Laparoscopic-guided transversus abdominis plane (TAP) block significantly reduced postoperative pain and analgesic requirements in patients undergoing laparoscopic IPOM plus compared to standard general anesthesia. Group I, receiving TAP block, had significantly lower pain scores at 6 and 24 hours postoperatively and required fewer additional analgesics (13.8%) compared to Group II (72.2%). These findings highlight the […]

Researchers evaluated the long-term outcomes of using bio-A biosynthetic mesh in ventral hernia repairs, finding a 17.4% overall recurrence rate. Contaminated cases had a higher recurrence rate of 28.8% compared to 10.4% in clean cases. Despite this, the study confirms the cost-effective use of biosynthetic mesh in all wound classifications, with good outcomes, limited long-term […]

Genetic and biologic markers associated with hernia formation were investigated, with 65 studies selected from a total of 5946. Notable findings include 92 susceptible loci across 66 genes in inguinal hernias, elevated MMP-2 levels in direct versus indirect inguinal hernias, unique gene-expression profiles in incisional hernias, and genetic risk loci in hiatal hernias. Collagen ratios […]

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 […]

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 […]

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 © […]

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 […]

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 […]