Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study
AbstractAimThe prevalence and definition of diastasis recti abdominis (DRA) is under debate. This retrospective cross-sectional study evaluated the interrectal distance and the prevalence of DRA in computed tomography (CT) in an asymptomatic population.Materials and methodsPatients undergoing CT scans for suspected appendicitis or kidney stones from 01/2016 to 12/2018 were screened retrospectively to participate. A study population with equal distribution according to gender and age (18 –90 years) was generated (n = 329 patients) and the interrectal distance was measured at six reference points.Res...
Source: Hernia - October 5, 2021 Category: Sports Medicine Source Type: research

Feasibility of modified-TEP technique for large inguinoscrotal and large femoral hernia and its advantages
ConclusionModified-TEP technique for large inguinoscrotal and large femoral hernia has shown good outcomes and patients reported minimum levels of pain. In experienced hands, it is safe, feasible and effective in reducing seroma formation and hernia recurrence. (Source: Hernia)
Source: Hernia - October 2, 2021 Category: Sports Medicine Source Type: research

Laparoscopic ventral hernia repair: does IPOM plus allow to increase the indications in larger defects?
AbstractPurposeThe laparoscopic ventral hernia repair (LVHR) may have a limit of effectiveness, especially in defects greater than 80  cm2, with a higher recurrence rate which contraindicates this technique. The purpose of this study is to analyze the indication of LVHR determining and comparing the recurrence rate according to defect size in two series.MethodsWe analyzed all patients who underwent LVHR between 2007 and 2017. Patients were divided according to the ring size:  
Source: Hernia - October 2, 2021 Category: Sports Medicine Source Type: research

Feasibility of modified-TEP technique for large inguinoscrotal and large femoral hernia and its advantages
ConclusionModified-TEP technique for large inguinoscrotal and large femoral hernia has shown good outcomes and patients reported minimum levels of pain. In experienced hands, it is safe, feasible and effective in reducing seroma formation and hernia recurrence. (Source: Hernia)
Source: Hernia - October 2, 2021 Category: Sports Medicine Source Type: research

Laparoscopic ventral hernia repair: does IPOM plus allow to increase the indications in larger defects?
AbstractPurposeThe laparoscopic ventral hernia repair (LVHR) may have a limit of effectiveness, especially in defects greater than 80  cm2, with a higher recurrence rate which contraindicates this technique. The purpose of this study is to analyze the indication of LVHR determining and comparing the recurrence rate according to defect size in two series.MethodsWe analyzed all patients who underwent LVHR between 2007 and 2017. Patients were divided according to the ring size:  
Source: Hernia - October 2, 2021 Category: Sports Medicine Source Type: research

Hernia research in developing countries: are we looking for needles in haystacks? Surgeons in action
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Improving surgical education in East Africa with a standardized hernia training program
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Comment to: Is round ligament varicosity in pregnancy a common precursor for the later development of inguinal hernias? The prospective analysis of 28 patients over 9  years
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

More work should be done in laparo-endoscopic direct hernia repair
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Local, regional, and general anesthesia for inguinal hernia repair: the importance of the study, the patient population, and surgeon ’s experience
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

The value and role of mosquito meshes in low resource and poor income settings: author ’s reply
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Intestinal erosion rate following transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) inguinal hernia repair: does the surgical approach matter?
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Intestinal erosion rate following transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) inguinal hernia repair: does the surgical approach matter? Author ’s reply
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Shouldice Hospital comments on “Shouldice standard 2020: review of current literature and results of an international consensus meeting”
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Comment to: “Predictors of ischemic bowel in patients with incarcerated hernias”
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Comment to: intestinal erosions following inguinal hernia repair —a systematic review. Author’s reply
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Comment to: intestinal erosions following inguinal hernia repair: a systematic review
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Comment on: & quot;Laparoscopic treatment (reTAPP) for recurrence after laparoscopic inguinal hernia repair & quot;
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

The use of biosynthetic mesh in giant hiatal hernia repair: is there a rationale? A 3 ‐year single‐center experience—author’s reply
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Comment to: transrectus sheath pre-peritoneal (TREPP) procedure versus totally extraperitoneal (TEP) procedure and Lichtenstein technique —a propensity-score-matched analysis in Dutch high-volume regional hospitals
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Robotic ‐assisted single site (RASS) TAPP: an advantageous choice? Author’s reply
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Comment to: “Predictors of ischemic bowel in patients with incarcerated hernias”
(Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Risk factors for surgical site infection after groin hernia repair: does the mesh or technique matter?
ConclusionThe rate of SSI following GHR was low in this large registry study. Mesh type and surgical technique did not affect SSIs rates. Caution is advised when interpreting these data due to this very low rate of SSI and the potential for a type II error. (Source: Hernia)
Source: Hernia - October 1, 2021 Category: Sports Medicine Source Type: research

