Minimally invasive right colectomy patients with midline specimen extraction have a higher risk of developing postoperative incisional hernia (ih) compared to those with pfannenstiel extraction. The study of 341 patients found that midline extraction was associated with a 25% ih rate, while pfannenstiel extraction had a 0% rate. Midline extraction was also linked to longer […]
Category: Hernia
PORSHA for Paraesophageal Hernias: Phase 2a Results
Posterior Rectus Sheath Hiatal Flap Augmentation (PORSHA) exhibits promise as a surgical innovation for large and recurrent paraesophageal hernias. In a study of 27 cases, PORSHA, after technical modifications, demonstrated safety and success in repairing type III, IV, and recurrent paraesophageal hernias. At an 11-month follow-up, there were no radiologic recurrences, abdominal eventrations, or hernias […]
Abdominal Wall Tension Does Not Impact Early Postoperative Outcomes in Posterior Component Separation with Transversus Abdominis Release
After analyzing 200 measurements from 100 patients undergoing posterior component separation with transversus abdominis release, researchers found that baseline and residual abdominal wall tensions did not affect early postoperative complications such as surgical site infection, readmission, ileus, and bleeding. Further investigation is required to determine if abdominal wall tension influences long-term outcomes like hernia recurrence. […]
Elective Laparoscopic Repair Improves Life Expectancy in Paraesophageal Hernia
Researchers utilized an updated Markov model to compare life-years gained with elective laparoscopic paraesophageal hernia repair (ELHR) versus watchful waiting (WW) in patients aged 40-90 with symptoms, Cameron lesions, or comorbid conditions. ELHR was found to increase life expectancy over WW in most cases, particularly in symptomatic patients. Despite the impact of comorbidities, ELHR remained […]
Mesh type does not significantly impact long-term hernia recurrence after laparoscopic cruroplasty
Among 2170 patients undergoing laparoscopic hiatal hernia repair with follow-up, objective recurrence rates were 20.8% with suture repair, 20.6% with absorbable mesh, 13.7% with non-absorbable mesh, and 0% with partially absorbable mesh. Despite initial favor for non-absorbable mesh in the mid-term, all mesh types showed similar long-term recurrence rates (≥48 months). Mesh type did not […]
Development and Validation of a New Tool for Assessing Minimally Invasive Inguinal Hernia Repair Procedural Safety
Researchers developed and tested an 8-item procedure-specific assessment tool for minimally invasive inguinal hernia repair, showing good to excellent inter-rater reliability. Robotic procedures had higher reliability, and easier cases had higher agreement levels. The tool was designed and evaluated with expert input and real-world operative videos, with promising results for safety assessments in surgical training […]
Does Fundoplication at the Time of Paraesophageal Hernia Repair Reduce Postoperative Reflux?
Patients who underwent paraesophageal hernia repair without fundoplication did not report different rates of postoperative symptoms compared to those who did. The study found that fundoplication at the time of hernia repair may not reduce postoperative reflux, despite being a standard practice for sliding-type hiatal hernias. This suggests that the additional procedure may not be […]
Intraoperative and Postoperative Complications in Antireflux and Hiatus Hernia Surgery
A comprehensive cohort study of 4,301 patients undergoing antireflux and hiatus hernia surgeries in Australia revealed a 12.6% incidence of intraoperative complications and a 13.3% incidence of postoperative complications. Independent predictors of complications included the Charlson comorbidity index, hernia size, revisional surgery, and baseline anticoagulant usage. These risk factors had distinct complication profiles and their […]
Internal Orifice Narrowing Reduces Seroma Formation in Laparoscopic Inguinoscrotal Hernia Repair
Internal orifice narrowing achieved by suturing the distal hernia sac in laparoscopic repair of inguinoscrotal hernias significantly reduces the incidence and volume of seroma formation. A double-blind randomized controlled trial with 58 patients showed a lower seroma incidence at 7 days and reduced seroma volume on postoperative day 7 in the experimental group. Neither chronic […]
Comparing Sutureless Techniques in Open Inguinal Hernia Repair
In open inguinal hernia repair, three sutureless techniques were compared: mesh fixation with glue, self-gripping mesh, and trabucco’s technique. Among 1034 patients, trabucco’s technique, utilizing standard/heavy mesh, significantly increased the odds of hematomas. The study assessed postoperative complications, acute/chronic pain, and discharge time, considering patient-related factors. Journal Article by Baldini E, Lori E (…) Palumbo […]