Preoperative CT parameters can help determine the need for transversus abdominis release (TAR) during laparoscopic repair of midline hernias. TAR was necessary in 57% of patients, correlating with hernia width >5 cm and rectus-to-defect ratio (RDR) <2.35. Patients needing TAR had hernias averaging 6 cm compared to 4 cm in those who didn’t (p<0.0001). This […]
Category: Hernia
Geriatric Consultation Cuts Risk in Abdominal Wall Surgery
Integrating geriatric medicine into abdominal wall reconstruction significantly improves outcomes for older patients. Older patients (≥65) receiving preoperative geriatric assessment had 4.7 days average hospital stay, compared to 6.7 days for those without. These patients experienced 3.2% wound complications versus 21% in the non-geriatric assessment group. Preoperative geriatric evaluations should be a standard practice for […]
Elderly Patients Thrive Post-Ventral Hernia Repair
Very elderly patients (76-90) show comparable outcomes to younger counterparts after ventral hernia repair. No differences in 30-day mortality, readmissions, or complications. Very elderly patients reported higher quality of life scores at baseline and significant improvements at 30 days and 1 year. Surgeons can confidently include very elderly patients in surgical plans, as they achieve […]
Robotic Surgery for Groin Hernia Doesn’t Reduce Pain
Robotic inguinal hernia repair shows no advantage over laparoscopic methods in postoperative pain management. Postoperative pain at 24 hours was similar: median scores 5 for laparoscopic versus 4 for robotic (p = 0.431). Operating time was longer with robotic repair (80.3 min) compared to laparoscopic (64.2 min, p < 0.001). Complication rates were low and […]
Cost Drivers in Laparoscopic Hiatal Hernia Repair Identified
Understanding the factors affecting hospitalization costs in laparoscopic hiatal hernia repair can optimize surgical strategies and patient management. Material costs accounted for over 58% of total hospitalization expenses annually. Using absorbable sutures instead of tackers significantly reduced costs across all patient cost percentiles (up to $11,671 savings). Longer hospital stays raised costs and ICU use […]
Surgeon Age and Experience Impact Hernia Repair Outcomes
Older and more experienced surgeons have distinct effects on complications in ventral hernia repairs. Open repairs: Higher surgeon age linked to greater recurrence (OR 7.1), but lower severe complications (OR 0.5). Robotic repairs: Aging surgeons face increased odds of recurrence and reoperation, while experience reduces those risks significantly. Consider tailored training to enhance patient outcomes, […]
New Study Reveals Best Techniques for Parastomal Hernia Repair
Funnelmesh and modified keyhole techniques show superior outcomes for parastomal hernia repair. Funnelmesh achieved the highest efficacy for recurrence reduction at 91.55%, outperforming keyhole and traditional repairs. Modified keyhole ranked safest, with a significant decrease in complications compared to other techniques. Surgeons should consider funnelmesh and modified keyhole for optimal patient outcomes while reassessing the […]
Promising Results for PhasixST™ Mesh in Hiatal Hernia Repair
Using bioabsorbable PhasixST™ mesh in laparoscopic large hiatal hernia repairs shows potential to improve outcomes and reduce complications. Average recurrence rate with PhasixST™ mesh is just 2.82 per 100 patients within one year. No reported mesh-related complications, addressing concerns with permanent materials. Surgeons should consider this mesh option for better patient outcomes and lower risk […]
Effective Low-Cost Simulation for Surgical Skills Training
A novel foam model enhances residents’ confidence in abdominal procedures. Residents’ overall comfort with ostomy techniques rose by 2 points after training (p < 0.001). Specific skills improved: siting the stoma (+1 point), creating trephine (+2 points), securing stoma (+1 point). For abdominal access methods, confidence increased: Veress needle (+2), optical trocar (+1), Hasson (+1.5). […]
Lower Seroma Rate with Midline Lateral Sac Management
Managing the distal hernia sac effectively reduces seroma after laparoscopic repair of large indirect inguinal hernias. Seroma occurrence was significantly lower in midline transection with lateral fixation (4.69%) compared to transection and abandonment (18.03%). Hospital stay was longer for abandonment group (6 days) versus complete dissection or midline strategies (5 days). Consider this approach for […]