Shape ‐Configurable Mesh for Hernia Repair by Synchronizing Anisotropic Body Motion
This study suggests a potential solution to promote hernia repair by fine-tuning the relationship between material property and mesh design. (Source: Small)
Source: Small - July 25, 2023 Category: Nanotechnology Authors: Hyunsu Ha, Chan Hee Lee, Kang Suk Lee, Kyubae Lee, Jeongeun Park, Si Yeong Kim, Sewoom Baek, Mi ‐Lan Kang, Dong Won Lee, Hak‐Joon Sung Tags: Research Article Source Type: research

An unlikely path: hernia mesh migration
ConclusionThis case highlights the importance of recognizing and reporting this complication, a  phenomenon which can occur at different time intervals after surgery. Reports are heterogeneous but crucial, because mesh migration can lead to a diversity of clinical conditions and potentially serious morbidity. The authors present a distinctive case of complete transluminal migration of a pr opylene mesh that was initially placed in the preperitoneal space several years before. The minimally invasive surgery performed was successful. Given the high number of these surgical procedures worldwide, a lower diagnostic thresh...
Source: European Surgery - July 12, 2023 Category: Surgery Source Type: research

Editorial comment
Placement of prophylactic mesh at the time of ileal conduit urinary diversion is a controversial topic. On one hand, prophylactic parastomal hernia mesh has been found to decrease the rate of clinically detected parastomal hernia with no mesh complications in randomized studies1 and, as the current authors find, the approach has been found to be cost effective.2,3 On the other hand, placement of prophylactic parastomal hernia mesh is not widely adopted in clinical practice. One reason for lack of adoption may be because the absolute rate of symptomatic parastomal hernia repairs that require surgical intervention is low bec...
Source: Urology - June 14, 2023 Category: Urology & Nephrology Authors: Giulia I. Lane, John T. Stoffel Source Type: research

To Mesh or Not to Mesh: Editorial Commentary RE: Kanabolo et al.
Placement of prophylactic mesh at the time of ileal conduit urinary diversion is a controversial topic. On one hand, prophylactic parastomal hernia mesh has been found to decrease the rate of clinically detected parastomal hernia with no mesh complications in randomized studies1 and, as the current authors find, the approach has been found to be cost effective.2,3 On the other hand, placement of prophylactic parastomal hernia mesh is not widely adopted in clinical practice. One reason for lack of adoption may be because the absolute rate of symptomatic parastomal hernia repairs that require surgical intervention is low bec...
Source: Urology - June 14, 2023 Category: Urology & Nephrology Authors: Giulia I. Lane, John T. Stoffel Source Type: research

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