Proctored preceptorship model for learning eTEP repair for inguinal hernia for general surgery residents
AbstractBackgroundEnhanced-view total extra-peritoneal (eTEP) inguinal hernia repair is a technically demanding procedure with a steep learning curve.AimExamine the feasibility and effectiveness of an instructor approach to teaching residents how to perform laparoscopic eTEP independently following a dedicated course of individual teaching.MethodsProspective analysis of eTEP procedures performed by residents between March 2018 and September 2020. Six residents dispersed into three groups —Group A: two junior residents, Group B: two mid-level residents and Group C: two senior residents. All residents performed a unila...
Source: Hernia - September 30, 2021 Category: Sports Medicine Source Type: research

Onlay mesh repair for treatment of small umbilical hernias  ≤ 2 cm in adults: a single-centre investigation
ConclusionsRepairing small umbilical hernias with a small onlay-mesh was safe with a low surgical site complication rate. Randomized trials are needed to assess whether mesh can reduce recurrences in umbilical hernia repairs  ≤ 2 cm. (Source: Hernia)
Source: Hernia - September 30, 2021 Category: Sports Medicine Source Type: research

Inguinal hernia TAPP repair using Senhance ® robotic platform: first multicenter report from the TRUST registry
ConclusionRobotic inguinal hernia TAPP repair shows inspiring results. It is a safe and doable procedure. However, cost analysis should be performed in future to show the superiority over other techniques. (Source: Hernia)
Source: Hernia - September 30, 2021 Category: Sports Medicine Source Type: research

It ’s time to re-acknowledge the differences
(Source: Hernia)
Source: Hernia - September 30, 2021 Category: Sports Medicine Source Type: research

Proctored preceptorship model for learning eTEP repair for inguinal hernia for general surgery residents
AbstractBackgroundEnhanced-view total extra-peritoneal (eTEP) inguinal hernia repair is a technically demanding procedure with a steep learning curve.AimExamine the feasibility and effectiveness of an instructor approach to teaching residents how to perform laparoscopic eTEP independently following a dedicated course of individual teaching.MethodsProspective analysis of eTEP procedures performed by residents between March 2018 and September 2020. Six residents dispersed into three groups —Group A: two junior residents, Group B: two mid-level residents and Group C: two senior residents. All residents performed a unila...
Source: Hernia - September 30, 2021 Category: Sports Medicine Source Type: research

Onlay mesh repair for treatment of small umbilical hernias  ≤ 2 cm in adults: a single-centre investigation
ConclusionsRepairing small umbilical hernias with a small onlay-mesh was safe with a low surgical site complication rate. Randomized trials are needed to assess whether mesh can reduce recurrences in umbilical hernia repairs  ≤ 2 cm. (Source: Hernia)
Source: Hernia - September 30, 2021 Category: Sports Medicine Source Type: research

Inguinal hernia TAPP repair using Senhance ® robotic platform: first multicenter report from the TRUST registry
ConclusionRobotic inguinal hernia TAPP repair shows inspiring results. It is a safe and doable procedure. However, cost analysis should be performed in future to show the superiority over other techniques. (Source: Hernia)
Source: Hernia - September 30, 2021 Category: Sports Medicine Source Type: research

It ’s time to re-acknowledge the differences
(Source: Hernia)
Source: Hernia - September 30, 2021 Category: Sports Medicine Source Type: research

Comment to: Prophylactic retromuscular mesh placement for parastomal hernia prevention. Author ’s reply
(Source: Hernia)
Source: Hernia - September 29, 2021 Category: Sports Medicine Source Type: research

Inguinal hernia: why is it still a topic of debate?
(Source: Hernia)
Source: Hernia - September 25, 2021 Category: Sports Medicine Source Type: research

Laparoscopic ventral and incisional hernia repair using intraperitoneal onlay mesh with peritoneal bridging
ConclusionIPOM with peritoneal bridging is as feasible and safe as conventional IPOM with defect closure and simple non-defect closure. However, a large randomised controlled trial is required to confirm this finding. (Source: Hernia)
Source: Hernia - September 24, 2021 Category: Sports Medicine Source Type: research

Robotic versus laparoscopic ventral hernia repair: a systematic review and meta-analysis of randomised controlled trials and propensity score matched studies
ConclusionOverall, rVHR is comparable to lapVHR with longer operative times but less open conversion. It is, therefore, important to have proper patient selection to maximise the utility of rVHR. (Source: Hernia)
Source: Hernia - September 23, 2021 Category: Sports Medicine Source Type: research

