Comment to “When to use a prophylactic mesh after stoma closure: a case–control study”
(Source: Hernia)
Source: Hernia - January 24, 2022 Category: Sports Medicine Source Type: research

Postoperative pain and pain-related health-care contacts after open inguinal hernia repair with Adhesix ™ and Progrip™: a randomized controlled trial
ConclusionThis study demonstrated an advantage of self-adhesive mesh over self-gripping mesh with respect to acute postoperative pain and thus faster recovery after surgery. (Source: Hernia)
Source: Hernia - January 22, 2022 Category: Sports Medicine Source Type: research

It ’s time to re-acknowledge the differences: author’s reply
(Source: Hernia)
Source: Hernia - January 21, 2022 Category: Sports Medicine Source Type: research

Validation of ventral hernia risk score in predicting surgical site infections
ConclusionOur study externally validates the novel VHRS which outperforms both CDC incision class and VHWG in predicting SSI following open ventral hernia repair, especially in a group with lower BMI compared to the previous reports.Trial registration No CTRI/2020/07/026289 registered on 01/07/2020. (Source: Hernia)
Source: Hernia - January 20, 2022 Category: Sports Medicine Source Type: research

Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis
ConclusionMinimally invasive eTEP is a safe and effective approach for ventral hernia repair, with low reported intraoperative complications and good outcomes. (Source: Hernia)
Source: Hernia - January 19, 2022 Category: Sports Medicine Source Type: research

Comment to: transversus abdominis release (TAR) for ventral hernia repair: open or robotic? Short-term outcomes from a systematic review with meta-analysis
(Source: Hernia)
Source: Hernia - January 19, 2022 Category: Sports Medicine Source Type: research

Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis
ConclusionMinimally invasive eTEP is a safe and effective approach for ventral hernia repair, with low reported intraoperative complications and good outcomes. (Source: Hernia)
Source: Hernia - January 19, 2022 Category: Sports Medicine Source Type: research

Comment to: transversus abdominis release (TAR) for ventral hernia repair: open or robotic? Short-term outcomes from a systematic review with meta-analysis
(Source: Hernia)
Source: Hernia - January 19, 2022 Category: Sports Medicine Source Type: research

CT scan structured report for the study of abdominal wall defects: a fast correspondence
(Source: Hernia)
Source: Hernia - January 18, 2022 Category: Sports Medicine Source Type: research

Comment to: “Haematological inflammatory markers for indicating ischemic bowel in patients with incarcerated abdominal wall hernias”
(Source: Hernia)
Source: Hernia - January 18, 2022 Category: Sports Medicine Source Type: research

CT scan structured report for the study of abdominal wall defects: a fast correspondence
(Source: Hernia)
Source: Hernia - January 18, 2022 Category: Sports Medicine Source Type: research

Comment to: “Haematological inflammatory markers for indicating ischemic bowel in patients with incarcerated abdominal wall hernias”
(Source: Hernia)
Source: Hernia - January 18, 2022 Category: Sports Medicine Source Type: research

The opioid reduction task force: using the ACHQC Data Registry to combat an epidemic in hernia patients
AbstractPurposePost-operative opioid prescriptions contribute to prolonged opioid misuse and abuse. Using a national hernia registry, we aimed to evaluate the effectiveness of a data-driven educational intervention on surgeon prescribing behavior.MethodsAfter collecting opioid prescribing and patient consumption data from March 2019 —December 2019 in inguinal and umbilical hernia repair, the Abdominal Core Health Quality Collaborative (ACHQC) Opioid Reduction Task Force presented data at a Quality Improvement (QI) Summit to educate surgeons on strategies to minimize opioid prescribing. Surgeons were asked to implemen...
Source: Hernia - January 17, 2022 Category: Sports Medicine Source Type: research

Physical activity recommendations pre and post abdominal wall reconstruction: a scoping review of the evidence
ConclusionsThe literature supporting the advice given to patients regarding recommended physical activity levels in the perioperative period for AWR patients is sparse. Further research is urgently required on this subject. (Source: Hernia)
Source: Hernia - January 13, 2022 Category: Sports Medicine Source Type: research

Long-term results of the SOFTGRIP trial: TIPP versus ProGrip Lichtenstein ’s inguinal hernia repair
ConclusionThe SOFTGRIP trial ´s long-term outcomes show that after both TIPP and ProGrip Lichtenstein, recurrence rate increases and CPIP mostly disappears. These findings aid in better informing patients on the benefits and harms of inguinal hernia repair. The findings of accumulating recurrences and fading of chronic pain, c onfirms the need for long-term follow-up studies. High-quality long-term data on TIPP, ProGrip Lichtenstein and other types of herniorrhaphy are scarce and complication rates vary widely. Further long-term studies are needed to reveal the true spectrum of benefits and harms of the different ing...
Source: Hernia - January 13, 2022 Category: Sports Medicine Source Type: research

