In a comprehensive review of eight randomized trials with 537 patients, the long-term efficacy of prophylactic mesh during end colostomy creation was debunked. Contrary to prior expectations, the incidence of parastomal hernia showed no significant reduction, challenging the strategy’s effectiveness. Both parastomal hernia repair rates and mortality remained comparable between mesh and non-mesh groups, with […]
Category: Hernia
Synthetic Mesh Holds Its Own: Comparable Efficacy and Safety for Incisional Hernia Prevention in the Preloop Trial
In the “Preloop Trial,” where 102 patients underwent loop ileostomy closure, researchers compared retrorectus synthetic mesh to biological mesh for preventing incisional hernia. At 10 months, both groups showed similar low rates of incisional hernia—2% each. No significant differences were found in complications, reoperation, operating time, or hospital stay. This suggests synthetic mesh is as […]
Debunking the Myth: Femoral Hernias in Women Not So Rare
In the realm of inguinal hernia repairs, the belief that females rarely have femoral hernias gets a reality check. A study diving into minimally invasive and Lichtenstein repairs found femoral hernias more frequently during minimally invasive surgeries. Most were small, and recurrence rates between approaches and genders were similar. This challenges the prevalent notion, suggesting […]
Beyond the Bulge: Unveiling Body Image Struggles in Abdominal Wall Hernia Patients
In a pioneering study on abdominal wall hernias (AWH), researchers delve into patients’ personal narratives, uncovering the profound impact on body image. The qualitative analysis of 15 patients reveals two interconnected themes: “Changes to Perceptions of Self” and “Fears Concerning Others’ Perceptions.” AWH significantly harms patients’ body image, emphasizing the need for comprehensive pre-operative information […]
New Surgical Guidelines for Paraesophageal Hernias Offer Key Recommendations
The European Association for Endoscopic Surgery conducted a comprehensive review to update guidelines for paraesophageal hernias. They gathered an interdisciplinary panel of experts, including surgeons, gastroenterologists, and patient advocates, and utilized the latest evidence and methodology. Their recommendations emphasize surgery for asymptomatic/minimally symptomatic cases but recommend conservative management for frail patients. They also provide guidance […]
Impact of Smoking on Elective Hernia Repair Outcomes
The Cleveland Clinic evaluated the effect of active smoking on surgical outcomes for patients undergoing elective abdominal wall reconstruction. They found that while active smokers showed a slight increase in wound complications and higher pulmonary issues, these differences didn’t reach statistical significance. Importantly, there were no mesh infections in the smoking group during early follow-up. […]
Hernia Repair Techniques and Male Fertility: Lichtenstein vs. TAPP
A clinical trial compared Lichtenstein and laparoscopic transabdominal preperitoneal (TAPP) techniques for bilateral inguinal hernia repair’s impact on male fertility. The study, involving 37 adult patients, examined hormonal levels, testicular health, semen quality, sexual activity, and quality of life before and after surgery. Although patients experienced improved quality of life after surgery, neither technique had […]
Comparing Surgical Approaches for Incisional Hernia Repair After Pancreatic Surgery
After analyzing data from the Herniamed registry, which included patients who underwent incisional hernia repair following pancreatic surgery, researchers found that both open and minimally invasive techniques were effective and safe, with low recurrence rates. Of the patients with one-year follow-up, 95% had previously undergone open pancreatic surgeries. Notable differences included a higher rate of […]
Conflict of Interest Disclosures Fall Short in Robotic Surgery Studies
A study scrutinized conflict of interest (COI) disclosures in gastrointestinal and abdominal wall surgery research related to robotics. It found that a substantial majority (86.4%) of these studies had inaccurate or undisclosed COI statements. Moreover, many authors who received funding from robotics companies failed to report it in their disclosures. These findings emphasize the need […]
Comparing Open and Laparoscopic Surgery for Hernia Repair
In the INCH-trial, researchers conducted a multicenter randomized controlled trial comparing open and laparoscopic surgery for incisional hernia repair. They initially believed laparoscopic surgery would offer advantages, but after studying 88 patients, found no significant differences in hospital stay, quality of life, or recurrence rates. Dissatisfaction was higher in the open surgery group. These results […]