Triclosan-coated sutures significantly reduce the incidence of surgical site infections (SSI) after abdominal surgery by 2%, as demonstrated in a meta-analysis of 11 randomized controlled trials with over 10,000 patients. This study found lower SSI rates in the triclosan-coated group compared to uncoated sutures, particularly with polydioxanone and polyglactin 910 sutures. Review by Depuydt M, […]
Category: Hernia
A Novel Groin Hernia Classification Incorporating Clinical Parameters
Researchers have developed a new groin hernia classification system that integrates clinical elements with anatomical details, providing a comprehensive framework to stratify patients by disease severity. This system consists of nine grades and allows more precise data collection for future audits, monitoring disease progression, and assessing the impact of different management strategies. Initial evaluation involved […]
Laparoscopic Total Extraperitoneal Hernia Repair in Patients with Previous Abdominopelvic Surgery
Retrospective cohort study on laparoscopic inguinal hernia repair comparing short- and long-term outcomes in patients with and without previous abdominopelvic surgery history showed no significant difference in perioperative outcomes. Laparoscopic totally extraperitoneal (TEP) repair was deemed feasible and associated with low rates of complications, making it a standard option for all patients, regardless of abdominopelvic […]
Prophylactic Mesh Reduces Stoma Site Hernia Rates
Prophylactic biosynthetic mesh placement during stoma reversal significantly reduces stoma site incisional hernia rates compared to primary stoma closure without mesh. Observation of 174 cases showed a 1.0% incidence in the treatment group versus 17.8% in the control group, with mesh proving to be a protective factor. Body mass index and chronic kidney disease were […]
Factors influencing paraesophageal hernia recurrence after repair
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 […]
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 […]