Hernia · 21 September 2026

Durability of the Posterior Rectus Sheath Flap for Hiatal Repair

Vascularized posterior rectus sheath flap (PORSHA) shows promising results for complex paraesophageal hernia repair, with low recurrence rates and minimal donor-site morbidity.

Radiologic recurrence was 1.4% at 12 months and 13.8% at 24 months, stabilizing at 18.1% through 48 months.
Excluding the procedural maturation phase, recurrence improved to 9.2% at 24 and 36 months, with no reoperations.

These findings suggest that PORSHA may be a viable option for reducing recurrence in this challenging surgical population.

Journal Article by Vigneswaran Y, Campbell M (…) Hussain M et 2 al. in Ann Surg

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Ann Surg2 Nov 2026

Onlay hernia mesh linked to foreign-body sensation

After elective incisional hernia repair, patients with onlay mesh more often felt a foreign body than those with retromuscular mesh; other reported outcomes were similar.

J Am Coll Surg2 Nov 2026

Social vulnerability tracks ventral hernia wound problems

After ventral hernia repair, patients from more socially vulnerable communities had more wound complications, though differences between vulnerability groups were small.

BMC Surg26 Oct 2026

Lightweight mesh linked to more ventral hernia recurrence

Journal Article by Kerr SW, Hinton LR (...) Heniford BT et 4 al. in BMC Surg

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