Hernia Mesh Complications
The potential consequences of mesh infection mandate careful consideration of surgical approach, mesh selection, and preoperative patient optimization when planning for ventral hernia repair. Intraperitoneal mesh, microporous or laminar mesh, and multifilament mesh typically require explantation, whereas macroporous, monofilament mesh in an extraperitoneal position is often salvageable. Delayed presentation of mesh infection should raise the suspicion for enteroprosthetic fistula when intraperitoneal mesh is present. When mesh excision is necessary, the surgeon must carefully consider both the risk of recurrent infection a...
Source: Surgical Clinics of North America - May 12, 2023 Category: Surgery Authors: Kathryn A. Schlosser, Jeremy A. Warren Source Type: research

Management of Chronic Postoperative Inguinal Pain
Chronic postoperative inguinal pain, CPIP, afflicts 10% to 15% of the nearly 700,000 Americans who have inguinal hernia surgery every year. CPIP is challenging to manage because it poses many diagnostic dilemmas that can be overcome with a thorough history, examination, differential diagnosis, and imaging. The initial treatment of CPIP should explore all nonsurgical therapies including medications, physical therapy, interventional pain management and cognitive therapy. When nonoperative methods fail, surgical interventions including neurectomy and hernia mesh removal have proven to be beneficial for patients with CPIP. (So...
Source: Surgical Clinics of North America - May 11, 2023 Category: Surgery Authors: David M. Krpata Source Type: research

Assessment of feasibility and safety of cyanoacrylate glue versus absorbable tacks for inguinal hernia mesh fixation. A prospective comparative study
CONCLUSIONS: Cyanoacrylate glue is a safe option for mesh fixation in transabdominal preperitoneal laparoscopic inguinal hernia repair with improved early postoperative pain and similar chronic pain, patient reported outcomes and recurrence when compared to absorbable tack fixation.PMID:37064566 | PMC:PMC10091924 | DOI:10.5114/wiitm.2022.119780 (Source: Videosurgery and Other Miniinvasive Techniques)
Source: Videosurgery and Other Miniinvasive Techniques - April 17, 2023 Category: Surgery Authors: Muthana Haroon Stefan Morarasu Bianca Codrina Morarasu Osama Al-Sahaf Emmanuel Eguare Source Type: research