The simplified three-factor risk assessment model for venous thromboembolism (VTE) in inguinal hernia patients resulted in higher prophylaxis rates, reduced assessment time, and lower d-dimer levels compared to the Caprini score. Patients identified as high-risk saw significant improvements in prophylaxis. The model did not increase VTE or bleeding risks, demonstrating potential for quick and effective […]
Category: Hernia
Predictive Markers in Incarcerated Abdominal Wall Hernia
Emergency abdominal wall hernia repairs are critical surgical emergencies where early detection is crucial to prevent necrosis and organ resection. This study retrospectively analyzed 122 patients undergoing emergency surgery for incarcerated abdominal wall hernias. Results show that elevated levels of lactate, white blood cells, neutrophils, and neutrophil-to-lymphocyte ratio are associated with bowel resection. Monocyte levels […]
Novel risk factors for incisional hernia recurrence
Identification of pulmonary ventilation function abnormalities, age over 70, BMI over 27 kg/m2, and porcine small intestine submucosal mesh as independent risk factors for incisional hernia recurrence after open preperitoneal repair. Significant differences in recurrence and non-recurrence patients noted in factors such as mesh materials, surgical site infections, and hernia defect width. These findings provide […]
Learning Curve Effects of TransREctus Sheath PrePeritoneal Procedure on Inguinal Hernia Repair
The Transrectus Sheath PrePeritoneal procedure for inguinal hernia repair showed safety and efficacy, with a low rate of complications and hernia recurrences. Analysis of 422 procedures revealed no significant differences in outcomes based on surgeon experience level, suggesting a short learning curve. Implementation of the procedure did not result in a notable increase in adverse […]
Experimental Ostomy Device for Parastomal Hernia Prevention
An innovative ostomy protector, in conjunction with a compression binder, was proven safe and effective in reducing parastomal hernia in ostomates. With a low incidence of hernia-related complications, patients reported high satisfaction levels with the prototype, signifying its potential clinical value as a preventive measure. Collaborative design efforts between healthcare professionals and end-users yielded a […]
Machine learning and deep learning in hernia surgery
Machine learning and deep learning technologies are increasingly utilized in hernia surgery, showing promise in predicting outcomes and identifying factors associated with postoperative complications. Thirteen studies from 2020 to 2023 were included, focusing on inguinal, ventral, and incisional hernias. These studies varied in population, types of models used, and outcomes predicted, showcasing the potential of […]
Standardizing Laparoscopic Ventral Hernia Repair Techniques in India
Experts in India reached a consensus on laparoscopic ventral hernia repair (LVHR) techniques to improve patient safety and outcomes. Key recommendations include intraperitoneal onlay mesh (IPOM) and various minimally invasive approaches. These standardized practices aim to enhance decision-making and guide minimal access surgery for ventral hernias in the Indian context, filling critical gaps in current […]
CPL-01 effective in Postoperative Pain Management
CPL-01, a long-acting ropivacaine, significantly reduced postoperative pain intensity scores and opioid use in open inguinal hernia repair patients. Subjects receiving the highest CPL-01 dose showed clinically meaningful pain reduction, requiring fewer opioids and experiencing faster recovery compared to placebo and naropin groups. CPL-01 demonstrated safety and predictable extended-release pharmacokinetics, potentially offering a new nonopioid […]
Incidence of Morbidity and Mortality in Anti-reflux and Hiatal Hernia Surgery
This study reports historic morbidity and mortality rates in anti-reflux and hiatal hernia surgery, showing a 30-day morbidity rate of 18.2% and mortality rate of 0.2%, with most complications being minor. The 31-90-day period shows decreased rates. These findings suggest that while the surgeries have rare mortality, some patients may experience major complications, emphasizing the […]
Optimal Management Strategy for Patients with Paraesophageal Hernia
Updated Markov model shows elective laparoscopic hernia repair increases life-years in individuals with paraesophageal hernia symptoms and Cameron lesions. Comorbid conditions impact life expectancy but do not change the preference for surgery over watchful waiting in most cases, except for the elderly without Cameron lesions. Individualized guidance for management of paraesophageal hernia patients can be […]