Adolescent inguinal hernia repair: a review of the literature and recommendations for selective management
ConclusionsA selective approach to the inguinal hernia in adolescent patients based on the size of the defect appears justified. (Source: Hernia)
Source: Hernia - January 13, 2022 Category: Sports Medicine Source Type: research

Physical activity recommendations pre and post abdominal wall reconstruction: a scoping review of the evidence
ConclusionsThe literature supporting the advice given to patients regarding recommended physical activity levels in the perioperative period for AWR patients is sparse. Further research is urgently required on this subject. (Source: Hernia)
Source: Hernia - January 13, 2022 Category: Sports Medicine Source Type: research

Long-term results of the SOFTGRIP trial: TIPP versus ProGrip Lichtenstein ’s inguinal hernia repair
ConclusionThe SOFTGRIP trial ´s long-term outcomes show that after both TIPP and ProGrip Lichtenstein, recurrence rate increases and CPIP mostly disappears. These findings aid in better informing patients on the benefits and harms of inguinal hernia repair. The findings of accumulating recurrences and fading of chronic pain, c onfirms the need for long-term follow-up studies. High-quality long-term data on TIPP, ProGrip Lichtenstein and other types of herniorrhaphy are scarce and complication rates vary widely. Further long-term studies are needed to reveal the true spectrum of benefits and harms of the different ing...
Source: Hernia - January 13, 2022 Category: Sports Medicine Source Type: research

Adolescent inguinal hernia repair: a review of the literature and recommendations for selective management
ConclusionsA selective approach to the inguinal hernia in adolescent patients based on the size of the defect appears justified. (Source: Hernia)
Source: Hernia - January 13, 2022 Category: Sports Medicine Source Type: research

Internet search by the patients undergoing  hernia surgery about the disease and surgeon selection
AbstractAimTo find out the current status of the internet use of patients who undergo surgery for repair of their hernias.Materials and methodsThe patients who were diagnosed with abdominal wall hernia and scheduled for elective hernia repair were requested to answer a questionnaire. The questions were directed face-to-face by the surgeons themselves. The age, gender, education status, American Society of Anesthesiologists (ASA) physical status, place of living, health insurance, access to the Internet, surgical method, the person who did the search, previous hernia surgery, recurrence of previous hernia surgery, surgery o...
Source: Hernia - January 12, 2022 Category: Sports Medicine Source Type: research

Are polypropylene mesh implants associated with systemic autoimmune inflammatory syndromes? A systematic review
ConclusionThere is no evidence to suggest a causal relationship between being implanted with a PP mesh and the occurrence of autoimmune disorders. (Source: Hernia)
Source: Hernia - January 12, 2022 Category: Sports Medicine Source Type: research

Internet search by the patients undergoing  hernia surgery about the disease and surgeon selection
AbstractAimTo find out the current status of the internet use of patients who undergo surgery for repair of their hernias.Materials and methodsThe patients who were diagnosed with abdominal wall hernia and scheduled for elective hernia repair were requested to answer a questionnaire. The questions were directed face-to-face by the surgeons themselves. The age, gender, education status, American Society of Anesthesiologists (ASA) physical status, place of living, health insurance, access to the Internet, surgical method, the person who did the search, previous hernia surgery, recurrence of previous hernia surgery, surgery o...
Source: Hernia - January 12, 2022 Category: Sports Medicine Source Type: research

Are polypropylene mesh implants associated with systemic autoimmune inflammatory syndromes? A systematic review
ConclusionThere is no evidence to suggest a causal relationship between being implanted with a PP mesh and the occurrence of autoimmune disorders. (Source: Hernia)
Source: Hernia - January 12, 2022 Category: Sports Medicine Source Type: research

Intra-operative pain and patient satisfaction during lichtenstein repair under local anesthesia versus spinal anesthesia: an open-label randomized controlled trial
ConclusionLA should be strongly considered for all patients with unilateral inguinal hernia undergoing open repair. In spite of a slightly more severe pain during surgery, patient satisfaction was higher using LA.Trial registrationThis study was conducted as a part of a postgraduate thesis research work. The protocol was submitted to the University of Delhi after approval of the IEC. Registration with the Clinical Trials Registry of India was not successfully done. (Source: Hernia)
Source: Hernia - January 11, 2022 Category: Sports Medicine Source Type: research

