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, […]
Category: Hernia
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 […]
Suturing the hernia aperture in laparoscopic ventral hernia repair does not increase postoperative pain or hernia-site complications
Researchers conducted a randomized controlled study on 192 patients undergoing laparoscopic ventral hernia repair to assess the effects of suturing the hernia aperture before mesh placement. The study found that suturing the hernia aperture did not lead to an increase in postoperative pain or hernia-site complications, such as seroma, infection, pseudohernia, or mesh migration, three […]
Robot-assisted retromuscular repair offers superior short-term outcomes for ventral hernias compared to laparoscopic IPOM
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 […]
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) […]