A comparative study between open pre-peritoneal approach versus laparoscopic trans-abdominal pre-peritoneal approach in recurrent inguinal hernia repair: a prospective cohort study
ConclusionThe results of this study demonstrate that both the laparoscopic approach and the open posterior approach are effective for recurrent inguinal hernia following anterior approach mesh hernioplasty, with comparable results. Laparoscopy has been associated with a lower rate of recurrence and overall complications compared to open technique, however, it is difficult to draw definitive conclusions about the preferred option due to its lengthy learning curve and difficulty to perform. Furthermore, the results of this study confirm the previously reported positive results of the posterior pre-peritoneal for recurrent in...
Source: Hernia - February 1, 2024 Category: Sports Medicine Source Type: research
The effect of internal orifice narrowing in laparoscopic inguinoscrotal hernia repair to prevent seroma formation: a prospective double-blind randomized controlled trial
ConclusionIn the context of laparoscopic inguinoscrotal hernia repair, the incidence and volume of seroma can be significantly reduced through the implementation of internal orifice narrowing achieved by suturing the divided distal hernia sac. And, this reduction in seroma formation was not associated elevation in postoperative pain levels or recurrence rates. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 1, 2024 Category: Surgery Source Type: research
A comparative study between open pre-peritoneal approach versus laparoscopic trans-abdominal pre-peritoneal approach in recurrent inguinal hernia repair: a prospective cohort study
ConclusionThe results of this study demonstrate that both the laparoscopic approach and the open posterior approach are effective for recurrent inguinal hernia following anterior approach mesh hernioplasty, with comparable results. Laparoscopy has been associated with a lower rate of recurrence and overall complications compared to open technique, however, it is difficult to draw definitive conclusions about the preferred option due to its lengthy learning curve and difficulty to perform. Furthermore, the results of this study confirm the previously reported positive results of the posterior pre-peritoneal for recurrent in...
Source: Hernia - February 1, 2024 Category: Sports Medicine Source Type: research
Do surgical drains reduce the postoperative surgical complications following incisional hernia repair? A systematic meta-analysis
ConclusionThis comprehensive systematic meta-analysis concluded that drain tube placement after incisional hernia repair is associated with increased infection rate and length of hospital stay without affecting the rate of seroma formation and readmission rate. Prospective randomized studies are required to confirm these findings. (Source: Hernia)
Source: Hernia - January 31, 2024 Category: Sports Medicine Source Type: research
Outcomes of posterior component separation with transversus abdominis release for repair of abdominally based breast reconstruction donor site hernias
ConclusionABABR-related hernias are complex and technically challenging due to missing abdominal wall components and denervation injury. After repair with PCS/TAR, patients had high rates of recurrence and bulge, but reported improved quality of life and pain and low regret. Surgeons should set realistic expectations regarding postoperative bulge and risk of hernia recurrence. (Source: Hernia)
Source: Hernia - January 29, 2024 Category: Sports Medicine Source Type: research
Intraoperative complications of robotic-assisted extended totally extraperitoneal (eTEP) ventral hernia retromuscular repairs with mesh: a systematic literature review and narrative synthesis
AbstractMinimally invasive extended totally extraperitoneal (eTEP) technique is revolutionising ventral hernia repairs. Robotic-assisted eTEP has been gaining popularity due to better visual clarity and greater dexterity provided by the robotic systems, compared to laparoscopy. Despite growing number of papers being published each year, so far, no study has explored intraoperative complications in robotic-assisted eTEP. The aim was to perform a systematic literature review on the incidence of intraoperative complications in robotic-assisted eTEP ventral hernia repairs. The study protocol was preregistered with PROSPERO, re...
Source: Journal of Robotic Surgery - January 29, 2024 Category: Surgery Source Type: research
Outcomes of posterior component separation with transversus abdominis release for repair of abdominally based breast reconstruction donor site hernias
ConclusionABABR-related hernias are complex and technically challenging due to missing abdominal wall components and denervation injury. After repair with PCS/TAR, patients had high rates of recurrence and bulge, but reported improved quality of life and pain and low regret. Surgeons should set realistic expectations regarding postoperative bulge and risk of hernia recurrence. (Source: Hernia)
Source: Hernia - January 29, 2024 Category: Sports Medicine Source Type: research
Diagnostic Workup and Therapeutic Intervention of Hiatal Hernias Discovered as Incidental Findings on Computed Tomography
CONCLUSIONS: We demonstrate a novel utilization of natural language processing to identify patients with incidental hiatal hernia in a large population, and found a 10.6% incidence with only 1.2%. (13/1087) of these receiving a referral for follow-up. While most incidental hiatal hernias are small, moderate/large and symptomatic hernias have high risk of loss-to-follow-up and need referral pipelines to improve patient outcomes.PMID:38279933 | DOI:10.1177/00031348241230096 (Source: The American Surgeon)
Source: The American Surgeon - January 27, 2024 Category: Surgery Authors: Johanna Lou Keshav Kooragayala Jennifer Williams Ami Kalola Connor Crudeli Georgianna Sandilos Margaret V Butchy David D Shersher Jennifer M Burg Source Type: research
Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair
ConclusionPatients undergoing reoperations for recurrent inguinal hernias after a primary Shouldice Repair presented a pattern of temporal recurrence according to age. Older patients present with earlier recurrences than younger ones, an important consideration in the assessment of patients postoperatively. (Source: Hernia)
Source: Hernia - January 27, 2024 Category: Sports Medicine Source Type: research
Spigelian hernia: a multi-site review of operative outcomes of surgical repair in the adult population
ConclusionAlthough a small sample size, the data suggest there is no statistically significant difference between operative outcomes, complication rate and predisposing factors between open and minimally invasive case groups. (Source: Hernia)
Source: Hernia - January 23, 2024 Category: Sports Medicine Source Type: research
Predictors of Length of Hospital Stay After Reduction of Internal Hernia in Patients With a History of Roux-en-Y Gastric Bypass
CONCLUSION: The most common location of IH after RYGB is Petersen's defect, followed by jejuno-jejunal mesenteric defect. LOS was significantly associated with male sex, exploratory laparotomy, and resection of small bowel.PMID:38227350 | DOI:10.1177/00031348241227215 (Source: The American Surgeon)
Source: The American Surgeon - January 16, 2024 Category: Surgery Authors: Amir H Sohail Joshua C Hurwitz Jeffrey Silverstein Hazim Hakmi Abin Sajan Ivan B Ye Tulio Brasileiro Silva Pacheco Gregory R Zielinski Manesh Kumar Gangwani Patrizio Petrone Jun Levine Venkata Kella Collin E M Brathwaite Anirudha Goparaju Source Type: research
Component separation repair of incisional hernia: evolution of practice and review of long-term outcomes in a single center
ConclusionComponent separation repair techniques result in good long-term outcomes with acceptable complication rates. They can be performed simultaneously with gastrointestinal procedures with low morbidity. Appropriate patient selection and use of appropriate mesh are important. (Source: Hernia)
Source: Hernia - January 12, 2024 Category: Sports Medicine Source Type: research