Truncal function after abdominal wall reconstruction via transversus abdominis muscle release (TAR) for large incisional hernias: a prospective case –control study
AbstractBackgroundData about abdominal wall function in patients with incisional hernias (IH) are limited. Abdominal Wall Reconstruction (AWR) could be beneficial for the improvement of this function. The goal of the study was to evaluate if the abdominal wall function was restored after transversus abdominis muscle release (TAR).MethodsWe performed a prospective case –control study of 59 patients with IH equal or larger than 10 cm in their width undergoing AWR via TAR with mesh reinforcement and complete linea alba restoration. With two simple physical tests—Trunk Raising (TR) and Double Leg Lowering (DLL...
Source: Hernia - January 11, 2022 Category: Sports Medicine Source Type: research

An evidence map and synthesis review with meta-analysis on the risk of incisional hernia in colorectal surgery with standard closure
ConclusionMidline laparotomies and stoma reversal sites are at high risk for IH and should be considered in research of preventive strategies of closure. After laparoscopic approach IH happens mainly by extraction sites incisions specially midline and also represent an important area of analysis. (Source: Hernia)
Source: Hernia - January 11, 2022 Category: Sports Medicine Source Type: research

Intra-operative pain and patient satisfaction during lichtenstein repair under local anesthesia versus spinal anesthesia: an open-label randomized controlled trial
ConclusionLA should be strongly considered for all patients with unilateral inguinal hernia undergoing open repair. In spite of a slightly more severe pain during surgery, patient satisfaction was higher using LA.Trial registrationThis study was conducted as a part of a postgraduate thesis research work. The protocol was submitted to the University of Delhi after approval of the IEC. Registration with the Clinical Trials Registry of India was not successfully done. (Source: Hernia)
Source: Hernia - January 11, 2022 Category: Sports Medicine Source Type: research

Truncal function after abdominal wall reconstruction via transversus abdominis muscle release (TAR) for large incisional hernias: a prospective case –control study
AbstractBackgroundData about abdominal wall function in patients with incisional hernias (IH) are limited. Abdominal Wall Reconstruction (AWR) could be beneficial for the improvement of this function. The goal of the study was to evaluate if the abdominal wall function was restored after transversus abdominis muscle release (TAR).MethodsWe performed a prospective case –control study of 59 patients with IH equal or larger than 10 cm in their width undergoing AWR via TAR with mesh reinforcement and complete linea alba restoration. With two simple physical tests—Trunk Raising (TR) and Double Leg Lowering (DLL...
Source: Hernia - January 11, 2022 Category: Sports Medicine Source Type: research

An evidence map and synthesis review with meta-analysis on the risk of incisional hernia in colorectal surgery with standard closure
ConclusionMidline laparotomies and stoma reversal sites are at high risk for IH and should be considered in research of preventive strategies of closure. After laparoscopic approach IH happens mainly by extraction sites incisions specially midline and also represent an important area of analysis. (Source: Hernia)
Source: Hernia - January 11, 2022 Category: Sports Medicine Source Type: research

Surgical technique in the laparoscopic repair of Morgagni hernia in adults. How do we do it?
ConclusionsLaparoscopic repair with transfascial suturing provides an feasible and efficient repair, compared to the other laparoscopic techniques. Although no postoperative complications were reported, the removal of the sac still remains an controversial issue. (Source: Hernia)
Source: Hernia - January 10, 2022 Category: Sports Medicine Source Type: research

Meta-analysis of the outcomes of Trans Rectus Sheath Extra-Peritoneal Procedure (TREPP) for inguinal hernia
ConclusionsThe best available evidence suggests that TREPP may be a promising technique for elective repair of inguinal hernias as indicated by low risks of recurrence, chronic pain, haematoma, and wound infection. The available evidence is limited to studies from a same country conducted by almost the same research group which may affect generalisability of the findings. Moreover, there is a lack of comparative evidence on outcomes of TREPP versus other techniques highlighting a need for high-quality randomised controlled trials for definite conclusions. Although the available evidence is not adequate for definite conclus...
Source: Hernia - January 10, 2022 Category: Sports Medicine Source Type: research

Surgical technique in the laparoscopic repair of Morgagni hernia in adults. How do we do it?
ConclusionsLaparoscopic repair with transfascial suturing provides an feasible and efficient repair, compared to the other laparoscopic techniques. Although no postoperative complications were reported, the removal of the sac still remains an controversial issue. (Source: Hernia)
Source: Hernia - January 10, 2022 Category: Sports Medicine Source Type: research

