The study conducted a systematic review with meta-analyses to assess the inheritance of groin hernias. It included 22 studies and found that a positive family history, particularly between mothers and daughters and between sisters, significantly increased the risk of inguinal hernia in children. In adults, patients with inguinal hernia had higher odds of having a […]
Category: Hernia
Patients with Low Social Vulnerability More Likely to Receive Hernia Repair in Texas
The study aimed to assess the association between social vulnerability and the likelihood of receiving elective and emergency hernia repair in Texas. The results showed that patients with low social vulnerability were 36% more likely to receive surgery, while those with high social vulnerability were 14% less likely. This association remained significant after adjusting for […]
Surgical repair of hernias in patients with ascites is a rare event with increased adverse outcomes
Researchers conducted a retrospective review of 176 patients with ascites undergoing ventral or inguinal hernia repair. The study found that surgical repair of hernias in patients with ascites is rare (1.4% in ventral hernia cohort, 0.2% in inguinal hernia cohort). The post-operative 30-day adverse clinical outcomes were significantly higher in both cohorts compared to patients […]
Lack of Consensus on Quality-of-Life Assessments for Abdominal Wall Reconstruction
Surgeons employ a variety of quality-of-life instruments to track outcomes after abdominal wall reconstruction (AWR), but no universally agreed-upon tool exists. A scoping review identified six hernia-specific tools and six generic health tools used in AWR research. The most commonly used hernia-specific tools were the hernia-related quality-of-life survey and the Carolinas Comfort Scale, while the […]
Comparison of Laparoscopic Parastomal Hernia Repair Techniques: Keyhole, Sugarbaker, Sandwich, and Hybrid
Parastomal hernia, a common complication after stoma formation, has been treated using various minimally invasive techniques. However, the optimal technique remains unclear. In this updated systematic review and meta-analysis, researchers analyzed 33 studies involving 1289 patients to compare the outcomes of four commonly used techniques. The keyhole technique showed the highest incidence of complications and […]
Robotic Surgery Triumphs: Meta-Analysis on Hernia Repair
In a comprehensive review encompassing 64 studies, including 227,242 patients for inguinal hernia repair (IHR) and 158,384 for ventral hernia repair (VHR), robotic surgery exhibited superiority. Robotic IHR significantly lowered hernia recurrence risk (OR 0.54), demonstrating its safety and efficacy. The meta-analysis underscores that robotic surgery emerges as a commendable alternative, offering intraoperative and postoperative […]
Objective Hiatal Hernia Sizing: Enhancing Precision in Surgical Decision-Making
Investigating hiatal hernia (HH) size reporting, researchers compared subjective estimates with objective axial length measurements in 93 patients. While endoscopic subjective size allocations correlated with intra-operative decisions, axial length measurements significantly correlated with manometry results. Only one barium swallow report included an objective HH size measurement. Integrating axial length measurements into endoscopy reports is crucial, […]
Synthetic Mesh Holds Its Ground: Comparable Efficacy and Safety in Preventing Incisional Hernias Post Ileostomy Closure
In the Preloop trial, 97 patients underwent loop ileostomy closure with either retrorectus synthetic or biological mesh. Results at 10 months showed comparable outcomes—2% incisional hernia rates in both groups, and no significant differences in complications, reoperation rates, or hospital stay. The findings suggest synthetic mesh’s efficacy and safety match up to its biological counterpart, […]
Hernia Center Labels: No Clear Edge in Ventral Hernia Repair Outcomes
In the quest for superior hernia care, researchers explored designated hernia centers (DHCs). Analyzing over 14,000 ventral hernia repairs (VHRs) from 261 sites, they found no clear advantage to DHCs. Surprisingly, non-designated hernia centers (NDHCs) displayed fewer 30-day complications and lower one-year hernia recurrence rates. The message? Current hernia center labels might not guarantee better […]
Irreversible Nerve Damage: The Pre-op Pain Predictor for Chronic Post-op Pain in Inguinal Hernia Patients
Inguinal hernia patients with pre-op pain face potential irreversible nerve damage, signaling a road to chronic post-op pain (CPIP). Studying 40 patients who underwent hernia repair, researchers found intraneural fibrosis within the ilioinguinal nerve in all pre-op pain cases. The fibrosis degree correlated positively with pain duration. This unveils a crucial link between pre-op pain […]