Prophylactic Biosynthetic Retrorectus Mesh Placement During Stoma Reversal Reduces the Rate of Stoma Site Incisional Hernia
The objective of this study was to assess the use of prophylactic biosynthetic mesh at the time of stoma reversal on the overall SSIH rate.METHODS: This is an observational retrospective cohort study. A review of 101 consecutive patients who underwent PMR in the retrorectus plane from 2015 to 2020 was compared to 73 consecutive patients who underwent primary stoma closure without mesh from 2011 to 2014. The primary endpoint was the presence of SSIH on clinical examination or computed tomography after ostomy takedown.RESULTS: In total, 174 cases were analyzed with 101 patients in the treatment group (median follow-up 45.2 m...
Source: The Permanente journal - April 23, 2024 Category: General Medicine Authors: Brandon K Vu Jessica Lam Matthew J Sherman Michael S Tam Source Type: research
Anterior versus posterior component separation technique for advanced abdominal wall reconstruction: a proposed algorithm
ConclusionFollowing a proposed algorithm, the anterior fascial closure rate was high and similar for both techniques. As postoperative wound morbidity is significantly increased after ACST, our findings support recommending TAR for defects up to 14 cm in width, while favoring open ACST for larger defects. (Source: Hernia)
Source: Hernia - April 23, 2024 Category: Sports Medicine Source Type: research
Laparoscopic totally extraperitoneal hernia repair in patients with a history of previous abdominopelvic surgery
AbstractA retrospective cohort study of patients undergoing laparoscopic inguinal hernia repair compared short- and long-term outcomes between individuals with or without history of previous abdominopelvic surgery, aiming to determine the feasibility of totally extraperitoneal (TEP) repair within this population. All patients who underwent elective TEP inguinal hernia repair by one consultant surgeon across three London hospitals from January 2017 to May 2023 were retrospectively analysed to assess perioperative outcomes. Two hundred sixty-two patients were identified, of whom two hundred forty-three (93%) underwent laparo...
Source: Updates in Surgery - April 23, 2024 Category: Surgery Source Type: research
Anterior versus posterior component separation technique for advanced abdominal wall reconstruction: a proposed algorithm
ConclusionFollowing a proposed algorithm, the anterior fascial closure rate was high and similar for both techniques. As postoperative wound morbidity is significantly increased after ACST, our findings support recommending TAR for defects up to 14 cm in width, while favoring open ACST for larger defects. (Source: Hernia)
Source: Hernia - April 23, 2024 Category: Sports Medicine Source Type: research
Inguinal hernia repair in patients with artificial urinary sphincter after radical prostatectomy
CONCLUSION: IHA has its own characteristics, and multidisciplinary knowledge thereof will help surgeons safely perform IH surgery.PMID:38649504 | DOI:10.1007/s10029-024-03040-w (Source: Cancer Control)
Source: Cancer Control - April 22, 2024 Category: Cancer & Oncology Authors: Y Yatabe T Tanioka Y Waseda K Yamaguchi T Ogo H Fujiwara K Okuno K Kawada S Haruki M Tokunaga Y Fujii Y Kinugasa Source Type: research
Inguinal hernia repair in patients with artificial urinary sphincter after radical prostatectomy
ConclusionIHA has its own characteristics, and multidisciplinary knowledge thereof will help surgeons safely perform IH surgery. (Source: Hernia)
Source: Hernia - April 22, 2024 Category: Sports Medicine Source Type: research
Open intraperitoneal onlay mesh repair with anterior component separation as a bail-out procedure in the management of complex hernias
ConclusionsDespite a high SSO rate, application of the open IPOM technique with ACS could serve as a valuable rescue option for managing large and complex hernias, with acceptable hernia recurrence rates at long-term follow-up. (Source: Hernia)
Source: Hernia - April 20, 2024 Category: Sports Medicine Source Type: research
Early results of eTEP access surgery with preperitoneal repair of primary midline ventral hernias and diastasis recti. A 33 patient case series of “PeTEP”
ConclusionsWe believe the preperitoneal eTEP approach for small to medium primary midline hernias is an effective and solid repair that combines excellent features of proven surgical techniques and eliminates the need for posterior rectus sheath division while saving the retrorectus space, among other benefits that will be discussed. The reproducibility of the technique remains to be proven. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 18, 2024 Category: Surgery Source Type: research
Management of symptomatic, asymptomatic, and recurrent hiatal hernia: a systematic review and meta-analysis
ConclusionsThe evidence for optimal management of symptomatic and recurrent hiatal hernia remains controversial, underpinned by studies with a high risk of bias. Shared decision making between surgeon and patient is essential for optimal outcomes. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
Reasons for conversions in thoracoscopic repairs of neonatal congenital diaphragmatic hernias: a systematic review
ConclusionsNeonatal thoracoscopic repair for CDH is associated with conversion in 20% of cases. Based on available data, defect size and patch repairs have been identified as the predominant reasons, followed by technical difficulties to reduce the herniated organs and ventilation related issues. However, data specifically relating to conversion is poorly documented in a high number of reports (40%). Accurate data reporting in future will be important to better estimate and quantify reasons for conversions in neonatal thoracoscopy for CDH. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 15, 2024 Category: Surgery Source Type: research
Assessment of myofascial medialization following intraoperative fascial traction (IFT) in a cadaveric model
ConclusionsIFT provides significant medialization for the anterior rectus sheath in the cadaveric model. The findings align with results from a retrospective case study. Therefore, we see IFT as a beneficial tool in abdominal wall surgery. (Source: Hernia)
Source: Hernia - April 14, 2024 Category: Sports Medicine Source Type: research
