In emergent hernia repair, patients with dementia, constituting 8.2% of 137,755 analyzed, face significantly higher risks. Older individuals with dementia experience increased in-hospital mortality (odds ratio 1.29), greater perioperative complications (1.41), and are more likely to be discharged non-home (2.98) compared to those without dementia. Additionally, readmission rates rise (1.11) for this vulnerable population. The […]
Category: Hernia
ETEP technique shows safety and low recurrence for ventral hernias
A study involving 163 patients undergoing the enhanced-view totally extraperitoneal (ETEP) technique for ventral hernia repair revealed promising results. The average operative time was 137.2 minutes, with a low conversion rate to open surgery (2.5%). Postoperative complications included seromas (6.7%) and wound infections (3.1%), while the long-term recurrence rate stood at just 0.6%. Notably, proficiency […]
RROM technique achieves low recurrence and minimal complications
The retro-rectus onlay mesh (RROM) technique for ventral hernia repair demonstrates notable long-term effectiveness. In a follow-up of over four years, a mere 0.38% recurrence rate was observed among 191 patients, alongside minimal complications, including four superficial infections. The method shows promise as a safe and cost-effective alternative to the standard intraperitoneal onlay mesh (IPOM) […]
TEP repairs present higher reoperation risks for men
Findings indicate that while reoperation rates for groin hernia repair are generally low, those who underwent totally extraperitoneal (TEP) repairs had a significantly higher risk of recurrence compared to transabdominal preperitoneal (TAPP) and Lichtenstein techniques in males. Specifically, TEP was associated with increased reoperation hazards (HR 1.38 vs. TAPP; HR 1.44 vs. Lichtenstein). Conversely, in […]
Long-acting resorbable meshes outperform other types in hernia repairs
Long-acting resorbable meshes exhibited the best long-term performance in ventral hernia repairs, with a median time-to-recurrence of 166.4 months, significantly longer than synthetic (132.1 months) and biologic meshes (80 months). Recurrence rates within five years were highest for biologic meshes (41%), dropping to 22% for long-acting resorbable meshes. The findings also suggest tailored follow-up schedules, […]
Laparoscopic hernia repair improves recovery in elderly patients
In a randomized trial involving 120 elderly patients, laparoscopic inguinal hernia repair showed significant benefits over traditional open surgery. Recovery times were notably shorter, with patients returning to normal activities within 7.5 days compared to 10.6 days for the open group (p
New model predicts risk of intestinal resection in hernia patients
Advanced machine-learning techniques successfully identified key predictors of intestinal resection in incarcerated inguinal hernia patients, including peritonitis, intestinal obstruction, neutrophil count, C-reactive protein, and preoperative total protein. The constructed model, validated externally, demonstrated strong predictive performance with an area under the curve exceeding 0.8 for all ten algorithms tested. Notably, the k-nearest neighbor algorithm showed […]
Small bites technique improves postoperative outcomes in laparotomies
A systematic review and meta-analysis of seven randomized controlled trials involving 2,299 patients highlighted that the small bites technique for midline abdominal incision closure significantly reduced the incidence of ventral incisional hernia (RR: 0.46, p < 0.01) and surgical site infection (RR: 0.73, p < 0.01) compared to large bites. Additionally, patients experienced a shorter […]
CALLY Index effectively predicts intestinal ischemia in hernias
The study demonstrates that the CALLY Index and modified Glasgow Prognostic Score (MGPS) serve as significant predictors for intestinal ischemia in patients with strangulated abdominal wall hernias. Among 125 patients analyzed, a CALLY score below 2.5 was independently associated with higher ischemia risk. Receiver operating characteristic (ROC) analysis revealed strong predictive power for this cutoff, […]
High postoperative complications and mortality remain in gastric volvulus surgeries.
A systematic review analyzed surgical outcomes for acute gastric volvulus due to large paraesophageal hernias, involving 15,178 patients across 171 studies. Despite advancements, 32% faced postoperative complications, 7.6% required reinterventions, and 30-day mortality reached 5.7%. The average hospital stay was 7.9 days. These concerning results underscore the need for early diagnosis and timely surgical intervention […]