Comment to: The modified frailty index predicts postoperative morbidity in elective hernia repair patients
(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

The 6:1 short stitch SL-WL-ratio: short term closure results of transverse and midline incisions in elective and emergency operations
ConclusionWe could show that a short stitch 6:1 SL/WL-ratio with a 2 –0 single, ultra-long term, absorbent, elastic suture material can be performed in only 43% of cases (85% >  4:1 SL/WL-ratio), significantly better in midline than transverse incisions. Transverse incisions should preferably be closed in two layers to achieve a sufficient SL/WL-ratio equivalent to the median incision.Clinical Trials.gov IdentifierNCT01938222. (Source: Hernia)
Source: Hernia - January 29, 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

The 6:1 short stitch SL-WL-ratio: short term closure results of transverse and midline incisions in elective and emergency operations
ConclusionWe could show that a short stitch 6:1 SL/WL-ratio with a 2 –0 single, ultra-long term, absorbent, elastic suture material can be performed in only 43% of cases (85% >  4:1 SL/WL-ratio), significantly better in midline than transverse incisions. Transverse incisions should preferably be closed in two layers to achieve a sufficient SL/WL-ratio equivalent to the median incision.Clinical Trials.gov IdentifierNCT01938222. (Source: Hernia)
Source: Hernia - January 29, 2024 Category: Sports Medicine 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

Femoral hernia in pediatric population: a diagnostic and surgical challenge
ConclusionDue to the high rate of misdiagnosis, the variety of surgical approaches proposed, and the potential for intraoperative complications, FH poses a challenge for pediatric surgeons and urologists, as confirmed by the literature. It is essential to underline the importance of a proper clinical examination in order to correctly diagnose FH, make the best surgical plan for the patient and prevent post-operative complications. (Source: Hernia)
Source: Hernia - January 25, 2024 Category: Sports Medicine Source Type: research

Comment to: Association of active smoking on 30-day wound events and additional morbidity and mortality following inguinal hernia repair with mesh
(Source: Hernia)
Source: Hernia - January 24, 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

Prophylactic mesh augmentation in emergency laparotomy closure: a meta-analysis of randomized controlled trials with trial sequential analysis
ConclusionsMesh augmentation in emergency laparotomy decreases incisional hernia and fascial dehiscence incidence. Despite the risk of seroma, prophylactic mesh augmentation appears to be safe and might be considered for emergency laparotomy closure. Further studies evaluating long-term outcomes are still needed. (Source: Hernia)
Source: Hernia - January 22, 2024 Category: Sports Medicine Source Type: research