Meta-analysis of the outcomes of Trans Rectus Sheath Extra-Peritoneal Procedure (TREPP) for inguinal hernia
ConclusionsThe best available evidence suggests that TREPP may be a promising technique for elective repair of inguinal hernias as indicated by low risks of recurrence, chronic pain, haematoma, and wound infection. The available evidence is limited to studies from a same country conducted by almost the same research group which may affect generalisability of the findings. Moreover, there is a lack of comparative evidence on outcomes of TREPP versus other techniques highlighting a need for high-quality randomised controlled trials for definite conclusions. Although the available evidence is not adequate for definite conclus...
Source: Hernia - January 10, 2022 Category: Sports Medicine Source Type: research

Self-adhesive hydrogel meshes reduce tissue incorporation and mechanical behavior versus microgrips self-fixation: a preclinical study
ConclusionMeshes with mechanical microgrip self-fixation (ProGrip) show better biological and mechanical behavior than those with adhesive hydrogel (Adhesix) in a preclinical model of abdominal hernia repair in rabbits. (Source: Hernia)
Source: Hernia - January 7, 2022 Category: Sports Medicine Source Type: research

Managing severe traumatic abdominal-wall injuries, a monocentric experience
ConclusionPrompt surgical exploration is required as associated intrabdominal traumatic lesions are highly associated with severe AWI. Even when intrabdominal lesions are ruled out, fasciomuscular defects should be managed during the same hospitalization, to prevent intestinal strangulation and occlusion. Mesh augmentation should only be used when parietal defects include extensive tissue loss preventing tension-free parietal reconstruction. (Source: Hernia)
Source: Hernia - January 6, 2022 Category: Sports Medicine Source Type: research

Reading a preoperative CT scan to guide complex abdominal wall reconstructive surgery
We describe the key features that should be looked for at each o f the four steps and the rationale for their inclusion. (Source: Hernia)
Source: Hernia - January 5, 2022 Category: Sports Medicine Source Type: research

Comment to: Implementing a protocol to prevent incisional hernia in high-risk patients —a mesh is a powerful tool
(Source: Hernia)
Source: Hernia - January 5, 2022 Category: Sports Medicine Source Type: research

Reading a preoperative CT scan to guide complex abdominal wall reconstructive surgery
We describe the key features that should be looked for at each o f the four steps and the rationale for their inclusion. (Source: Hernia)
Source: Hernia - January 5, 2022 Category: Sports Medicine Source Type: research

Comment to: Implementing a protocol to prevent incisional hernia in high-risk patients —a mesh is a powerful tool
(Source: Hernia)
Source: Hernia - January 5, 2022 Category: Sports Medicine Source Type: research

Robotic transabdominal retromuscular rectus diastasis (r-TARRD) repair: a new approach
ConclusionsRobot-assisted TARRD repair is conceived as a novel alternative minimally invasive procedure for RD with concurrent midline defects ensuring a primary fascial defect closure and mesh implantation in a sublay position with a wide overlap. It is important to better evaluate the suture that should be used to perform the repair, and multicenter studies with standardization of patient ’s demographics, RD characteristics, and long-term follow-up outcomes are mandatory to assess the effectiveness and durability of r-TARDD repair. (Source: Hernia)
Source: Hernia - January 4, 2022 Category: Sports Medicine Source Type: research

Long-term follow-up of full-thickness skin grafting in giant incisional hernia repair: a randomised controlled trial
ConclusionThe results of this long-term follow-up together with the results from previous follow-ups indicate that autologous FTSG as reinforcement in giant incisional hernia repair is an alternative to conventional repair with SM.Trial RegistrationThe study was registered August 10, 2011 at ClinicalTrials.gov (ID NCT01413412), retrospectively registered. (Source: Hernia)
Source: Hernia - December 14, 2021 Category: Sports Medicine Source Type: research

Mesh fixation techniques for inguinal hernia repair: an overview of systematic reviews of randomised controlled trials
ConclusionGlue fixation may be effective in reducing the incidence of chronic pain without increasing the risk of recurrence. Future research should consider both the effectiveness and cost-effectiveness of fixation techniques alongside the type of mesh and the size and location of the hernia defect. (Source: Hernia)
Source: Hernia - December 14, 2021 Category: Sports Medicine Source Type: research

Long-term follow-up of full-thickness skin grafting in giant incisional hernia repair: a randomised controlled trial
ConclusionThe results of this long-term follow-up together with the results from previous follow-ups indicate that autologous FTSG as reinforcement in giant incisional hernia repair is an alternative to conventional repair with SM.Trial RegistrationThe study was registered August 10, 2011 at ClinicalTrials.gov (ID NCT01413412), retrospectively registered. (Source: Hernia)
Source: Hernia - December 14, 2021 Category: Sports Medicine Source Type: research