The impact of active smoking on outcomes of minimally invasive paraesophageal hernia repair (PEHR) was assessed in this cohort study. There was no significant difference in rates of death or serious morbidity (DSM) or hernia recurrence between smokers and non-smokers. However, on further analysis using the National Surgical Quality Improvement Program (NSQIP) database, smoking status […]
Category: Hernia
Weight Loss, Not BMI Alone, Predicts Wound Complication Risk in Obese Hernia Patients
A retrospective study analyzed 182 obese patients who underwent open transversus abdominis release (TAR) for complex ventral hernias. Among these patients, those with a BMI greater than 40 did not show significant differences in surgical site occurrences and infections compared to those with a lower BMI. However, patients who achieved at least a 3% preoperative […]
High-resolution 3D CT Aids in Hiatal Hernia Diagnosis and Surgical Planning
The study demonstrates that high-resolution 3D computed tomography (CT) is a valuable tool for assessing the anatomical characteristics of hiatal hernias (HH) and aiding in surgical planning for laparoscopic or robotic antireflux procedures. CT scans accurately identified HH in 70% of patients and correlated well with endoscopic findings. Furthermore, the distance between the esophagogastric junction […]
Use of Inlay Bridge of Posterior Fascia Enhances Repair for Difficult Abdominal Wall Hernias
The study explored the use of an inlay mesh bridge as a supplementary technique to a modified Rives-Stoppa repair for challenging abdominal wall hernias. Nineteen patients with large postoperative ventral hernias were examined. Results showed that the inlay mesh bridge, combined with a sublay ultrapro mesh, effectively repaired abdominal wall defects when the posterior fascia […]
Hidden Stitch Technique Prevents Complications in Laparoscopic Hernia Repair
Researchers introduced a novel hidden stitching technique for peritoneal closure in laparoscopic hernia repair to prevent complications associated with the use of barbed suture. The study retrospectively analyzed the data of patients undergoing laparoscopic transabdominal preperitoneal patch (TAPP) procedures. In the hidden stitch group, where the barbed suture was hidden on the dorsal side of […]
Positive family history increases the risk of developing inguinal hernia in both children and adults
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 […]
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 […]