The Cleveland Clinic evaluated the effect of active smoking on surgical outcomes for patients undergoing elective abdominal wall reconstruction. They found that while active smokers showed a slight increase in wound complications and higher pulmonary issues, these differences didn’t reach statistical significance. Importantly, there were no mesh infections in the smoking group during early follow-up. […]
Category: Hernia
Hernia Repair Techniques and Male Fertility: Lichtenstein vs. TAPP
A clinical trial compared Lichtenstein and laparoscopic transabdominal preperitoneal (TAPP) techniques for bilateral inguinal hernia repair’s impact on male fertility. The study, involving 37 adult patients, examined hormonal levels, testicular health, semen quality, sexual activity, and quality of life before and after surgery. Although patients experienced improved quality of life after surgery, neither technique had […]
Comparing Surgical Approaches for Incisional Hernia Repair After Pancreatic Surgery
After analyzing data from the Herniamed registry, which included patients who underwent incisional hernia repair following pancreatic surgery, researchers found that both open and minimally invasive techniques were effective and safe, with low recurrence rates. Of the patients with one-year follow-up, 95% had previously undergone open pancreatic surgeries. Notable differences included a higher rate of […]
Conflict of Interest Disclosures Fall Short in Robotic Surgery Studies
A study scrutinized conflict of interest (COI) disclosures in gastrointestinal and abdominal wall surgery research related to robotics. It found that a substantial majority (86.4%) of these studies had inaccurate or undisclosed COI statements. Moreover, many authors who received funding from robotics companies failed to report it in their disclosures. These findings emphasize the need […]
Comparing Open and Laparoscopic Surgery for Hernia Repair
In the INCH-trial, researchers conducted a multicenter randomized controlled trial comparing open and laparoscopic surgery for incisional hernia repair. They initially believed laparoscopic surgery would offer advantages, but after studying 88 patients, found no significant differences in hospital stay, quality of life, or recurrence rates. Dissatisfaction was higher in the open surgery group. These results […]
Emergency Parastomal Hernia Repair in Older Adults: Impact of Surgical Techniques on Outcomes
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 […]
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 […]