Older patients undergoing elective ventral hernia repair were categorized based on frailty, with severely frail patients showing lower quality of life at baseline. Surprisingly, severely frail patients reported higher quality of life scores at 30 days and 6 months postoperatively compared to non-frail patients. Despite higher rates of surgical site complications, frail patients, when appropriately […]
Category: Hernia
Developing a nuanced preoperative strategy for hernia repair
This viewpoint highlights the need for a nuanced preoperative optimization strategy in hernia repair, emphasizing patient and disease-specific factors to determine optimal surgical timing for personalized care. It discusses the variability in adherence to preoperative optimization and the lack of detailed data guiding surgical decision-making, calling for a more patient-centered approach to enhance outcomes and […]
Safe Implementation of ERAS and Early Discharge Protocols for Robotic eTEP Hernia Surgery
Initial experience with enhanced recovery after surgery (ERAS) and early discharge protocols for robotic extended totally extraperitoneal (eTEP) hernia surgery demonstrates safety, feasibility, and acceptable short-term outcomes, with 69% of patients discharged on the same day as surgery. Journal Article by Liu YZ, Luhrs A (…) Giorgi M et 3 al. in Surg Endosc © […]
Assessing Abdominal Contour Post eTEP Rives-Stoppa Surgery
The study evaluated the impact of eTEP Rives-Stoppa procedure on abdominal contour using the Ellipse 9 tool. Most patients showed improved abdominal contour, but 17% developed upper abdominal bulging. Significant differences were found between bulging and non-bulging patients in various measurements. The Ellipse 9 tool provided valuable objective analysis, revealing a discrepancy between patient perceptions […]
Age Impacts Surgical Outcomes in Ventral Hernia Repair
Patients aged 75 and older have significantly higher rates of perioperative complications after elective ventral or incisional hernia repair compared to younger patients. A retrospective cohort study of 116,643 patients showed that older age was associated with increased risk of post-operative complications, readmissions, extended hospital stays, and reoperations. Journal Article by Greenwood Francis AK, Merchant […]
Which Biomaterial Offers the Lowest Recurrence Rate in Congenital Diaphragmatic Hernia Repair?
Researchers reviewed 63 papers on 4598 CDH patients to evaluate patch repair outcomes. They found that goretex/marlex had the lowest recurrence rate at 3.6%. Recurrence rates were also low for teflon (4.2%) and dacron (5.6%), with goretex being the most popular patch material. Synthetic non-resorbable materials had the lowest recurrence rate (14.0%), while combined natural […]
Optimal Round Ligament Management in Women’s Hernia Repair
Transection of the round ligament of the uterus (RLU) during minimally invasive groin hernia repair in women reduces operative time with no difference in postoperative complication rates. Preserving the RLU does not impact chronic pain, paresthesia, recurrence rates, or complications. Further randomized studies are needed for long-term outcomes and patient-reported results to determine the optimal […]
Intraperitoneal Onlay Mesh for Ventral Hernias: Long-Term Safety and Rare Complications
Long-term mesh-related complications from minimally invasive intraperitoneal onlay mesh for small to medium-sized ventral hernias are extremely low, with only a 0.62% rate of reoperation due to mesh complications up to 6 years postoperatively. This study of 325 patients showed that intraperitoneal mesh remains a safe and durable option for hernia surgeons, with the majority […]
Immunosuppressive Induction Agents in Liver Transplantation: No Impact on Incisional Hernia Development
Despite the technical complexity of liver transplantation and the high incidence of incisional hernias, a retrospective cohort study found that the specific immunosuppressive induction agent administered during surgery did not affect the development of hernias. However, obesity and postoperative seroma of the abdominal wall were identified as potential risk factors. The overall incisional hernia rate […]
Frailty is not a contraindication for elective ventral hernia repair in older adults
Severely frail patients undergoing elective ventral hernia repair (VHR) had higher odds of surgical site occurrences but similar rates of complications compared to non-frail patients. Despite lower quality of life scores at baseline, severely frail patients reported significant improvements in quality of life at 30 days and 6 months postoperatively, similar to non-frail patients. This […]