A novel technique using bilateral rectus muscle turning-over was developed for addressing large midline abdominal wall hernias. In a study of 22 patients, this method achieved significant improvements in quality of life (from 23 ± 13 to 47 ± 6, p = 0.0013) with only one case of hernia recurrence. No significant increase in intra-abdominal […]
Category: Hernia
Surgeon experience influences intraoperative efficiency and complication rates.
High-experience surgeons significantly outperform their low-experience counterparts, operating more efficiently on complex cases, with shorter intraoperative times (115.8 vs 172.9 min) and fewer complications (4.5% vs 1.8%). Low-experience surgeons handle more emergent and urgent cases, often involving older patients with greater comorbidities. Despite increased complication rates, long-term outcomes such as hernia recurrence and redo-operations are […]
Modified Lichtenstein Technique Reduces Postoperative Pain and Recurrence
A retrospective study of 289 inguinal hernia surgeries revealed that the modified Lichtenstein technique significantly reduced postoperative pain and recurrence rates. The modified technique demonstrated a 1.5% recurrence rate against 3.1% for the standard method. Pain assessment using the visual analogue scale showed a mean score of 0.15 for the modified group, compared to 0.31 […]
Semi-erect position enhances inguinal hernia detection accuracy
Findings demonstrate that the semi-erect position significantly improves the detection of inguinal hernia defects via sonography. In group A, defect measurements averaged 1.28 cm in the semi-erect position compared to 1.09 cm supine (p
Implementing a critical view reduces recurrence in hernia repairs
A novel critical view approach in paraesophageal hernia repair yielded significant outcomes. Patients experiencing this technique had a recurrence rate of 9.7% versus 20% for standard repair (p < 0.01) and reoperation rates of 0.5% compared to 10% (p < 0.001). Adjusted outcomes also indicated a lower odds of postoperative complications for the critical view […]
European Hernia Society Classification Aids Surgical Planning for Parastomal Hernias
The study validates the European Hernia Society classification for parastomal hernias (PH) by analyzing 160 cases at a single center. It demonstrates that this classification effectively categorizes PH, essential for surgical planning and anticipating complications. Findings reveal a high incidence of complex type III and IV hernias, emphasizing increased complication rates in these cases. This […]
Interval conservative management is safe for incarcerated paraesophageal hernias.
Adopting an initial conservative management strategy for clinically stable patients with incarcerated paraesophageal hernias allows 66% to resolve their conditions without urgent surgery. Among the 35 patients studied, one experienced unplanned readmission before planned interval repair. Complication rates remained similar between those who underwent conservative management and those requiring surgery. Overall, managing these patients conservatively […]
Anticoagulants significantly increase postoperative bleeding risks
An analysis of 37,973 patients undergoing ventral hernia repair revealed that while 11.5% were on antiplatelet therapy and 5.8% on anticoagulants, the latter category exhibited a considerably heightened risk for postoperative bleeding complications. Anticoagulant use was linked to a 2.4 times higher risk for transfusion, a 6.3 times greater likelihood of reoperation for bleeding, and […]
Small-bite fascial closure reduces hernia rates after surgery
A randomized clinical trial found that small-bite fascial closure significantly decreased the incidence of incisional hernia in open colorectal cancer surgery patients. At one year, hernia rates were 7% for the small-bite group versus 27% for the conventional group (p < 0.001). This disparity persisted into the second year (9% vs 31%, p < 0.001). […]
Vacuum-assisted wound closure with mesh shows better outcomes
Findings indicate that vacuum-assisted wound closure with mesh-mediated fascial traction (vawcm) significantly improves primary fascial closure success rates (70% vs. 36%) and reduces in-hospital mortality (26% vs. 72%) compared to traditional vacuum-assisted wound closure (vawc) only. Multivariate analysis confirms vawcm’s role as an independent factor linked to lower mortality (odds ratio, 0.14; p = 0.004). These results […]