Researchers conducted a multicenter analysis using the Abdominal Core Health Quality Collaborative database to compare the outcomes of unilateral groin hernia repair approaches in the United States. The study included patients who underwent open inguinal hernia repair, laparoscopic transabdominal preperitoneal, laparoscopic total extraperitoneal, and robotic transabdominal preperitoneal repair. The results showed that there were no […]
Category: Hernia
Operative outcomes and complication rates are similar for open and minimally invasive repair of Spigelian hernias
A retrospective chart review of 43 cases of Spigelian hernias over a 10-year period found that a laparoscopic approach was the preferred method of repair in 74% of cases. The predominant hernial content was fat only, and 65% of cases had a history of prior abdominal surgery unrelated to the Spigelian belt location. Complications occurred […]
Prophylactic mesh augmentation reduces incisional hernia incidence in emergency laparotomy closure
Prophylactic mesh augmentation in emergency laparotomy closure was evaluated through a meta-analysis of randomized controlled trials. After reviewing 33 studies, four were included in the analysis, involving 464 patients. The results showed a significant decrease in incisional hernia incidence when mesh reinforcement was used (OR 0.18; 95% CI 0.07-0.44; pā
The Impact of Body Fat Location and Volume on Incisional Hernia Development and Outcomes
The study examined the relationship between different adipose tissue parameters and the incidence of incisional hernias (IH) after abdominal surgeries, as well as the outcomes of hernia repair. Thirteen studies were analyzed, showing that increased visceral and subcutaneous fat volume were associated with a higher likelihood of IH development. Higher fat levels also correlated with […]
The laparoscopic transabdominal preperitoneal technique is a safe and effective option for emergency inguinal and femoral hernia repair
A retrospective study compared the laparoscopic transabdominal preperitoneal (TAPP) technique with the open technique for emergency groin hernia repair. The TAPP group had younger patients with less severe clinical scenarios, while the open group had a higher incidence of bowel herniation and required more bowel resections. The TAPP group had shorter hospital stays and fewer […]
Prophylactic mesh augmentation reduces incisional hernia incidence in emergency laparotomy closure
Prophylactic mesh augmentation in emergency laparotomy closure was evaluated through a meta-analysis of randomized controlled trials. After reviewing 33 studies, four were included in the analysis, involving 464 patients. The results showed a significant decrease in incisional hernia incidence when mesh reinforcement was used (OR 0.18; 95% CI 0.07-0.44; pā
No Reduction in Surgical Site Infection with Dual Antibiotic Irrigation in Ventral Hernia Repair: RINSE Trial Findings
In a randomized trial for ventral hernia repair, dual antibiotic irrigation (gentamicin + clindamycin) did not significantly reduce surgical site infection (SSI) rates compared to saline irrigation. No differences were observed in secondary outcomes, suggesting that this antibiotic approach may not offer additional benefits in preventing SSIs in this context. Journal Article by Warren JA, […]
Wittmann Patch-Assisted Closure for Open Abdomen: More Cost-Effective Than Ventral Hernia Repair
Wittmann Patch-Assisted Closure proves more clinically effective (19.43 QALYs) and cost-efficient ($7777 cost reduction) than planned ventral hernia repair. A decision tree analysis, rollback, and ICUR (-156,679.77) support Wittmann Patch’s cost-effectiveness, with a 96.8% confidence from Monte Carlo analysis. This study establishes Wittmann Patch-Assisted Closure as a superior and economically viable strategy for open abdomen […]
Frailty Index Successful in Predicting Morbidity in Elective Hernia Repair Patients
Researchers conducted a retrospective analysis using the Modified Frailty Index (MFI) to assess postoperative outcomes in elective hernia repair patients. The study included 14,125 robust patients and 1704 frail patients. Frail patients had higher in-hospital mortality, postoperative morbidity, longer hospital stays, higher healthcare costs, and were less likely to be discharged home. The findings suggest […]
Hiatal hernia significantly increases the risk of Barrett’s esophagus, particularly long-segment Barrett’s esophagus
This meta-analysis examined the association between hiatal hernia and Barrett’s esophagus (BE) using 47 studies involving 131,517 participants. The unadjusted data showed that hiatal hernia was significantly associated with an increased risk of any length BE. Furthermore, hiatal hernia was found to be a significant risk factor for BE, particularly long-segment Barrett’s esophagus. These findings […]