Cost-effectiveness of groin hernia repair from a randomized clinical trial comparing commercial versus low-cost mesh in a low-income country.
CONCLUSION: Repair 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).
PMID: 28206682 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - February 15, 2017 Category: Surgery Authors: Löfgren J, Matovu A, Wladis A, Ibingira C, Nordin P, Galiwango E, Forsberg BC Tags: Br J Surg Source Type: research
Colovesical fistula secondary to hernia mesh migration: an unusual incident
Publication date: Available online 4 February 2017 Source:Journal of Coloproctology Author(s): Ramanathan Sabarinathan, Krishnamoorthy Veeraraghavan, Ratnakar Kini, Thangavel Pugazhendhi, Sundarraj Raju We evaluated a 27-year old male with pneumaturia and fecaluria with a past history of right inguinal hernia repair. Though, cystoscopy and contrast enhanced computed tomography (CECT) did not furnish any evidence to arrive at a diagnosis, interestingly, colonoscopy revealed a mesh in the sigmoid colon making apparent the diagnosis of colovesical fistula (CVF) secondary to mesh migration. Later, surgical removal of th...
Source: Journal of Coloproctology - February 3, 2017 Category: Gastroenterology Source Type: research
Treatment of de-peritonealized intestine with 4DryField( ®) PH prevents adhesions between non-resorbable intra-peritoneal hernia mesh and bowel.
CONCLUSION: These experiments mimick clinical IPOM implantation scenarios with adjacent bowel depleted from peritoneum. 4DryField(®) PH gel treatment resulted in intestinal mesothelial surface recovering without development of bowel-to-mesh adhesions. Concurrently, integration of mesh into the abdominal wall is undisturbed by 4DryField(®) PH treatment.
PMID: 28078041 [PubMed] (Source: American Journal of Translational Research)
Source: American Journal of Translational Research - January 13, 2017 Category: Research Tags: Am J Transl Res Source Type: research
Hands-on 2.0: improving transfer of training via the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Acquisition of Data for Outcomes and Procedure Transfer (ADOPT) program
We describe implementation of a new program with the SAGES All Things Hernia Hands-On Course, Acquisition of Data for Outcomes and Procedure Transfer (ADOPT), which employs standardi zed, proven teaching techniques, and 1-year mentorship. Attendee confidence and procedure adoption are compared between standard and ADOPT programs.Methods For the pilot ADOPT course implementation, a hands-on course focusing on abdominal wall hernia repair was chosen. ADOPT participants were recruited among enrollees for the standard Hands-On Hernia Course. Enrollment in ADOPT was capped at 10 participants and limited to a 2:1 student-to-facu...
Source: Surgical Endoscopy - December 29, 2016 Category: Surgery Source Type: research
Meta ‐analysis of prophylactic mesh to prevent parastomal hernia
ConclusionMesh placed prophylactically at the time of stoma creation reduced the rate of parastomal hernia, without an increase in mesh‐related complications. (Source: British Journal of Surgery)
Source: British Journal of Surgery - December 21, 2016 Category: Surgery Authors: A. J. Cross, P. L. Buchwald, F. A. Frizelle, T. W. Eglinton Tags: Systematic review Source Type: research
Prospective, multi-institutional surgical and quality-of-life outcomes comparison of heavyweight, midweight, and lightweight mesh in open ventral hernia repair
Conclusions MW mesh had fewer superficial surgical site infections and shorter LOS. After controlling for potential confounding variables, LW mesh had a worse QOL at 6 and 12 months. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - December 2, 2016 Category: Surgery Source Type: research
Is preoperative withdrawal of aspirin necessary in patients undergoing elective inguinal hernia repair?
