Laparoscopic approaches to inguinal hernia repair significantly reduce chronic postoperative pain compared to the Lichtenstein technique. A meta-analysis of 13 studies revealed a relative risk of 0.49 (95% CI: 0.32, 0.75) for lower inguinodynia incidence in patients undergoing laparoscopic transabdominal preperitoneal or total extraperitoneal repairs. This finding underscores the advantages of laparoscopic methods, suggesting they […]
Category: Hernia
Long-term outcomes of ventral hernia repair with sandwich mesh
Long-term follow-up of patients who underwent primary ventral hernia repair or midline incisional hernia repair with sandwich mesh showed minimal pain, normal activities, and favorable patient-reported outcomes. Most patients had an extra-peritoneal sandwich mesh repair, with a low recurrence rate (9.3%). The study suggests that the open sandwich mesh technique is safe and effective in […]
Subcutaneous Drain Reduces Surgical Site Infections in Abdominal Wound Closure
Patients with secondary peritonitis who received a subcutaneous drain post-laparotomy had a significantly lower incidence of incisional surgical site infections (20% vs. 68%) and shorter hospital stays (8.96 days vs. 14.04 days) compared to those without the drain. Although not statistically significant, the drain also reduced the risk of wound dehiscence. Subcutaneous suction drainage is […]
Robot-assisted Ventral Hernia Repair: Cost-effective with Shorter Stay and Lower Complications
Robot-assisted ventral hernia repair is associated with decreased length of stay and lower complication rates compared with open repair, resulting in a more cost-effective procedure. In a retrospective cohort study, patients undergoing robot-assisted repair had a significantly shorter mean stay of 0.3 days, lower readmission rate of 4%, and lower total procedure cost of 1,094 […]
Preoperative Weight Loss Improves Hiatal Hernia Repair Outcomes
Patients achieving preoperative weight loss goals before laparoscopic hiatal hernia repair experienced lower symptom burden and higher resolution of common symptoms postoperatively. High achievers demonstrated significantly better outcomes one month after surgery compared to low achievers, indicating active patient engagement can positively impact surgical results and health status. Journal Article by Turcotte JJ, Chang YW […]
Reduced Incidence of Internal Hernia with Meticulous Mesenteric Defect Closure in Gastric Bypass
Meticulous closure of mesenteric defects during laparoscopic Roux-en-Y gastric bypass significantly reduces the risk of internal hernia, particularly at the jejunojejunostomy and Petersen defects. Improvements in closure techniques led to a notable decrease in internal hernia incidence over time, with the most effective method involving non-absorbable sutures and an additional purse-string suture. Clinicians should maintain […]
Skin-Only Closure Outperforms Bogota Bag in Achieving Fascial Closure
Skin-only closure (SC) showed significantly higher rates of primary fascial closure (PFC) compared to Bogota bag closure (BBC) in patients with peritonitis or abdominal trauma undergoing temporary abdominal closure (TAC). SC patients had lower rates of fascial dehiscence and wound infections. Multivariate analysis confirmed SC’s superiority in achieving PFC. Further studies are needed to confirm […]
Similar Parastomal Hernia Recurrence Rates in Open Sugarbaker vs Keyhole Mesh Repair
A randomized clinical trial compared open retromuscular Sugarbaker and keyhole mesh placements for parastomal hernia repair over 2 years in 150 patients. At the 2-year mark, parastomal hernia recurrence rates were similar between the two groups. There were no significant differences in reoperations, complications, or patient-reported outcomes between the techniques. Further advancements are needed to […]
Subcutaneous Fat Thickness Predicts Postoperative Seroma Risk
Subcutaneous fat thickness (TSF) is linked to higher postoperative seroma risk following laparoscopic hernioplasty. In a study of 229 male patients, factors like longer hernia duration, larger defects, and TSF ≥26.0 mm were associated with increased seroma risk. TSF ≥26.0 mm had an odds ratio of 7.033 for seroma development. TSF could serve as a […]
Laparo-endoscopic surgery reduces chronic inguinal pain post-hernioplasty
Laparo-endoscopic hernia surgery shows a lower likelihood of chronic inguinal pain compared to lichtenstein repair, with similar recurrence rates. This systematic review and meta-analysis of eight randomized controlled trials involving 1,469 patients provides robust evidence supporting the effectiveness of laparo-endoscopic mesh repair (TAPP and TEP) in reducing chronic pain following inguinal hernia repair procedures. Journal […]