Analyzing 11,658 cases, 31.3% were women, 68.7% men; 94.9% involved surgery for diastasis with ventral hernias. Preferred techniques: mini-less-open and endoscopic sublay (48.9%), open techniques (30.7%), laparoscopic (11.0%). Postoperative complications were 5% with a 2.3% reoperation rate, indicating surgical challenges. Surgeons should consider patient selection carefully, as outcomes highlight the complexity of these procedures. Journal […]

Overall anterior fascial closure rate post-transversus abdominis release was 93.9%. Hernia widths of 15-20 cm and >20 cm significantly lower closure odds (0.39 and 0.05 respectively). History of open abdomen and higher ASA classification also correlate with non-closure (0.33 and 0.39 respectively). Proper patient selection and recognition of risk factors can enhance surgical outcomes and […]

Emergency laparoscopic repair of groin hernias leads to significant benefits over open approaches. Patients had a shorter hospital stay by nearly 3 days on average (2.96 days). There was a 71% lower risk of wound infections with laparoscopic repair. Surgeons can consider laparoscopic techniques as a safer and more efficient option without extended operative times. […]

Higher BMI negatively affects recovery in incisional hernia repair, making patient selection crucial. 42,081 patients analyzed showed no link between BMI and intraoperative or general complications. Elevated BMI is associated with higher postoperative complications, reoperations, and recurrence rates. Consider recommending preoperative weight loss to reduce these risks for patients with high BMI. Chronic pain at […]

Surgical outcomes for incisional hernia repairs improve when performed by specialists. Procedures by super-specialists showed a 30% reduction in surgical site occurrences compared to general surgeons. Recurrence rates were notably lower in the first two years for repairs handled by super-specialists, indicating better long-term results. Consider consulting or referring patients to abdominal wall surgery specialists […]

A meta-analysis of 40 studies involving over 183,000 patients reveals midline incisions significantly elevate the risk of incisional hernias, exhibiting rates up to 18.7%. In colorectal surgery, midline approaches show an alarming odds ratio of 11.7 for hernia formation versus transverse methods. Key risk factors include obesity, male gender, COPD, and wound infections, with most […]

Patients with preexisting chronic kidney disease (CKD) face a 26.6% rate of acute kidney injury (AKI) following abdominal wall reconstruction (AWR), compared to 11.8% for those with normal renal function. At one year, 6.9% of previously healthy individuals develop new CKD, while nearly 20% of CKD patients see their condition worsen. Postoperative AKI strongly predicts […]