A comparative study in elective repair of large incisional hernias using on-lay mesh vs. sub-lay mesh: a meta-analysis
AbstractVentral abdominal wall incisional hernia is defined as a defect in the musculo-fascial layers of the abdominal wall in the region of the postoperative scar. There is a slight increase in the incidence of incisional hernia in the female gender. The higher percentage of incisional hernia in females might be due to laxity of abdominal wall muscles after multiple pregnancies and also an increased incidence of obesity in females. To assess incisional hernia repair using two different techniques: on-lay mesh and sub-lay mesh, as regards operative time, postoperative recurrence, wound infection, seroma, hematoma, and flap...
Source: Updates in Surgery - February 19, 2024 Category: Surgery Source Type: research
Non-mesh inguinal hernia repair with early resumption of peritoneal dialysis in patients on continuous ambulatory peritoneal dialysis
ConclusionOur study demonstrates the effectiveness and safety of non-mesh repair with early resumption of PD in patients on CAPD. Interim HD is unnecessary in selected patients. Choosing the optimal perioperative dialysis regimen is essential to managing inguinal hernias in CAPD patients. (Source: Hernia)
Source: Hernia - February 19, 2024 Category: Sports Medicine Source Type: research
Congenital Hernias in Adults
Bochdalek hernias are a rare occurrence in adults and usually asymptomatic, resulting in incidental discovery. However, surgical intervention is recommended for both symptomatic and asymptomatic Bochdalek hernias due to the risk of acute morbidity and mortality. There are various possible surgical approaches that may be appropriate depending on the circumstance, with robotic repair becoming increasingly popular. To date, the rarity of the condition has limited the available data on postoperative outcomes. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - February 17, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Connor J. Bridges, Rian M. Hasson Source Type: research
Delphi consensus statement for understanding and managing the subcostal hernia: subcostal hernias collaborative report (scholar study)
ConclusionThis Delphi consensus defines subcostal hernias and gives insight into the consensus for incision, dissection plane, mesh placement, mesh type, and mesh fixation for these hernias. (Source: Hernia)
Source: Hernia - February 16, 2024 Category: Sports Medicine Source Type: research
The significance of initial lactate levels in emergency department presentations of abdominal wall hernia
ConclusionLow lactate levels in patients presenting to the emergency department with abdominal pain caused by abdominal wall hernias have a high negative predictive value for excluding strangulation and the need for bowel resection. Therefore, we recommend the use of lactate as an additional diagnostic tool in emergency department presentations related to abdominal wall hernias. (Source: Hernia)
Source: Hernia - February 15, 2024 Category: Sports Medicine Source Type: research
Management of Paraesophageal Hernias
Paraesophageal hernias are classified according to the altered anatomic relationships between the gastroesophageal junction or stomach and the diaphragmatic hiatus. Herniation of these structures into the mediastinum may produce common complaints such as reflux, chest pain, and dysphagia. The elective repair of these hernias is well tolerated and significantly improves quality of life among patients with symptomatic disease. The hallmarks of a quality repair include the circumferential mobilization of the esophagus to generate 3 cm of tension-free intra-abdominal length and the performance of a fundoplication. (Source: T...
Source: Thoracic Surgery Clinics - February 15, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Ryan J. Randle, Douglas Z. Liou, Natalie S. Lui Source Type: research
Management of Congenital Hernias in Adults
Morgagni hernias may range from asymptomatic incidental findings to surgical emergencies. An abdominal approach is ideal in the majority of cases, although surgeons should understand alternatives for repair. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - February 15, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Nicolas Contreras, Thomas K. Varghese, Brian Mitzman Source Type: research
The significance of initial lactate levels in emergency department presentations of abdominal wall hernia
ConclusionLow lactate levels in patients presenting to the emergency department with abdominal pain caused by abdominal wall hernias have a high negative predictive value for excluding strangulation and the need for bowel resection. Therefore, we recommend the use of lactate as an additional diagnostic tool in emergency department presentations related to abdominal wall hernias. (Source: Hernia)
Source: Hernia - February 15, 2024 Category: Sports Medicine Source Type: research
Incidence, types, and associated factors of external abdominal hernias among adult patients visiting the surgical outpatient department, eastern Ethiopia: a multicentre cross-sectional study
CONCLUSION: The incidence of external abdominal wall hernia in our area is similar to the other existing literature reported from different areas. Epigastric hernia is the most prevalent type of external abdominal hernia and is commonly encountered in female patients. Constipation, a prolonged cough, previous abdominal surgery, and heavy lifting are significantly associated with an external abdominal wall hernia.PMID:38333321 | PMC:PMC10849383 | DOI:10.1097/MS9.0000000000001702 (Source: Annals of Medicine)
Source: Annals of Medicine - February 9, 2024 Category: Internal Medicine Authors: Fufa Miresa Munewor Abdulhadi Abdurahman Aliye Badhaasaa Beyene Rahel Sileshi Source Type: research
Use of Bilateral Rectus Sheath Blocks in Open Umbilical Hernia Repair
CONCLUSION: US-guided RSBs are an efficient method of anesthesia for open umbilical hernia repair in patients diagnosed with cirrhosis. This technique not only provides precise anesthesia and appropriate analgesia but also results in a low incidence of postoperative nausea and vomiting.PMID:38324789 (Source: Pain Physician)
Source: Pain Physician - February 7, 2024 Category: Anesthesiology Authors: Yuanyuan Wang Mingying Li Zhenyuan Wang Wei Liu Source Type: research
Correction: Study protocol for a randomised cross-over trial of Neurally adjusted ventilatory Assist for Neonates with Congenital diaphragmatic hernias: the NAN-C study
(Source: Trials)
Source: Trials - February 7, 2024 Category: General Medicine Authors: Grace Poole, Christopher Harris, Sandeep Shetty, Theodore Dassios, Allan Jenkinson and Anne Greenough Tags: Correction Source Type: research
Comparing stapler and sutured mesh fixation techniques for laparoscopic TAPP repair: a study on chronic groin pain on 3-year follow-up
This study analyzes the correlation between sutured versus stapler mesh fixation in a laparoscopic TAPP for unilateral groin hernia regarding chronic pain during 3-year follow-up. A total of 130 patients with laparoscopic hernia undergoing TAPP repair were randomized into 2 groups based on their fixation technique —one with sutures and the other with stapler. Postoperative complications and chronic groin pain were noted for each technique. Equal number of participants was present in the stapler and suture groups, with the majority having an ASA score of one. The mean age was 42.50 ± 13.86 years, and t he body mass ...
Source: Updates in Surgery - February 7, 2024 Category: Surgery Source Type: research
Laparoscopic intraperitoneal onlay mesh (IPOM) with fascial repair (IPOM-plus) for ventral and incisional hernia: a systematic review and meta-analysis
ConclusionThe IPOM-plus technique has been shown to greatly reduce the occurrence of recurrence, seroma, and mesh bulging. Overall, the IPOM-plus technique is considered a safe and effective procedure. However, additional randomized controlled studies with extended follow-up periods are necessary to further evaluate the IPOM-plus technique. (Source: Hernia)
Source: Hernia - February 6, 2024 Category: Sports Medicine Source Type: research
Does the angle of trocar insertion affect the fascial defect caused? A porcine model
ConclusionWhen conical 12-mm trocars are inserted at a 45 ° angle, especially bladeless ones, they appear to cause small fascial defects compared with insertion at a 90° angle. This might lead also to a lower rate of trocar hernias. Bladeless trocars might cause smaller fascial defects than bladed trocars. (Source: Hernia)
Source: Hernia - February 6, 2024 Category: Sports Medicine Source Type: research
