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Introducing quilting in endoscopic-assisted repair of ventral hernias and diastasis recti significantly reduces postoperative seromas, a retrospective study of 176 patients revealed a lower incidence of type B seromas requiring multiple punctures or reoperation in the quilting group. Although operation duration slightly increased, this technique…
One in two ventral and incisional hernia repair (VIHR) patients had preoperative opioid prescriptions. The study found that preoperative opioid tolerance, superficial wound infection, current smoking status, and opioid dispensation within 45 days of admission were significant predictors of increased postoperative opioid use. Preoperative opioid…
Introducing quilting in endoscopic-assisted repair of ventral hernias and diastasis recti significantly reduces postoperative seromas, a retrospective study of 176 patients revealed a lower incidence of type B seromas requiring multiple punctures or reoperation in the quilting group. Although operation duration slightly increased, this technique…
A "Getting It Right First Time" approach to abdominal wall reconstruction (AWR) involves developing a comprehensive management pathway. The study outlines a detailed AWR pathway, integrating literature review and experiential knowledge, facilitating better patient outcomes. Referred to as the "complex hernia bundle," this approach guides…
The study assesses the Modified Stapled Mesh Stoma Reinforcement Technique (mSMART) for parastomal hernia repair, revealing a high recurrence rate of 57.1% during follow-up. Despite low rates of surgical site occurrence and infection, disappointing outcomes indicate the need for alternative approaches in addressing parastomal hernias…
Robotic incisional hernia repairs using intraperitoneal onlay mesh (ipom) showed more perioperative complications, higher postoperative pain, and readmission rates than retromuscular (rm) repairs. However, rm repairs had higher defect closure rates and lower postoperative complications. Despite higher postoperative complication costs in ipom, total costs were…
Abdominal surgeries following transversus abdominis release are linked to substantial comorbidities and heightened hernia recurrence rates. Efforts to minimize reoperations post-tar procedure are crucial. Results reveal a 36.1% hernia recurrence rate in 1137 patients, with 4.7% undergoing non-hernia abdominal surgeries, primarily due to small bowel…
Revision procedures for recurrent hiatal hernia revealed that most recurrences occurred in the left-anterior quadrant of the hiatus. Posterior recurrences were also notable. Both anterior and posterior hiatal reinforcement may be necessary to decrease recurrence rates. A randomized controlled trial using a circular, bio-absorbable mesh…
The study revealed that the 5-year recurrence rate after ventral hernia repair was greater than 40% and 70% in patients with and without mesh, respectively. Ventral hernia recurrence rates increased over time, emphasizing the need for close, long-term follow-up. Risk factors associated with higher odds…
Recent advances in hernia surgery have allowed surgeons to accurately predict risk, diagnose hernias based on individual characteristics, and utilize new technology and techniques in the operating room. While outcomes have modestly improved, further progress is still needed, with emphasis on continued research, use of…
