to justify increased costs. We expect payors and patients will incorporate value into payment decisions.
CONCLUSIONS: Laparoscopic inguinal hernia repair in children is a feasible and reproducible procedure. It permits the evaluation of the contralateral groin without further incisions. In our study, laparoscopy was superior in terms of operative time in bilateral hernias and the time to recovery. Finally, an added benefit to laparoscopy is that it offers more training opportunities for fellows and residents to improve their laparoscopic skills.PMID:34691442 | PMC:PMC8517708 | DOI:10.1016/j.amsu.2021.102889
Surgical repair is recognized as the gold standard for emergent inguinal hernias, yet the optimal surgical approach is still the subject of debate. The aim of this study is to compare the outcomes of patients who underwent laparoscopic vs. open emergent inguinal hernia repair.
AbstractPurposeAim of this study was to analyse feasibility, safety and effectiveness of laparoscopic transperitoneal hernia repair (TAPP) approach to inguinal hernias in the emergency setting, with a longer follow-up than the studies present in literature.MethodsWe retrospectively analysed all patients who underwent emergency TAPP hernia repair in San Marco Hospital (Zingonia, Italy), from September 2010 to June 2020. A prospectively collected database of 685 consecutive TAPP hernia repair was reviewed. Feasibility and safety were evaluated through operative time, conversion rate, perioperative mortality, morbidity and pr...
The type of surgical mesh used for laparoscopic repair of primary or incisional ventral hernias is associated with the rate of reoperations, a new study from Denmark suggests.Reuters Health Information
CONCLUSIONS: Selecting the appropriate surgical method for hernia repair may reduce the incidence of SSI. If manual reduction of inguinal hernias is not possible, an appropriate surgical procedure should be determined based on laparoscopic findings in facilities where laparoscopic hernia surgeries are frequently performed. Moreover, in cases without infection and bowel resection, mesh use may be beneficial. Recurrence can be prevented by ligating the hernia sac during surgery and solving relevant technical problems.PMID:34598841 | DOI:10.1016/j.asjsur.2021.08.019
Purpose: Periumbilical hernias are a common finding in morbidly obese patients undergoing bariatric surgery; however, the timing of repair is still debated. The aim of this paper is to compare the outcomes of simultaneous versus delayed mesh repair of umbilical hernia in patients undergoing laparoscopic sleeve gastrectomy (LSG). Methods: We retrospectively compared 2 groups of morbidly obese patients with small/medium periumbilical hernia (up to 4 cm) in a case-matched study: the first group underwent LSG with simultaneous periumbilical hernia repair; in the second, hernioplasty was performed after weight...
Conclusions: In the robot-assisted treatment of hernias of the epigastric region, a suprapubic port placement can be considered instead of a lateral one to have a better field overview, especially in subxiphoid hernias. Further studies are needed to assess the benefits and limitations of such technique.
CONCLUSIONS: Caecum wall necrosis secondary to an incarcerated Richter's femoral hernia is a rare but dangerous event. Surgical approach is selected on surgeon's expertise. The use of prosthetic mesh is always recommended.KEY WORDS: Bowel necrosis, Emergency surgery, Hernia repair, Richter's hernia.PMID:34569468
CONCLUSION: Inversion and fixing the direct hernia pouch to the cooper ligament reduces the risk of seroma formation in the laparoscopic TAPP procedure.KEY WORDS: Direct hernia, Laparoscopy, Seroma, Transabdominal preperitoneal procedure.PMID:34524122
Asian J Surg. 2021 Sep 9:S1015-9584(21)00562-5. doi: 10.1016/j.asjsur.2021.08.058. Online ahead of print.ABSTRACTHernia repair techniques have evolved recently; however sac handling remains a critical step. Transection of the herniated sac as opposed to total sac reduction may simplify the procedure. However, residual sac tissue may increase the risk for seroma formation. We performed a systemic review and meta-analysis to evaluate the safety and feasibility of transecting the hernia sac during laparoscopic herniorrhaphy. Relevant literature search was performed in PubMed, EMBASE, SCORPUS, and the Cochrane Library database...