Mesenteric molding suturing significantly reduces parastomal hernia rates after colostomy, presenting a safer alternative with fewer complications. Parastomal hernia incidence was 19.8% in the molding group, compared to 27.6% in controls (p < 0.001). Molding suturing reduced the risk of hernia by 32% (hazard ratio 0.68, p = 0.02). MMS slightly increased operative time but […]
Category: Hernia
New Tool to Predict Parastomal Hernia Post-Colostomy
A newly developed nomogram predicts the risk of parastomal hernia in patients undergoing permanent colostomy for rectal cancer, crucial for improving patient outcomes. In a study of 430 patients, 30.9% developed parastomal hernia. Key risk factors include age ≥ 65 years (odds ratio 2.51) and BMI ≥ 25 kg/m² (odds ratio not specified). This tool […]
Assessing Umbilical Fat Can Lower Incisional Hernia Risk
Umbilical fat is a critical factor in predicting incisional hernia risk after laparoscopic colorectal surgery. Cumulative incidence of incisional hernia was 33.6%, with only 2.1% symptomatic cases. Umbilical fat increased hernia risk significantly (hazard ratio 6.56). Preoperative CT to evaluate umbilical fat can help identify high-risk patients. Long surgical times and adjuvant chemotherapy also contribute […]
Postmarket Analysis of Inguinal Hernia Mesh Safety
This study evaluates real-world outcomes of various inguinal hernia mesh products to identify safety alerts for reoperation rates. None of the top three most-used open mesh products (Progrip, Parietex, Perfix) triggered alerts, with reoperation rates below 2%. Surgipro and Kugel demonstrated concerning reoperation rates of 1.7% and 2.5%, respectively, triggering safety alerts. Among minimally invasive […]
Predicting Bowel Resection Risk in Incarcerated Hernias
This study identifies key predictors for bowel resection in incarcerated abdominal wall hernias, which has crucial implications for surgical decision-making. 12% of patients needed bowel resection due to strangulation. Elevated white blood cell count, C-reactive protein, and lactate levels linked to a higher risk of resection. Bowel obstruction and femoral hernia also significantly increase risk […]
New insights on surgical management of rectus abdominis diastasis with hernias.
Analyzing 11,658 cases, 31.3% were women, 68.7% men; 94.9% involved surgery for diastasis with ventral hernias. Preferred techniques: mini-less-open and endoscopic sublay (48.9%), open techniques (30.7%), laparoscopic (11.0%). Postoperative complications were 5% with a 2.3% reoperation rate, indicating surgical challenges. Surgeons should consider patient selection carefully, as outcomes highlight the complexity of these procedures. Journal […]
Ventral hernia repair outcomes hinge on proper closure metrics.
Overall anterior fascial closure rate post-transversus abdominis release was 93.9%. Hernia widths of 15-20 cm and >20 cm significantly lower closure odds (0.39 and 0.05 respectively). History of open abdomen and higher ASA classification also correlate with non-closure (0.33 and 0.39 respectively). Proper patient selection and recognition of risk factors can enhance surgical outcomes and […]
Low-Cost Simulation Improves Surgical Training for Ostomy Creation
A new foam abdominal wall model enhances resident confidence in performing ostomy and abdominal access procedures. Residents’ overall technical comfort improved by 2 points (p < 0.001). Confidence in siting the stoma increased by 1 point (p < 0.001), creating the trephine by 2 points (p < 0.001), and securing the stoma by 1 point […]
Laparoscopic Repair Reduces Hospital Stay for Groin Hernias
Emergency laparoscopic repair of groin hernias leads to significant benefits over open approaches. Patients had a shorter hospital stay by nearly 3 days on average (2.96 days). There was a 71% lower risk of wound infections with laparoscopic repair. Surgeons can consider laparoscopic techniques as a safer and more efficient option without extended operative times. […]
Impact of BMI on Incisional Hernia Repair Outcomes
Higher BMI negatively affects recovery in incisional hernia repair, making patient selection crucial. 42,081 patients analyzed showed no link between BMI and intraoperative or general complications. Elevated BMI is associated with higher postoperative complications, reoperations, and recurrence rates. Consider recommending preoperative weight loss to reduce these risks for patients with high BMI. Chronic pain at […]