Abdominal surgeries following transversus abdominis release are linked to substantial comorbidities and heightened hernia recurrence rates. Efforts to minimize reoperations post-tar procedure are crucial. Results reveal a 36.1% hernia recurrence rate in 1137 patients, with 4.7% undergoing non-hernia abdominal surgeries, primarily due to small bowel obstructions. Urgent or emergent surgeries predominated, highlighting the need for […]
Category: Hernia
Reinforcing Hiatal Hernia Repair to Reduce Recurrence Rates
Revision procedures for recurrent hiatal hernia revealed that most recurrences occurred in the left-anterior quadrant of the hiatus. Posterior recurrences were also notable. Both anterior and posterior hiatal reinforcement may be necessary to decrease recurrence rates. A randomized controlled trial using a circular, bio-absorbable mesh is underway to validate this hypothesis. Review by Geerts JH, […]
Mesh Repair Reduces Ventral Hernia Recurrence Rates Over Time
The study revealed that the 5-year recurrence rate after ventral hernia repair was greater than 40% and 70% in patients with and without mesh, respectively. Ventral hernia recurrence rates increased over time, emphasizing the need for close, long-term follow-up. Risk factors associated with higher odds of recurrence include higher body mass index, immunosuppressants, incisional and […]
Advances in Hernia Care: Moving Towards Individualized Treatment
Recent advances in hernia surgery have allowed surgeons to accurately predict risk, diagnose hernias based on individual characteristics, and utilize new technology and techniques in the operating room. While outcomes have modestly improved, further progress is still needed, with emphasis on continued research, use of registries, education, and training. Hernia prevention strategies focusing on minimally […]
Obesity and Adiposity Distribution: Causal Factors for Ventral Hernia
Obesity measures and abdominal adiposity indicators were evaluated using Mendelian randomization to determine their causal relationship with ventral hernia (VH) risk. Increased BMI, body fat percentage, body fat mass, visceral adiposity tissue, waist circumference, and hip circumference were found to be causally associated with a higher risk of VH. Body fat percentage remained a significant […]
Preventing Metachronous Contralateral Hernia with Laparoscopic IPTR
Laparoscopic iliopubic tract repair effectively reduces the risk of metachronous contralateral inguinal hernia (MCIH) by treating contralateral occult inguinal hernia. The study found a lower incidence of indirect MCIH in patients with treated occult inguinal hernia compared to those without treatment. Postoperative complications, pain scores, and recovery times were similar between the groups, emphasizing the […]
Effectiveness of Laparoscopic-Guided Transversus Abdominis Plane Block in Reducing Postoperative Pain After Laparoscopic IPOM Plus
Laparoscopic-guided transversus abdominis plane (TAP) block significantly reduced postoperative pain and analgesic requirements in patients undergoing laparoscopic IPOM plus compared to standard general anesthesia. Group I, receiving TAP block, had significantly lower pain scores at 6 and 24 hours postoperatively and required fewer additional analgesics (13.8%) compared to Group II (72.2%). These findings highlight the […]
Robotic 8-mm Trocar Fascial Wounds: Patient Comorbidities Influence Complications, Not Trocar Position
Results show a low rate of 8-mm trocar site hernia (0.31%) and a slightly higher rate of wound infection (4.68%) and haematoma (6.87%). Trocar-related complications were linked to patient comorbidities, not trocar position. Findings suggest no need for 8-mm fascial wound closure, emphasizing the importance of managing patient metabolic state and perioperative therapy to reduce […]
High Recurrence Rates in Contaminated Hernia Repair with Bio-A Mesh
Researchers evaluated the long-term outcomes of using bio-A biosynthetic mesh in ventral hernia repairs, finding a 17.4% overall recurrence rate. Contaminated cases had a higher recurrence rate of 28.8% compared to 10.4% in clean cases. Despite this, the study confirms the cost-effective use of biosynthetic mesh in all wound classifications, with good outcomes, limited long-term […]
Identifying Genetic and Biologic Risk Factors for Hernia Formation
Genetic and biologic markers associated with hernia formation were investigated, with 65 studies selected from a total of 5946. Notable findings include 92 susceptible loci across 66 genes in inguinal hernias, elevated MMP-2 levels in direct versus indirect inguinal hernias, unique gene-expression profiles in incisional hernias, and genetic risk loci in hiatal hernias. Collagen ratios […]