CT scan structured report for the study of abdominal wall defects: a fast, easy and practical tool at the service of both surgeons and radiologist
ConclusionsOur structured report represents a fundamental tool capable of providing the surgeon with all the measurements of the parameters necessary for correct preoperative planning. At the same time, it is of crucial help for the radiologists representing an easy and fast way to report all the needed parameters using the same standards. (Source: Hernia)
Source: Hernia - September 21, 2021 Category: Sports Medicine Source Type: research

A systematic review and meta-analysis of technical aspects and clinical outcomes of botulinum toxin prior to abdominal wall reconstruction
AbstractPurposeTo systematically review technical aspects and treatment regimens of botulinum toxin A (BTA) injections in the lateral abdominal wall musculature. We also investigated the effect of BTA on abdominal muscle- and hernia dimensions, and clinical outcome.MethodsPubMed, EMBASE, CENTRAL, and CINAHL were searched for studies that investigate the injection of BTA in the lateral abdominal wall muscles. Study characteristics, BTA treatment regimens, surgical procedures, and clinical outcomes are presented descriptively. The effect of BTA on muscle- and hernia dimensions is analyzed using random-effects meta-analyses, ...
Source: Hernia - September 21, 2021 Category: Sports Medicine Source Type: research

CT scan structured report for the study of abdominal wall defects: a fast, easy and practical tool at the service of both surgeons and radiologist
ConclusionsOur structured report represents a fundamental tool capable of providing the surgeon with all the measurements of the parameters necessary for correct preoperative planning. At the same time, it is of crucial help for the radiologists representing an easy and fast way to report all the needed parameters using the same standards. (Source: Hernia)
Source: Hernia - September 21, 2021 Category: Sports Medicine Source Type: research

A systematic review and meta-analysis of technical aspects and clinical outcomes of botulinum toxin prior to abdominal wall reconstruction
AbstractPurposeTo systematically review technical aspects and treatment regimens of botulinum toxin A (BTA) injections in the lateral abdominal wall musculature. We also investigated the effect of BTA on abdominal muscle- and hernia dimensions, and clinical outcome.MethodsPubMed, EMBASE, CENTRAL, and CINAHL were searched for studies that investigate the injection of BTA in the lateral abdominal wall muscles. Study characteristics, BTA treatment regimens, surgical procedures, and clinical outcomes are presented descriptively. The effect of BTA on muscle- and hernia dimensions is analyzed using random-effects meta-analyses, ...
Source: Hernia - September 21, 2021 Category: Sports Medicine Source Type: research

Hybrid operation technique for incisional hernia repair: a systematic review and meta-analysis of intra- and postoperative complications
AbstractBackgroundIncisional hernia (IH) occurs approximately in 15% of patients after midline surgery. Surgical treatment for IHs include a solely open or solely laparoscopic approach with mesh placement. Recently, hybrid (combined laparoscopic and open) approaches have been introduced. This systematic review evaluates perioperative complications of hybrid incisional hernia repair (HIHR).MethodsEMBASE, Medline via OvidSP, Web of Science, Cochrane and Google Scholar databases were searched. Studies providing data on intra- and postoperative complications in patients who underwent HIHR were included. Data on intra- and post...
Source: Hernia - September 18, 2021 Category: Sports Medicine Source Type: research

What is the reality in outpatient vs inpatient groin hernia repair? An analysis from the Herniamed Registry
ConclusionWith an appropriate patient selection, outpatient primary elective unilateral groin hernia repair can be performed with acceptable risks and good outcomes. Since to date no studies have compared inpatient vs outpatient groin hernia repair, the impact of a higher rate of outpatient groin hernia repair cannot currently be evaluated. (Source: Hernia)
Source: Hernia - September 16, 2021 Category: Sports Medicine Source Type: research

Transversus abdominis release (TAR) for ventral hernia repair: open or robotic? Short-term outcomes from a systematic review with meta-analysis
AbstractPurposeTo compare early postoperative outcomes after transversus abdominis release (TAR) for ventral hernia repair with open (oTAR) and robotic (rTAR) approach.MethodsA systematic search of PubMed/MEDLINE, EMBASE, SCOPUS and Web of Science databases was conducted to identify comparative studies until October 2020. A meta-analysis of postoperative short-term outcomes was performed including complications rate, operative time, length of stay, surgical site infection (SSI), surgical site occurrence (SSO), SSO requiring intervention (SSOPI), systemic complications, readmission, and reoperation rates as measure outcomes...
Source: Hernia - September 7, 2021 Category: Sports Medicine Source Type: research