Researchers delved into Medicare claims data from 2007-2015 to unveil the secrets of emergency parastomal hernia repair (PHR) in older adults. Among 6,658 patients, they discovered that this procedure comes with significant complications (62.3% within 30 days), but technique matters. Patients undergoing ostomy resiting had fewer complications. Additionally, the study identified the five-year cumulative incidence […]
Category: Hernia
Long-term Effects of Hiatal Hernia Repair Methods in GERD Patients: Mesh vs. Sutures
In the treatment of gastroesophageal reflux disease (GERD), repairing hiatal hernias alongside antireflux surgery is common. A 13-year follow-up of a randomized clinical trial reveals that using a nonabsorbable mesh for hiatal hernia repair doesn’t significantly reduce hernia recurrence rates compared to crural sutures alone. Moreover, patients who received mesh repair experienced higher dysphagia scores […]
Elective Hernia Repair Boosts Life Expectancy for Asymptomatic Paraesophageal Hernia Patients
This study reevaluated the best approach for asymptomatic paraesophageal hernia (PEH) patients: elective laparoscopic hernia repair (ELHR) or watchful waiting (WW). The conventional wisdom, based on older analyses, favored WW. However, updated research shows that ELHR leads to increased life expectancy, especially for women aged 40-90. Sensitivity and probabilistic analyses supported this shift, indicating that […]
Precise Tension Analysis Guides Hernia Repair Technique
In hernia repairs, the posterior components separation (PCS) technique plays a key role, but its precise impact on the abdominal wall remains unclear. Researchers at the Cleveland Clinic investigated this. They discovered that retrorectus dissection significantly reduced tension on the anterior fascia, ideal for cases requiring anterior fascial advancement. Meanwhile, incision of the posterior lamella […]
Laparoscopic Sandwich Technique: A Promising Option for Parastomal Hernia Repair
A study from Catalonia, Spain, examined the effectiveness of the laparoscopic sandwich technique for parastomal hernia repair, which uses a double intraperitoneal mesh. Out of 38 patients, the recurrence rate was 7.9%, and the most common complication leading to recurrence was postoperative issues like seroma, hematoma, and surgical site infection. The sandwich technique demonstrated consistent […]
Gluing Away Pain: Laparoscopic Hernia Repair with Cyanoacrylate Mesh Fixation
A study on laparoscopic inguinal hernia repair tested the effectiveness of using cyanoacrylate glue (ifabond™) instead of traditional mesh fixation. Postoperative pain significantly decreased at 5 weeks and 12 months after surgery, and there was a noticeable improvement in patients’ quality of life. The study reported a 13.74% rate of chronic groin pain at the […]
Drain Output Timing Doesn’t Impact Post-op Outcomes in Hernia Repair
Surgeons often place retromuscular drains during hernia repair to reduce complications. This study analyzed 336 patients who had hernia repair with varying drain output levels at removal. Results show that the volume of drain output at removal didn’t affect postoperative wound complications, length of stay, or hernia recurrence rates. This suggests that it’s safe to […]