ConclusionContinuation of aspirin is safe and should be preferred in patients with higher cardiovascular risk. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 17, 2016 Category: Surgery Source Type: research
Hernia Mesh Repair and Global Surgery
In Reply We thank Beard and colleagues for their comments and are in agreement with them. It was not our intention to suggest that providing low-cost mesh was the only option for improvement of access to surgical care for hernias. We fully agree that education focused on improving safety and technical ability is paramount as part of a broad-based effort to decrease disparities. The primary purpose of our Viewpoint was to point out that we do not feel medical device manufacturers have done all that they could to help the global surgical community provide access to safe, modern surgical care for all. (Source: JAMA Surgery)
Source: JAMA Surgery - October 12, 2016 Category: Sports Medicine Source Type: research
Hernia Mesh Repair and Global Surgery
To the Editor We would like to thank Forrester and colleagues for highlighting the important topic of groin hernia surgery. With more than 200 million people living with inguinal hernia worldwide, it is a tremendous public health issue for which there is a solution —surgery. Performed well, elective hernia repair often provides a lifelong cure. Using a mesh to reinforce the abdominal wall is generally recommended because it reduces the risk of recurrence compared with using tissue techniques. (Source: JAMA Surgery)
Source: JAMA Surgery - October 12, 2016 Category: Sports Medicine Source Type: research
Prospective, Multi-Institutional Surgical and Quality of Life (QOL) Outcomes Comparison of Heavyweight (HW), Midweight (MW) and Lightweight (LW) Mesh in Open Ventral Hernia Repair (OVHR)
Conclusion MW mesh had fewer superficial SSI and shorter LOS. After controlling for potential confounding variables, LW mesh had a worse QOL at 6 and 12 months. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - September 28, 2016 Category: Surgery Source Type: research
Predictive modeling for chronic pain after ventral hernia repair
Conclusions Patients who have preoperative pain and at 1 month postoperatively are significantly more likely to have chronic pain. Both short- and long-term pain can be predicted from female sex, younger age, and repair of recurrent hernias. This predictive model may aid in preoperative counseling and when considering postoperative intervention for pain management in VHR patients. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - August 23, 2016 Category: Surgery Source Type: research
A prospective randomized comparison of testicular functions, sexual functions and quality of life following laparoscopic totally extra-peritoneal (TEP) and trans-abdominal pre-peritoneal (TAPP) inguinal hernia repairs
ConclusionsLaparoscopic groin hernia repair improves the testicular functions, sexual functions and quality of life, but TEP and TAPP repairs are comparable in terms of these long-term outcomes. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - August 4, 2016 Category: Surgery Source Type: research
Laparoscopic Partial Cystectomy With Excision of Mesh Migration Into the Bladder Following Repair of Inguinal Hernia
We present the case of an 85-year-old man who complained of hematuria and fever some 20 years after right hernioplasty. Cystoscopy and computed tomography revealed mesh migration into the right anterior wall of the bladder. Laparoscopic partial cystectomy with excision of the migrated mesh was performed successfully. To our knowledge, this is the first case of mesh migration into the bladder treated by laparoscopic partial cystectomy. (Source: Urology Case Reports)
Source: Urology Case Reports - August 3, 2016 Category: Urology & Nephrology Source Type: research
Oral, intestinal, and skin bacteria in ventral hernia mesh implants.
CONCLUSION: The results show great bacterial diversity on mesh implants from the anterior abdominal wall including oral commensals and periodontopathogens. Mesh can be reached by bacteria in several ways including hematogenous spread from an oral site. However, other sites such as gut and skin may also serve as sources for the mesh biofilm.
PMID: 27476443 [PubMed] (Source: Journal of Oral Microbiology)
Source: Journal of Oral Microbiology - August 3, 2016 Category: Microbiology Tags: J Oral Microbiol Source Type: research
Increased use of surgical energy promotes methicillin-resistant Staphylococcus aureus colonization in rabbits following open ventral hernia mesh repair
Conclusions
Increased use of surgical energy promoted greater colonization, exaggerated septic response to bacterial contamination, and more severe adhesions. In the absence of devitalized tissue, rabbits can effectively limit bacterial contamination. These findings support the surgical principles of proper tissue handling and highlight the detrimental effects of indiscriminant surgical energy usage, thus emphasizing the importance of programs such as Fundamental Use of Surgical Energy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - July 6, 2016 Category: Surgery Source Type: research
