Development of a Disease-based Hernia Program and the Impact on Cost for a Hospital System
Objective:
The aim of this study was to assess the impact of developing a hernia program on mesh utilization.
Background:
With the ongoing changes in healthcare, the value of all interventions will see increased scrutiny. Hernia mesh can be one of the most costly components of hernia repairs. A disease-based institutional hernia program that defines roles for mesh utilization and measures outcomes has the potential to add significant value to hospital systems.
Methods:
In August 2014, a disease-based hernia program was initiated across a hospital system. In collaboration with hospital administration, surgical opera...
Source: Annals of Surgery - January 17, 2018 Category: Surgery Tags: Original Articles Source Type: research
Clinical and Patient-Reported Outcomes after Absorbable Strap Fixation for Ventral Hernia Repair.
CONCLUSION: Mesh fixation with straps with or without additional sutures is associated with significant improvements in patient-reported pain and movement limitation from baseline to six months post-operative.
PMID: 29315451 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - January 11, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research
Development of a Disease-based Hernia Program and the Impact on Cost for a Hospital System
Objective:
The aim of this study was to assess the impact of developing a hernia program on mesh utilization.
Background:
With the ongoing changes in healthcare, the value of all interventions will see increased scrutiny. Hernia mesh can be one of the most costly components of hernia repairs. A disease-based institutional hernia program that defines roles for mesh utilization and measures outcomes has the potential to add significant value to hospital systems.
Methods:
In August 2014, a disease-based hernia program was initiated across a hospital system. In collaboration with hospital administration, surgical opera...
Source: Annals of Surgery - January 5, 2018 Category: Surgery Tags: Original Articles Source Type: research
Carolinas Comfort Scale as a Measure of Hernia Repair Quality of Life: A Reappraisal Utilizing 3788 International Patients
Conclusions:
The present study confirms that the CCS questionnaire is a validated, sensitive, and robust instrument for assessing QOL after hernia repair, which has become a predominant outcome measure in this discipline of surgery. (Source: Annals of Surgery)
Source: Annals of Surgery - December 22, 2017 Category: Surgery Tags: Original Articles Source Type: research
Critical Under-Reporting of Hernia Mesh Properties and Development of a Novel Package Label
Review of commercially available hernia mesh demonstrates a significant lack of consistency in reporting of product characteristics both in packaging and instructions for use. The adoption of a standardized label for packaging will provide surgeons with the knowledge to make more informed decisions in the operating room. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 10, 2017 Category: Surgery Authors: Lindsey G. Kahan, Jeffrey A. Blatnik Tags: Original Scientific Article Source Type: research
Hernia mesh prevent dislocation after wide excision and reconstruction of giant cell tumor distal radius.
Authors: Wiratnaya IGE, Budiartha IGBAM, Setiawan IGNY, Sindhughosa DA, Kawiyana IKS, Astawa P
Abstract
Giant cell tumor (GCT) remains as major health problem. GCT which located at the lower end of the radius tends to be more aggressive. Wide excision and reconstruction of the wrist in stage 3 of distal radius GCT lesion is an optimal modality to prevent tumor recurrence. However, dislocation often occurs as its complication. We are reporting patient with GCT of distal radius treated with wide excision and reconstruction using nonvascularized fibular graft and the addition of hernia mesh. Circumferential n...
Source: World Journal of Orthopaedics - October 7, 2017 Category: Orthopaedics Tags: World J Orthop Source Type: research
Validation of Single C-Arm Fluoroscopic Technique for Measuring In Vivo Abdominal Wall Deformation
Hernia meshes significantly reduce the recurrence rates in hernia repair. It is known that they affect the abdominal wall postimplantation, yet the understanding of in vivo mechanics in the mesh placement area is lacking. We established a single C-arm biplane fluoroscopic system to study strains at the interface between the mesh and repaired abdominal tissues. We aimed to validate this system for future porcine hernia repair studies. Custommatlab programs were written to correct for pincushion distortion, and direct linear transformation (DLT) reconstructed objects in 3D. Using a custom biplane-trough setup, image sets wer...
