Robot-assisted retromuscular repair of ventral hernias yields better short-term outcomes compared to laparoscopic intraperitoneal onlay mesh (IPOM) repair. A nationwide study found that patients who underwent robot-assisted repair had significantly lower rates of hospitalization for more than 2 days and 90-day readmission compared to those who underwent laparoscopic IPOM. However, there was no difference in […]
Category: Hernia
Synthetic Mesh Shows Cost Advantage and Pain Reduction in Hernia Repair
The study compared patient-reported quality of life scores and costs after ventral hernia repair surgeries using either biologic or synthetic mesh. There were no significant differences between the two mesh types in terms of overall quality of life measures. However, the synthetic mesh group showed a greater reduction in disability, specifically in the physical role […]
Validation of a New Silicone Model for Robotic TAPP Inguinal Hernia Repair
The study aimed to validate a new low-cost silicone model for simulating robotic TAPP inguinal hernia repair. A TAPP-specific fidelity questionnaire and assessment scale were developed to compare the performance of novices and experts in the simulated procedure. The participants included residents and specialists from across the country. The study found that seniors outperformed juniors […]
Hiatal Hernia Repair Post-Laparoscopic RYGB: Short-Term Symptom Relief
Symptomatic hiatal hernia (HH) with pouch migration is a rare complication after laparoscopic Roux-en-Y gastric bypass (RYGB), and there is limited evidence on the utility of surgical repair. In this retrospective review of 44 patients who underwent isolated HH repair after previous RYGB, researchers found that common symptoms were dysphagia and reflux. Surgical repair resulted […]
Robotic Approach for Ventral Hernia Repair Lowers Wound Morbidity in High-Risk Patients
A propensity score analysis was conducted using the abdominal core health quality collaborative (ACHQC) database to evaluate the impact of robotic approach on wound morbidity in high-risk patients undergoing retromuscular ventral hernia repair. After matching patients for each approach, it was found that the robotic approach resulted in decreased rates of surgical site infections (SSIs) […]
No Significant Hernia Recurrence, but Increased Complications: Impact of Smoking on Minimally Invasive Paraesophageal Hernia Repair Outcomes
The impact of active smoking on outcomes of minimally invasive paraesophageal hernia repair (PEHR) was assessed in this cohort study. There was no significant difference in rates of death or serious morbidity (DSM) or hernia recurrence between smokers and non-smokers. However, on further analysis using the National Surgical Quality Improvement Program (NSQIP) database, smoking status […]
Weight Loss, Not BMI Alone, Predicts Wound Complication Risk in Obese Hernia Patients
A retrospective study analyzed 182 obese patients who underwent open transversus abdominis release (TAR) for complex ventral hernias. Among these patients, those with a BMI greater than 40 did not show significant differences in surgical site occurrences and infections compared to those with a lower BMI. However, patients who achieved at least a 3% preoperative […]
High-resolution 3D CT Aids in Hiatal Hernia Diagnosis and Surgical Planning
The study demonstrates that high-resolution 3D computed tomography (CT) is a valuable tool for assessing the anatomical characteristics of hiatal hernias (HH) and aiding in surgical planning for laparoscopic or robotic antireflux procedures. CT scans accurately identified HH in 70% of patients and correlated well with endoscopic findings. Furthermore, the distance between the esophagogastric junction […]
Use of Inlay Bridge of Posterior Fascia Enhances Repair for Difficult Abdominal Wall Hernias
The study explored the use of an inlay mesh bridge as a supplementary technique to a modified Rives-Stoppa repair for challenging abdominal wall hernias. Nineteen patients with large postoperative ventral hernias were examined. Results showed that the inlay mesh bridge, combined with a sublay ultrapro mesh, effectively repaired abdominal wall defects when the posterior fascia […]
Hidden Stitch Technique Prevents Complications in Laparoscopic Hernia Repair
Researchers introduced a novel hidden stitching technique for peritoneal closure in laparoscopic hernia repair to prevent complications associated with the use of barbed suture. The study retrospectively analyzed the data of patients undergoing laparoscopic transabdominal preperitoneal patch (TAPP) procedures. In the hidden stitch group, where the barbed suture was hidden on the dorsal side of […]