This study analyzed paraesophageal hernia repairs to identify factors influencing postoperative symptom improvement and radiographic recurrence. Propensity score matching compared initial and reoperative repairs, showing lower symptom improvement rates in reoperations but similar rates of recurrence and complications. Most patients experienced symptom improvement, despite frequent radiographic recurrence, with hernia type, closure technique, fundoplication, and mesh […]
Category: Hernia
Optimal Management of Hiatal Hernia
A systematic review and meta-analysis of 45 studies on hiatal hernia management, including data from randomized controlled trials and observational studies, found that the use of mesh was associated with a lower recurrence risk (RR = 0.50, 95% CI 0.28, 0.88). Despite the overall high risk of bias in most studies, this evidence suggests that […]
Factors influencing postoperative opioid use in ventral and incisional hernia repair patients
One in two ventral and incisional hernia repair (VIHR) patients had preoperative opioid prescriptions. The study found that preoperative opioid tolerance, superficial wound infection, current smoking status, and opioid dispensation within 45 days of admission were significant predictors of increased postoperative opioid use. Preoperative opioid use 45 days prior to admission strongly correlated with postoperative […]
Self-Gripping Mesh for Ventral Hernia Repair: 30-Day Outcomes
Self-gripping mesh for ventral hernia repair demonstrates similar 30-day rates of recurrence, surgical site infection, and surgical site occurrence compared to non-self-gripping mesh. However, self-gripping mesh is associated with significantly lower rates of surgical site occurrence requiring procedural intervention. Patient-reported outcomes at 30 days were comparable between the two groups. Journal Article by Bahraini A, […]
Reducing Seroma Incidence in Endoscopic-Assisted Repair
Introducing quilting in endoscopic-assisted repair of ventral hernias and diastasis recti significantly reduces postoperative seromas, a retrospective study of 176 patients revealed a lower incidence of type B seromas requiring multiple punctures or reoperation in the quilting group. Although operation duration slightly increased, this technique adaptation demonstrates efficacy in minimizing seroma occurrence and severity. Journal […]
Reducing Seroma Incidence in Endoscopic-Assisted Repair
Introducing quilting in endoscopic-assisted repair of ventral hernias and diastasis recti significantly reduces postoperative seromas, a retrospective study of 176 patients revealed a lower incidence of type B seromas requiring multiple punctures or reoperation in the quilting group. Although operation duration slightly increased, this technique adaptation demonstrates efficacy in minimizing seroma occurrence and severity. Journal […]
Factors influencing postoperative opioid use in ventral and incisional hernia repair patients
One in two ventral and incisional hernia repair (VIHR) patients had preoperative opioid prescriptions. The study found that preoperative opioid tolerance, superficial wound infection, current smoking status, and opioid dispensation within 45 days of admission were significant predictors of increased postoperative opioid use. Preoperative opioid use 45 days prior to admission strongly correlated with postoperative […]
Optimizing Abdominal Wall Reconstruction: The Complex Hernia Bundle
A “Getting It Right First Time” approach to abdominal wall reconstruction (AWR) involves developing a comprehensive management pathway. The study outlines a detailed AWR pathway, integrating literature review and experiential knowledge, facilitating better patient outcomes. Referred to as the “complex hernia bundle,” this approach guides AWR teams, offering valuable insights for managing challenging hernia cases […]
Disappointing Results of SMART Technique for Parastomal Hernia Repair
The study assesses the Modified Stapled Mesh Stoma Reinforcement Technique (mSMART) for parastomal hernia repair, revealing a high recurrence rate of 57.1% during follow-up. Despite low rates of surgical site occurrence and infection, disappointing outcomes indicate the need for alternative approaches in addressing parastomal hernias to improve patient outcomes and reduce recurrence. Journal Article by […]
Comparing Robotic Hernia Repair Techniques: Perioperative Differences but Comparable Costs
Robotic incisional hernia repairs using intraperitoneal onlay mesh (ipom) showed more perioperative complications, higher postoperative pain, and readmission rates than retromuscular (rm) repairs. However, rm repairs had higher defect closure rates and lower postoperative complications. Despite higher postoperative complication costs in ipom, total costs were comparable between the techniques. Recurrence rates and hospital costs did […]