Source: Journal of Biomechanical Engineering - June 28, 2017 Category: Biomedical Engineering Source Type: research
The Use a Hernia Mesh to Enable Soft Tissue Reattachment to the Body of a Proximal Femoral Endoprosthesis
No abstract available (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 24, 2017 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
Infection Prevention Using Affinity Polymer Coated, Synthetic Meshes in a Pig Hernia Model
Given concern for hernia mesh infection, surgeons often use biologic mesh which may provide reduced risk of infection but at the cost of decreased repair durability. We evaluated mesh coating to provide sustained release of antibiotics to prevent prosthetic mesh infection, and also allow a durable repair. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - May 8, 2017 Category: Surgery Authors: Jeffrey A. Blatnik, Thimma R. Thatiparti, David M. Krpata, Sean T. Zuckerman, Michael J. Rosen, Horst A. von Recum Source Type: research
Infection prevention using affinity polymer-coated, synthetic meshes in a pig hernia model
Given concern for hernia mesh infection, surgeons often use biologic mesh which may provide reduced risk of infection but at the cost of decreased repair durability. We evaluated mesh coating to provide sustained release of antibiotics to prevent prosthetic mesh infection and also allow a durable repair. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - May 8, 2017 Category: Surgery Authors: Jeffrey A. Blatnik, Thimma R. Thatiparti, David M. Krpata, Sean T. Zuckerman, Michael J. Rosen, Horst A. von Recum Tags: Biotechnology Source Type: research
Late metastatic endometrial carcinoma at the repair site of an abdominal wall incisional hernia.
We report a case of a 55-year-old female who presented with an incisional hernia 4 years after abdominal panhysterectomy for endometrioid adenocarcinoma in 2009. Open hernia mesh repair was performed but on follow-up, she complained of pain and a swelling at the repair site. This was radiologically diagnosed as fibromatosis, but tru-cut biopsy confirmed presence of fibromatosis as well as a metastatic endometrial carcinoma. She was started on neoadjuvant chemotherapy, but had poor response, and therefore, radical excision was performed. She remained well with no metastatic recurrence at 12-month follow-up. This case illust...
Source: Saudi Medical Journal - April 26, 2017 Category: Middle East Health Tags: Saudi Med J Source Type: research
A systematic review and meta-analysis of the post-operative adverse effects associated with mosquito net mesh in comparison to commercial hernia mesh for inguinal hernia repair in low income countries
ConclusionsThere is not a significant difference between the commercial mesh group and the mosquito net mesh group for pooled [odds ratio 0.93 (0.63, 1.35)] and individual adverse event rates. However, the 95% confidence intervals of these results are still wide. To reduce this uncertainty sample sizes must increase in future studies. (Source: Hernia)
Source: Hernia - April 13, 2017 Category: Sports Medicine Source Type: research
Laparoscopic versus open incisional hernia repair: a retrospective cohort study with costs analysis on 269 patients
ConclusionsLaparoscopic approach may be considered safely to all patients for incisional hernia repair, regardless of patients ’ characteristics (age, gender, BMI, ASA score, comorbidities) and size of the wall defect (W2-3), with the advantage of shorter operating time and hospital LOS that yields reduced total institutional costs. Patients with higher ASA score and large hernia defects are at risk of prolonged operative time, while an open approach is associated with longer duration of surgical operation and hospital LOS. (Source: Hernia)
Source: Hernia - April 10, 2017 Category: Sports Medicine Source Type: research
Long-term results and complications related to Crurasoft ® mesh repair for paraesophageal hiatal hernias
ConclusionsIn our experience, the recurrence rate in patients with a Crurasoft® (Bard) is acceptable. However, the rate of postoperative complications and mortality is excessive. The use of meshes in the hiatus keeps on being controversial due to the severe complications related to them. It would be advisable to compare our results in the non-mesh group in terms of recurrences and complications, to determine if meshes in the hiatus should be given in these patients due to its high rate of complications. (Source: Hernia)
Source: Hernia - March 21, 2017 Category: Sports Medicine Source Type: research
Cost ‐effectiveness of groin hernia repair from a randomized clinical trial comparing commercial versus low‐cost mesh in a low‐income country
ConclusionRepair using both meshes was highly cost‐effective in the study setting. A potential cost reduction of over $120 (nearly €120) per operation with use of the low‐cost mesh is important if the mesh technique is to be made available to the many millions of patients in countries with limited resources. Trial registration number: ISRCTN20596933 (
http://www.controlled‐trials.com). (Source: British Journal of Surgery)
Source: British Journal of Surgery - February 16, 2017 Category: Surgery Authors: J. L öfgren, A. Matovu, A. Wladis, C. Ibingira, P. Nordin, E. Galiwango, B. C. Forsberg Tags: Original article Source Type: research
